TRANS 057 Personality and Somatoform Disorders Flashcards
egosyntonic vs egodystonic
Egosyntonic, it feeds their ego instead of, a supposed to egodystonic, which your anxiety disorders are, it where you become anxious. But in egosyntonic they are not anxious
in personality disorders, what age should you be?
18 years old
in personality disorders, enduring inflexible behavior pattern that deviates from culturally expected as manifested in at least 2/4:
o Cognition (ways of perceiving/ interpreting) o Affectivity (range, intensity, lability, appropriateness) o Interpersonal functioning o Impulse control
(T/F) Distresses others but not person with PD.
T
most prevalent personality disorder?
Anti social personality disorder
what are the 3 types or cluster of personality disorder?
cluster A, B, C?
o Cluster A = Odd or eccentric behavior ▪ Paranoid, schizoid, and schizotypal
o Cluster B = Dramatic, emotional, or erratic behavior ▪ Antisocial, borderline, histrionic, and narcissistic
o Cluster C = Anxious or fearful behavior ▪ Avoidant, dependent, and obsessive-compulsive
CLUSTER A: ODD OR ECCENTRIC BEHAVIOR
what are the disorder under this?
A.) PARANOID PERSONALITY DISORDER
B.) SCHIZOID PERSONALITY DISORDER
C.) SCHIZOTYPAL PERSONALITY DISORDER
criteria of paranoid personality disorder?
• Paranoid SID Reluctant kay MAG
• At least 4/7:
o Suspiciousness of others without basis
o Unjustified suspiciousness about infidelity of partner o Unjustified doubts about disloyalty
o Reluctance to confide in others
o Reading threatening meanings into benign events
o Tendency to feel attacked and counterattack
o Persistently bears grudges
B.) SCHIZOID PERSONALITY DISORDER criteria?
“• SIR SAFE “
• At least 4/7
o Almost always chooses solitude
o Indifferent to praise or criticism
o Neither desires nor enjoys close relationships
o Little if any interest in sexual relationships
o Takes pleasure in few activities
o Lacks close friends
o Emotional coldness, detachment, or flatness
C.) SCHIZOTYPAL PERSONALITY DISORDER Criteria?
“UFO AIDER”
Unusual perceptions
Friendliness except for family
Odd beliefs, thinking, speech
affect - inappropriate, constricted Ideas of reference Doubts others - suspicious Eccentric - appearance/ behavior Reluctant in social situations, anxious
CLUSTER B: DRAMATIC, EMOTIONAL, OR ERRATIC BEHAVIOR
what are the disorders under this? (4)
A.) ANTISOCIAL PERSONALITY DISORDER
B.) BORDERLINE PERSONALITY DISORDER
C.) HISTRIONIC PERSONALITY DISORDER
D.) NARCISSISTIC PERSONALITY DISORDER
The symptoms must be solid already around the time when you are 15 years old, but you only diagnosed them at 18 years old
Usually, those who are suffering from_________________personality disorder are already suffering from CONDUCT DISORDER….. they have criminal minds. Yan yung mga may masamang balak pa lang nung maliliit
Antisocial personality disorder
Criteria for anti social personality disorder?
o Deceitfulness
o Failure to conform to lawful behavior (unlawful)
o Reckless disregard for safety of self and others
o Irritability or aggressiveness
o Consistent irresponsibility
o Lack of remorse (remorseless) o Impulsivity
• Conduct disorder before 15 years old
” 15 DURA IRI “
Criteria for borderline personality disorder?
• At least 5/9: o Unstable and intense relationships o Unstable self image o Affective instability o Transient paranoia or dissociation o Chronic feelings of emptiness o Suicidal behavior o Frantic efforts to avoid abandonment o Inappropriate, intense anger o Impulsivity (self-destructive)
” U3 bantayan si TESA AI borderline “
HISTRIONIC PERSONALITY DISORDER criteria?
At least 5/8:
o Suggestible
o Uncomfortable if not the center of attention
o Rapidly shifting and shallow emotions
o Inappropriately seductive or provocative
o Considers relationships more intimate than they are o Use of appearance to draw attention
o Self-dramatization, theatrical
o Speech is impressionistic and lacking in detail
Criteria of narcissistic personality disorder?
• EE UGALE SAtanas
• At least 5/9: o Interpersonally exploitive o Sense of entitlement o Preoccupied with fantasies of unlimited success, power, brilliance, etc. o Grandiose sense of self-importance o Requires excessive admiration o Lacks empathy o Often envious o Belief that he or she is “special” o Arrogant or haughty
Avoidant personality disorder criteria?
