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Psychiatry > Personality Disorders > Flashcards

Personality Disorders Flashcards

1
Q

What is personality?

A

a cluster of relatively predictable patterns of thinking, feeling and behaving that is generally consistent across time, space and context

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2
Q

What are the five factors of personality?

A

neuroticism; openness; conscioutiousness; extraversion and agreeableness (OCEAN)

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3
Q

What is neuroticism?

A

worry,anxiety

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4
Q

what is a personality disorder?

A

an enduring pattern of inner experience and behaviour that deviates markedly from the expectations of the individuals culture and is inflexible and pervasive leading to signif distress/ impairment; early onset

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5
Q

What areas must persaonlity disorder be manifested in at least 2 of?

A

cognition; affectivity; interpersonal functioning; impulse control

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6
Q

What is anakastic personality disorder?

A

obsessional; feelings of excessive oubt and catuion; preoccupation with details, rules etc; perfectionism that interferes with task completetion; extreme conscientousness; preccupation with productivity; rigidity and stubbornness; unreasonable insistence that otehrs submit to their way of doing things

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7
Q

What are episodic behaviours more likely to be related to?

A

affective disorder

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8
Q

What is the difference between a persoanlity trait and a disorder?

A

only disorder if it is pervasive and causes distress and /or impairment of functioning in most areas

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9
Q

What is the prevalence of persoanlity disorder?

A

10%

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10
Q

What is the difference between OCD and anankastic personality disorder?

A

in PD they agree with themselves, what they do is correct and not excessive whereas in OCD patient recognises it as unnecessary

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11
Q

What is the proportion of psych outpatient with a persoanlity disorder?

A

1in 3

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12
Q

What is hte proportion of psych inpatient with a personality disorder?

A

1 in 2

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13
Q

What are cluster A personality disorders? o

A

odd and eccentric

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14
Q

What is paranoid PD

A

a pervasive distrust and suspeiciousness of others such taht their motives are interpreted as malevolent, beginnning by early adulthood and present in a variety of context

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15
Q

What are the speicifc features of paranoic PD?

A

1-suspects without basis that others are exploiting, harming or deceiving them; 2-preoccupied about loyalty or trustworthiness of friends; 3- reluctant to confide in others in case info used malciously; 4-reads hidden demenaing/threatening meaning into beningn remarks/events; presistently bears grudges; perceives attacks on character and reacts quickyl with anger; recurrent suspciousn reagrding fidelity of partner

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16
Q

What is schizoid PD?

A

pervasive pattern of detachment from social relationships and a restricted range of expression of emotions in interpersonal settings, beginning by early adulthood and present in a variety of contexts

17
Q

What are the features of schizoid PD?

A

neither desires or enjoys close realtionships, including being part of a familty; almost always chosses solitary activites; little sexual interest; takes pleasure in few activities; lacks close friends or confideants; appears indifferent to praise or criticism of others; emotional coldness, detachment or flattened affectivity

18
Q

What are the types cluster A PD?

A

schizoid ; paranoid

19
Q

What are the cluster B PD?

A

dramatic and emotional

20
Q

What is antisocial PD?

A

pervasive pattern of disregard for and violation of the rights of others, occuring since age 15 years

21
Q

What are the features of antisocial PD?>

A

failures ot conform to social norms with respect olawful behaviours; deceitfulness- repeated lying, aliases or conning for profit/pleasure; impulsivity or failures to plan agead; irritability and aggressivenss; reckless disregard for safety of self or tohers; consistent ireesponsibility; lack of remorse

22
Q

What is borderlines PD?

A

pervasive pattern of instability of interpersonal relationships;; self-image and affects, and marked impulsivity beginning by early adulthood

23
Q

What are the features of borderline PD?

A

frantic efforts to avoid abandonment; pattern of unstable and intense interpersonal relationships; markedyl unstable self-image or selnse of self; impuslivity in 2 self-damaging areas; recurrent suicidal behaviour; gestures or threats or self-harm; affective instability due to marked reactivity of mood; chronic feelings of emptines; difficulty controlling anger; stress-realted paranoid ideation or sever dissociative symptoms

24
Q

What is histrionic PD?

A

pervasive pattenr of excessive emotionality and attention seeking beginnning by early adulthood

25
Q

What are the features of histrionic PD?

A

uncomfortable in situations where not centre of attetnion; interaction with others is usualy inappropriate sexually seductive or provocative behviour; rapidly shifting and shallow expression of emotions; consistently uses physical appearnace to draw attetnion; speech style is lacking in detail and impresssionistic; self-dramatization; suggestible; considers relationships to be more intimate than they arw

26
Q

What are the types of Cluster B PDs?

A

borderline PD; histrionic PD; antisocial PD

27
Q

What are cluster C PDs?

A

anxious and avoidant

28
Q

What is avoidant PD?

A

pervasive pattern of social inihibition; feelings of inadequacy and hyperesneitivity to negative eval

29
Q

What are the features of avoidant PD?

A

avoids occupational activities involving interpersonal contact; unwilling to get involved with people unless certain of being liked; restraint in intimate relationships; preoccupied with being criticed or rejected; inhibited in new interpersonal sitations due to feelings of inadequcy; self is socially inept or inferior; relucatant to take presonal risks

30
Q

What is dependent PD?

A

pervasive and excessive need to be taken care of that leads to submissive and cliniging behvaiour nad fears of sepration

31
Q

What are the features of dependet PD?

A

difficulty making everyday deicisons without advice and reassurance; needs others to assume responsibility to most areas; difficulty expressing disagreement; initiating projects difficult on own; excessive lenghts t obstain nurtrance and support from others; feels helplesss or uncomfortable when alone; seeks another relationship urgently if one ends; preoccupied with fears of being left to ake care of self

32
Q

What is obsessive compulsive PD also known as?

A

anankastic PD

33
Q

What is the difference between antisocial PD and psychopathy?

A

antisocial PD is largely based on behaviour, whilst psychopathy describes a set of deficits in emotional and cognitive functioning

34
Q

What is the treatment for avoidant PD?

A

social skills training; sntidepressants

35
Q

What si the treatment for borderline PD

A

dialectical behavioural therapy; mentalisation

36
Q

What drugs may be effective for comorbid atypical depression and bordeline PD?

A

MAOIs

Psychiatry (20 decks)

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