Personality Disorders; pead d/o Flashcards
Typical treatment regimen for personal d/o?
Social
- halfway house
Behavioral
- operant conditioning
- adverse conditioning
Psychological
- group/individual therapy
Pharm
- hospitalization (SI, HI)
- tailor med to pt
Prognosis for personality d/o? (Antisocial and borderline)
Guarded
Personality d/o types
Cluster A (Odd, bizarre, eccentric)
- Paranoid PD,
- Schizoid PD,
- Schizotypal PD
Cluster B (Dramatic, erratic)
- Antisocial PD,
- Borderline PD,
- Histrionic PD,
- Narcissistic PD
Cluster C (Anxious, fearful)
- Avoidant PD,
- Dependent PD,
- Obsessive-compulsive PD
Paranoid personality (cluster A)
- Defensive
- Oversensitive
- Secretive
- Suspicious
- Hyper-alert
- Limited emotional response
A good mercenary or guard
Schizoid personality (cluster A)
- shy
- introverted
- withdrawn
- avoids close relationships
- detachment from social relationships
- restricted range of emotional expression
Batman
Schizotypal personalty (cluster A)
- superstitious
- socially isolated
- suspicious
- limited interpersonal ability
- eccentric behaviors
- odd speech
- acute discomfort in close relationships,
- cognitive or perceptual distortions
- eccentric behavior
Willy wonka
Antisocial personality (cluster B)
- wont conform to society (arrests)
- deceitfulness (lying)
- impulsivity/failure to plan
- irritability/aggressiveness
- disregard for safety (self or others)
- irresponsible
- lack of remorse
- disreguard for and violation of the rights of others
Cool hand luke
The grinch
Borderline personality (cluster B)
- impulsive
- unstable and intense relationships
- anger
- fear
- guilt
- lacks self control
- lacks self fulfillment
- identity problems
- suicidal
Anakin skywalker
Histrionic personality (cluster B)
- hysterical
- dependent
- immature
- seductive
- egocentric
- vain
- emotionally labile
- excessive emotionality and attention seeking
Derek zoolander
Narcissistic personality (cluster B)
- exhibitionist
- grandiose
- preoccupied w power
- lacks interest in others
- excessive demands for attention
- pattern of grandiosity
- need for admiration
- lack of empathy
- believes others are envious
- arrogant/haughty
Walter white
Avoidant personality (cluster C)
- fears rejection
- hyper-reacts to rejection/failure
- poor socially
- low self esteem
- social inhibition
- feelings of inadequacy
- hypersensitivity to neg evaluation
Dependent personality (cluster C)
- passive/accepting
- unable to make decisions
- poor self esteem
- submissive
- clingy
- excessive need to be taken care of
Buster brown
Obsessive compulsive personality (cluster C)
- Perfectionist
- egocentric
- indecisive
- rigid thought patterns
- need for control
- preoccupation w orderliness
- perfectionism
Sheldon
Cluster A
Odd, bizarre, eccentric
- paranoid
- schizoid
- schizotypal
Cluster B
Dramatic, erratic
- antisocial
- borderline
- histrionic
- narcissistic
Cluster C
Anxious, fearful
- avoidant
- dependent
- obsessive compulsive
Common presentation of ASD
Persistent deficits in social communication and social interaction across multiple contexts
Manifested by:
- social-emotional reciprocity
- non-verbal communication
- developing, maintaining, understanding relationships
Restricted patterns of behavior, interest or activities
ASD has restricted patterns of behavior, intreests or activities manifested by 2 of?
- Sterotyped or repetitive motor movements
- insistence on sameness
- inflexible adherence to routines
- highly restricted fixated interests
- hyper/hypo activity to sensory input
- unusual interest in sensory thing in environment (i.e. fascinated w lights)
Basic medical eval for ASD?
NICE guidleines recommend a multidisciplinary approach
- core ASD difficulties
- early development
- medical and fam hx
- behavior education
- employment needs assesed
- risk assessed
- physical exam
- lab testing
Txt for ASD?
No treatments approved
Can try:
- counseling for social and cognitive behavior
- transcranial magnetic simulation
Common presentation of transient tic d/o?
Single/multi tics
< 1 yr
Onset < 18
Common presentation for tourette d/o?
- Multiple motor and 1+ vocal tics present during illness
- > 1 yr
- onset <18
Basic med eval for tourette d/o?
Usually finds nothing other than the tics
Txt for tourettes?
Symptomatic
- A agonist (clonidine, guanfacine)
- typical/atypical antipsychotics
- botox in effected area
Diagnosis of oppositional defiant d/o?
Angry irritable mood, argumentative behavior, vindictiveness >6 mo w at least 4 of:
Angry/irritable mood
- often looses temper
- touchy/easy annoyed
- angry/resentful
Argumentative/defiant
- often argues w authority
- defies/refuses request from authority
- deliberately annoys others
- blames others for their mistakes
Vindictiveness
- spiteful or vindictive 2x in 6 mo
