Unit 2 Exam- Personality Disorders and Anxiety Disorders Flashcards
Pattern of distrust and suspiciousness such that others’ motives are interpreted as malevolent
Paranoid PD
Pattern of detachment from social relationships and a restricted range of emotional expresssion
Schizoid PD
Pattern of acute discomfort in close relationships, cognitive or perceptual distortions, and eccentricities of behavior
Schizotypal PD
Pattern of disregard for, and violation of, the rights of others
Antisocial PD
Pattern of instability in interpersonal relationships, self-image, and affects, and marked impulsivity
Borderline PD
Pattern of excessive emotionality and attention seeking
Histrionic PD
Pattern of grandiosity, need for admiration, and lack of empathy
Narcissistic PD
Pattern of social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation
Avoidant PD
Pattern of submissive and clingy behavior related to an excessive need to be taken care of
Dependent PD
Pattern of preoccupation with orderliness, perfectionism, and control
Obsessive-Compulsive PD
Category- not connecting with others, lack of empathy
Odd and eccentric behaviors
Cluster A
Category- Regarded as deceitful and manipulative, scope out everything happening in an environment
Dramatic, emotional, erratic, and impulsive behaviors
Cluster B
Category- Most likely to come to therapy and appreciate goals, tend to be shy in groups
Anxious and fearful behaviors
Cluster C
Which disorders are in cluster A?
Paranoid, Schizoid, Schizotypal
Which disorders are in cluster B?
Antisocial, borderline, histrionic, narcissistic
Which disorders are in cluster C?
Avoidant, dependent, obsessive-compulsive
Hard to get person to participate in evaluation because they are suspicious
Paranoid PD
What cluster is most commonly seen in prisons?
B
Black and white thinking, right and wrong thinking
Borderline PD
Which disorder is known to cause triangulation (splitting up two people)?
Borderline PD
_____________,_____________, and _____________ patterns of relating to environment and themselves
Ingrained, inflexible, maladaptive
PDs are typically recognizable by when?
Adolescence
PDs most trouble in which areas?
Work, intimacy
Why are those with PDs likely to deny help?
They don’t think there is a problem
Why is being unmotivated a false accusation for those with PDs?
They can’t be expected to be motivated to fix a problem they don’t think they have
Examples of interdisciplinary assessments?
Self-report, clinical interviews
Examples of interdisciplinary intervention?
Manualized therapy programs, cognitive therapy, interpersonal therapy, DBT, STEPPS
How long does interdisciplinary PD intervention last?
1-2 years
Variation of DBT developed for inpatient care?
STEPPS
Common OT approaches with PDs?
Establish, modify
Understanding how you impact others
Personal causation
Enduring pattern of inner experience and behavior that deviates markedly from the expectations of the individual’s culture, is pervasive and inflexible, has an onset in adolescence or early adulthood, is stable over time, and leads to distress and impairment
Personality disorder
Enduring characteristics that exist across situations,
Traits
States
Associated with a specific point in time and circumstance
“Worrier” is a?
Trait
PDs with most impairment in social role functioning?
Borderline, antisocial
Antisocial PD cannot be diagnosed until what age?
18
What area of the brain in overactive in borderline PD?
Amygdala
What area of the brain seems underactive in those with borderline PD?
Prefrontal Cortex
More men or women in borderline PD? antisocial?
Women, men
Evaluative mental state produced by a neural impulse resulting in adaptive responses
Emotion
Inner subjective sensation without a physiological response
feelings
Persistent emotional state
Mood
1st approach for those with borderline PD?
DBT
Comprehensive cognitive behavioral treatment protocol for complex and difficult to treat mental disorders, combines individual psychotherapy with psychosocial skills training
DBT
4 components of DBT?
Skills training group, individual treatment, phone coaching, consultation team
4 sets of behavioral skills taught in DBT?
Mindfulness, distress tolerance, interpersonal effectiveness, emotion regualtion
Synthesis or integration of opposites
Dialectical
Treatments targets for DBT in order of priority?
Life-threatening behaviors, therapy-interfering behaviors, quality of life behaviors, skills aquisition
How often is individual therapy in DBT?
once a week for 1-1.5 hrs
How often is a skills group in DBT?
once a week for 2 hours
When would one utilize phone coaching in DBT?
BEFORE injuring self
What is goal 1 of DBT?
Reduce then eliminate life threatening behaviors, reduce then eliminate behaviors that interfere with treatment, decrease behaviors that destroy quality of life, learn coping skills
Moving from being out of control of one’s behavior to being in control
Goal 2 of DBT?
Reducing disassociating behaviors, experiencing emotions without letting them take control
Moving from being emotionally shut down to experiencing emotions fully
Goal 3 of DBT?
Marital or partner conflict, job dissatisfaction, career goals
Building an ordinary life, solving ordinary life problems
Goal 4 of DBT?
Dealing with feelings of emptiness or spiritual dryness
Moving from incompleteness to completeness/connection
What happens in stage 1 of DBT?
core mindfulness, emotion regulation training, diary cards introduced, purpose is to decrease self-mutilization
What happens in DBT pretreatment?
Education, commits to program, determine goals and objectives
Stage 2 DBT?
Identify triggers and determine ways to cope, past stressors and traumas addressed
Stage 3 DBT?
Self-respect and personal goal achievement
Recurrent picking of one’s skin resulting in skin lesions and repeated attempts to decrease or stop skin picking
Excoriation
Preoccupation with one or more perceived defects or flaws in physical appearance that not observable or appear only slight to others, characterized by repetitive behaviors or mental acts in response to the appearance concerns
Body dysmorphic disorder
Characterized by a pattern of markedly disturbed and developmentally inappropriate attachment behaviors; essential feature is absent or grossly underdeveloped attachment between the child and caregiving adults
Reactive attachment disorder
Disinhibited social engagement disorder
pattern of behavior that involves culturally inappropriate, overly familiar behavior with relative strangers, violating the social boundaries of the culture
PTSD
Development of characteristic symptoms following exposure to one or more traumatic events
Acute Stress Disorder
Development of characteristic symptoms lasting 3 days to 1 month following exposure to one or more traumatic events
Presence of emotional or behavioral symptoms in response to an identifiable stressor
Adjustment disorder
What does psychoanalytic theory see as the cause of anxiety?
Birth trauma, caregiver relationship
What does behavioral theory see as the cause of anxiety?
Conditioned response to specific environmental stimulation
What does existential theory see as the cause of anxiety?
Response to vast void of existence and meaning
What does biological theory see as the cause of anxiety?
Biologically-based sensitivity to development of anxiety
1st line medication for anxiety?
SSRIs
Most common class of all psychiatric disorders?
Anxiety disorders
