Personality disorders Flashcards
Definition of a personality disorder
Presence of at least one personality trait AND significant impairment in self and interpersonal functioning, which is:
Stable over time
Consistent
Not in keeping with individuals sociocultural norm
Not a direct effect of substance use or medical condition
What are the personality disorders (classify into clusters)
A: paranoid, schizoid, schizotypal
B: emotionally unstable, narcissistic, antisocial, histrionic
C: anankastic, anxious avoidant, dependent
Describe paranoid PD
Suspicious
Misinterpret things as persecutory
Describe schizoid PD
Detached
Solitary
Lack close friends
Little interest in people
Describe schizotypal PD
Eccentric
Odd behaviour
Unconventional beliefs
Can progress to schizophrenia
Describe emotionally unstable PD
Impulsive
Parasuicidal acts
Unstable relationships
Mood instability
Describe narcissistic PD
Grandiose
Self important
Describe antisocial PD
Unconcern for others
Disregard for rules
Impulsive
Describe histrionic PD
Theatrical
Superficial emotionality
Attention seeking
Provocative behaviour
Describe anankastic PD
Perfectionist - poor at completing tasks
Rigid
Preoccupied by rules
Workaholic
Describe dependent PD
Need reassurance
Fear of abandonment
Can’t make decisions
Describe anxious avoidant PD
Feel inadequate
Avoid relationships unless acceptance is certain
Persistent anxiety
Diagnostic questionnaire
PDQ4
Management of PDs
BIOPSYCHOSOCIAL MODEL
Treat comorbidities and substance misuse Written crisis plan Harm minimisation strategies for self harm Explicit boundaries Support groups CBT Dialectical behavioural therapies Mentalisation based therapies
Describe DBT
Developing coping strategies to minimise self harm and impulsive behaviour
