Psych Week 4 Flashcards
You’ve been seeing Mr. X for the past 2 years in your clinic. He always arrives by himself and the nurses mention to you that he seems especially uncomfortable when they take his blood pressure or ask him basic questions about his reason for visit during which he avoids eye contact. When you try to engage in conversation with him, he barely responds (verbally or otherwise). You ask him what he does for fun and he says nothing. You probe deeper and mentions reading comic books and playing computer solitaire. What personality disorder best fits his presentation?
a. Schizoid
b. Schizotypal
c. Antisocial Personality Disorder
d. Avoidant Personality Disorder
a. Schizoid
This patient exhibits social detachment and restricted emotion while also choosing few and/or solitary activities. He also appears uncomfortable in situations of enforced intimacy (as in having his blood pressure taken) as seen in schizoid personality disorder
b. Schizotypal is similar to schizoid, but would also have features that were more “weird” or “oddball” such as magical thinking or ideas of reference.
c. Antisocial Personality Disorder involves disregard for the rights/well being of others (where as this patient has no apparent interest in others).
d. Avoidant personality disorder is someone who wants to be in the company of others but is scared of it and fear rejection and criticism. In this situation, a patient exhibiting avoidant personality disorder would likely “warm up” by the end of the clinic visit as they seek to please others.
Lecture 119b: Personality Disorders I
Objective 3: Describe the prototypical appearance of each of the 10 personality disorders in the DSM-V and their common complications and co-morbidity
One of your patients was diagnosed with Borderline Personality Disorder in the past year. You are aware that substance use, anxiety, and mood disorders are common co-morbidities with this diagnosis.
What is one more co-morbidity you need to be especially aware of for patients with this diagnosis?
Suicide and non-lethal, but self-injurious behaviors.
Approximately 10% of these patients will die by their own hands.
Lecture 120b: Personality Disorders II
Objective 3: Describe the prototypical appearance of each of the 10 personality disorders in the DSM-V and their common complications and co-morbidity
The most common psychiatric comorbidity for a patient experiencing PTSD is
a. Generalized Social Anxiety Disorder
b. Paranoid Personality Disorder
c. Major Depressive Disorder
d. Alcohol Use Disorder
c. Major Depressive Disorder
MDD is the most common comorbidity, although patients may have more than one psychiatric diagnosis besides PTSD
Lecture 121b: Trauma and PTSD
Objective 3: Describe the links between stress disorders and depression, substance dependence, and other medical illnesses.
Your patient went through a life-threatening event and you want to play your part in helping to prevent PTSD. Which of the following would be helpful?
a. Do a psychological debriefing
b. Treat them with diazepam
c. Write a prescription for cannabis
d. Perform prolonged exposure therapy
d. Perform prolonged exposure therapy
a. Psychological debriefings have been determined to be harmful
b. Diazepam is a benzodiazepine – don’t ever treat patients with a risk of PTSD with benzos as they increase the likelihood of developing PTSD and prolong its course when present
c. Over half of the states have authorized the use of medical marijuana for PPTSD, but there isn’t convincing evidence to support its use
Lecture 121b: Trauma and PTSD
Objective 4:Describe the physician’s role in secondary prevention of ASD and PTSD in the event of a disaster
