Personality Disorders

Question 1

what are the components of personality

Answer 1

openness
conscientiousness
extraversion 
agreeableness
neuroticism 

OCEAN

Question 2

what aspects are affected in a personality disorder

Answer 2

cognition

affectivity
- intensity/range/appropriateness of emotional response

interpersonal functioning

impulse control

Question 3

what is the criteria of a PD

Answer 3

an enduring pattern that:

• is inflexible
• leads to social/occupational impairment
• is stable and long in duration (can be tracked back to adolescence)
• not better explained by mental disorder
• is not attributable to effect of drug abuse or another medical condition (e.g. head trauma)

Question 4

what is an Anankastic personality disorder also known as

Answer 4

obsessional personality disorder

Question 5

what are the features of Anankastic personality disorder

Answer 5

Feelings of excessive doubt and caution.

Preoccupation with details, rules, lists, order, organization or schedule.

Perfectionism that interferes with task completion.

Undue preoccupation with productivity to the exclusion of pleasure and interpersonal relationships.

Excessive adherence to social conventions.

Rigidity and stubbornness.

Unreasonable insistence that others submit to exactly his or her way

Question 6

what are the recognised PD

Answer 6

paranoid
schizoid
dissocial 
impulsive
borderline 
anxious (avoidant)
anankastic
histrionic (dramatic)

Question 7

Tx of PD

Answer 7

treat co-morbid factors

i.e. anxiety, depression

Question 8

what is the Tx for borderline PD

Answer 8

Dialectical Behavioural Therapy (DBT)

Question 9

what common co-morbid disease is seen in borderline PD and how is this treated

Answer 9

atypical depression

with MAOIs

Question 10

what are the cluster A personality disorders

Answer 10

Paranoid PD

Schizoid PD

Question 11

what are features of the paranoid PD

Answer 11

pervasive distrust and suspiciousness of others such that their motives are interpreted as malevolent

begins in early adulthood

Question 12

what are features of the Schizoid PD

Answer 12

pervasive pattern of detachment from social relationships and a restricted range of emotions in interpersonal settings

begins by early adulthood

Question 13

what are the cluster B personality disorders

Answer 13

Antisocial PD
Borderline PD
Histrionic PD

Question 14

what are features of Antisocial PD

Answer 14

pervasive pattern of disregard for and violation of the rights of others

occurs since the age of 15
does not equal to psychopathy

Question 15

what are features of borderline PD

Answer 15

pattern of instability of interpersonal relationships, self-image, affects and marked impulsivity

begins by early adulthood
can be confused or appear along with bipolar disorder

Question 16

what is borderline PD associated with

Answer 16

ADHD

learning difficulties

Question 17

what are features of histrionic PD

Answer 17

pattern on excessive emotionality, attention seeking and inappropriately provocative behaviour

beginning in early adulthood

Question 18

what are cluster C personality disorder

Answer 18

Avoidant PD

Dependant PD

Question 19

what are the interpersonal features of psychopathy

Answer 19

glibness/superficial charm
grandiose self worth
pathological lying
conning/manipulative

Question 20

what are the affective features of psychopathy

Answer 20

lack of remorse or guilt
shallow affect
callous/lack of empathy
failure to accept responsibility for actions

Question 21

what are lifestyle features of psychopathy

Answer 21

need for stimulation; prone to boredom
parasitic lifestyle
lack of realistic, long term goals
impulsivity 
irresponsibility

Question 22

what are anti social features of psychopathy

Answer 22

poor behaviour controls
early behavioural problems
juvenile delinquency

Question 23

what are the features of avoidant PD

Answer 23

pattern of social inhibition, feeling of inadequacy and hypersensitivity to negative evaluation

Question 24

what are the features of dependent PD

Answer 24

excessive need to be taken care of that leads to submissive, clinging behaviour and a fear of separation