Personality Disorders Flashcards

1
Q

What is a personality disorder?

A

Pattern of experience and behaviour that deviates markedly from the individual’s normal culture

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2
Q

What are the 4 main aspects that are affected in personality disorder?

A

Cognition
Affectivity
Interpersonal functioning
Impulse control

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3
Q

How is personality disorder distinguished from a trait?

A

Disorder is pervasive, enduring and inflexible and causes distress/impairment of functioning
Pattern is stable and of long duration
Onset can be traced back to adolescence/ early adulthood
Pattern not explained by another mental disorder, substance use or other medical condition

e.g. being a little shy sometimes isn’t a disorder

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4
Q

What are the characteristics of cluster A personality disorder?

A

“Odd and eccentric”
Paranoia
Schizoid/schizotypal

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5
Q

What are the characteristics of cluster B personality disorder?

A
"Dramatic and emotional"
Antisocial
Borderline (emotionally unstable)
Histrionic
Narcisstic
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6
Q

What are the characteristics of cluster C personality disorder?

A

“Anxious and fearful”
Obsessive
Avoidant
Dependent

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7
Q

Which cluster of personality disorder is most prevalent? Which subset of personality disorder is the most common?

A

Cluster C

Obsessive-compulsive

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8
Q

Describe paranoid personality disorder

A

Pervasive distrust and suspiciousness of others, as if their motives are malevolent

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9
Q

Describe schizoid personality disorder

A

Pervasive detachment from social relationships and restricted range of emotions in interpersonal settings

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10
Q

Describe antisocial personality disorder

A

Pervasive pattern of disregard for rights of others

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11
Q

Describe borderline (emotionally-unstable) personality disorder

A

Pervasive pattern of instability of relationships and self-esteem, affects and marked impulsivity

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12
Q

What mental illness shares a lot of similarity with borderline personality disorder? How can they be distinguished?

A

Bipolar disorder
Symptoms of personality disorder are pretty consistent and ongoing; bipolar disorder appears to have “breaks” between extreme mood swings

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13
Q

Describe histrionic personality disorder

A

Pervasive pattern of excessive emotionality and attention-seeking

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14
Q

Describe avoidant personality disorder

A

Pervasive social inhibition and feelings of inadequacy with hypersensitivity to negative evaluation

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15
Q

Describe dependent personality disorder

A

Pervasive need to be taken care of, leading to clinging and submissive behaviour and fears of separation

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16
Q

Describe obsessive-compulsive personality disorder

A

Pervasive pattern of preoccupation with orderliness/perfectionism, mental and interpersonal control at the expense of flexibility, openness and efficiency

17
Q

Antisocial personality disorder is equivalent to being a psychopath. True/False?

A

False
Antisocial PD is based on behaviour, whereas psychopathy describes emotional and cognitive deficit (almost no consideration for others)

18
Q

There is good treatment evidence for personality disorder. True/False?

19
Q

What is the main psychological treatment for borderline personality disorder?

A

Dialectical behavioural therapy first-line

Focuses on groups, firm boundaries and managing interpersonal issues

20
Q

List the 5 structures of personality

A
OCEAN
Openness
Conscientiousness
Extraversion
Agreeableness
Neuroticism
21
Q

State one method that can be used in measuring personality

A

Rating scales e.g. Personality disorders questionnaire (PDQ4)

22
Q

What proportion of the general population are believed to have a personality disorder?

23
Q

How is OCD distinguished from obsessive-compulsive personality disorder?

A

OCD is an anxiety disorder and OCPD is a personality disorder. OCD involves obsessions and compulsions, and typically causes more distress.

24
Q

Treatment for personality disorder mainly focuses on…

A

Treatment of co-morbidity e.g. depression, anxiety

25
List some management options for avoidant personality disorder
Social skills training | Some evidence for antidepressants
26
List some management options for antisocial personality disorder
Psychological - group-based cognitive and behavioural therapy Pharmacological treatment not used routinely
27
What class of antidepressants may be used to treat both atypical depression and borderline personality disorder? Give an example
MAO inhibitors e.g. phenelzine
28
List other medications that could be used in borderline personality disorder
Antipsychotics - olanzapine, haloperidol Topiramate for anger and aggression Lamotrigine for mood