Personality Disorders; pead d/o

Question 1

Typical treatment regimen for personal d/o?

Answer 1

Social
- halfway house

Behavioral

• operant conditioning
• adverse conditioning

Psychological
- group/individual therapy

Pharm

• hospitalization (SI, HI)
• tailor med to pt

Question 2

Prognosis for personality d/o? (Antisocial and borderline)

Answer 2

Guarded

Question 3

Personality d/o types

Answer 3

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

Question 4

Paranoid personality (cluster A)

Answer 4

• Defensive
• Oversensitive
• Secretive
• Suspicious
• Hyper-alert
• Limited emotional response

A good mercenary or guard

Question 5

Schizoid personality (cluster A)

Answer 5

• shy
• introverted
• withdrawn
• avoids close relationships
• detachment from social relationships
• restricted range of emotional expression

Batman

Question 6

Schizotypal personalty (cluster A)

Answer 6

• superstitious
• socially isolated
• suspicious
• limited interpersonal ability
• eccentric behaviors
• odd speech
• acute discomfort in close relationships,
• cognitive or perceptual distortions
• eccentric behavior

Willy wonka

Question 7

Antisocial personality (cluster B)

Answer 7

• 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

Question 8

Borderline personality (cluster B)

Answer 8

• impulsive
• unstable and intense relationships
• anger
• fear
• guilt
• lacks self control
• lacks self fulfillment
• identity problems
• suicidal

Anakin skywalker

Question 9

Histrionic personality (cluster B)

Answer 9

• hysterical
• dependent
• immature
• seductive
• egocentric
• vain
• emotionally labile
• excessive emotionality and attention seeking

Derek zoolander

Question 10

Narcissistic personality (cluster B)

Answer 10

• 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

Question 11

Avoidant personality (cluster C)

Answer 11

• fears rejection
• hyper-reacts to rejection/failure
• poor socially
• low self esteem
• social inhibition
• feelings of inadequacy
• hypersensitivity to neg evaluation

Question 12

Dependent personality (cluster C)

Answer 12

• passive/accepting
• unable to make decisions
• poor self esteem
• submissive
• clingy
• excessive need to be taken care of

Buster brown

Question 13

Obsessive compulsive personality (cluster C)

Answer 13

• Perfectionist
• egocentric
• indecisive
• rigid thought patterns
• need for control
• preoccupation w orderliness
• perfectionism

Sheldon

Question 14

Cluster A

Answer 14

Odd, bizarre, eccentric

• paranoid
• schizoid
• schizotypal

Question 15

Cluster B

Answer 15

Dramatic, erratic

• antisocial
• borderline
• histrionic
• narcissistic

Question 16

Cluster C

Answer 16

Anxious, fearful

• avoidant
• dependent
• obsessive compulsive

Question 17

Common presentation of ASD

Answer 17

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

Question 18

ASD has restricted patterns of behavior, intreests or activities manifested by 2 of?

Answer 18

• 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)

Question 19

Basic medical eval for ASD?

Answer 19

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

Question 20

Txt for ASD?

Answer 20

No treatments approved

Can try:

• counseling for social and cognitive behavior
• transcranial magnetic simulation

Question 21

Common presentation of transient tic d/o?

Answer 21

Single/multi tics
< 1 yr
Onset < 18

Question 22

Common presentation for tourette d/o?

Answer 22

• Multiple motor and 1+ vocal tics present during illness
• > 1 yr
• onset <18

Question 23

Basic med eval for tourette d/o?

Answer 23

Usually finds nothing other than the tics

Question 24

Txt for tourettes?

Answer 24

Symptomatic

• A agonist (clonidine, guanfacine)
• typical/atypical antipsychotics
• botox in effected area

Question 25

Diagnosis of oppositional defiant d/o?

Answer 25

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