Personality disorders Flashcards

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1
Q

what age is a diagnosis of personality disorder made

A

Wait until at least 18

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2
Q

What are the categories of personality disorder?

A
  • Cluster A: “Weird” - odd or eccentric

- Cluster B: Dramatic, emotional, or erratic

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3
Q

What are the different cluster A personality disorders

A
  • Paranoid personality disorder
  • Schizoid personality disorder
  • Schizotypal personality disorder
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4
Q

Describe paranoid personality disorder

A

-characterized by irrational suspicions and mistrust of others

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5
Q

Describe Schizoid personality disorder

A
  • lack of interest in social relationships, seeing no point in sharing time with others
  • appear indifferent to the praise or criticism of others and often seem cold or aloof
  • marked by little pleasure in activities
  • lacks close friends or confidants other than first-degree relatives
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6
Q

Describe Schizotypal personality disorder

A
  • characterized by odd behavior or thinking
  • ideas of reference (believing that public messages are directed personally at them)
  • odd beliefs or magical thinking
  • Vague, circumstantial, or stereotyped speech
  • Excessive social anxiety that does not diminish with familiarity
  • Idiosyncratic perceptual experiences or bodily illusion
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7
Q

What are the cluster B personality disorders?

A
  • Antisocial personality disorder
  • Borderline Personality disorder
  • Histrionic personality disorder
  • Narcissistic personality disorder
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8
Q

Describe antisocial personality disorder

A
  • pervasive disregard for the law and rights of others
  • Repeated violations of the law
  • Pervasive lying and deception
  • Physical aggressiveness
  • Reckless disregard for safety of self or others
  • Consistent irresponsibility in work and family environments
  • Lack of remorse
  • I’m pretty sure killing animals is a characteristic
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9
Q

Epidemiology for antisocial personality disorder

A
  • 3x more in men

- genetic basis

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10
Q

What are those with antisocial personality disorder at risk for

A
  • Anxiety disorders
  • SUBSTANCE ABUSE
  • somatization disorder
  • gambling
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11
Q

Describe Borderline Personaltiy disorder

A
  • Extreme “black and white” thinking, instability in relationships, self-image, identity and behavior
  • frantic efforts to AVOID EXPECTED ABANDONMENT
  • Unstable and intense interpersonal relationships
  • Impulsivity in at least 2 areas that are potentially self-damaging (sex, substance abuse, reckless driving)
  • Recurrent suicidal behaviors or threats or SELF MUTILATION
  • 3 times more in women
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12
Q

More details of Borderline personality disorder

A
  • Very manipulative
  • Immature personality traits (“teddy bear sign” and “tweety bird sign”)
  • need to set rigid boundaries when treating these pts: will often “split” staff members/providers against each other
  • Are often victims of sexual abuse or emotional abuse
  • have a high rate of comorbid major depression
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13
Q

Describe Histrionic Personality Disorder

A
  • Pervasive attention seeking behavior including inappropriate sexual seductiveness and shallow or exaggerated emotions
  • quite dramatic and often sexually provocative or seductive (wearing a red dress to a funeral)
  • lady gaga and miley cyrus
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14
Q

Describe narcissistic personality disorder

A
  • Pervasive patterns of Grandiosity, need for admiration, and lack of empathy
  • Exaggeration of their own talents or accomplishments
  • Sense of entitlement
  • Exploitation of others
  • Envy of others
  • An arrogant, haughty attitude
  • 50-75% males
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15
Q

Narcissistic personality disorder are at risk for what

A
  • Anorexia nervosa
  • Substance abuse
  • Depression
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16
Q

What are the Cluster C personality disorders (Anxious or fearful disorders)

A
  • Avoidant personality disorder
  • Dependent personality disorder
  • Obsessive-compulsive personality disorder
17
Q

Describe Avoidant personality disorder

A
  • Social inhibition, feeling of inadequacy, extreme sensitivity to negative evaluation and avoidance of social interaction
  • Differs from Schizoid in that they DESIRE relationships with others
  • paralyzed by fear and sensitivity into social isolation
  • Shy but not as odd as Cluster A types
18
Q

Describe Dependent personality disorder

A
  • Pervasive psychological dependence on other people
  • difficulty making decision without guidance and reassurance
  • Need for others to assume responsibility for most major areas of person’s life
  • difficulty expressing disagreement with others
  • difficulty initiating activities because of lack of confidence
  • Excessive measures to obtain nurturance and support
  • Discomfort or helplessness when alone
  • Urgent seeking for another relationship when one has ended
  • unrealistic preoccupation with fears of being left to fend for themselves
19
Q

Describe Obsessive compulsive personality disorder

A
  • characterized by rigid conformity to rules, moral codes and excessive orderliness
  • markedly preoccupied with perfectionism and control
  • lack flexibility or openness
  • Preoccupations interfere with their efficiency despite their focus on tasks
  • often scrupulous and inflexible about matters of morality, ethics, and values to a point beyond cultural norms
  • often stingy as well as stubborn
20
Q

Treatment of personality disorders

A
  • psychodynamic psychotherapy
  • Cognitive Behavior Therapy
  • Group psychotherapy
  • Dialectical Behavior Therapy
  • medications (not curative, adjunct to psychotherapy)
21
Q

what is a therapy specifically used for borderline personality disorder and maybe other cluster Bs

A

Dialectical behavior therapy

22
Q

Homicide is a possible complication particularly in which personality disorders

A
  • paranoid

- antisocial