Personality Disorders - Hill/FA

Question 1

Severe distrust of people, including spouse and physicians. Always suspicious, thinking that everyone is out to get them. Can’t confide info in anyone. Hidden meaning behind everything.

Answer 1

Paranoid

Question 2

Voluntary withdrawal from society, does not like people, perfectly ok with isolation. Hasn’t seen a doc in a long time.

Answer 2

Schizoid

Question 3

Eccentric, odd beliefs in paranormal or magical things, not delusional but just odd. Isolated. Excessive social anxiety. Awkward w/ people.

Answer 3

Schizotypal

Question 4

Male 18+ with history of conduct disorder as a kid. Disregard for rights of others, criminality, impulsivity. Lack of remorse.

If younger than 15?

Answer 4

Antisocial

Conduct disorder

Question 5

Woman, frantically avoiding expected abandonment. Very unstable mood, intense reactions to things, manipulative, impulsive in self-damaging things, suicidal thoughts and actions, feeling of emptiness. Self-mutilation. Was a victim of abuse as a child.

Coping mechanism? What is it?

Treatment?

Answer 5

Borderline

Splitting - wildly-changing opinions of people, moving from one person to the next

DBT (dialectical behavior therapy)

Question 6

Very emotional and excitable, seeking attention, sexually provocative, emotionally labile, dramatic descriptions of symptoms, overly concerned with appearance

Answer 6

Histrionic

Question 7

Entitled, egomaniac, no empathy, always needing admiration. Rage when criticized. Envy of others yet exploitation of them.

Answer 7

Narcissistic

Question 8

Anxious and fearful, hypersensitive to rejection, little social life, feels inadequate, desires relationships

Answer 8

Avoidant

Question 9

Submissive, clingy, can’t make decisions w/o guidance and reassurance, helpless when alone, always looking for a new relationship once one ends

Answer 9

Dependent

Question 10

Perfectionist, needing order and control, little flexibility or openness, very strict and consistent about their morals/ethics/values. Stingy, stubborn.

Answer 10

Obsessive-compulsive (NOT OCD)

Question 11

Woman, history of sexual abuse, 2+ identities or personality states

Answer 11

Dissociative identity disorder

Question 12

Psychodynamic psychotherapy

Answer 12

Examining how people perceive events, why they do so, and facilitating the development of more adaptive modes of perception and response to situations, etc

Question 13

Cognitive behavior therapy (CBT)

Answer 13

Dealing w/ how people think about their world and their perception of it

Question 14

Dialectical behavior therapy (DBT)

Answer 14

Developing coping skills to improve affect stability and impulse control, reducing self-harmful behavior

Question 15

Drug for impulse control

Drugs for psychotic attacks w/in a personality disorder

Answer 15

Valproate

Atypical antipsychotics

Question 16

Why do people w/ borderline disorder self-mutilate?

Answer 16

Release of endorphins - sense of relief from pain/agony