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MJ- Clinical Disciplines Exam 1 > Personality disorders- Cluster B1 > Flashcards

Personality disorders- Cluster B1 Flashcards

1
Q

What personality disorders are in Cluster B?

A

Antisocial

Borderline

Histrionic

Narcissistic

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2
Q

How do individuals in cluster B often appear?

A

Dramatic, emotional or erratic

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3
Q

What is the personality style of antisocial PD?

A

Adventerous/non-conforming

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4
Q
  • disregard for and violating the rights of others
  • lying, stealing
  • defaulting on debts
  • neglect of children or other dependents
A

Predominant theme of antisocial PD

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5
Q

•Lack of regard for society’s moral or legal standards

-an impulsive and risky lifestyle

  • Irresponsible, impulsive, and deceitful
  • Lack a conscience, empathy, and remorse
A

Antisocial PD

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6
Q
A
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7
Q

•Conduct disorder*, social phobia, generalized anxiety disorder, substance abuse disorders

A

Comorbid disorders of antisocial PD

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8
Q

A pervasive pattern of disregard for and violation of the rights of others, occurring since age ____ years.

What PD is this?

A

age 15

Antisocial PD

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9
Q
  1. Failure to conform to social norms- breaks laws
  2. Deceitfulness
  3. Impulsivity/ failure to plan ahead
  4. Irritability/aggresiveness- Fights
  5. Recklessness
  6. Irresponsible- repeated failure to sustain consistent work behavior or honor financial obligations
  7. Lack of remorse
A

Antisocial PD- diagnostic criteria

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10
Q
  • The individual is at least age 18y/o
  • Evidence of onset before 15y/o
A
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11
Q

Antisocial behavior

A

illegal or immortal behavior such as stealing, lying or cheating

**antisocial behavior is different than antisocial PD

**can engage in antisocial behavior and not have disorder

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12
Q

Poor job performance, academic failure, illegal activities, impulsive behavior, reckless

A

Additional feature of Antisocial PD

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13
Q
A
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14
Q

C – cannot follow law

O – obligations ignored

R – remorselessness

R – recklessness

U – underhandedness (secret behavior)

P – planning deficit

T – temper

A

Antisocial PD

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15
Q

Manipulative

A

Antisocial PD

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16
Q

1st line treatment for Antisocial PD

A

Cognitive behavioral therapy- Help them understand how they are hurting themselves

17
Q

Treatment for Antisocial PD if there is severe aggession- 1st line pharmacotherapy

A

•Antipsychotics:

  1. Risperidone (Risperdal)
  2. Olanzapine (Zyprexa)
18
Q
  • Carefully, respectfully investigate patient’s concerns and motives
  • Communicate directly
  • Set clear limits in context of medically indicated interventions
A

Provider strategies for antisocial behavior

19
Q

What is the personality style of Borderline PD?

A

Mercurial

20
Q

•instability of interpersonal relationships, self-image, affects, and control over impulses

A

Predominant theme of Borderline PD

21
Q
  • Central feature is instability
  • Difficulty controlling anger
  • Feelings of chaos and emptiness
  • Thoughts of self-destruction
  • Marked impulsivity
A

Borderline PD

22
Q
  • Mood and anxiety disorders, substance abuse disorders
  • Paranoid PD, schizotypal PD
A

Comorbid disorders of Borderline PD

23
Q

Instability of interpersonal relationships

A

Borderline PD

24
Q

Alternating b/w extremes of idealization and devaluation–> “splitting”

A
25
Q
  • identitity disturbance
  • impulsivity
  • recurrent suicidal behavior or self-multilating behavior
A
26
Q

Inappropriate anger

A

A feature of Borderline PD

27
Q

Don’t want to be alone so will search for companionship no matter how unsatisfactory

A

Borderline PD

28
Q

A – abandonment

M – mood instability (marked reactivity of mood)

S – suicidal or self-mutilating behavior

U – unstable and intense relationships

I – impulsivity

C – control of anger

I – identity disturbance

D – dissociative or paranoid symptoms that are transient and stress related

E – emptiness

A

Mmnemonic for Borderline PD

29
Q

Splitting

A

Borderline PD

AKA- abrupt shifts from idealizing to devaluing caregivers

30
Q

How do you treat Borderline PD?

A

Psychotherapy: Dialectical Behaior Therapy (DBT) has been shown to be most effective

31
Q

Pharmacotherapy treatment for Borderline PD

A

SSRI antidepressants (Sertraline/Zoloft, Fluoxetine/Prozac)

Mood stabilizers (Lamotrigine/Lamictal)

32
Q

Provider strategies:

  • Provide clear, nontechnical answers to questions to counter scary fantasies
  • Tolerate periodic angry outbursts, but set limits
A

MJ- Clinical Disciplines Exam 1 (4 decks)

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