Personality Disorders Flashcards
Heritability and personality
Monozygotic twins reared apart are as similar as monozygotic twins reared together. HIGH ESTIMATES OF HERITABILITY
Lower levels of 5-HIAA seen in ?
Those who are impuslvie/aggressive and who attempt suicide.
Best way to talk with someone with Paranoid Personality Disorder
Provide a lot of detail, don’t be authoritative, dont be overly friendly.
Difference between avoidant personality disorder and social anxiety.
Avoidant PD pts feel inferior to others and undeserving. They tend to be very sensitive to criticism and rejection and often avoid making friends or participating in social events unless they are sure of their welcom
Worse risk factors that make a conduct disorder pt more likely to be incarcerated later in life
- childhood onset
- low iq
- comorbid mood disorder
- parent criminality
Which personality disorders are more likely to have brief psychotic disorder at some point?
Schizotypal and borderline.
Most litigious personality disorder?
Paranoid personality disorder
Defense mechanism that paranoid personality disorder uses?
Projection
One main reason primary team to consult psych in factitious disorder?
To help them deal with their countertransference towards the patient. Also , get a bioethicist involved early.
Risk factors for RAD
- Parental Maltreatment
- More time in institutional care
- Adoption in INSTITUATION-Reared children
- Mom going to psych ward
- Extremely disrupted mother/child communication in home-reared children
- serious social neglect is necessary
Best treatment for Paranoid Personality Disorder?
CBT
risk factor for schizoid personality disorder
Relatives with schizotypal PD or schizophrenia.
Narcissistic PD is due to mostly what?
Impaired empathic functioning
Lifelong OCPD risk factors
Panic disorder, along with generalized anxiety disorder, social phobia, and bipolar disorder
Treating which one of the following personality disorders requires a more active approach by the physician?
Dependent
