personality disorders Flashcards

1
Q

What are the 3 Ps of personality disorder?

A

Pathological
Persistent
Pervasive

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2
Q

List some of the risk factors for personality disorders

A

family history
environment grew up in - chaotic, lack of support, neglect, unstable family life
early childhood experiences - trauma, sexual abuse, bereavement

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3
Q

How are personality disorders classified?

A

CLUSTER A “odd”
paranoid, schizoid, schizotypal

CLUSTER B “emotional”
anti social, borderline/ emotionally unstable, histrionic, narcissistic

CLUSTER C “anxious”
avoidant, obsessive-compulsive, dependent

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4
Q

Describe paranoid personality disorder

A
CLUSTER A
suspicious of other
believes others not trustworthy 
holds grudges, unforgiving
sensitive and easily offended
strong sense of personal rights
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5
Q

Describe schizoid personality disorder

A
CLUSTER A
cold, aloof
emotionally detached
little interest in friends and partners
flattened affect
indifferent to praise or criticism
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6
Q

Describe schizotypal personality disorder

A
CLUSTER A
eccentric , colourful
fantasise, magical thinking , ideas of reference
paranoid ideation
odd speech
social anxiety
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7
Q

Describe anti social personality disorder

A
CLUSTER B - more common in boys 
disregard to others feelings
impulsive, reckless, irresponsible 
disregard to the law, numerous offences, doesn't learn from mistakes
aggressive, violent
ignore the social norm
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8
Q

Describe borderline/ emotionally unstable personality disorder

A
CLUSTER B - more common in girls
unstable emotionally, dramatic
poor relationships  - intense and short 
impulsieve 
chronic emptiness
poor self image - eating disorders common
recurrent attempts at self harm/ suicide
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9
Q

Describe histrionic personality disorder

A
CLUSTER B
attention seeking
manipulative
sexually provocative, inappropriate 
theatrical, dramatic
self centred and shallow
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10
Q

Describe narcissistic personality disorder

A
CLUSTER B 
power seeking
grandiose, inflated self esteem
like attention and praise
envious of others 
self centred 
lack of empathy
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11
Q

Describe anxious/ avoidant personality disorder

A
CLUSTER C
worries, symptoms of anxiety 
avoidance of social activities
socially withdrawn, avoid relationships 
low self esteem - inferiority complex
preoccupied with sense of rejection
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12
Q

Describe dependent personality disorder

A

CLUSTER C
dependent on others
worried about being alone
don’t make decisions for themselves - leaves responsibility and decisions for someone else
need for reassurance
lack of self confidence
excessive compliance with others commands

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13
Q

Describe obsessive compulsive/ anankastic personality disorder

A

CLUSTER C
obsessive compulsive - obsessed with order, routine, lists
perfectionist
rigid
stubborn
lack of clarity in seeing others perspective

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14
Q

what is cluster B associated with?

A

substance / alcohol abuse
eating disorders
PTSD

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15
Q

what is cluster c associated with?

A

eating disorders

neuroses - GAD, OCD

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16
Q

How can you diagnose personality disorder?

A

when >18 y/o and personality fully developed
collateral history important
causing functional impairment and distress

17
Q

How is personally disorders managed?

A
  1. psychodynamic therapy

2. dialectical behavioural therapy