Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Behavioral Health > Personality Disorders - Cluster B > Flashcards

Personality Disorders - Cluster B Flashcards

1
Q

which personality disorders belong to cluster b? (pneumonic: No Booze After Hours)

A

Narcissistic
Borderline
Antisocial
Histrionic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what is the hallmark of antisocial personality?

A

disregard for, and violation of, the rights of others. tend to be aggressive and have no concern for themselves or others. they don’t learn from experience and are unwilling to conform to social norms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

whats the difference between antisocial personality and criminality?

A

illegal behavior is only for gain and not accompanied by rigid personality traits.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what was the childhood like for someone with antisocial personality disorder?

A

begins in childhood as a conduct order…
as kids they had conflicts with parents, authority figures, peers, etc. stealing, vandalism, fire setting, cruelty to animals/other kids, school-related behavior probs, running away from home, poor academic performance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

when is the onset of antisocial personality and how old must you be to achieve the diagnosis?

A

onset: prior to age 15

must be at least 18 to be diagnosed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what sort of mask do patients with antisocial personality wear to fool clinicians?

A

mask of sanity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what demographic is antisocial personality seen in?

A

poor urban areas and in larger families.

~75% of prison population!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

scenario: a 29 yo man tells you has stolen valuable items from friends/family on many occasions with no intention of returning them and without concern for the people he stole from. He has been unemployed on and off for many years and has been arrested on a variety of minor charges.

which personality disorder does this describe?

A

antisocial personality disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what is the pneumonic for antisocial personality disorder?

A

CALLOUS MAN

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what does CALLOUS MAN stand for (in antisocial personality)?

A

CONDUCT disorder before age 15 (current age 18 or older)
ANTISOCIAL acts, commits acts that are grounds for arrest
LIES frequently
LACUNAE lacks superego
OBLIGATIONS not honored
UNSTABLE - can’t plan ahead
SAFETY of self and others ignored
MONEY problems (kids and spouse are not supported)
AGGRESSIVE and assaulted
NOT occurring exclusively during schizophrenia/mania

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

do patients with antisocial personality have remorse?

A

no

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

how many of the DSM criteria are needed to have antisocial personality?

A

at least 3 out of 7

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what are some common comorbids seen in a patient with antisocial personality

A

ETOH/Drugs, Gambling, ADHD, MDD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what are some contact tips for the patient with antisocial personality?

A

set firm limits
understand patient’s fear of intimacy
patients often run from real human experiences

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q 
which class of drugs are concerning for patients with antisocial personality?
which class of drugs are choice for severe aggression for them?
which class of drugs is second line treatment?
A

benzos.
atypical antipsychotics.
SSRI and/or mood stabilizers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

why do people with antisocial personality tend to have a premature death?

A

they commit suicide, get into accidents, or are a victim of homicide

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

what is the hallmark of borderline personality disorder?

A

they leave a trail of destruction. pattern of instability in interpersonal relationships, self image, and affects, and marked impulsivity.

emphasis on INSTABILITY

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

borderline personality… they border between _____ and _____

A

neurosis and psychosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

describe a mood swing of a patient with borderline personality

A

argumentative then depressed then complain of no feelings

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

what are borderline personality patients most afraid of?

A

abandonment. they constantly search for companionship

21
Q

what is the defense mechanism of a borderline personality patient?

A

splitting (love/hate relationships)

22
Q

scenario: a 39 yo female tells you on her second visit that she is in love with you. when you refer her to another physician, she attempts suicide.

what personality disorder does this describe?

A

borderline personality disorder

23
Q

what are the most common sx of borderline personality disorder?

A

anger
feelings of boredom
emptiness
have a tendency to see others as all good or all bad (splitting)

24
Q

what does ICD-10 call borderline personality disorder?

A

emotionally unstable personality disorder

25
Q

what is the pneumonic for borderline personality disorder?

