Personality Disorders - Vertrees/Berges

Question 1

personality disorder

Answer 1

pattern of inner experience - deviates from expectations from culture

Question 2

diagnosis of personality disorder

Answer 2

2 or more areas

cognition
affectivity - emotion
interpersonal function
impulse control

impair social functionaling

begins adolescence/early adult

not caused other condition

Question 3

med causes causing personality change

Answer 3

hyperPTH
HIV
neurosyphilis
sleep apnea
brain tumor
head injury
MS
huntingtons

Question 4

personality disorder clusters

Answer 4

A - odd and eccentric
B - dramatic, emotional, erratic
C - anxious, fearful

Question 5

cluster A PD

Answer 5

odd and eccentric

paranoid
schizoid
schizotypal

Question 6

cluster B PD

Answer 6

dramatic, emotional, erratic

borderline
narcissistic
histrionic
antisocial

Question 7

cluster C PD

Answer 7

anxious and fearful

anxious
dependent
obsessive compulsive

Question 8

paranoid personality

Answer 8

Pervasive distrust and suspiciousness of others such that their motives are very often interpreted as malevolent

Question 9

dx of paranoid personality

Answer 9

4 of following

• other lie, harm them
• doubt others loyalty
• fear of confiding in others
• cannot forgive
• see character attacks
• recurrent suspicious of infidelity

Question 10

defenses paranoid personality

Answer 10

splitting

projection

Question 11

tx paranoid personality

Answer 11

supportive psychotherapy
low dose antipsychotics

trust is main concern

Question 12

schizoid personality

Answer 12

pervasive detachment from social relationships

-restricted range of emotional expression

Question 13

diagnosis of schizoid personality

Answer 13

4 or more of following

• neither desire/enjoy close relation
• choose solitary activity
• little interest in having sex
• pleasure in few activities
• lacks close friends - other than 1st degree relatives
• indifferent to praise
• emotional cold, detachment, flat affect

Question 14

tx schizoid personality

Answer 14

supportive psychotherapy

Question 15

schizotypal personality

Answer 15

magical thinking

-appearance and behavior odd, eccentric, peculiar

Question 16

diagnosis of schizotypal personality

Answer 16

5 of following

• ideas of reference
• magical thinking
• unusual perceptual experience
• odd form thought
• suspicious of paranoid aspect
• odd affect
• odd behavior
• no close social ties

Question 17

tx schizotypal personality

Answer 17

defense - denial, distortion, projection, schizoid fantasy

support reality based therapy
-low dose antipsychotics

Question 18

antisocial personality

Answer 18

pattern of exploiting others
-disregard rights of others and society

does not learn from past
evidence before 15
irritable and aggressive
lack of remorse
reckless disregard for safety of self

more in males
substance abuse, depression, suicide

difficult to tx

Question 19

diagnosis antisocial PD

Answer 19

3 of following

• failure conform social norms
• deceitful
• impulsive, short term thinking
• irritable and aggressive
• disregard safety of others
• fail assume responsibility self
• lack of remorse

age >18yo

Question 20

MC comorbid with antisocial

Answer 20

substance abuse

Question 21

tx of antisocial

Answer 21

individual/group therapy

Question 22

tx of antisocial

Answer 22

individual/group therapy

Question 23

magical thinking

Answer 23

belief thoughts can cause something to happen

Question 24

psychopath

Answer 24

lots of planning

Question 25

conduct disorder

Answer 25

behavior in: - theft - violation of age appropriate rules - physical aggression on way to antisocial - but not 15 triad - bed wetting, fire setting, cruelty to animals

Question 26

bed wetting, fire setting, cruelty to animals

Answer 26

conduct disorder

Question 27

high prevalence in family of schizophrenia

Answer 27

schizotypal PD

Question 28

cluster B

Answer 28

dramatic personalities antisocial borderline histrionic narcissistic

Question 29

cluster C

Answer 29

shy and needy avoidant dependent obsessive compulsive want friends, but don't know how to do it

Question 30

everything needs to be perfect

Answer 30

obsessive compulsive PD

Question 31

tattoo

Answer 31

alcohol use drug use antisocial

Question 32

mixed personality disorder

Answer 32

PD not otherwise specified no longer diagnostic - but focus of tx

Question 33

borderline PD

Answer 33

world of turmoil and intensity -everything intense major internal stress significant use of physicians and therapy non-adherent to tx

Question 34

borderline PD sex

Answer 34

more in females

Question 35

perceive others as all good or all bad

Answer 35

borderline PD splitting

Question 36

borderline

Answer 36

between schizophrenia and depression

Question 37

10% borderline

Answer 37

commit suicide

Question 38

arrested oedipal development between patient and mother

Answer 38

borderline PD frequently - mother absent -between 18mo-3yo

Question 39

marked mood lability and instability

Answer 39

borderline PD

Question 40

histrionic PD

Answer 40

overly dramatic 2% of population everything bigger, better, and more impressive tx - CBT, group therapy

Question 41

flamboyant in appearance and unaware of how appear to others

Answer 41

histrionic PD

Question 42

narcissistic PD

Answer 42

I am the greatest inflated sense self importance entitlement relationships superficial, cold, serving lawyers, doctors, executives

Question 43

prevalence narcissistic PD

Answer 43

6% may enter therapy for tx of anger/depression hard to tx

Question 44

avoidant PD

Answer 44

shy personality desire to have relationships - but don't know how to do it

Question 45

schizoid

Answer 45

don't need other people

Question 46

tx avoidant

Answer 46

SSRI and benzos

Question 47

tx avoidant

Answer 47

SSRI and benzos

Question 48

OC PD

Answer 48

see traits as perfectionism

Question 49

OCD

Answer 49

see traits as pathologic