At least 4/7:
o Unwilling to get involved with people unless certain of being linked
o Avoids activities due to fear of criticism, disapproval, or rejection
o Restrained in relationships due to fear of being shamed or ridiculed
o Preoccupied with criticism or rejection in social situations
o Reluctant to take personal risks
o Inhibited in new situations due to feelings of inadequacy
o Views self as inept, unappealing inferior
Criteria Dependent personality Disorder
At least 5/8:
o Difficulty expressing disagreement
o Difficulty initiating or doing things on own
o Feels helpless when alone, due to exaggerated fears of being unable to care for self
o Excessive need for advice and reassurance to make decisions
o Need others to assume responsibility for most areas of life o Goes to excessive lengths for nurturance or support o Urgently seeks new relationship if close relationship ends o Preoccupied with fears of being left to care for self
Criteria OCD?
• At least 4/8:
o Preoccupation with rules, lists, order, schedules, etc. o Perfectionism
o Excessive devotion to work and productivity
o Over-conscientious, scrupulous, inflexible about morality
o Inability to discard worn-out or worthless objects
o Reluctance to delegate tasks or work with others unless they submit to exactly his or her way of doing things
o Miserly spending style o Rigidity and stubbornness
These are the one who feel pain anywhere and everywhere even the labs were normal
Somatic Symptom Disorder
Afraid of becoming ill
Illness Anxiety Disorder
May have pseudo-seizure when they are upset or stress, may have headache. No neurologic deficit or pathology that can explain why they are manifesting neurologic symptoms
Conversion Disorder (Functional Neurological Symptom Disorder)
(Munchausen Syndrome
Factitious Disorder
These are illnesses in their body that are not in them They just like being sick, no secondary gain unlike in malingering
Factitious Disorder (Munchausen Syndrome)
Treatment for Somatoform disorders?
o Psychotherapy
o Antidepressants
Also, anti-anxiety agents because it stabilizes serotonin and norepinephrine.
- Impairment due to preoccupation with illness
- More females
- Previous generation population – 5-7%
- Asians → stomach aches
Somatic symptom disorder
Criteria of somatoform symptom disorder
• At least 1 for at least 6 months:
o Disproportionate and persistent thoughts about the seriousness of one’s symptoms
o Persistently high anxiety about health or symptoms
o Excessive time and energy devoted to symptoms or health concerns
• Preoccupation with having or acquiring a serious illness • No somatic symptoms • Excessive health-related behaviors or maladaptive avoidance • At least 6 months
Illness Anxiety Disorder
• Neurologic manifestation of anxiety • At least 1 day • Motor or sensory symptoms incompatible with labs/tests o Normal labs
C. CONVERSION DISORDER ; functional neurological Symptom Disorder
factitious d/o vs malingering?
factitious - no secondary gain; malingering - with secondary gain
Under the umbrella of Schizophrenia Spectrum Disorder will be your:
- Brief Psychosis Disorder
- Schizophrenic form Disorder
- Schizophrenia Disorder
- Delusional Disorder
- Caused by Medical condition
(T/F) For you to say that the person is Psychotic, you have to have 2/5 symptoms, unless bizarre, you only need 1.
T
The 5 symptoms to consider psychosis?
5 symptoms:
- Hallucination- pertains to the 5 senses (Auditory, Visual, Gustatory, Olfactory, Tactile)
- Delusion- unshakeable belief (paranoid delusion, erotomanic delusion)
- Disorganized Speech- looseness of association
- Disorganized Behavior- namumulot ng mga upos ng sigarilyo, the way taong grasa behave
- Negative Symptoms- Alogia, they want to be by themselves, they don’t want to speak
If the symptoms for psychosis are present for
o 1 day- 29 days=
o 1-5 months and 29 days=
o 6 months and above=
o If the predominant symptom is a delusion=
o If the predominant symptom is a Catatonia=
Brief Psychosis Disorder, yan yung sapi
Schizophrenic form disorder
Schizophrenia
Delusional Disorder
Catatonic Disorder, which is a negative symptom
Anxiety and Depression is all about what neurotransmittter?
Serotonin and Norepinephrine
Depression mnemonics?
• Depression o SADCWEEPS ▪ Sleep disturbance ▪ Anhedonia ▪ Depressed mood ▪ Concentration problem ▪ Weight changes (loss or gain) ▪ Excessive guilt ▪ Energy loss ▪ Psychomotor agitation/retardation ▪ Suicidal ideation
Mania mnemonics?
Mania o GRAFID Talkative manic manic talaga ito ▪ Grandiose ▪ Risky behavior ▪ Agitation ▪ Flight of ideas ▪ Irritable ▪ Distractable ▪ Talkative
Psychosis mnemonics?
Psychosis
o HaD PSYCHOSIS at Don Salvador Benedicto Ne
▪ Hallucination ▪ Delusion ▪ Disorganized • Speech • Behavior ▪ Negative symptoms
