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Behavioral Medicine > Personality Disorders > Flashcards

Personality Disorders Flashcards

1
Q

What are the FOUR characteristics of personality disorders?

A
  1. Enduring pattern of inner experience and behavior that deviates markedly from the expectations of the individual’s culture
  2. The behavior/traits are pervasive and inflexible
  3. The traits have an onset in early adolescence or early adulthood
  4. They are stable over time and lead to significant distress or impairment (in social and occupational functioning)
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2
Q

__________ (Eccentric/Dramatic/Anxious) disorders are characterized as a pervasive pattern of abnormal cognition, self-expression, or relating to others

A

Eccentric Disorders (Cluster A)

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3
Q

__________ (Eccentric/Dramatic/Anxious) disorders are a pervasive pattern of violating social norms or the rights of others, impulsivity, excessive emotionality, grandiosity, or acting out

A

Dramatic Disorders (Cluster B)

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4
Q

__________ (Eccentric/Dramatic/Anxious) disorders are a pervasive pattern of abnormal fears involving social relationships, separation, or need for control

A

Anxious Disorders (Cluster C)

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5
Q

What are the five traits that are theorized to create personalities?

A
  1. Extraversion
  2. Agreeable
  3. Conscientiousness
  4. Neuroticism
  5. Openness to experience
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6
Q

What are three common behavioral co-morbidities that are typically associated with personality disorders?

A

Major Depression
Generalized Anxiety Disorder
Panic Disorder

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7
Q

T/F: Rates of unemployment, drug abuse, homelessness, divorce, domestic violence are higher in patients with personality disorder diagnoses

A

True

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8
Q

Is anti-social personality disorder more common in men or women?

A

Men

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9
Q

Is borderline personality disorder more common in men or women?

A

Women

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10
Q

Is obsessive-compulsive more common in men or women?

A

Its equally prevalent

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11
Q

The prevalence of personality disorders _______ (increases/decreases) with age.

A

Decreases

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12
Q

T/F: Smoking and substance abuse are less common in patients with personality disorders

A

False

Those traits are more common

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13
Q

Do patients with personality disorders often have insight into their maladaptive behaviors?

A

No

They often blame others for their troubles and do not seek help

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14
Q

T/F: Speaking to a patients family, friends, children, police, etc….is an important part of the history when working up a personality disorder

A

True

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15
Q

When working up a patient for personality disorders…..

Should you be quick to give out the diagnosis?

A

No

Remember to rule out other mental disorders or illnesses…..also many be have strong ‘quirks’ that are a part of their personality

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16
Q

When working up a patient for personality disorders….

Remember that these behaviors must _______ (persist/resolve) and have a ______ (negative/positive) imapct on their life

A

Persist

Negative

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17
Q

T/F: There are FDA approved pharmaceutical treatments for personality disorders

A

False

There are not

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18
Q

What are three ‘cluster A’ personality disorders?

A

“The Weirds”

Paranoid
Schizoid
Schizotypal

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19
Q

What is a unique characteristic of paranoid personality disorder?

A

Pervasive distrust and suspicion without significant evidence

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20
Q

T/F: Group therapy should be considered in treatment for paranoid personality disorder

A

False

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21
Q

Although treatment of paranoid personality disorder is mainly supportive……

When should pharmacological management be considered?

A

In the presence of mild psychotic symptoms (ex: depression)

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22
Q

What are unique characteristics of schizoid personality disorders?

A
  1. Inability to form personal relationships
  2. No sexual interest
  3. Flat Affect
  4. Solidarity
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23
Q

Do patients with schizoid personality disorder often seek help?

A

No

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24
Q

Why isn’t therapy typically successful in schizoid personality disorder?

A

Patients have a lack of insight for therapy

25
Q

Having “magical beliefs”, unusual experiences, and odd speech and thinking are all defining characteristics of what personality disorders?

A

Schizotypal Personality Disorder

26
Q

T/F: An important part of managing schizotypal is making them aware of the negative impact on their lives

A

True

27
Q

What are two antipsychotics used in managing schizotypal personality disorder?

