personality disorders Flashcards
personality disorder criteria
CAPRI
- cognition
- affect
- personal relations
- impulse control
ego-syntonic
personality disorders
enduring pattern of behavior/inner experience that deviates from the person’s culture and is pervasive and inflexible
personality disorder
schizoid, schizotypal and paranoid
Cluster A– patients seem eccentric, peculiar and paranoid
*familial association with psychotic disorders
antisocial, borderline, histronic and narcissistic
cluster B– patients seem emotional, dramatic or inconsistent
- familial association with mood disorders
avoidant, dependant and obsessive-compulsive
cluster C – patiens seem anxious or fearful
- familial associations with anxiety disorders
personality disorders (1) course/prognosis (2) treatment
(1) generally very difficult to treat, especially since few patients are aware that they need help. chronic and lifelong
(2) psychotherapy is most helpful
diagnosis requires a general distrust of others, beginning by early adulthood and present in a variety of contexts
paranoid personality disorder
difference between schizophrenia and PPD
PPD do not have any fixed delusions and are not frankly psychotic
which one prefer to be alone: avoidant or schizoid?
schizoid
pattern of voluntary social withdrawal and restricted range of emotional expression, beginning by early adulthood and present in a variety of contexts
schizoid
pattern of social deficits marked by eccentric behavior, cognitivw or perceptual distortions and discomfort with close relationships, beginnign by early adulthoos and present in a variety of context
shizotypal
pattern of disregard for and violation of the rights since age 15 (consistent with conduct disorder) but must be at least 18 yo for the dx.
antisocial
sxs of antisocial personality disorder
CONDUCT
- capriciousness
- oppressive
- deceitful
- unlawful
- carefree
- temper
psychotherapy helpful in antosical disorder?
nope
** caution of highly addive medication
pervasive pattern of impulsivity and unstable relationships, affects, self-image and behaviors, present by early adulthood and ina variety of contexts
borderline personality disorder
Sxs. of borderline personality disorder
IMPULSIVE
- impulsive
- moody
- paranoid under stress
- unstable self-image
- labile/intense relationships
- suicidal
- inappropriate anger
- vulnerable to abandoment
- emptiness
borderline patterns commonly use the defense mechanisms of
splitting
pharmacotherapy has been shown to be more useful in _____________ than in any other persoanlity disorder
Borderline personality disorder
pattern of excessive emotionality and attention seeking, present by early adulthood and in avariety of contexts
histrionic personality disorder
histronic patients often use the defense mechanism of _________
regression– they revert to childlike behaviors
pattern of grandiosity, need for admiration and lack of empathy beginning by early adulthood and present in a variety of contexts
narcissistic personality disorder
pattern of social inhibition, hypersensitivity and feeling of inadequancy since early adulthood
avoidant personality disorder
Sxs. of avoidant personality disorder
AFRAID
- avoids occupation with others
- fear of embarassment and criticism
- reserved unless they are certain that they are liked
- always thinking of rejection
- isolates from relationships
- distances self unless certain that they are liked