Personality Disorders Flashcards

1
Q

What is the general criteria for a personality disorder?

A

Pattern of inner experience and behavior that deviates markedly from individual’s culture

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2
Q

Cluster A

A

Odd and eccentric - Paranoid, Schizoid, Schizotypal

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3
Q

Cluster B

A

Dramatic, emotional and erratic - Anti-Social, Borderline, Histrionic, Narcissistic

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4
Q

Cluster C

A

Anxious and fearful - Avoidant, Dependent, Obsessive Compulsive PD

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5
Q

What is generally associated with a personality disorder?

A

Abuse - emotional, physical or sexual

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6
Q

What are some characteristics of personality disorder?

A
  • Pt has “always been this way”
  • High degree of chaos in pt’s life
  • Pt doesn’t see his/her behavior as problematic
  • Externalizes and blames others for his/her problems
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7
Q

Paranoid PD

A
  • Pervasive mistrust & suspiciousness

- Reluctant to confide in others with fear the information will be used against him/her

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8
Q

Schizoid PD

A
  • Loners
    􏰂- Emotionally / socially detached
    􏰂- Restricted range of emotional expression
    􏰂- Indifferent to praise or criticism
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9
Q

Schizotypal PD

A
  • Odd thinking and magical beliefs
  • Superstitious
  • Suspicious
  • Loners
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10
Q

The pt has unusual ideas about the cause of his symptoms
The pt is a loner
The pt is superstitious and suspicious
Overall, the encounter with the pt seems odd

— Make the diagnosis

A

Schizotypal PD

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11
Q

Antisocial PD

A
  • Disregard for the rights of others
  • Socially irresponsible
  • Impulsive, irritable, can be aggressive
  • Lack empathy & remorse
  • Can be glib and charming
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12
Q

Borderline PD

A
  • Instability in relationships and self-image
  • Impulsivity
  • Suicidal behavior
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13
Q

Histrionic PD

A
  • Dramatic! Attention seeking
  • Entertaining…”the life of the party”
  • Rapidly shifting, shallow emotions
  • May be provocative, seductive
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14
Q

What gender is histrionic PD more often seen in?

A

Females

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15
Q

What gender is antisocial PD more often seen in?

A

Males

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16
Q

What gender is borderline PD more often seen in?

A

Females

17
Q

What gender is narcissistic PD more often seen in?

A

Males

18
Q

Narcissistic PD

A
  • Pathological sense of self-importance 􏰅
  • Sense of entitlement, “special”
    􏰅- Interpersonally exploitative
    􏰅- Lack empathy, arrogant
    􏰅- Fragile self-esteem
19
Q

What are some behavior patterns that are common in Cluster B PD?

A
  • Self injury
  • Acting out
  • Controlling
20
Q

The pt thinks they are better than most other people
The pt manipulates others to achieve what s/he wants
The pt thinks they deserve special treatment
The pt looks down on others

–Make the diagnosis?

A

Narcissistic PD

21
Q

Avoidant PD

A
  • Socially inhibited
  • Hypersensitive to negative evaluation
  • Low self esteem
  • Feels socially inadequate
22
Q

Dependent PD

A
  • Great difficulty making decisions
  • Difficulty expressing disagreement with others
  • Urgently seeks new relationship when close relationship ends
    - Feels unable to care for self, helpless
23
Q

Obsessive Compulsive PD (different than OCD!)

A
  • Preoccupied with rules, details, order
  • Perfectionism, inflexibility & high need for control
  • Over conscientious, micromanagers
  • Rigidity and stubbornness
24
Q

What is the difference in OCD and OCPD?

A

OCD has to do with obsession and compulsions and is egodystonic - symptoms make patient UNCOMFORTABLE

OCPD has to do with order, rules and perfectionism and is egosyntonic - symptoms are OKAY to patient

25
Q

The pt has a lot of trouble making decisions
The pt rarely voices an opinion that is at odds with what others think
The pt elicits feelings of protectiveness from his/her physician
The pt has low self efficacy

– Make the diagnosis?

A

Dependent PD

26
Q

What are some possible medical causes of a PD?

A
  • Temporal lobe epilepsy
  • Head trauma
  • Brain tumor
  • Huntington’s