Personality Disoredrs Cluster B

Question 1

What are the personality disorder in cluster B?

Answer 1

1-Borderline personality disorder 
2-Narcissistic personality disorder 
3-Histrionic personality disorder 
4-Antisocial personality disorder 
*Has genetic relationship with mood disorders ( depression and bipolar disorders)And Substance abuse disorder .
Emotional impulsive and dramatic

Question 2

Antisocial personality disorder symptoms

Answer 2

CONDUCT “ Mnemonic “
•Capriciousness —> impulsiveness and unpredictable 
•Oppressive 
•Deceitful 
•Unlawful 
•Carefree 
•Temper

Question 3

Pt with antisocial personality disorder

DSM-5 criteria

Answer 3

Pt must be 18 yrs with history with of conduct disorder
Three or more of the following should be present:
1-failure to conform to social norms by committing unlawful acts
2-Deceitfulness/repeated lying/ manipulating others for personal gain
3-impulsivity/failure to plan ahead
4-irritability/and aggressiveness/repeated fights or assaults
5-recklessness and disregard for safety of self or others
6-irresponsibility/failure to sustain work or honor financial obligations
7-lack of remorse for action

Question 4

DD of Antisocial personality disorder and treatment

Answer 4

Drug abuse
Psychotherapy is ineffective
Pharmacotherapy antidepressant or anxiety for superimposed disorders but they high incidence of drug abuse

Question 5

Borderline personality disorder symptoms

Answer 5

IMPULSIVE “mnemonic “
Impulsive 
Moody 
Paranoid under stress 
Unstable self image 
Labile intense relationships 
Suicidal 
Inappropriate anger 
Vulnerable to abandonment 
Emptiness

Question 6

DSM-5 criteria of borderline personality disorder

Answer 6

5or more out of 9
1- frantic efforts to avoid real or imagined abandonment
2- unstable intense interpersonal relationships
3- unstable self-image
4-impulsivity in at least two potentially harmful ways (spending,sexual activity,substance use,binge eating)
5-recurrent suicidal threats or attempts or self-mutilation
6-unstable mood/affect
7-chronic feelings of emptiness
8- difficulty controlling anger
9-transient, stress-related paranoid ideation or dissociative symptoms

Question 7

DD of borderline personality disorder and treatment

Answer 7

Schizophrenia
Bipolar II
Treatment: 1-dialectical behavior therapy DBT
2- pharmacotherapy: to treat psychotic or depressive symptoms may be helpful