Type B PD

Question 1

Borderline PD

Answer 1

Impulsivity and instability in relationships and mood
Splitting (all people are good or all bad)
Intense, erratic emotions
Suicide is common

Question 2

Borderline PD Symptoms (5+)

Answer 2

Frantic efforts to avoid abandonment
Unstable, intense emotions
ID disturbance
Affective instability
Inappropriate, intense anger
Recurrent suicidal behavior
Self damaging behaviors
Stress related paranoia

Question 3

Borderline PD Etiology

Answer 3

Neurobiological
Strong heritability
Sensitivity to serotonin
Poor frontal lobe functioning

Social
History of verbal or physical abuse

Diathesis-Stress
Difficulty controlling emotions
Early relationships/lack of acceptance

Question 4

Borderline PD Tx

Answer 4

Dialetoral Behavior Therapy
Help tolerate stress, learn social skills, respond to environment
Gently change thought patterns

Question 5

Antisocial PD

Answer 5

Blatant disregard for others thoughts, feelings, etc

Question 6

Antisocial PD Symptoms (3+)

Answer 6

Failure to conform to social norms
Irritability
Reckless disregard for others safety
Deceitful
Impulsivity

Question 7

Antisocial PD Etiology

Answer 7

Absence of parental love = lack of trust
Modeling
Unintentionally rewarding antisocial behavior
Low brainwave activity 
Less gray matter 

NO KNOWN Tx

Question 8

Histrionic PD

Answer 8

Extremely emotional, needs to be center of attention

Question 9

Histrionic PD Symptoms (5+)

Answer 9

Uncomfortable if not center of attention
Constant need for praise or approval
(Vein, self entered, etc)
May draw attention by exaggerating illness or flashy clothing

Question 10

Histrionic PD Etiology and Tx

Answer 10

Unhealthy parental relationships
Defense against future abandonment
Cannot care for self so need others to care for them

May have important insights to please therapist
Most drugs are unsuccessful

Question 11

Narcissistic PD

Answer 11

Grandiosity; lack of empathy; constant need for admiration

Question 12

Narcissistic PD Symptoms (5+)

Answer 12

Preoccupied with fantasies of limitless fame
Only high status people understand
Require extensive admiration
Sense of entitlement
Interpersonally exploitive 
Lack empathy
Envious
Arrogant

Question 13

Narcissistic PD Etiology and Tx

Answer 13

Cold, rejecting relationships
Abuse
Praised too persistently

One of the most difficult to treat
Might try to get therapist to see them in a positive light
Goals: interpret criticism more positively
Increase ability to empathize