Personality disorders

Question 1

Borderline personality disorder

Answer 1

pervasive pattern of unstable relationships, self image, affects, marked impulsivity and >5 of the following features:

frantic efforts to avoid abandonment
unstable and intense interpersonal relationships
impulsivity in >2 ares that are potentially self damaging
recurrent suicidal behaviors or threats of self mutilation (cutting)
mood instability (marked mood reactivity)
chronic feelings of emptiness
inappropriate and intense anger
transient stress related paranoia and dissociation

Question 2

treatment of borderline personality disorder

Answer 2

psychotherapy (effective and best evidence for dialectical behavioral therapy)
adjunctive pharmacology to target mood instability and transient psychosis (second generation of antipsychotics and mood stabilizers)
antidepressants if comorbid mood or anxiety disorder

Question 3

associated behaviors seen with borderline personality

Answer 3

cutting and burning to alleviate tensions or feelings of numbness

Question 4

dialectical behavioral therapy is

Answer 4

form of cognitive behavioral therapy specifically for borderline personality disorder
treatment integrates techniques of emotion regulation, principles of mindfulness, distress tolerance to target affective instability, impulsivity and unstable relationships and poor self image that characterize borderline personality disorder.

Question 5

autism spectrum disorder features

Answer 5

deficits in social communication and interactions with onset of early development

• sharing of emotional or interests
• nonverbal communication
• developing and understanding relationships

Restricted, repetitive patterns of behavior

• repetitive movements or speech
• insistence on sameness/routines
• intense fixated interests
• adverse responses to sensory output

may occur with or without language development or intellectual impairment

Question 6

assessment and management principles

Answer 6

early diagnosis and intervention
comprehensive multimodal treatment (speech, behavioral therapy, educational services)
adjunctive pharmacology for psychiatric comorbitidies

Question 7

severe autism spectrum disorder is diagnosed at age

Answer 7

5 yrs old

Question 8

may have a lack of friends and social isolation, impaired social skills and stilted speech and abnormal sensory sensitivity

Answer 8

desire for routine is also common

seen in autism spectrum

Question 9

how to help pts who have autism spectrum disorder?

Answer 9

counseling and social skills training to help with social and occupational functioning.

Question 10

OCD pts are different from autism spectrum disorder pts because

Answer 10

OCD won’t have deficits in communication.

Question 11

paranoid personality disorder

Answer 11

pervasive long standing pattern of suspiciousness and generalized mistrust of others

Question 12

schzoid personality disorder

Answer 12

socially isolated and disinterested in relationships

Question 13

what is dialectical behavioral therapy?

Answer 13

borderline personality disorder counseling

Question 14

personality disorder

Answer 14

characterized by a persistent patterns of inner experiences and behaviors that digress substantially from the expectations of the affected person’s culture.

disorders are entrenched, rigid, and stable.

Question 15

histronic personality disorder

Answer 15

excessive need for approval and attention seeking behaviors. Patients with this disorder are emotional vunlerable and behaviors focus on obtaining approval from others.

are uncomfortable if not center of attention and typically use physical appearance to draw attention to self. Interaction may be inappropriately sexually seductive or provocative.

they do not have the same degree of emotional lability and risk for suicidality as borderline personality disorder