Personality Disorders

Question 1

What is a personality disorder and what 4 areas can it manifest itself in

Answer 1

Abnormal behaviour that manifests in two or more areas
- Cognition
- Affectivity
- Interpersonal functioning
- Impulse control
Pattern is inflexible and pervasive
Leads to distress / impaired functioning
Began in at least early adulthood >18
Not explained by another Dx or attributable to physiological cause

Question 2

What are cluster A

Answer 2

Schizoid personality
Schizotypical personality
Paranoid
Involves perceived safety of relationships - distrust + suspicion of others

Question 3

What is schizoid personality

Answer 3

Detahcment from social relationships
Restricted range of emotions
Negative symptoms - apathy, lack of interest and emotions
NO ECCENTRIC

Question 4

What is schizotypical personality

Answer 4

Social and interpersonal deficits
Acute discomfort and reduced close relationships
Cognitive or perceptual distortions - no conviction
Eccentric behaviour
+ve symptoms

Question 5

What are cluster B personality disorders

Answer 5

Problems with keeping feelings tolerable without acting out
Narcissisitc - grandiosity / need for admiration / lack of empathy
Boderline
Anti-social
Histrionic - excessive emotion and attention seeking

Question 6

What is borderline personality disorder

Answer 6

Instability of interpersonal relationships, self-image and impulsivity +5 of 
Effort to avoid abandonment
Unstable relationships
Identity disturbance
Self-damaging impulsivity 
Recurrent suicidal behaviour
Affective instability
Chronic feelings of emptiness 
Mood swings 
Inappropriate anger
Stress-related paranoid ideation

Question 7

What is antisocial personality disorder

Answer 7

Disregard and violation of rights of others occurring since 15 +3 of 
Failure to conform to social norms of the law
Decietful 
Impulsive
Irritable and anger
Reckless disregard for safety
Lack of remorse
Irresponsible

Question 8

What is psychopathy

Answer 8

Severe antisocial personality disorder
Anti-social behaviour
Callous disregard
Lack of empathy

Question 9

How do you Dx psychopath

Answer 9

PCL-R checklist

Question 10

What is Cluster C personality disorders

Answer 10

Relate to anxiety
Obsessive
Avoidant
Dependent

Question 11

What is the treatment for personality disorders

Answer 11

Dialectic behavioural therapy
Mentalization based therapy
Symptomatic prescribing
Psychodynamic psychotherapy

Question 12

What do personality disorders NOT have

Answer 12

Psychosis

Persistent mood disturbance

Question 13

How old to Dx a personality disorder

Answer 13

> 18

Question 14

What are the RF

Answer 14

FH

Substance abuse

Question 15

What is paranoid personality disorder

Answer 15

Unforgiving
Question loyalty
Dont confide in others
Pre-occupation with conspiracy

Question 16

What is narcissistic

Answer 16

Grandiosity
Need for admiration
Lack of empathy

Question 17

What is Histrionic

Answer 17

Excessive emotionality
Attention seeking behaviour
Sexually inappropriate

Question 18

What is obsessive personality disorder

Answer 18

Pre-occupatio with order / perfection and control
At expensive of flexibility
Work delegation / social and moral issues

Question 19

What is avoidant personality dirorder

Answer 19

Feelings on inadequacy
Hypersensitive to -ve avaluation
Avoid relationships
Wan to be liked

Question 20

What is dependent personality disorder

Answer 20

Need to be taken care of
Leads to substance misuse and challenging behaviour
Fear of separation
Poor decision making

Question 21

What does personality disorder often have

Answer 21

Co-morbid mental disorder