Personality Disorders & Forensics Flashcards

1
Q

define a personality disorder

A

marked disturbance in personality functioning, which is nearly always associated with considerable personal and social disruption

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2
Q

define personality

A

an individual’s characteristic way of behaving, experiencing life and of perceiving and interpreting themselves, other people, events, situations

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3
Q

central manifestations of PD

A

impairments in:
- aspects of the self
- problems in interpersonal functioning

which are manifested in maladaptive patterns of cognition / emotional experience / emotional expression / behaviour

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4
Q

how does PD affect life

A

causes distresss /significant impairment in personal / family / social / educational / occupational / other important areas of functioning

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5
Q

a presentation can not be described as PD if it is..

A

developmentally appropriate
explained primarily by social or cultural factors

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6
Q

diagnostic requirements of PD

A

problems in self / interpersonal functioning
persistent over extended period of time
cognitive / emotional experience / emotional expression / behaviour that is maladaptive
seen across a range of personal / social situations
associated with distress / dysfunction

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7
Q

exclusion criteria of PD

A

sx due to medication / substance effects / other medical or psych condition
developmentally appropriate
explained by social / cultural factors including socio-political conflict

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8
Q

difference between moderate and severe PD categories

A

moderate = some impairment / harming features
severe = global impairment of social / cognitive / behaviour / emotion

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9
Q

what is personality difficulty

A

traits of PD but not pervasive course

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10
Q

PD groups

A

A = odd, eccentric
B = dramatoc, emotional, erratic
C = anxious / fearful

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11
Q

A PDs

A

paranoid
schizoid
schizotypal

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12
Q

B PDs

A

antisocial
boderline
histrionic
narcassitic

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13
Q

C PDs

A

avoidant
dependent
Obessive compulsive

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14
Q

features of paranoid PD

A

excessive sensitivity to setbacks / criticism
suspicious
perceive others as hostile / contemptuous
easily feel rejected
hold grudges
excessive self importance

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15
Q

features of schizoid PD

A

withdraw from affectional / social / other contacts
emotionally cold
preference for fantasy, solitary activities, introspection
limited capacity to express feelings and experience pleasure

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16
Q

features of schizotypal PD

A

inapprorpriate / constricted affect
socially withdrawn
behaviour / apperance that is cold / eccentric / perculiar
odd beliefs / magical thinking, influencing behaviour and inconsistent with subcultural norms
suspiciousness or paranoid ideas
unusual perceptual experiences inc bodily illusions, depersonalisation, derealisation
occasional transient quasi-psychotic episodes with illusions / hallucinations

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17
Q

what is schizoid PD similar to

A

ASD

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18
Q

difference between schizoid and schizotypal

A

schizotypal is part of schizophrenia
has positive symptoms of schizophrenia

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19
Q

features of antisocial PD

A

persistent disregard for morals, social norms, rights of others
callous about feelings of others
low tolerance to frustration
aggressive
frequent offenders
impulsive
lack of remorse
behaviour not modifiable by adverse experience

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20
Q

difference between schizotypal and schizophrenia

A

phrenia has delusions (FIXED)

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21
Q

EUPD features

A

difficulties managing emotions / behaviours
impulsive with consideration of consequences
unpredictable mood
emotional instability
lack of impulse control
chronic feelings of emptiness
intense / unstable interpersonal relationships

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22
Q

histrionic PD features

A

shallow and labile affect
self dramatisation / theatricality / exaggerated expression of emotions
seeking appreciation / excitement / attention
self centred
lack of consideration of others

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23
Q

narcissistic PD features

A

gradiosity with expectations of superior treatment from other people
fixation on fantasies of power / success / intelligence / attractiveness
self perception of being unique / superior
associated with high status people and institutions
need for continual admiration from others

24
Q

avoidant PD features

A

feelings of tension / apprehension
insecurity / inferiority
continuous yearning to be liked and accepted
hypersensitivity to rejection / criticism
restricted personal attachments
tendency to avoid certain activities by habitual exaggeration of potential dangers or risks in everyday situations

25
dependant PD features
pervasive passive reliance on other to make decisions great fear of abandonment feelings of helplessness and incompetence passive compliance with wishes of elders / others weak response to demands of daily life
26
obsessive compulsive PD features
feelings of doubt perfectionism excessive conscientiousness checking / preoccupation with details stubbornness / caution / rigidity insistent and unwelcome thoughts or impulses that do not attain the severity of OCD
27
Tx of PDs
psychological therapy psychotropic medication
28
psychological therapy types
MBT - metallisation based therapy CBT DBT - dialectical behavioural therapy dynamic psychotherapy cognitive analytical therapy therapeutic community
29
MBT length
1.5 years
30
MBT use
EUPD
31
MBT features
interpersonal think before they react think about other peoples emotions
32
CBT use
avoidant / dependent PD anxiety / depression
33
DBT use
reduced impulsivity and self harm EUPD
34
DBT length
over 1 year
35
CBT length
12 - 20 sessions
36
dynamic psychotherapy features
long therapy looks at relationship between pt and therapist looks at early childhood relationships
37
Cognitive analytical therapy features
how others relate to you and how you relate to others
38
therapeutic community features
lots of people with illness come together to talk about their illness and do activities like AA for alcoholics
39
what meds are licensed in PD
NONE - they are used off label
40
type of meds used in PD
antidepressants - if comorbid depressant sx low dose antipsychotics mood stabilisers sedatives - short term for sleep issues
41
which personality cluster is most benefitted by psychotherapy
B
42
what meds can be used in rapid tranq
IM lorazepam +/- IM haloperidol
43
when do you use rapid tranq
is oral refused and patient is very agitated
44
monitoring in rapid tranq
BP/HR/RR every 5 mins temp every 30 mins observe for evidence of dystonia
45
things to look out for in rapid tranq
QT prolongation and cardiac problems
46
what is seclusion
supervised confinement and isolation of a patient, away from other patients, in an area from which the patient is prevented from leaving, where it is of immediately necessity for the purpose of the containment of severe behavioural disturbance which is likely to cause harm to others
47
% of crimes committed by mentally unwell people
10 --> mentally ill ppl more likely to be victims !
48
what is the tool used to assess risk of violence
HCR 20
49
what tool is used to assess psychopathic traits
PCL-R
50
requirements for clozapine
tried 2 other anti psychotics with no effect
51
spice intoxication effects
psychosis, confusion, aggression, collapse, arrhythmias
52
is spice addictive?
YES
53
what is the earliest age someone can be said to have PD
18
54
conduct disorder vs oppositional defiance disorder
CD is more extreme version of ODD
55
what is dissociality of PD
disregard fro rights / feelings of others sense of entitlement lack of empathy usually have conduct disorder in the past