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Phase 3a Psych > Personality disorders, psych emergencies > Flashcards

Personality disorders, psych emergencies Flashcards

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1
Q

What are the 3 main categories of personality disorders?

A

A (WEIRD)
B (WILD)
C (WORRIED)

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2
Q

What are the A personality types?

A

Paranoid
Schizotypal
Schizoid

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3
Q

what is a paranoid personality disorder?

A

Sensitive, Unforgiving, takes attack on character seriously (persecutory - snowflake)

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4
Q

what is a schizotypal pd?

A

Inappropriate affect, magical thinking, ideas of reference, odd behaviour
‘mad hatter’

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5
Q

what is a schizoid pd?

A

Cold, solitude, low libido, thinks world is uncaring

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6
Q

what are the B PD?

A

Narcissistic
Histrionic
EUPD
Antisocial

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7
Q

what is a narcissistic pd?

A

Believes life is a competition, grandiose, entitled

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8
Q

what is a histrionic pd?

A

crave centre of attention, flirtatious, consider Rs closer than they are

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9
Q

what is EUPD?

A

crave sympathy, impulsive acts (eg. self harm), poor relationship Hx

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10
Q

What is anti social PD?

A

Repeated unlawful violent acts eg. arson, animal cruelty, remorseless

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11
Q

what is a precursor to anti social PD?
age?
% that develop into antisocial PD?

A

Conduct disorder
<18
25% develop into anti social PD

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12
Q

what is a sociopath and psychpath?

A

socio - antisocial + no law involvement

psycho - antisocial + law involvement

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13
Q

what are the C PD?

A

Anakastic (OCPD)
Avoidant
dependent

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14
Q

what is an anakastic PD?

A

Strict time regulation, inflexible, refuses to delegate, perfectionist

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15
Q

What is an avoidant PD?

A

Craves companionship + intimacy but afraid of rejection

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16
Q

what is a dependent PD?

A

wants others to make big decisions for them, submissive

17
Q

Dx of Personality disorders?

A

MMPI
Minnessota Multiple Personality Inventory

18
Q

Tx for PD and EUPD specifically?

A

CBT (Changes thoughts)
BA (Behavioural activation) therapy
DBT for EUPD (re inforces acceptance and change thought perception)

19
Q

What is always the first line Tx for psych emergencies?

A

ABCDE

20
Q

What are 3 psych emergencies?

A

NMS
Serotonin syndrome
Lithium toxicity

21
Q

What is the Tx for lithium toxicity?

A

ABCDE
Supportive (+ alkaline diuresis IV Na2CO3)
Definitive, may need haemodialysis

22
Q

What are 2 psych emergencies of alcohol overuse?

A

Wernicke (reversible B1 deficiency)
Korsakoff psychosis

23
Q

what is the acronym for alcohol overuse?
what does it stand for?

A

COAT RACK
Confusion
Opthalmoplegia
Ataxia
Thiamine (wernickes)

Retro
Antero (Amnesia)
Confabulations (make things up)
Korsakoff

24
Q

What are the Sx of wernicke?

A

AMS (altered mental state), Int ophthalmoplegia, Nystagmus, ataxia

25
Q

Tx of wernicke?

A

IV Pabrinex (thiamine) 500mg TDS for 2-3 days then 250mg daily for next 3-5 days

26
Q

what would be seen on MRI in wernickes?

A

Reversible cytotoxic oedema

27
Q

Sx of Korsakoff psychosis?

A

Wernicke + confabulation

28
Q

Tx of Korsakoff?
what would be seen on MRI?

A

PO Pabrinex for 2+ years
Mammillary body + thalamic atrophy

29
Q

What is catatonia?
what is it associated with?

A

Abrupt ceases in speech or movement
Akinetic, mutism, malignant types
Assoc with mania + schizophrenia

Phase 3a Psych (11 decks)

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