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Psychiatry > Personality Disorders > Flashcards

Personality Disorders Flashcards

1
Q

What is required for a personality to become ‘problematic’

A

it must be pervasive (around all the time), persistent (present from adolescence to adulthood) and pathological (causes distress and impairs function)

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2
Q

what is the aetiology of personality disorders

A

moderate heritability
childhood temperament (inate response to emotional situation)
childhood experience (trauma)
neurochemical imbalance

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3
Q

what neurochemical disturbances are linked to personality disorders

A

serotonin and impulsive/aggressive behaviour is linked

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4
Q

which personality disorder group is most common in primary care

A

Type C

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5
Q

which personality disorder group is most common in prison

A

B

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6
Q

What is the ‘cluster’ classification of personality disorders

A

Cluster A - Mad
Cluster B - Bad
Cluster C - Sad

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7
Q

what are the subtypes of cluster A

A

schizoid
paranoid
schizotypal

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8
Q

what are the subtypes of cluster B

A

Antisocial
Histrionic
Borderline/EUPD
Narcissistic

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9
Q

What are the subtypes of cluster C

A

OCD/Ankastic
anxious/avoidant
dependent

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10
Q

What are the features of paranoid personality disorder

A

SUSPECT

Sensitive
Unforgiving
Suspicious
Possessive and jealous 
Excessive self-importance 
Conspiracy Theories 
Tenacious sense of rights
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11
Q

What are the features of schizoid personality disorder

A

ALL ALONE

Anhedonic
Limited emotional range
Little sexual interest

An indifference to praise/critisism
Lack of close relationships
One player activities
Normal social conventions ignored
Excessive fantasy world
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12
Q

What are the features of dissocial/antisocial personality disorder

A

FIGHTS

Forms relationships but can't maintain
Irresponsible
Guiltless
Heartless
Temper easily lost
Someone elses fault
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13
Q

What are the subclassifications of EUPD

A

Borderline

Impulsive

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14
Q

What are the features of borderline EUPD

A

SCARS

Self-image unclear
Chronic empty feelings
Abandonment fears
Relationship intense and unstable
Suicide attempts/self-harm
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15
Q

What are the features of impulsive EUPD

A

LOSE IT

Lack of impulse control
Outbursts/threats of violence
Sensitivity to criticism
Emotional instability

Inability to plan ahead
Thoughtlessness of consequences

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16
Q

What features are common to both types of EUPD

A 
affective instability 
outbursts
explosive behaviour
impulsive 
unable to plan/consider consequences
17
Q

What are some features of Histrionic personality disorder

A

ACTORS

Attention seeking 
Concerned with own appearance 
Theatrical 
Open to suggestions
Racy and seductive 
Shallow affect (little emotional range)
18
Q

What are some features for ankastic personality disorder

A

DETAIL

Doubtful
Excessive detail 
Tasks not completed
Adheres to rules
Inflexible
Likes own way
19
Q

What are some features of anxious/avoidant personality disorder

A

AFRAID

Avoid social contact 
Fears rejection 
Restricted lifestyle
Apprehensive 
Inferiority
Doesn't get involved until sure of acceptance
20
Q

What are some features of dependent personality disorder

A

SUFFER

Subordinate
Undemanding
Feels helpless when alone
Fears abandonment 
Encourages other to take decisions
Reassurance needed
21
Q

What are some features of Narcissistic personality disorder

A 
Egocentrism
Need for attention
sensitivity to critisism
excessive self love
grandiosity
exhibitionism
arrogance
22
Q

what are some common comorbidities with personality disorders

A 
anxiety disorder - especially cluster C 
depression 
PTSD
substance misuse
stress reaction/adjustment disorder
23
Q

what is the short term management of personality disorders

A

consider risks (self-harm)
consider comorbidities
risk assessment

24
Q

What is the long term management of personality disorders

A 
mainly outpatient talking therapy - drugs not advised 
CBT
DBT if EUPD
CAT
group therapy
25
Q

when is medication advised for personality disorders

A

antipsychotics if there is a transient psychosis
antidepressents if there is comorbid A+D
mood stabilisers if mood is wildly unstable

26
Q

what risks are there for starting antidepressants for someone with a personality disorder with comorbid anxiety and depression

A

increased risk of suicide initially

Psychiatry (13 decks)

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