personality disorders Flashcards
personality disorder
long-lasting rigid patterns of behaviour that are different from normal for someone’s education, social and cultural background
what are the risk factors for Personality disorder?
- childhood sexual abuse
- XYY individuals more likely of antisocial behaviours
- poor parenting
- Adverse events during pregnancy/neonatal / birth period
what 3 groups can PD be split into
MAD, BAD, SAD
- Eccentric/Odd A
- flamboyant/ dramatic B
- Fearful/anxious C
which PDs are in the odd/ eccentric cluster?
- Shizotypal
- Schizoid
- Paranoid
which Pds in the flamboyant/dramatic cluster
- antisocial
- Narscissitic
- Histrionic
- Borderline/emotionally unstable
which PDs in the fearful anxious cluster?
- Anankastic- OCD
- Dependent
- Avoidant
describe schizotypal PD
- eccentric thoughts and behaviour
- magical thinking/beliefs
- peculiar experience
- . extreme discomfort interacting socially
- distorted cognitions and perceptions
describe shizoid pD (6)
- prefer to be alone
- lack of interest and detachment from social relationships
- apathy
- restricted emotional response
- voluntary social withdrawal
- reclusive and quiet
describe Paranoid pd
- irrational suspicion and mistrust of others
- interpreting motivations as malevolant
- accusatory without evidence
- blame problem on others
- pathalogically jelous
describe histrionic pd
- attention seeking behaviour
- excessive emotions
- provocative
- flamboyant
- extroverted
- sexually innapropriate
- can’t form long lasting meaningful relationships
describe narcissistic pd
- grandiosity
- superiority
- inflated ego
- entitled
- need for admiration
- lack of empathy
- critisise others
- underlying low self esteem
describe borderline/emotionally unstable pd
- intense difficult relationships
- history of self harm
- impulsivity
- abrupt mood swings
- problems with self-image
- physical/emotional/sexual abuse in childhood
- fear of abandonment, neglect
- treat with DBT
describe antisocial pd
- disregard and violation of rights of others
- lack of empathy
- bloated self image
- breaks rules/ laws
- impulsive
- manipulative
- doesnt abide to social rules/ morals
- conduct disorder
- sociopath
describe dependent pd
- need for constant validation
- unable to make a decision
- poor confidence
- need to be taken care of
- fear of being alone
describe avoidant pd
- fear of criticism/sensitivity to negative evaluation
- social inhibition or disturbance
- desires companionship
anankastic/OCD - describe
- rigid conformity to rules
- perfectionism
- likes to be in control
- mistrusts others with work
- excellent professionally but not socially
- inflexibilty
what is the management for PD
- continuity of care - may be unstable if treatment is stopped/massive change
- DBT, group CBT
- medication in comorbid depression, transient psychosis (olanzapine) and vilonce and aggression (benzos)
- crisis management team in place