A

I RAISED A PAIN

26
Q

what does the pneumonic I RAISED A PAIN stand for (borderline personality)

A

IDENTITY disturbance
RELATIONSHIPS unstable
ABANDONMENT frantically avoided (whether real/imagined)
IMPULSIVITY
SUICIDAL gestures (threats, self-mutilation)
EMPTINESS
DISSOCIATIVE sx
AFFECTIVE instability
PARANOID ideation (stress-related and transient)
ANGER poorly controlled
IDEALIZATION followed by devaluation
NEGATIVISTIC (undermine self with self-defeating behavior)

27
Q

How many of the DSM characteristics does one need to classify as borderline personality disorder?

A

at least 5 of the 9

28
Q

why are females more commonly seen with borderline personality disorder in the clinical population?

A

maybe because they are more likely to seek medical attention over men`

29
Q

what do first degree relatives of patients with borderline personality disorder commonly have?

A

substance abuse or MDD

30
Q

what are common comorbidities seen in borderline personality disorder?

A

PTSD, eating disorder, substance abuse, antisocial PD, narcissistic PD, schizotypal PD

31
Q

what is the most widely studied personality disorder?

A

borderline personality disorder

32
Q

does borderline personality disorder progress to schizophrenia?

A

no

33
Q

what is the hallmark of histrionic personality disorder? do they mellow with age?

A

excessive emotionality and attention seeking

yes, they mellow with age

34
Q

what may a patient with histrionic appear like?

A

colorful, dramatic, extroverted fashion, everything is a catastrophe, attention seeking behavior, seductive (both sexes)

35
Q

patients with what personality disorder like to be the center of attention?

A

histrionic personality disorder

36
Q

scenario: a 25 yo female patient comes to office dressed in low-cut blouse and short skirt and brings a gift for you. she fishes for complements and the office staff tells you that yesterday she “almost bled to death” when she cut her finger.

what personality disorder does this patient have?

A

histrionic personality disorder

37
Q

defense mechanisms of repression, regression (revert to childlike behavior), and somatization are characteristic of which personality disorder?

A

histrionic personality disorder

38
Q

how many of the 8 DSM criteria must a patient have to classify as histrionic personality?

A

at least 5 of 8

39
Q

what is the pneumonic for histrionic personality disorder/

A

I CRAVE SIN

40
Q

what does the pneumonic I CRAVE SIN (histrionic) stand for?

A 
INAPPROPRIATE behavior (seductive/provocative)
CENTER of attention
RELATIONSHIPS seen as closer than they really are
APPEARANCE is most important
VULNERABLE to others' suggestions
EMOTIONAL expression is exaggerated
SHIFTING emotions, shallow 
IMPRESSIONISTIC manner of speaking
NOVELTY is craved
41
Q

what do people with histrionic personality lack insight to?

A

their true feelings or motivations

42
Q

what is the hallmark of narcissistic personality disorder?

A

the world revolves around them.
pattern of grandiosity, need for admiration, lack of empathy. heightened sense of self importance and grandiose feelings of uniqueness

43
Q

what personality disorder includes patients who consider themselves as special and expect special treatment; sense of entitlement; handle criticism poorly?

A

narcissistic personality disorder

44
Q

scenario: a 40 yo male pt tells you that bc you are a doctor, you can understand that he is “better than most people” . . he then asks you to be referred to a physician who graduated from an Ivy League school

what personality disorder does this patient likely have?

A

narcissistic personality disorder

45
Q

is psychotherapy helpful for narcissistic personality?

A

no, because they lack insight into behavior

46
Q

how many of the DSM criteria are needed to fulfill narcissistic personality?

A

at least 5 of 9

47
Q

what is the pneumonic for narcissistic personality?

A

A FAME GAME

48
Q

what does the pneumonic A FAME GAME (narcissistic) stand for?

A 
ADMIRATION required in high amounts
FANTASIZES about unlimited success
ARROGANT
MANIPULATIVE
ENVIOUS of others
GRANDIOSE sense of importance
ASSOCIATES with special people
ME first attitude
EMPATHY lacking for others

Behavioral Health (6 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions