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Stage 2: Mental Health > Personality Disorders > Flashcards

Personality Disorders Flashcards

1
Q

What are key features of personality disorders?

A
  • Not one specific trigger or situation in which dysfunction occurs
  • Personal distress or impact on social environment
  • Long-standing and enduring
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2
Q

What are key features of personality disorders?

A
  • Not one specific trigger or situation in which dysfunction occurs
  • Personal distress or impact on social environment
  • Long-standing and enduring
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3
Q

What can a PD be thought of as?

A

Difficulty with relationships, or difficulty living with others or onself

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4
Q

What must you exclude before diagnosing someone with a PD?

A

Organic causes (and everything else)

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5
Q

What are the three clusters of PDs?

A

1) Cluster A - odd or eccentric
2) Cluster B - dramatic, emotional, erratic
3) Cluster C - anxious and fearful

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6
Q

What four PDs are in Cluster B?

A

1) Antisocial
2) Emotionally unstable incl. borderline and impulsive
3) Histrionic
4) Narcissistic

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7
Q

What three PDs are in Cluster C?

A

1) Obsessive compulsive
2) Avoidant (anxious)
3) Dependent

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8
Q

What three PDs are in Cluster C?

A

1) Obsessive compulsive
2) Avoidant (anxious)
3) Dependent

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9
Q

What are the key features of paranoid personality disorder?

A

1) Extremely sensitive to criticism
2) Suspicious
3) Holds grudges

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10
Q

What are the key features of schizoid personality disorder?

A

1) Emotional coldness
2) Indifferent to criticism or praise
3) Prefers solitude
4) Preoccupied with “fantasy world”

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11
Q

What are the key features of schizotypal personality disorder?

A

1) Eccentric
2) Seen as odd
3) May express themselves in unusual ways
4) Anxious and paranoid in social situations

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12
Q

What are the key features of antisocial personality disorder?

A

1) No concern for the feelings of others
2) Blames others for everything
3) Does not feel guilt
4) Can form relationships but has difficulty maintaining them
5) May have Hx conduct disorder in childhood

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13
Q

What is the core belief of paranoid personality disorder?

A

People are against me

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14
Q

What is the core belief of schizoid personality disorder?

A

I need plenty of space

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15
Q

What is the core belief of schizotypal personality disorder?

A

The world is a strange place

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16
Q

What is the core belief of antisocial personality disorder?

A

People don’t deserve anything from me

17
Q

What is the core belief of histrionic personality disorder?

A

I must impress

18
Q

What is the core belief of narcissistic personality disorder?

A

I am special

19
Q

What is the core belief of emotionally unstable/borderline personality disorder?

A

I’m defective, helpless, vulnerable, bad

20
Q

What is the core belief of avoidant personality disorder?

A

I may get hurt

21
Q

What is the core belief of dependent personality disorder?

A

I am helpless

22
Q

What is the core belief of obsessive-compulsive personality disorder?

A

I must not make a mistake

23
Q

What is key to differentiating EUPD from BPAD?

A

Mood swings in minutes rather than weeks

24
Q

What is key to differentiating EUPD from BPD?

A

Mood swings in minutes rather than weeks

25
Q

What are the key features of narcissistic personality disorder?

A

1) Believe they are special or different to others and so are more deserving
2) Fragile self-esteem
3) Become upset if ignored
4) Resent other people’s success
5) Dismissive of other people’s feelings

26
Q

What are the key features of obsessive-compulsive personality disorder?

A

1) Excessive perfectionism that interferes with the completion of tasks
2) Preoccupation with lists, rules and schedules
3) Rigidity and stubbornness with regard to morals and ethics
4) Extreme pedantry
5) Need for control over relationships and environments

27
Q

What are the key features of obsessive-compulsive personality disorder?

A

1) Excessive perfectionism that interferes with the completion of tasks
2) Preoccupation with lists, rules and schedules
3) Rigidity and stubbornness with regard to morals and ethics
4) Extreme pedantry
5) Need for control over relationships and environments

28
Q

What are the key features of dependent personality disorder?

A

1) Allows other to have total responsibility for them
2) Feels unable to care for themselves
3) Feels helpless when alone
4) Needs excessive reassurance and advice re: everyday decisions
5) Feelings of tension and apprehension

29
Q

What are the key features of dependent personality disorder?

A

1) Allows other to have total responsibility for them
2) Feels unable to care for themselves
3) Feels helpless when alone
4) Needs excessive reassurance and advice re: everyday decisions
5) Feelings of tension and apprehension

30
Q

What can be associated with PD?

A

1) Upbringing and early life experiences
2) Often Hx of childhood abuse/trauma or difficult early relationships e.g. absent or excessively controlling parents
3) FH of mental health disorders/substance misuse
4) ?neurodevelopmental - antisocial PD

31
Q

Below what age can you not diagnose a PD?

A

18 - personality still developing

32
Q

What are the 3 Ps needed to diagnose a PD?

A

Symptoms are…

1) Problematic
2) Persistent
3) Pervasive

33
Q

What is first line treatment for PDs?

A

Psychological therapy - DBT, MBT etc

Also psychoeducation

34
Q

When can medication be used in PD and can be effective?

A

If the pt is experiencing other symptoms:

1) Antidepressants if co-existing depression or anxiety
2) Mood stabilisers for impulsivity
3) Antipsychotics to reduce paranoid or if hearing voices

35
Q

When can medication be used in PD and can be effective?

A

If the pt is experiencing other symptoms:

1) Antidepressants if co-existing depression or anxiety
2) Mood stabilisers for impulsivity
3) Antipsychotics to reduce paranoid or if hearing voices

36
Q

Which PD is more common in women?

A

EUPD

37
Q

Which PD is more common in men?

A

Antisocial (high rate in prisoners)

38
Q

What is different between paranoid PD and psychosis?

A
  • Won’t hold any delusions

- Doesn’t get better with antipsychotics (same with schizotypal)

39
Q

Which PD can overlap with schizophrenia?

A

Schizotypal

Stage 2: Mental Health (4 decks)

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