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Boards And Beyond Psychiatry > Personality Disorders and Mood Disorders > Flashcards

Personality Disorders and Mood Disorders Flashcards

1
Q

A fixed way of interacting with the environment that causes distress or impaired function

A

Personality disorder

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2
Q

What are the 3 Cluster A (Weird) personality disorders?

A

Paranoid, Schizoid, Schizotypal

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3
Q

What are the 4 cluster B (Wild) personality disorders?

-Dramatic erratic behavior

A

Antisocial, Borderline, Histrionic, and Narcissistic

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4
Q

What are the 3 Cluster C (whacky) PD’s?

-Anxious, fearful behavior

A

Avoidant, Obsessive-compulsive, and dependent

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5
Q

Characterized as being distrustful of others, even friends/family

A

Paranoid PD

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6
Q

The hallmark ego defense of Paranoid PD is?

-Attributing unacceptable thoughts to others

A

Projection

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7
Q

Chooses social isolation

-More comfortable alone

A

Schizoid PD

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8
Q

Does not enjoy close relationships and has little/no interest in sexual experiences

A

Schizoid PD

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9
Q

Another characteristic of Schizoid PD is

A

Flat affect

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10
Q

Fear of social interactions and few close friends. Characterized by odd beliefs or magical thinking

-Superstitious

A

Schizotypal PD

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11
Q

Tend to believe that events and happenings are somehow related to them

A

Schizotypal PD

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12
Q

A key feature that distinguishes Schizotypal PD from schizophrenia and delusions is that Schizotypals are

A

Open to challenges to beliefs

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13
Q

Disregard for the rights of others

  • More common in men
  • Often break the law
A

Antisocial PD

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14
Q

If the child is under 18 years old, than we don’t call it antisocial PD, but rather

A

Conduct disorder

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15
Q

Characterized by unstable relationships and is more common in women than men

A

Borderline PD

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16
Q

Believe that all people are either very good or very bad

  • Can change daily
  • Fear of abandonment
A

Borderline PD

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17
Q

The major defense mechanism in borderline PD is

A

Splitting

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18
Q

Form of cognitive behavioral therapy that is the gold standard for borderline PD

A

Dialectical Behavioral Therapy

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19
Q

Wants to be the center of attention

-Talks loudly, tells wild stories, and uses hand gestures

A

Histrionic PD

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20
Q

Often wears provocative clothing and engages in inappropriate sexually provocative behavior

-Very concerned with physical appearance

A

Histrionic PD

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21
Q

Has an inflated sense of self

  • Lacks empathy for others
  • Wants to hear they are great
  • Overreacts to criticism w/ anger/rage
A

Narcissistic PD

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22
Q

Avoids social interactions because they feel inadequate

A

Avoidant PD

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23
Q

Afraid that people won’t like them and struggle with intimate relationships

A

Avoidant PD

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24
Q

Different from schizoid because they want to socialize but can’t

A

Avoidant PD

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25
Q

Pre-occupied with order and control

-Inflexible at work or in relationships

A

Obsessive-Compulsive PD

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26
Q

Behaviors help to achieve goals

A

Obsessive-compulsive PD

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27
Q

OCPD patients obsessions/compulsions are used to achieve foals. This is classified as being

A

Egosyntonic

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28
Q

OCD patients on the other hand have obsessions/compulsions that are barriers to goals. This is called

A

Egodystonic

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29
Q

Characterized by clinginess and low self-confidence

-Struggle to care for themselves

A

Dependent Personality Disorder

30
Q

Patients with Dependent Personality Disorder (DPD) have difficulty expressing an

A

Opinion

31
Q

Characterized by abnormal emotional state such as sadness (depression) or extreme happiness (mania)

A

Mood disorders

32
Q

What are three cardinal symptoms of Major Depressive Disorder (MDD) besides the classic depressed mood, lost of interest, and feeling worthless?

A

Appetite changes, weight loss/gain, and sleep disturbances

33
Q

Can present with altered sleep rhythms. REM starts quicker after sleep onset

A

MDD

34
Q

What is the effect of REM starting quicker after sleep onset in MDD?

