personality disorders

Question 1

personality disorder

Answer 1

long-lasting rigid patterns of behaviour that are different from normal for someone’s education, social and cultural background

Question 2

what are the risk factors for Personality disorder?

Answer 2

• childhood sexual abuse
• XYY individuals more likely of antisocial behaviours
• poor parenting
• Adverse events during pregnancy/neonatal / birth period

Question 3

what 3 groups can PD be split into

Answer 3

MAD, BAD, SAD

• Eccentric/Odd A
• flamboyant/ dramatic B
• Fearful/anxious C

Question 4

which PDs are in the odd/ eccentric cluster?

Answer 4

• Shizotypal
• Schizoid
• Paranoid

Question 5

which Pds in the flamboyant/dramatic cluster

Answer 5

• antisocial
• Narscissitic
• Histrionic
• Borderline/emotionally unstable

Question 6

which PDs in the fearful anxious cluster?

Answer 6

• Anankastic- OCD
• Dependent
• Avoidant

Question 7

describe schizotypal PD

Answer 7

1. eccentric thoughts and behaviour
2. magical thinking/beliefs
3. peculiar experience
4. . extreme discomfort interacting socially
5. distorted cognitions and perceptions

Question 8

describe shizoid pD (6)

Answer 8

1. prefer to be alone
2. lack of interest and detachment from social relationships
3. apathy
4. restricted emotional response
5. voluntary social withdrawal
6. reclusive and quiet

Question 9

describe Paranoid pd

Answer 9

1. irrational suspicion and mistrust of others
2. interpreting motivations as malevolant
3. accusatory without evidence
4. blame problem on others
5. pathalogically jelous

Question 10

describe histrionic pd

Answer 10

1. attention seeking behaviour
2. excessive emotions
3. provocative
4. flamboyant
5. extroverted
6. sexually innapropriate
7. can’t form long lasting meaningful relationships

Question 11

describe narcissistic pd

Answer 11

1. grandiosity
2. superiority
3. inflated ego
4. entitled
5. need for admiration
6. lack of empathy
7. critisise others
8. underlying low self esteem

Question 12

describe borderline/emotionally unstable pd

Answer 12

1. intense difficult relationships
2. history of self harm
3. impulsivity
4. abrupt mood swings
5. problems with self-image
6. physical/emotional/sexual abuse in childhood
7. fear of abandonment, neglect
8. treat with DBT

Question 13

describe antisocial pd

Answer 13

1. disregard and violation of rights of others
2. lack of empathy
3. bloated self image
4. breaks rules/ laws
5. impulsive
6. manipulative
7. doesnt abide to social rules/ morals
8. conduct disorder
9. sociopath

Question 14

describe dependent pd

Answer 14

1. need for constant validation
2. unable to make a decision
3. poor confidence
4. need to be taken care of
5. fear of being alone

Question 15

describe avoidant pd

Answer 15

1. fear of criticism/sensitivity to negative evaluation
2. social inhibition or disturbance
3. desires companionship

Question 16

anankastic/OCD - describe

Answer 16

1. rigid conformity to rules
2. perfectionism
3. likes to be in control
4. mistrusts others with work
5. excellent professionally but not socially
6. inflexibilty

Question 17

what is the management for PD

Answer 17

1. continuity of care - may be unstable if treatment is stopped/massive change
2. DBT, group CBT
3. medication in comorbid depression, transient psychosis (olanzapine) and vilonce and aggression (benzos)
4. crisis management team in place