Personality disorders and psychotic disorders and guest lectures

Question 1

5 factor model of personality

Answer 1

openness, conscientiousness, extroversion, agreeableness, neuroticism

Question 2

personality disorder

Answer 2

chronic and inflexible and maladaptive traits, pervasive, impairing and distressing, rigid pattern of inner experience that affects sense of self, emotional experience, goals, and relationships, long term and spectrum

Question 3

cluster A

Answer 3

odd and eccentric (paranoid, schizotypal, schizoid)

Question 4

cluster B

Answer 4

dramatic, emotional, erratic (histrionic, borderline, narcissistic, antisocial)

Question 5

cluster C

Answer 5

anxious and fearful (avoidant, dependent, obsessive compulsive)

Question 6

paranoid personality disorder (a)

Answer 6

suspicious and distrust in others, hypersensitive, preoccupied with doubts of others, on edge (cognition - highly suspicious, affect - negative, interpersonal - poor relationship and does not have trust, impulse control - quick to react in a negative manner)

Question 7

schizoid personality disorder (a)

Answer 7

no interest in interpersonal, wants to be alone, anhedonia, flat, detached (cognition - disinterest, affect - flat, interpersonal - limited)

Question 8

schizotypal personality disorder (a)

Answer 8

eccentric behavior, perceptual oddities, constricted affect (cognition - odd thinking, affect - flat, interpersonal - limited)

Question 9

histrionic personality disorder (b)

Answer 9

attention seeking, vague, suggestive, views relationships as more intimate than they actually may be (cognition - self worth is attention, affect - exaggerated, interpersonal - embarrassing to others, may get bored, suggestible, impulse control - easily bored)

Question 10

narcissistic personality disorder (b)

Answer 10

grandiose self, power and success, feels unique, need for admiration, lack of empathy, arrogant (cognition - grandiose, sense of self esteem, affect - sensitive to insult, interpersonal - low empathy)

Question 11

antisocial personality disorder (b)

Answer 11

failure to conform to norm, deceitful, impulsive, reckless, lack of remorse (cognition - inflated sense of self, affect - low empathy, depression, inability to tolerate bored, interpersonal - trouble, disregard for others, impulse control - little regard for responsibility and need)

Question 12

borderline personality disorder (b)

Answer 12

abandonment fears, unstable interpersonal, unstable image of self, impulsive, suicidal or non suicidal self injury

Question 13

avoidant personality disorder (c)

Answer 13

social anxiety disorder, avoids interpersonal, restrains relationships, sensitive to opinions of other, fear of criticism and shame (cognition - low self esteem, affect - anxious, depressed, interpersonal functioning - difficulty forming intimate relationships)

Question 14

dependent personality disorder (c)

Answer 14

challenges with making decisions, fear of loss of relationships, helpless alone, seeks other relationships if relationships end (cognition - low self esteem, affect - anxious, depressed, interpersonal - poor, clingy, submissive, impulse control - seeks reassurance of a new relationship if one does end)

Question 15

DBT

Answer 15

type of CBT, focused on building a life worth living, dialectics, life interfering behaviors then therapy interfering behaviors then behaviors that interfere with life (mindfulness, emotions and thoughts and impulses, interpersonal effectiveness, emotion regulation)

Question 16

DBT approach 3 steps

Answer 16

emotional vulnerability, emotion modulation, environmental invalidation

Question 17

psychotic symptoms

Answer 17

positive (delusions, hallucinations), disorganized (thinking and behavior), negative (blunted affect, social withdrawal)

Question 18

delusions

Answer 18

fixed beliefs that are not amenable to change despite conflicting evidence

Question 19

types of delusions

Answer 19

persecutory (going to be harmed), referential (meaning to something), grandiose (exceptional ability), erotomaniac (someone is in love with you), bizarre (implausible)

Question 20

hallucinations

Answer 20

perception like experiences that occur without external stimulus (auditory, visual, olfactory, gustatory, somatic, tactile)

Question 21

delusional disorder

Answer 21

one or more delusion for at least a month, functioning is not impaired, mania or depression are brief relative to delusion

Question 22

brief psychotic disorder

Answer 22

sudden onset, more than one day less than one month, delusions, hallucinations, disorganized speech, disorganized behavior/catatonia

Question 23

schizophrenia

Answer 23

lasts six months, delusions and hallucinations or disorganized speech with disorganized behavior, catatonia, negative symptoms

Question 24

schizoaffective

Answer 24

major mood episodes concurrent with symptoms of schizophrenia, can have bipolar or unipolar

Question 25

schizophreniform

Answer 25

different duration than schizophrenia (1-6 months), majority develop schizo from it

Question 26

biopsychosocial model of schizo

Answer 26

biological (genetics, brain abnormalities - ventricles, white matter, areas are implicated, neurotransmitters, immune functioning, prenatal exposures), psychological (sensitive to stress), environmental and social (urban living, immigration)

Question 27

treatment for psychosis

Answer 27

anti psychotic medication, tardive dyskinesia is a side effect that causes movement, case management, family therapy, social skills training, cognitive remediation, exercise

Question 28

types of care

Answer 28

biological (medications, procedures), psychosocial (therapy, employment, rehab), psychedelics (for ptsd, depression, anorexia), technology (teletherapy, apps, internet, virtual reality, AI), psychotherapy (psychoanalysis, psychodynamic, humanistic, behavioral, cognitive behavioral therapy, eclectic)

Question 29

evidence based practice

Answer 29

research evidence, clinical expertise, patient values

Question 30

symptom remission/reduction vs. functional recovery

Answer 30

intervention can either go to symptom remission or functional recovery

Question 31

the reasonable man

Answer 31

always comes back to the reasonable man, what would the reasonable man do, what would the reasonable man have done in this situation if they were in it

Question 32

differences in the adolescent brain vs. the adult brain

Answer 32

adolescent brain is not a mini adult brain, planning, decision making, self control is late in trajectory, self control depends on frontal lobe

Question 33

neuroscience and psychopathology’s role in the law

Answer 33

ever developing