Personality Disorders

Question 1

Most common personality disorders

Answer 1

Borderline personality disorder
Antisocial personality disorder
Narcissistic personality disorder (USA)

Question 2

Cluster A personality disorders

Answer 2

Suspicious

Question 3

Cluster B personality disorders

Answer 3

Emotional

Impulsive

Question 4

Cluster C personality disorders

Answer 4

Anxious

Question 5

Causes of personality disorder

Answer 5

Genetic
Low 5HT
Childhood trauma

Question 6

Three groups of diagnostic criteria for Borderline Personality Disorder

Answer 6

Emotion group
Impulsivity group
Identity group

Question 7

Emotion group of BPD

Answer 7

Highly reactive emotions

Intense anger

Question 8

Impulsivity group of BPD

Answer 8

Self harm

Substance use

Question 9

Identity group of BPD

Answer 9

Unstable self image

Question 10

Linehan’s biological vulnerability theory of BPD

Answer 10

High sensitivity to emotions
High reactivity - large response
Slow return to baseline

Question 11

ICD10 criteria for Emotionally unstable personality disorder

Answer 11

Mood instability
Impulsive actions
Outbursts of anger
Lack of sense of self
Feeling of emptiness

Question 12

7 predictors of recovery

Answer 12

• No prior hospitalizations
• Higher IQ
• Greater work competence as child
• Greater popularity as child
• Good vocational Hx
• Lower trait neuroticism
• High trait agreeableness

Question 13

Typical beliefs of antisocial personality disorder

Answer 13

• Must watch out myself
• Coercion and cunning are the best ways to get something done
• People will take advantage of me unless i take advantage of them first
• Other people are weak

Question 14

General Mx of personality disorders

Answer 14

Mx comorbid disorders
Admission
Medication
Psychological therapies
Specialist services

Question 15

Indicators for admission of personality disorders

Answer 15

Crisis intervention
Rx of comorbid disorders
Reviewing the diagnosis and treatment plan
Full risk assessment

Question 16

Medications for personality disorders

Answer 16

Mood regulators (SSRI, SNRI, MAOI)
Impulse control

Question 17

Impulse control medications

Answer 17

SSRI
Lithium (agression)
Carbamazepine
Low dose neuroleptics

Question 18

Psychological therapies

Answer 18

DBT
CBT
MBT

Question 19

Brain area affected by Cognitive therapy

Answer 19

Dorsal and medial prefrontal cortex

Question 20

Brain area affected by reflective therapy

Answer 20

Cingulate cortex

Precuneate nucleus

Question 21

Brain area affected by behavioural therapy

Answer 21

Amygdala

Question 22

Cluster A examples

Answer 22

Paranoid
Schizoid
Schizotapal

Question 23

Cluster B Examples

Answer 23

Antisocial
Borderline
Histrionic/compulsive

Question 24

Cluster C examples

Answer 24

Avoidant
Dependent
Obsessive compulsive

Question 25

Avoidant PD

Answer 25

Beliefs of inferiority
Fear of embarrassment
Dont get involved unless being liked

Question 26

Dependent PD

Answer 26

Difficulty to make every day decisions, need reassurance from others
Uncomfortable when alone

Question 27

Obsessive compulsive PD aka

Answer 27

Anakastic PD

Question 28

Anakastic PD

Answer 28

Cautious

Attention to detail and organisation

Question 29

Narcissistic PD

Answer 29

Grandiose
Fantasies of unlimited success
Lack of empathy

Question 30

Paranoid

Answer 30

Hypersensitivity/unforgiving when insulted
Preoccupation with conspirational beliefs
Tendency to perceive attacks on their character

Question 31

Schizoid PD

Answer 31

Indifferent to praise or criticism
Prefer solitary activities
Lack of sexual/companionship interest

Question 32

Schitzotypal

Answer 32

Ideas of reference (unlike delusions, some insight is retained)
Odd beliefs and magical thinking
Lack of close friends

Question 33

Conduct disorder

Answer 33

anti-social disorder before 18 years