Trouble de la personnalité Flashcards
How to set limits with ppl with personality disorder (3)
appointment length.
drug prescribing.
accessibility.
when new sx appears make sure to
assess for new medical condition or
new psychiatric condition
pt with a personality disorder make sure to limit the use of
benzodiazepines
when someone is laballed as having a personality disorder what to do
evaluate the label yourself bc significant repercussions
General Personality Disorder definition
A persistent, inflexible pattern of behavior and inner experience that deviates from cultural expectations and causes distress or impairment.
General Personality Disorder affected areas and characteristics
Key Features:
✔ Affects at least two areas:
Cognition (perception & interpretation)
Affectivity (emotional response)
Interpersonal functioning
Impulse control
✔ Characteristics:
Inflexible & pervasive across situations
Causes significant distress or impairment
Long-lasting (traced to adolescence/early adulthood)
Not due to another mental disorder, substance, or medical condition
3 clusters of PD
Cluster A (“Mad” - Odd/Eccentric)
Cluster B (“Bad” - Dramatic/Emotional)
Cluster C (“Sad” - Anxious/Fearful)
general overview of cluster B
Cluster B (“Bad” - Dramatic/Emotional)
Antisocial PD – Disregard for others, deceitful, impulsive
Borderline PD – Unstable emotions, relationships, & self-image
Histrionic PD – Attention-seeking, exaggerated emotions
Narcissistic PD – Grandiosity, need for admiration, lacks empathy
general overview of cluster A
Cluster A (“Mad” - Odd/Eccentric)
Paranoid PD – Distrust & suspicion of others
Schizoid PD – Social detachment & limited emotions
Schizotypal PD – Odd beliefs, behavior, & social discomfort
general overview of cluster C
Cluster C (“Sad” - Anxious/Fearful)
Avoidant PD – Social inhibition, fear of rejection
Dependent PD – Excessive need for care, submissive
Obsessive-Compulsive PD – Perfectionism, control, rigidity
Cluster A paranoid characteristics
Paranoid PD: Distrust & suspicion of others’ motives.
Unjustified doubts about loyalty/trust
Reluctant to confide in others
Reads hidden threats in benign remarks
Holds grudges & perceives personal attacks
Cluster A schizoid characteristics
Schizoid PD: Social detachment & limited emotions.
No desire for close relationships
Prefers solitary activities
Indifferent to praise/criticism
Emotionally cold & detached
Cluster A schizotypique characteristics
Schizotypal PD: Social discomfort, odd thoughts/behavior.
Ideas of reference (not delusions)
Odd beliefs (e.g., magical thinking)
Unusual perceptual experiences
Eccentric behavior & appearance
Excessive social anxiety linked to paranoia
Cluster B antisocial characteristics
Antisocial PD: Disregard for others’ rights, since age 15
Violates social norms/laws
Deceitful & manipulative
Impulsive & aggressive
Lacks remorse
Cluster B borderline characteristics
Borderline PD: Instability in relationships, self-image, emotions.
Fear of abandonment
Intense, unstable relationships
Impulsivity (e.g., spending, substance abuse)
Emotional instability & chronic emptiness
Recurrent suicidal/self-harming behavior
Cluster B histrionic characteristics
Histrionic PD: Excessive emotionality & attention-seeking.
Needs to be the center of attention
Inappropriately seductive/provocative
Exaggerated emotions & dramatic behavior
Easily influenced & views relationships as more intimate than they are
Cluster B narcissique characteristics
Narcissistic PD: Grandiosity, need for admiration, lack of empathy.
Exaggerated self-importance
Fantasies of success/power/beauty
Exploits others & lacks empathy
Arrogant & entitled
Cluster C avoidant characteristics
Avoidant PD: Social inhibition & hypersensitivity to criticism.
Avoids social contact due to fear of rejection
Feels socially inept/inferior
Hesitant in relationships due to fear of ridicule
Reluctant to take risks
Cluster C dependant characteristics
Dependent PD: Excessive need for care, submissive behavior.
Difficulty making decisions alone
Fears abandonment & urgently seeks new relationships
Struggles to express disagreement
Feels helpless when alone
Cluster C Obsessive-Compulsive characteristics
Obsessive-Compulsive PD: Perfectionism & need for control.
Preoccupied with order, details, & rules
Perfectionism interferes with tasks
Excessive devotion to work over relationships
Rigid, stubborn, & miserly spending habits