A

Decreased REM Latency

35
Q

Have increased total REM sleep but decreased slow-wave sleep

A

MDD

36
Q

From a psychomotor standpoint, MDD can present with either

A

Psychomotor agitation or psychomotor retardation

37
Q

Excessive motor activity, often repetitious

-Feeling of inner tension

A

Psychomotor agitation

38
Q

Slowing of movements, thinking, or speech

-Slower to answer questions

A

Psychomotor depression

39
Q

Patients must meet at least 5 symptoms of SIG E CAPS to be diagnosed with

A

MDD

40
Q

Characterized by the core unique feature that patients are able to react to pleasurable stimuli, I.e. they feel better when good things happen

A

Atypical Depression

41
Q

Are classified as eating and sleeping all the time

  • Increased appetite or weight gain
  • Increased sleep
A

Atypical Depression

42
Q

Atypical depression is usually treated with

A

SSRI’s (but could also see MAOI use)

43
Q

Abnormally elevated mood and energy level

  • Talking fast w/ pressured speech
  • Decreased need for sleep
A

Manic Episode

44
Q

Two key buzzwords for mania are

A

Disinhibition and Grandiosity

45
Q

Typical case is: change in mood to elevated state, not sleeping, altered behavior, and disruption of social functioning

A

Mania

46
Q

What is the acronym for mania

A

DIG FAST

Distractibility
Irresponsibility
Grandiosity
Flight of Ideas
Agitation 
Less Sleep
Talking too much/pressured speech
47
Q

Have symptoms similar to those of mania but less severe

A

Hypomania

48
Q

A key feature of hypomania is little/no impairment in

A

Functioning

49
Q

Shows inflated self esteem, but no delusions of grandeur

A

Hypomania

50
Q

Hypomania lasts for at least

A

4 days

51
Q

Hypomania shows no

A

Psychotic symptoms

52
Q

Presents with the typical case of: change in mood to elevated state, continued social functioning, and resolves in a few weeks

A

Hypomanic Episode

53
Q

Manic episodes =

A

Bipolar 1

54
Q

Hypomania and depression w/ no manic episodes =

A

Bipolar 2

55
Q

Most of the mood stabilizers for bipolar disorder are

A

Anticonvulsants (valproic acid, carbamazepine, or lamotrigine)

56
Q

Always occur TOGETHER with mood symptoms in bipolar disorder

A

Psychotic features

57
Q

Psychosis without mood symptoms =

A

Schizoaffective Disorder

58
Q

Characterized by mild mania and mild depressive symptoms that does not meet criteria for hypomania or MDD

A

Cyclothymic disorder

59
Q

With cyclothymic disorder, the symptoms come and go over at least

A

2 years

60
Q

Low grade form of depression that is less severe but more chronic

-Lasts for at least 2 years

A

Persistent Depressive Disorder

61
Q

Seen in depression and bipolar disorder

-95% of successful attempts have psychiatric diagnosis

A

Suicide

62
Q

Have more suicide attempts but are less successful

A

Women

63
Q

Have fewer suicide attempts but are more successful

A

Men

64
Q

The most common method of suicide is

A

Firearms

65
Q

Normal response to loss of a loved one

-There are 5 stages

A

Acute grief

66
Q

Grief that lasts longer than 6 months, interferes w/ functioning, and may lead to MDD

A

Persistent Grief

67
Q

Depressed mood, insomnia, fatigue, and poor concentration that starts 2-3 days after delivery

A

Postpartum Blues (up to 85% of women post delivery)

68
Q

The post partum blues resolves within

A

2 weeks

69
Q

Around 15% of women that give birth will experience

  • Lasts longer than two weeks
  • Treat with CBT and SSRIs
A

Postpartum Depression

70
Q

Performed under general anesthesia

  • Essentially an electrically administered seizure
  • May cause amnesia
A

Electroconvulsive therapy

Boards And Beyond Psychiatry (18 decks)

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