Personality disorders Flashcards
Paranoid
Affect: anger/jealousy
Cognition: suspicious/egotistical
Behaviour: bears grudges, conflict prone
Schizoid
Affect: Cold and detached
Cognition: Complex/odd fantasies
Behaviour: Detached/loner/aloof
Schizotypal
Affect: Anxious/Misunderstood
Cognition: Odd/Magical thinking
Behaviour: Eccentric, bizarre, difficult relationships
Borderline/emotionally unstable
Affect: Unstable, empty
Cognition: insecure, fleeting/shifting identity
Behaviour: Intense, insecure relationships, self-harming, impulsivity
Antisocial/dissocial
Affect: cold and callous
Cognition: disrespect for social norms
Behaviour: aggressive, rule breaker, criminality, relationships for utility
Histrionic
Affect: Shallow
Cognition: egocentric, attention seeking
Behaviour: dramatic, manipulative, desperate
Narcissistic
Affect: cold, shallow, self-centred
Cognition: lack interest/empathy for others, egotistical
Behaviour: exploitative, exaggerated, power-seeking, self-aggrandising
Avoidant
Affect: Anxious + fearful
Cognition: fear of failure/criticism
Behaviour: socially withdrawn, reluctant to explore new things
Anankastic
Affect: anxious
Cognition: perfectionist, obsessive
Behaviour: rigid adherence to rules, attention to detail, inflexibility
Dependent
Affect: anxious
Cognition: fear of abandonment, fear of isolation
Behaviour: seeks care, submissive, controlling
Mirtazapine
Mirtazapine is an antidepressant that works by blocking alpha2-adrenergic receptors, which increases the release of neurotransmitters.
Mirtazapine has fewer side effects and interactions than many other antidepressants and so is useful in older people who may be affected more or be taking other medications. Two side effects of mirtazapine, sedation and an increased appetite, can be beneficial in older people that are suffering from insomnia and poor appetite.
It is generally taken in the evening as it can be sedative.