Personality Disorders + Schizophrenia Flashcards
Cluster A PDs
Paranoid Personality Disorder
Schizoid Personality Disorder
Schizotypal Personality Disorder
Cluster B PDs
Borderline Personality Disorder
Narcissistic Personality Disorder
Histrionic Personality Disorder
Antisocial Personality Disorder
Cluster C PDs
Avoidant Personality Disorder
Dependant Personality Disorder
Obsessive-Compulsive Personality Disorder
Definition of PD
Chronic maladaptive behaviour + interpersonal problems
>2:
- cognition
- affectivity
- interpersonal function
- impulse control
General management
Clearly establish limits such as appt length
Look for medical + psych diagnosis with new symptoms
Limit use of benzos
Reflect + acknowledge own emotional responses
Address behaviours in a direct but non-threatening manner, co-create realistic goals, establish and maintain boundaries, continue relationship unless there is a risk
Sx management of anxiety, hostility + sensitivity
mesoridazine (phenothiazine)
haloperidol (APs)
thiothixene (APs)
Sx of Paranoid
SUSPECT
Spousal infidelity
Unforgiving
Suspicious of others
Perceives attacks
Enemy
Confiding in others is feared
Threats perceived
Sx of Schizoid
DISTANT
Detached
Indifferent
Sexual experiences of little interest
Tasks done alone
Absence of friends
Meither desires or enjoys relationships
Takes pleasure in few activities
Sx of Schizotypal
ME PECULIAR
Magic thinking/ odd beliefs
Experiences unusual perceptions
Paranoid ideation
Eccentric behaviour
Constricted affect
Unusual thinking/ speech
Lacks close friends
Ideas of reference
Anxiety in social situations
R/O psychotic
Sx of Antisocial
CORRUPT
Conforming to law lacking
Obligations ignored
Reckless disregard for safety
Remorseless
Underhanded
Planning insufficient
Temper
Sx of Histrionic
ACTRESS
Appearance focused
Centre of attention
Theatrical
Relationships considered more intimate than they are
Easily influenced
Seductive behaviours
Shallow emotions
Speech (vague)
Sx of Borderline
AM SUICIDE
Abandonment
Mood instability
Suicidal
Unstable/ intense relationships
Impulsivity
Control of anger
Identity disturbance
Dissociative
Emptiness
Sx of Narcisstic
SPEEECIAL
Special
Preoccupied with fantasies
Envious
Entitlement
Excess admiration required
Conceited
Interpersonal exploitation
Arrogant
Lacks empathy
Sz of Avoidant
AVOIDER
Avoids social type of work
Views self as inept
Occupied with fear or criticism
Inhibited in new relationships
Don’t get involved when uncertain of being liked
Embarrassment prevents new activities
Restraint within intimate relationships
Sx of Dependent
RELIANCE
Reassurance required
Expressing disagreement difficult
Life responsibilities assumed by others
Initiating projects difficult
Alone
Nurturance - needs support
Companionship sought
Exaggerated fears of being left alone