Personalty Disorders Flashcards
What is personality?
Individuals pattern of thoughts, behaviors and feelings which are unique to the individual
What are two survey’s used for assessing personality trait?
Myers-Briggs Type Indicator
NEO Personality Inventory
What is personality disorder?
Inner experience and behavior that deviates markedly from the expectations of the individuals culture, is pervasive and inflexible, have an onset in adolescence, is stable over time, and leads to distress or impairment
What is the MC personality disorder?
Obsessive compulsive personality disorder
What is the second MC personality disorder?
Paranoid personality disorder
What is the least common personality disorder?
Dependent personality disorder
What is general personality Disorder?
an enduring pattern of inner experience and behavior that deviates markedly from the expectations of the individual’s culture
What are 4 manifestations of general personality disorder?
Cognition, affectivity, interpersonal functioning, impulse control
What 3 disorders make up Cluster A?
Paranoid
Schizoid
Schizotypal
What 4 disorders make up Cluster B?
Antisocial
Borderline
Histrionic
Narcissistic
What 3 disorders make up Cluster C?
Avoidant
Dependent
Obsessive-compulsive
What disorder group usually avoid medical contact?
Cluster A
Cluster C
What disorder group usually seeks medical contact?
Cluster B
Paranoid personality?
pervasive distrust and suspiciousness of others such that their motives are interpreted as malevolent
suspects, without sufficient basis, that others are exploiting, harming, or deceiving him or her
Paranoid personality disorder
Schizoid personality?
Pervasive pattern of detachment from social relationships and a restricted range of expression of emotions in interpersonal settings, beginning by early adulthood
Shows emotional coldness, detachment, or flattened affectivity
Schizoid personality disorder
Schizotypal personality disorder?
pervasive pattern of social and interpersonal deficits marked by acute discomfort with, reduced capacity for, close relationships as well as by cognitive or perceptual distortions
Odd beliefs or magical thinking, odd thinking and speech
Schizotypal personality
What are 4 ways to manage Cluster A folks?
Manage your own emotions
Don’t try to win them over
Privacy needs
Focus on technical aspects of medicine
What is Antisocial personality?
pervasive pattern of disregard for and violation of the rights of others, occurring since age 15 yrs
Irritability and aggressiveness, as indicated by repeated physical fights or assaults or failure to plan ahead
Antisocial personality
What age must the individual be to be diagnosed as Antisocial?
18 yrs
What age is there onset of Antisocial disorder seen?
onset before age 15yrs
What is borderline Personality Disorder?
instability of interpersonal relationships, self-image, and affects, and marked impulsivity
Recurrent suicidal behavior, gestures, or threats, or self-mutilating behavior
Borderline personality disorder
What is histrionic personality disorder?
pattern of excessive emotionality and attention seeking, beginning by early adulthood
Shows self-dramatization, theatricality, and exaggerated expression of emotion
Histrionic personality
preoccupied with fantasies of unlimited success, power, brilliance, beauty, or ideal love
Narcissistic personality disorder
What is narcissistic personality?
pattern of grandiosity (fantasy), need for admiration, and lack of empathy
What are 3 ways to manage Cluster B folks?
Manage own emotions
Maintain clear boundaries
Team treatment due to tendency to “split”
What is Avoidant personality disorder?
social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation
Unwilling to get involved with people unless certain of being liked
Avoidant personality
How to manage Avoidant personality?
Be non-judgmental
Show interest
Be aware of “talking down” to patient
What is dependent personality disorder?
pervasive and excessive need to be taken care of that leads to submissive and clinging behavior and fears of separation
Needs others to assume responsibility for most major areas of his or her life
Dependent personality
How to manage Dependent personality?
Set limits of availability
Resist patient’s need for your constant attention
Monitor for own resentment or hostility
Schedule regular visits
Encourage connections within community for support
What is obsessive compulsive personality disorder (COPD)
preoccupation with orderliness, perfectionism, and mental and interpersonal control at the expense of flexibility, openness, and efficiency
Is unable to discard worn-out or worthless objects even when they have no sentimental value
COPD
How to manage COPD?
Reassure patients by doing thorough workup, explaining all procedures, tests, results
Find out their rules and try to accommodate (Provide citations)
Encourage health partnership w/ providers
Med for Cluster A?
atypical antipsychotics
Med for Cluster B?
SSRI
Med for Cluster C?
SSRI, short course benzodiazepines
What therapy is used for Borderline PD?
Dialectical behavioral therapy