Personality disorders

Question 1

Personality def

Answer 1

cluster of relatively predictable patterns of thinking, feeling behaviour that is generally consistent across time, space and context.
Generally a multi dimensional spectrum

Question 2

Personality disorder

Answer 2

long lasting rigid patterns of thought, affect and behaviour. The attitudes of people with a disorder usually exaggerate part of their personality and result in behaviour at odds with normal expectation.

Question 3

Criteria for personality disorder

Answer 3

1. Markedly disharmonious attitudes and behaviour involving usually several areas of functioning eg affectivity, arousal impulse control, relationships.
2. Prevailing, chronic abnormal behaviour patterns
3. Present in a broad range of personal and social situations
4. Manifestations appear <18yrs and continue into adulthood
5. Considerable personal distress caused by these patterns of disorder
6. Associated with significant problems in occupational and social performance

Question 4

Type A personality disorders

Answer 4

Odd or eccentric- Paranoid, schizoid

Question 5

Paranoid PD

Answer 5

male, suspicious preoccupied with conspiratorial explanations, distrusts others, holds grudges

Question 6

Schizoid PD

Answer 6

male, emotionally cold, lacks interest in others, rich fantasy world, excessive introspection

Question 7

Type B personality disorders

Answer 7

dramatic or emotional- dissocial, EUPD, histrionic, Narcissitic

Question 8

Dissocial (antisocial PD)

Answer 8

male, aggressive, easily frustrated, callous lack of concern for others, irresponsible, impulsive, unable to maintain relationships, criminal activity, lack of guilt, contact disorder

Question 9

Emotional unstable PD

Answer 9

female
Borderline- feeling of emptiness, unclear identity, intense and unstable relationships, unpredictable affect, threats or acts of self harm, impulsivity, pseudo hallucinations
Impulsive- Inability to control anger or plan, unpredictable affect and behaviour

Question 10

Histrionic PD

Answer 10

male
Overdramatise, self centred, shallow affects labile mood, seeks attention and excitement, manipulative behaviour, seductive

Question 11

Narcissistic

Answer 11

Male

high self importance, lacks empathy, takes advantage, grandiose, needs admiration

Question 12

Type C personality disorders

Answer 12

anxious or avoidant- anakastic, anxious, dependent

Question 13

Anankastic

Answer 13

male- obsessive compulsive

worries and doubts, orderliness and control, sensitvie to criticism, rigidity, indecisiveness, pedantry judgemental

Question 14

Anxious

Answer 14

equal
extremely anxious and tense, self conscious, insecure, fearful of negative evaluation by others, timid, desire to be liked

Question 15

Dependent

Answer 15

Female
passive, clingy, submissive, excess need for care, feels helpless when not in a relationship, feels hopeless and incompetent

Question 16

Management

Answer 16

co morbid mental illness high

treat individual, reflect goals, help manage crisis, DBT

Question 17

prognosis

Answer 17

poor as higher rates or morbidity and mortality (due to suicide)