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Psychology- MHD > Personality Disorders > Flashcards

Personality Disorders Flashcards

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1
Q

How does the DMS-5 classify a personality disorder?

A

Pattern of inner experience and behavior that deviates markedly from an individuals culture

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2
Q

What are the three P’s of a personality disorder?

A

Pervasive, pernicious and persistant

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3
Q

According to the DSM-5, a personality disorder must affect 2 or more of what 4 areas of functioning?

A

Cognition
Affectivity
Interpersonal functioning
Impulse control

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4
Q

When is the onset of a personality disorder?

A

adolescence or early adulthood

The actual diagnosis cannot be given until the person is age 18

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5
Q

What are two extenuating circumstances that can mimic personality disorder?

A

Substance abuse

Medical conditions

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6
Q

What behaviors are seen in Cluster A personality disorders?

A

Odd and eccentric

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7
Q

What three personality disorders fall under cluster A?

A

Paranoid, schizoid, and schizotypal

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8
Q

What behaviors are demonstrated in Cluster B personality disorders?

A

Dramatic, emotional and erratic

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9
Q

What 4 personality disorders fall under cluster B?

A

Anti-social, borderline, histrionic and narcissistic

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10
Q

What behaviors are seen in Cluster C personality disorders?

A

anxious and fearful

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11
Q

What 3 personality disorders fall under Cluster C?

A

Avoidant
Dependent
Obsessive Compulsive PD

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12
Q

Approximately what percent of americans are thought to have a personality disorder?

A

15%

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13
Q

How do personality disorders affect medical care?

A

Complicates due to higher rates of medical utilization, presentation with physical rather than psychiatric symptoms, compliance issues

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14
Q

Do people with personality disorders see their behavior as a problem?

A

No- they externalize blame onto others

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15
Q

Describe paranoid personality disorder

A

Pervasive mistrust and suspicion, reluctance to confide in others, angry, defensive..

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16
Q

Describe the schizoid personality disorder

A

Loners- emotionally and socially detached
Restricted range of emotional expression
Indifferent to praise or criticism

17
Q

Describe the schizotypal personality disorder

A

Eccentric (in thinking/beliefs)
Loners, social anxious, suspicious
Isolated from everyone except 1st degree relatives

MRI studies show temporal lobe abnormalities

18
Q

List three comorbid conditions seen with cluster A personality disorders

A

Depression and anxiety
Substance abuse
Schizophrenia

19
Q

What are ways to manage cluster A type personality disorders?

A

Countertransference

Address trust issues- use actions not words to demonstrate trustworthiness

20
Q

Is it a good idea to challenge a patient’s cognitive distortions?

A

NO- only if firm rapport is established

21
Q

Describe the anti social personality disorder

A 
Disregard for the rights of others
Socially irresponsible
Impulsive, irritable, aggressive
Lacks empathy and remorse
Can be glib and charming/intelligent
22
Q

Describe borderline personality disorder

A

Instability is the most common factor
Impulsivity
Cognition
Recurrent suicidal behavior (8-12%) with self-injury/cutting

More often diagnosed in females

23
Q

Describe the histrionic personality disorder

A

Dramatic, attention seeking
Life of the party, rapidly shifting shallow emotions
May be provocative, seductive

Frequently diagnosed in women, under diagnosed in men

24
Q

Name comorbidities associated with Cluster B personality disorders

A 
Depression/anxiety
Eating disorders
Substance abuse
ADHD
Antisocial and borderline disorders --> risk taking behaviors
25
Q

Controlling, acting out, splitting, somatization and self injury are common to what cluster of personality disorders?

A

Cluster B

26
Q

People who are socially inhibited, hypersensitive to criticism, have low self esteem and feel socially inadequate have what type of personality disorder?

A

Avoidant personality

27
Q

People who have difficulty making decisions, difficulty expressing disagreement, feels unable to care for themselves etc have what personality disorder?

A

Dependent PD

28
Q

People who are preoccupied by rules, details, order, rigid, perfectionist, stubborn etc have what type of personality disorder?

A

Obsessive-Compulsive PD

29
Q

Name a few behavior patterns seen in people with cluster C personality disorders

A

Inhibition
Avoidance
Intellectualization
Somatization

30
Q

What is the difference between OCD and OCPD?

A

OCD- egodystonic: they know there is a problem

OCPD- egosyntonic: they don’t realize there is a problem

31
Q

What is a non-pharmacologic treatment strategy for OCD?

A

Cognitive Behavioral Therapy

32
Q

What drug class may be used in the treatment of schizotypal disorders?

A

Antipsychotics and mood stabilizers

Small effect with antidepressants

Psychology- MHD (14 decks)

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