Personality disorders - Sheet1 Flashcards
This condition is given when a patient consciously fakes, profoundly exaggerates, or claims to have a disorder for secondary gain (avoiding work, compensation). Patient has poor compliance with treatment or follow up of diagnostic tests, and complaints cease after gain
Malingering
This patient consciously creates physical and or psychological symptoms, patient’s complaints do not cease after receiving specific external gain. And this pt constantly seeks medical attention:
Factitious
Chronic factitious disorder with predominantly physical signs and symptoms characterized by a history of multiple hospital admissions and willingness to undergo invasive procedures. This patient talks of grandiose medical past:
Munchausens / factitious disorder imposed on self
This illness in a child or elderly patients is caused or fabricated by the caregiver, without motivation for secondary gain.
Munchausens by proxy / factitious disorder imposed on another
This presents as a variety of bodily complaints (fatigue, pain) lasting for months to years and is associated with excessive, persistent thoughts and anxiety about symptoms. Can present with co-occurring medical illness
somatic symptom disorder
This presents as loss of sensory or motor function often following an acute stressor; patient is aware of but sometimes indifferent towards symptoms (la belle indifference) more common in females, adolescents, and young adults
Conversion disorder (functional neurologic symptom disorder)
This presents as excessive preoccupation with acquiring or having a serious illness, often despite medical evaluation and reassurance; with minimal somatic symptoms
Illness anxiety disorder
This presents as false, non delusional belief of being pregnant.
Pseudocyesis
This describes an enduring, repetitive pattern of perceiving, relating to, and thinking about the environment and oneself
personality trait
This manifests in young adults as an infallible, maladaptive and rigidly pervasive pattern of behavior causing subjective distress and/or impairment functioning without the person being aware of the problem.
Personality disorder
Cluster A diseases present with:
This group of personality disorder group presents as odd or eccentric, inability to develop meaningful relationships, without psychosis and is associated with schizophrenia
Cluster B diseases present with:
This group of personality disorders presents with dramatic, emotional, or erratic personalities and is associated with mood disorders and substance abuse
Cluster C diseases present with:
This group of personality disorders presents with anxious or fear and is associated with anxiety disorders
This presents as overall pervasive distrust and suspiciousness manifesting as projection as the major defense mechanism
Paranoid-Cluster A
This presents as voluntary social withdrawal, limited emotional expression, and the patient is content with social isolation
Schizoid-Cluster A
This presents with eccentric appearance, odd beliefs or magical thinking and interpersonal awkwardness
Schizotypal-Cluster A
This presents with overall disregard for and violation of the rights of others, typically male, must be over 18 and have history of conduct disorder before 15
Antisocial (sociopath) - Cluster B
This presents with unstable mood and interpersonal relationships, impulsivity, self-mutiliation, suicidality, sense of emptiness typically in females and uses splitting as a major defense mechanism
Borderline - cluster B
How do you treat borderline:
dialectical behavior therapy
This presents with excessive emotionality and excitability, attention seeking, sexually provocative, and overly concerned with ones own appearance
Histrionic - Cluster B
This presents with grandiosity, sense of entitlement, lack of empathy and requires excessive admiration; often demands the “best” and reacts to criticism with rage
Narcissistic - Cluster B
This presents with a person being hypersensitive to rejection, socially inhibited, timid, feelings of inadequacy, desires relationships with others:
Avoidant - Cluster C
This presents with preoccupation with order, perfectionism, and control; ego-syntonic: behavioral consistent with one’s own beliefs and attitudes
Obsessive-compulsive Personality Disorder -Cluster C
This presents with submissive and clingy, excessive need to be taken care of, low self-confidence. These pts often get stuck in abusive relationships
-Dependent
The Cluster A diseases are
Paranoid, schizoid, schizotypal
The Cluster B diseases are
Antisocial, borderline, histrionic, narcissistic
The Cluster C diseases are
Avoidant, OCPD, Dependent personality disorder