Personality Disorders Flashcards
Cluster A traits
Pt seems peculiar, withdrawn
Familial association w/ psychotic d/o
Cluster B traits
Pt seems emotional, dramatic, incompetent
Familial association mood d/o
Cluster C traits
Pt seems anxious, fearful
Familiy association with anxiety d/o
Cluster A disorders
Paranoid, schizoid, schizotypal
Cluster B disorders
Antisocial, borderline, histronic, narcissistic
Cluster C disorders
Dependent, avoidant, OCD
Paranoid (4)
SUSPECT
Spouse infidelity suspected Unforgiving w/ grudges Suspicious of others Perceives attacks, reacts quick "Enemy or friend" (loyalty?) Confiding in others feared Threats perceived in benign sitch
Schizoid (4)
DISTANT
Detached, flat affect Indiff to criticism + praise Sex - not interested Tasks done solitarily Absence of close friends Neither desires/enjoys close relationships Takes pleasure in few activities
Schizotypal (5)
ME PECULIAR
Magical thinking, odd beliefs Experiences unusual prcptns Paranoid ideation Eccentric behave/appearance Constricted/inapprop affect Lacks close friends Ideas of reference Anxiety in social sitch (R)ule out psychotic d/o, pervasive developmental d/o
Antisocial (3)
CORRUPT
Conformity to law lacking Obligation ignored Reckless to self-safety/others safety Remorse lacking Underhanded (lies, cons others) Planning insufficient (impulsive) Temper (irritable/aggressive)
Borderline personality (5) AM SUICIDE
Abandonment
Mood instable
Suicidal/self-mutilating Unstable,intense relationship Impulsive (2+ areas) Control of anger lacking Identity disturbance Dissociative/paranoid sx (stress-related) Emptiness (chronic feelings of)
Histronic (5)
PRAISE ME
Provocative behavior Rltnshp: intimate >> reality Attention-needs 2 b center of Influenced easily Speech impressionistic, detail lacking Emotions rapid shifting, shallow "Made-up" physical appearance Emotions theatrical
Narcissistic (5)
SPEEECIAL
Special-believes he is Preocc: fantasy of unlimited success Entitlement Envious (of others+viceversa) Excess admiration needed Conceited (self-importance) Interpersonal exploitation Arrogant/haughty Lacks empathy
Avoidant (4)
CRINGES
- Certainty of bein liked needed
- Rjctn/criticism: preoccupied w/
- Intimate restraint: fear of shame
- New friends (inhibited around)
- Gets around occupation activity involving intraper contact
- Embarassment prevents risk
- Self-viewed as inferior
Dependent (5)
RELIANCE
- Reassurance required
- Express disagreemnt diff. (d/t fear of loss of support)
- Life responsibilities (need to be assumed by others)
- Initiating projects hard (low self-confidence)
- Alone: feels helpless
- Nurturance (goes to excessive lengths for it)
- Companionship urgent when close relationship ends
- Exaggerated fears of being left alone to care for self
Obsessive compulsive PD LAW FIRMS (4)
Loses the point (d/t detail preoccupation)
Ability to complete tasks slow (d/t perfectionism)
Worthless objects: cant discard
Friends/fun: excluded (d/t work preoccupation)
Inflexibile, scrupulous, overconscientous (morals)
Reluctant to delegate
Miserly (to self and others)
Stubborn + rigid
Are personality d/o genetic
Usually- strong component
Period of life influencing development of PD
Bio-psycho-social factors in childhood, adolesence
Which PDs is CBT useful for
Histronic
Avoidant
Dependent
Which PD is DBT useful for
Borderline PD
Which PD might you use an SSRI for
Borderline PD (d/t suicidality)
Which PD might you use benzos for
Avoidant
Which PD might you use antipsychotics for
schizotypal
Whats the defense mechanism for DPN
introjection