Personality Disorders

Question 1

EGODYSTONIC

Answer 1

• client is aware of disorder and does not feel it fits the perception of themselves
• any AXIS I diagnosis
• complaining of symptom

Question 2

EGOSYNTONIC

Answer 2

• disorder part of themselves
• does not see or feel behavior is a problem
• more Axis II diagnosis
• characterilogical processes developed early in life

Question 3

Paranoid Personality Disorder

Answer 3

• having irrational suspicions and mistrust of others
• others are trying to harm, exploit or deceive
• preoccupied with doubt all the time
• hold grudges of perceived slights
• world is a hostile place, out to get them

Question 4

Delusional Disorder

Answer 4

• experiences delusions
• can be bizarre or non-bizarre
• only symptom present

Question 5

Schizophrenia

Answer 5

• in addition to delusions (bizarre)…
• disorganized speech
• hallucinations
• flat affect

Question 6

Schizoid Personality Disorder

Answer 6

• lack interest in social relationships LONERS
• withdrawn, no longing to connect
• pervasive pattern of behavior throughout life

(MDD - know they are isolating and do not like it)

Question 7

Avoidant Personality Disorder

Answer 7

• lonely, want to connect, but socially inhibited
• feelings of inadequacy, sensitive
• think people won’t like them
• avoid social interactions out of fear of being rejected or evaluated

Question 8

Schizotypal Personality Disorder

Answer 8

• schizotypal thought to be the precursor to schizophrenia
• odd behavior and thinking (aliens)
• magical thinking, bizarre fantasies
• some paranoia or suspicious ideation
• have NOT had psychotic episode
• once psychotic episode experience, change diagnosis to schizophrenia
• lack close friends

Question 9

Antisocial Personality Disorder

Answer 9

MUST BE 18 TO DIAGNOSE

• evidence of Conduct Disorder before age 15
• pervasive pattern of disregard for or in violation of the rights of others
• law breaking
• deception, lying
• lack of remorse
• aggressive
• irresponsible

Question 10

Narcissistic Personality Disorder

Answer 10

• pervasive pattern of grandiosity
• need for admiration
• lack of empathy, cannot put self in the shoes of others
• exaggerate achievements
• feel special or unique, sense of entitlement
• envious of others
• can become enraged when challenged
• usually diagnosed for DV perpetrators

Question 11

Borderline Personality Disorder

Answer 11

• instability in relationships, cannot maintain
• black and white thinking
• frantic fear of real or imagined abandonment
• fearful of rejection
• suicidal behavior, self injurious, recurrent
• can idealize therapist
• identity disturbances, fluctuates depending on someone else
• mood instability
• feelings of emptiness and uncontrollable rage

Question 12

Histrionic Personality Disorder

Answer 12

• pervasive pattern of attention seeking behavior
• dramatic
• center of attention
• seductive dress and/or behavior
• shallow emotion

Question 13

Obsessive Compulsive Personality Disorder

Answer 13

• perfectionist

- excessive orderliness

Question 14

Dependent Personality Disorder

Answer 14

• unable to make decisions without asking others first
• want others to take responsibility for them
• difficulty disagreeing with others out of fear of losing support
• easy going, does not speak up
• lack of confidence in abilities or judgement
• do not initiate on their own
• feel uncomfortable and helpless when alone