Personality DOs Flashcards
You must be ____yo+ to be Dx with a Personality DO
18
To be Dx with a Personality Dx, you must have 2+ abnormalities of which 4 main categories of ss
- Cognition
- Affectivity (Mood)
- Interpersonal Fn
- Impulse Control
Cluster ___ Personality DOs are ODD & ECCENTRIC
A
- Paranoid
- Schizoid
- Schizotypal
Cluster ____ Personality DOs are DRAMATIC & ERROTIC
B
- Antisocial (Sociopath)
- Borderline
- Histrionic
- Narcissistic
Cluster ____ Personality DOs are SEVERE ANXIETY/FEAR
C
- Avoidant
- Dependent
- OCPD
How is Paranoid different from Schizoid Personality DO?
Paranoid is hostile/holds grudges
Schizoid is socially aloof
Tx for Paranoid and Schizoid Personality DO
Tx for Paranoid and Schizoid Personality DO if Cognitive-Perceptual?
LOW Dose Antipsychotic
Tx for Paranoid and Schizoid Personality DO if Impulsive/Behavioral?
Mood Stabilizer
Lithium
Lamotrigine
Carbamazepine
Tx for Paranoid and Schizoid Personality DO if SELF HARMING
Mood Stabilizer + Omega-3
Tx for Paranoid and Schizoid Personality DO if Affective (rapid mood changes)?
Mood Stabilizer or LOW Dose Antipsychotic
Which Personality DO?
Introverted, socially inept, seems aloof, emotionally detached, indifferent to praise/criticism, not interested in sex, and no interest in friendship
Schizoid (Cluster A)
Which personality DO?
Child believes in MAGIC and has other ODD BELIEFS. He is anxious, suspicious of others, and has immature defense mechanisms
Schizotypal (Cluster A)
Tx for Schizotypal Personality DO
- 1st line?
- Psychotic ss?
- Anxiety?
- # 1 CBT, Psychotherapy
- Psychotic -> 2GA
- Anxiety -> Antidepressant
To be Dx as Antisocial (Sociopath), SS must have started by ___yo. However, it cannot be Dx until you are ___yo+
Onset by 15yo
Dx at 18yo+
Tx for Antisocial Personality DO
- Mild/Mod?
- SEVERE?
IS CBT helpful for SEVERE Antisocial Personality DO?
NO, it is HARMFUL if SEVERE
Only for Mild/Mod
Tx for Borderline Personality DO
- Cognitive & Perceptual?
- Impulsive/Behavior?
- Affective Dysreg?
- Cognitive & perceptual -> LOW Dose Antipsychotic
- Impulsive/Behavior -> **Mood Stabilizer (Omega-3) **
- Affective Dysreg-> Mood Stab or LOW Dose Antipsychotic
Tx for Histrionic Personality DO
- Psychotherapy
- Tx comorbid anxiety/depression
Which personality DO?
Always want to be the center of attention
Histrionic (Cluster B)
When should you consider Pharm Tx for Narcassists?
SEVERE or SAFETY RISK
Can you give Benzos for Antisocial personality DO?
NOOOOO Avoid all of those high risk abuse meds
How is Avoidant Personality DO different from social anxiety?
Avoidant is where you want to be involved but avoid certain social situations in fear of judgement/rejection
Tx for Avoidant Personality DO
- Psychotherapy
- SSRI + Therapy
- Anxiolytics
- MAOIs
Tx for dependent personality DO?
- Psychotherapy
- SSRIs
- MAOIs
What do therapists have to be cautious of during CBT for Dependent personality DOs?
to NOT promote dependency on their therapist
Tx for OCPD
Psychotherapy
+/- SSRIs
How is OCPD different from OCD?
- OCPD is a PERSONALITY DO that revolves around PERFECTION. Pt is NOT self-aware
- OCD is an anxiety DO + Compulsions. Pt is self-aware
