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personality disorders Flashcards

1
Q

personality d/o egosyntonic or egodystonic

A

egosyntonic(not distressing to patient)

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2
Q

Very suspicious of others.
Patients tend to blame problems on others.
Preoccupied with the trustworthiness and loyalty of others
Feels threatened by others
Holds grudge

A

paranoid

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3
Q

cluster A

A

mad-weird

paranoid, schizoid, schizotypal

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4
Q

paranoid tx [2]

A

**Psychotherapy(individual)

Anti Anxiety meds

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5
Q

Voluntary social withdraw with no desire for close relationships
They will choose to be alone and have no interest in others
No interest in praise or criticism.

A

schizoid d/o

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6
Q

schizoid d/o tx[3]

A

Group therapy
Psychotherapy
maybe low dose anti-psychotics or antidepressant for comorbidities

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7
Q

Patients exhibit “magical thinking” – believing in telepathy, clairvoyance and other fantasies
Most likely personality disorder to progress to schizophrenia
Severe social anxiety

A

Schizotypal Personality Disorder

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8
Q

Schizotypal Personality Disorder tx [2]

A

Psychotherapy

Low dose antipsychotics if necessary

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9
Q

Most likely personality disorder to progress to schizophrenia

A

Schizotypal Personality Disorder

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10
Q

cluster B

A

bad and wild;

antisocial, borderline, histrionic, narcisscisitic

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11
Q

Patient must be 18 years or older. Otherwise see conduct disorder
Pattern of disregard for the rights of others
No empathy
Manipulative – may appear charming
Often a criminal pattern emerges
History of child abuse
History of starting fires, abusing animals etc.
EEG: abnormal

A

Antisocial Personality Disorder

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12
Q

Antisocial Personality Disorder tx [1 non med/2 meds]

A

Psychotherapy
SSRIs
Lithium
careful with meds due to abuse

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13
Q

which personality disorder can the pt act nml?

A

antisocial

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14
Q

Intense mood swings, impulsive behaviors, and severe problems with self-worth
Emotionally unstable and intense
Difficulty controlling anger
Cannot tolerate being alone, but exhibits intense anger/behavior with friends
“splitting”

A

Borderline Personality Disorder

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15
Q

Borderline Personality Disorder tx [2/3 meds]

A

Psychotherapy or “talk” therapy, Social skills training,
Group therapy, Assertiveness training
Beta-blockers – manages anxiety and depression, reduces sensitivity to rejection
SSRI – manages anxiety and depression, reduces sensitivity to rejection(Paroxetine, Sertralin, Escitalopram)
Benzodiazepines – used short-term for anxiety

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16
Q

splitting

A

Borderline Personality Disorder

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17
Q

which personality d/o has suicide ideation and harm higher incidence of MDD

A

borderline

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18
Q

Long standing pattern of attention-seeking behavior and a tendency to exaggerate thoughts and feelings
Affected individuals are exuberant and extroverted
Easily influenced by others
Somatization and substance-use disorders are very common
Defense mechanism: regression
Egocentrism
Self-indulgence
Persistent manipulation

A

Histrionic Personality Disorder

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19
Q

Histrionic Personality Disorder tx

[3 non med and 2 meds]

A 
Psychotherapy
Individual talk therapy
Group therapy
Antidepressants
Anxiolytics
20
Q

stress causes transient psychotic episodes, paranoia ideation, and dissociated symptoms

A

borderline

21
Q

Inflated self image, pattern of grandiosity, need for admiration and lack for empathy
Long to be special, with arrogance and haughty attitude
Fragile self-esteem, prone to depression
Exhibitionist
Self-fixation
Exploitative and takes advantage of others to meet their own needs
manipulative others

A

Narcissistic Personality Disorder

22
Q

Narcissistic Personality Disorder tx [2*, 3 other tx]

A 
**Psychotherapy
Cognitive behavioral therapy
Group therapy
*Lithium – for presence of mood swings
Antidepressants – SSRIs
Mood stabilizer – Lamotrigine
Antipsychotic – Risperidone
23
Q

which personality is difficult to treat

A

narcissistic

24
Q

cluster C

A

worried, wimpy, sad;

avoidant, dependent, OCPD

25
Q

Intense sensitivity to rejection
Feel inferior and as though no one would want to be around them
Hunger for company, but may completely avoid social situations due to fear of rejection.
Self loathing

A

Avoidant Personality Disorder

26
Q

Avoidant Personality Disorder tx [3 non med/3 med]

A

Psychotherapy
Group therapy
Social skills and assertiveness training
BB, SSRI, benzos

27
Q

Patients can not make decisions for themselves and feel others are better able to deal with the world.
Feel helpless
Clingy, submissive
Fear responsibility due to low self esteem
Fear being alone and need to form relationships for survival

A

Dependent Personality Disorder

28
Q

Dependent Personality Disorder tx

[1*, 3 non med, 2 med]

A 
** Insight oriented Psychotherapy
Assertiveness training
Group therapy
Family therapy
anxiolytics, antidepressants
29
Q

OCD is ego-dystonic OCDP is ego-syntonic
Fixation on minute details and rules.
Obsession with lists and schedules
Extreme perfectionism
Inflexible and change in routine may cause significant anxiety
Obsessive cleanliness or hoarding
Polarised beliefs – things are either right or wrong

A

Obsessive-Compulsive Personality Disorder

30
Q

Obsessive-Compulsive Personality Disorder tx

[3 non med/2 meds]

A

Psychotherapy
Group therapy
Behaviour therapy
SSRIs then cloimparamine 2nd line

31
Q

which personality d/o is risk of depression high

A

dependent

32
Q

which personality d/o can schizophrenia and MDD develop

A

obsessive compulsive personality d/o

33
Q

Which personality disorder cluster is referred to as Bad?

A

Cluster B

34
Q

Which personality disorder involves a person who desires the company of others, but is terrified of social situations of any kind?

A

Avoidant personality disorder

35
Q

Which is ego-syntonic OCD or OCPD?

A

OCPD

36
Q

The term “magical thinking” should make you think of which disorder?

A

Schizotypal personality disorder

37
Q

“loners”

A

schzoid

38
Q

most likely to progress to schizophrenia

A

schizotypal

39
Q

(Paroxetine, Sertralin, Escitalopram)

A

SSRI

40
Q

Cannot tolerate being alone, but exhibits intense anger/behavior with friends

A

borderline

41
Q

attention-seeking behavior and a tendency to exaggerate thoughts and feelings

A

histrionic

42
Q

lithium for what [3]

A

bipolar II, antisocial, narciss

43
Q

TCA for what [2]

A

PTSD, panic d/o or attacks[maintenance]

44
Q

insight oriented psychotherapy for who

A

phobia and dependent

45
Q

individual psychotherapy for who

A

paranoid

psychology (6 decks)

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