Personality disorders- Cluster B1

Question 1

What personality disorders are in Cluster B?

Answer 1

Antisocial

Borderline

Histrionic

Narcissistic

Question 2

How do individuals in cluster B often appear?

Answer 2

Dramatic, emotional or erratic

Question 3

What is the personality style of antisocial PD?

Answer 3

Adventerous/non-conforming

Question 4

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

Answer 4

Predominant theme of antisocial PD

Question 5

•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

Answer 5

Antisocial PD

Question 7

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

Answer 7

Comorbid disorders of antisocial PD

Question 8

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

What PD is this?

Answer 8

age 15

Antisocial PD

Question 9

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

Answer 9

Antisocial PD- diagnostic criteria

Question 10

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

Question 11

Antisocial behavior

Answer 11

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

Question 12

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

Answer 12

Additional feature of Antisocial PD

Question 14

C – cannot follow law

O – obligations ignored

R – remorselessness

R – recklessness

U – underhandedness (secret behavior)

P – planning deficit

T – temper

Answer 14

Antisocial PD

Question 15

Manipulative

Answer 15

Antisocial PD

Question 16

1st line treatment for Antisocial PD

Answer 16

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

Question 17

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

Answer 17

•Antipsychotics:

1. Risperidone (Risperdal)
2. Olanzapine (Zyprexa)

Question 18

• Carefully, respectfully investigate patient’s concerns and motives
• Communicate directly
• Set clear limits in context of medically indicated interventions

Answer 18

Provider strategies for antisocial behavior

Question 19

What is the personality style of Borderline PD?

Answer 19

Mercurial

Question 20

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

Answer 20

Predominant theme of Borderline PD

Question 21

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

Answer 21

Borderline PD

Question 22

• Mood and anxiety disorders, substance abuse disorders
• Paranoid PD, schizotypal PD

Answer 22

Comorbid disorders of Borderline PD

Question 23

Instability