Personality disorders

Question 1

DSM-5 -general personality disorder criteria

Answer 1

inner experience and behaviour deviating from culture with 2+ of
- cognition
- affectivity
- interpersonal function
- impulsivity control
Pattern inflexible and pervasive
pattern stable and tracked back to early adulthood
clinically significant distress or impairment
not better explained by other diagnosis
no physiological change

Question 2

3 cluster A personality disorders and main problem

Answer 2

perceived safety of interpersonal relationships

1. paranoid
2. schizoid
3. schizotypical

Question 3

Cluster B

Answer 3

antisocial
borderline
narcissistic
histrionic

Question 4

Antisocial personality disorder - part A and criteria

Answer 4

pervasive pattern of disregard and violation of rights - from age 15, 3+

1. fail to conform to social norms
2. deceitfulness
3. impulsivity
4. irritable and aggressive
5. disregard for safety of self and others
6. irresponsible
7. lack of remorse

Question 5

Antisocial personality disorder other criteria

Answer 5

atleast 18
conduct disorder before age 15
not exclusively in course of schizophrenia/bipolar

Question 6

Psychopathy - how to check for this

Answer 6

psychopathy checklist (Hare, 2003)

Question 7

Borderline personality disorder - 5+ criteria

Answer 7

1. avoid real or imagined abandonment
2. unstable relationships
3. identity disturbance
4. impusivity - 2+ of sex, substance, spending, eat,drive
5. suicidal behaviour, self-mutilation
6. affective instability
7. emptiness
8. intense anger
9. transient stress related paranoid ideation

Question 8

Cluster C personality disorders

Answer 8

obsessive compulsive
dependent
avoidant

Question 9

Managing BPD

Answer 9

dialectic behavioural therapy
mentalisation based treatment
symptomatic prescribing