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CP2 Psychiatry > Personality Disorders > Flashcards

Personality Disorders Flashcards

1
Q

Personality

A 
The more or less stable, internal factors that make one person's behaviour consistent from one time to another
//
A set of consistent thoughts, feelings and behaviours shown across time in a variety of settings
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2
Q

What are the 3 Pā€™s, a hallmark of a problem caused by dysfunctional personality

A

Pervasive (in most areas of life)
Persistent - evidence from adolescence + continues ā€“> childhood
Pathological - causes distress to self/others, impairs fct

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3
Q

Temperament

A

A persons innate shaped basic disposition to an emotional response and is thought to manifest from births onwards

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4
Q

Which develops first, temperament or personality

A

Temperament

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5
Q

Aetiology PD (4)

A

Genetics (moderately inheritable)
Childhood temperament + other emotional difficulties
Childhood experiences e.g. neglect, abuse, PTSD
Neurochemical imbalance (impulse/aggression)

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6
Q

Common co-morbidities PD (5)

A 
Anxiety disorder  
Depression 
PTSD
Substance misuse + alcoholism 
Adjustment disorder/stress reaction
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7
Q

DSM 5 Classification - Cluster A (3)

A

Odd + eccentric
Schizoid
Paranoid
Schizotypal

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8
Q

DSM 5 Classification - Cluster B (4)

A 
Dramatic and Emotional
Antisocial 
Histrionic 
Borderline 
Narcissistic
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9
Q

DSM 5 Classification - Cluster C (3)

A

Obsessive compulsive
Anxious
Dependent

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10
Q

ICD-10 Classification (8)

A 
Paranoid
Schizoid 
Dissocial 
Emotionally unstable (split into impulsive + borderline) 
Histrionic 
Anankastic (OCD)
Anxious 
Dependent
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11
Q

Sx of Paranoid PD (SUSPECT)

A 
Sensitive 
Unforgiving 
Suspicious 
Possessive + Jealous of partners 
Excessive Self importance 
Conspiracy theories 
Tenacious sense of rights
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12
Q

Sx Schizoid PD (ALL ALONE)

A 
Anhedonic 
Limited emotional range 
Little sexual interest 
Apparent indifference to praise or criticism 
Lack of close relationships
One-player activities 
Norm social conventions ignored 
Excessive fantasy world
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13
Q

Sx Dissocial PD (FIGHTS)

A 
Forms but can't maintain relationships 
Irresponsible 
Guiltless
Heartless 
Temper easily lost 
Someone elses fault
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14
Q

Sx EUPD (common) (5)

A 
Affective instability 
Explosive behaviours 
Impulsive 
Outburst of anger 
Unable to plan/consider consequences
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15
Q

Sx EUPD; Borderline Type (SCARS)

A

Self-image unclear
Chronic empty feelings
Relationships = intense + unstable
Suicide attempts + self-harm

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16
Q

Sx EUPD; Impulsive type (LOSE IT)

A 
Lacks impulse control 
Outbursts or threats of violence 
Sensitivity to being criticised or let down 
Emotional instability 
Inability to plan ahead 
Thoughtless of consequences
17
Q

Sx Histrionic PD (ACTORS)

A 
Attention seeking 
Concerned w/ own appearance 
Theatrical 
Open to suggestion 
Racy + seductive
Shallow affect
18
Q

Sx Anankastic Personality Disorder (DETAILED)

A 
Doubtful 
Excessive detail 
Tasks not completed 
Adheres to rules 
Inflexible 
Likes own way
Excludes pleasure + relationships 
Dominated by intrusive thoughts
19
Q

Sx Anxious/Avoidant PD (AFRAID)

A 
Avoids social contact 
Fears rejection/criticism 
Restricted likestyle 
Apprehensive
Inferiority 
Doesn't get involved unless sure of acceptance
20
Q

Sx Dependence PD (SUFFER)

A 
Subordinate 
Undemanding 
Feels helpless when alone 
Fears of abandonment 
Encourages others to take decisions 
Reassurance needed
21
Q

Social difficulties those w/ PD have (3)

A

Difficulty making relationships/connecting w/ others
Mx / control of emotions
Coping w/ life + difficult feelings

22
Q

DDx PD (5)

A 
Mood disorder 
Psychotic disorder 
Anxiety disorder 
Substance related disorders 
Personality change due to organic cause
23
Q

General approach to Mx of PD (for Dr)

A

Clear boundaries
Remember splitting
Beware of transference + counter -transference
Beware of admission trap

24
Q

S-term Mx PD

A

Ongoing risks
Take Hx + consider comorbidity
Carry out risk assessment

25
Q

LT psychological Mx PD (4)

A 
CBT
DBT
CAT (cognitive analytical therapy) 
Therapeutic communities 
Good engagement from pt = vital
26
Q

Social Mx PD (4)

A

Support around stigma
Social inclusion activities
Finance/housing
Tx as inpt if danger in community

27
Q

Biological Mx PD

A

Little evidence

Only for addressing co-morbid issues

CP2 Psychiatry (15 decks)

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