Personality Disorders Flashcards

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1
Q

What are cluster A personality disorders?

A

Paranoid Personality disorder
Schizoid Personality disorder
Schizotypal Personality disorder

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2
Q

What is the diagnostic criteria for paranoid personality disorder?

A

Persuasive distrust of others such that their motives are interpreted as malevolent, beginning in early adulthood

It must contain 4 of the PPD criteria

It must happen outwith the duration of any other disorders such as schizophrenia, depression.

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3
Q

What are the PPD criteria used to diagnose paranoid personality disorder?

A
  1. Suspects, without sufficient basis that others are exploiting, harming, deceiving him or her.
  2. Is preoccupied with unjustified doubts about the loyalty or trustworthiness of friends or associates
  3. Is reluctant to confide in others due to unwarranted fear that the information will be used maliciously against him or her.
  4. Reads hidden demeaning or threatening meanings into benign remarks or events
  5. Persistently bears grudges
  6. Perceives attacks on his or her character or reputation that are not apparent to others and is quick to react angrily or counteract
  7. has recurrent suspicions without justification regarding fidelity of spouse or sexual partner
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4
Q

What is schizoid personality disorder

A

A pervasive pattern of detachment from social relationships and a restricted range of expression of emotions in interpersonal settings, beginning by early adulthood and present in a variety of contexts

indicated by four or more of the SPD criteria.

Does not occur exclusively during the course of schizophrenia, bipolar disorder or depressive disorder with psychotic features, another psychotic disorder or autism

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5
Q

What are the SPD criteria for diagnosing Schizoid personality disorder

A
  1. Neither desires nor enjoys close relationships including family
  2. Almost always chooses solitary activities
  3. Has little, if any desires for sex
  4. Takes pleasure in few activities
  5. Lacks close friends or confidants asides from close relatives
  6. Appears indifferent to the praise or criticisms of others
    Shows emotional coldness, detachment or flattened activity
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6
Q

What is schizotypical personality disorder

A

Patter of social and interpersonal deficits marked by acute discomfort with close relationships. This is accompanied by eccentricities of behaviours

5 of the STPD criteria

Does not occur exclusively during another disorder such as schizophrenia

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7
Q

What are the STPD criteria for diagnosing schizotypical personality disorder

A
  1. ideas of reference
  2. odd beliefs or magical thinking (e.g. sixth sense)
  3. unusual perceptual experiences
    4.Odd thinking and speech
  4. Suspiciousness/paranoia
  5. Inappropriate or constricted affect
  6. Behaviour or appearance that is odd, eccentric or peculiar
  7. Lack of close friends or confidants
    Excessive social anxiety, related to paranoid fears
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8
Q

What are cluster B personality disorders?

A

Antisocial personality disorder
Narcisstic personality disorder
Borderline Personality
Histronic Personality Disorder

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9
Q

What is Antisocial personality disorder?

A

A pervasive pattern of disregard for and violation of the rights of others, occurring since age 15

indicated by three of the APD diagnostic criteria

Exhibited by someone over 18 years

Doesn’t occur explicitly during the course of a schizophrenic or bipolar disorder

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10
Q

What are the APD criteria used to diagnose Antisocial personality disorder?

A
  1. Failure to conform to social norms with respect to lawful behaviours, as indicated by repeatedly performing acts that are grounds for arrest
  2. Deceitfulness
  3. impulsivity or failure to plan ahead
  4. irritability or aggressiveness
  5. Reckless disregard fro safety
  6. Consistent irresponsibility
  7. Lack of remorse
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11
Q

What is borderline personality disorder?

A

A patter of instability of inter-personal relationships, self image, affects and marked impulsivity.

Marked by 5 of the BPD criteria

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12
Q

What are the 5 BPD criteria used for diagnosing borderline personality disorder

A
  1. Frantic efforts to avoid abandonment
  2. A pattern of unstasble and intense interpersonal relationships characterised by alternating between extremes of idealization and devaluation
  3. Identify disturbance: markedly and persistently unstable self image
  4. Impulsivity in areas that are self damaging
  5. Recurrent suicidal/ self harming behaviours
  6. Affective instability due to a marked reactivity of mood
  7. Chronic feelings of emptiness
  8. Inappropriate anger
  9. Transient, stress related paranoid ideation
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13
Q

What is narcissistic personality disorder?

A

A pervasive pattern of grandiosity, need for admiration and lack of empathy beginning in early adulthood.

Exhibits 5 of the NPD criteria

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14
Q

What are the NPD criteria used for diagnosing narcissistic personality disorders?

A
  1. Has grandiose sense of self importance
  2. preoccupied by fantasies of unlimited success
  3. believes they are special and can only be judged by high status people/institutions
  4. requires excessive admiration
  5. Has a sense of entitlement
  6. Is inter personally exploitative
  7. Lacks empathy
  8. Is often envious of others
  9. Shows arrogant behaviours or attitudes
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15
Q

What is histrionic personality disorder?

A

A pervasive pattern of excessive attention seeking behaviour.

Indicated by five of the HPD criteria

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16
Q

What are the HPD criteria used for diagnosing Histrionic personality disorders?

A
  1. Is uncomfortable in situations in which they arent centre of attention
  2. Interaction is characterised by inappropriate seductive behaviour
  3. Displays rapidly shifting and shallow emotions
  4. Uses physical appearance to draw attention to self
  5. Has a style of speech that is impressionistic
  6. Shows self-dramatisation
  7. Is suggetsible
  8. Considers relationships more intimate than they actually are
17
Q

What are cluster C personality disorders?

A

Obsessive compulsive (Anakastic) personality disorder

Avoidant personality disorder

Dependent personality disorder

18
Q

What is dependent personality disorder?

A

An excessive need to be taken care of that leads to fear of separation

Is indicated by 5 of the DPD criteria

19
Q

What are the DPD criteria used for diagnosing dependent personality disorders?

A
  1. Has difficulty making everyday decisions
  2. needs other to assume responsibility
  3. Has difficulty expressing disagreement with others
  4. Has difficulty initiating projects
  5. Goes to excessive lengths to obtain nourishment
  6. Feel helpless when alone
  7. Urgently seeks another relationship after old one ends
  8. Is unrealistically preoccupied with fears of having to take care of themselves
20
Q

What is obsessive compulsive personality disorder?

A

A pervasive pattern of preoccupation with orderliness and perfectionism

Is indicated by 4 or more of the OCPD criteria

21
Q

What are the OCPD criteria used for diagnosing obsessive compulsive personality disorders?

A
  1. Preoccupied by details, lists, order, organisations
  2. Perfectionism interferes with task completion
  3. Is excessively devoted to work
  4. Overconcious, scrupulous and inflexible about matters of morality, ethics or values
  5. Is unable to discard worn out or worthless objects
  6. Is reluctant to delegate tasks
  7. Adopts a hoarding view of money
  8. Shows rigidity and stubbornness
22
Q

What is avoidant personality disorder?

A

A patter of social inhibition, feelings of inadequacy.

Is indicated by 4 or more of the AVPD criteria

23
Q

What are the AVPD criteria used for diagnosing avoidant personality disorders?

A
  1. Avoids occupational activities that involve contact
  2. Unwilling to get involved with others
  3. Shows restraint within intimate relationships
  4. Is preoccupied with being criticised or rejected
  5. Is inhibited in new interpersonal situations
  6. Views self as socially inept
  7. Is unusually reluctant to take personal risks
24
Q

What are the treatments for borderline personality disorders?

A

Dialectic Behavioural Therapy
Mentalization based treatment
Symptomatic prescribing
Co-occurring mental illness