A

Risperidone

Olanzapine

28
Q

What are three ‘cluster B’ personality disorders?

A

“The Wilds”

Antisocial
Borderline
Histrionic
Narcissistic

29
Q

Reckless behavior, lack of remorse, criminal history, lying, and the inability to keep jobs are all characteristics of what personality disorder?

A

Antisocial personality Disorder

30
Q

How old must a patient be to be diagnosed with antisocial personality disorder?

A

18 y.o.

***Otherwise it is considered conduct disorder

31
Q

What patient ‘population’ is antisocial personality disorder common in?

A

Incarcerated
Homeless
Substance Abusers

32
Q

T/F: Symptoms of antisocial personality disorder are worse early in its course, tends to recede with advancing age

A

True

33
Q

What medications are used to treat aggression in antisocial personality disorder?

A

Lithium

Valproic Acid

34
Q

What are the unique characteristics of borderline personality disorder?

A 
Mood Instability
Impulsive 
Self Mutilation
Intense Interpersonal Relationships 
Fear of abandonment 
Chronic "emptiness"
35
Q

__% of patients with borderline personality disorder will perform self harm/mutilation

A

75%

36
Q

__% of patients with borderline personality disorder will successfully commit suicide

A

10%

37
Q

T/F: Therapy has not shown any benefit in treating borderline personality disorder

A

False

It has shown benefit (CBT, 20-week STEPPS)

38
Q

What are unique characteristics of histrionic personality disorder?

A

Excessive emotionally and attention seeking behavior
Wanting to be the center of attention
Initially gregarious and charming but becomes demanding and vain

39
Q

T/F: Patients with histrionic personality disorder often seek out medical attention frequently

A

True

40
Q

What is the best management option for histrionic personality disorder?

A

Therapy if they are agreeable

  1. CBT
  2. Group therapy for tackling the provocative or attention seeking behaviors
41
Q

What are unique characteristics of narcissistic personality disorder?

A 
Lack of empathy
Grandiosity 
Hypersensitivity to evaluation
Inflate their accomplishments
Exploit other for personal gain
42
Q

Patients with narcissistic personality disorder often have a sense of _______ (regret/remorse/entitlement)

A

Entitlement

43
Q

What is the mainstay of management for narcissistic personality disorder?

A

Therapy

44
Q

What are three ‘cluster C’ personality disorders?

A

“The Wimps”

Avoidant
Dependent
Obsessive-Compulsive

45
Q

Are patients with avoidant personality disorder more likely to be introverted or extroverted?

A

Introverted

46
Q

Patients with avoidant personality disorder have a fear of being _________.

A

Embarrassed

47
Q

T/F: Patients with avoidant personality disorder are typically unwilling to get involved with people unless quite certain of being liked

A

True

48
Q

Patients with avoidant personality disorder have _____ (high/low) self esteem

A

Low-self esteem

49
Q

What is the mainstay of avoidant personality disorder?

A

Therapy

Social Skills Training

50
Q

What medications can be useful in treating avoidant personality disorder?

A

BZDs when re-entering social situations

Sometimes SSRIs

51
Q

Patterns of relying on others (typically parents) for emotional, financial, life support is a characteristic of what personality disorder?

A

Dependent Personality Disorder

52
Q

What is a theorized cause of dependent personality disorder?

A

Over-protectiveness and parental authoritarianism as a child

53
Q

What is the best management option for dependent personality disorder?

A

Therapy

54
Q

T/F: Obsessive compulsive personality disorder is similar to OCD

A

False

They are different from one another

55
Q

Obsessive-compulsive personality disorder is characterized by perfectionism that ________ (interferes/enhancing) the patients ability to even complete the work

A

Interferes

56
Q

In what patient population is obsessive compulsive personality disorder more common in?

A

Highly Educated

57
Q

T/F: Obsessive-compulsive personality disorder will ultimately lead to OCD

A

False

It will not

58
Q

What is the mainstay of obsessive-compulsive personality disorder treatment?

A

Therapy

59
Q

When would SSRIs be beneficial in managing obsessive-compulsive personality disorder?

A

To help with ritualistic tendencies

Behavioral Medicine (16 decks)

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