wamss notes personality disorders Flashcards
personality disorders
Mental disorders categorised by enduring maladaptive patterns of behaviour, cognition & inner experience
across a variety of contexts that deviate markedly from the individuals culture
the cluster A personality disorders
paranoid
schizoid
schizotypal
paranoid personality disorder
Assume that other ppl with exploit, harm or deceive them even if no evidence exists to support this expectation
criteria of paranoid personality disorder
Pervasive distrust & suspiciousness of others such that their motives are interoperated as
malevolent, beginning in early adulthood, 4 or more:
Distrust & suspiciousness of others indicated by at least 4 of:
- Suspects without basis that others are exploiting, harming or deceiving
- Unforgiving (bears grudges)
- Spousal infidelity suspected without grounds
- Perceives attacks on reputation that are not apparent to others
- Enemy or Friend? Preoccupied with doubts about trustworthiness
- Confiding in others is feared
- Threats perceived in benign events
acronym for remembering the criteria of paranoid personality disorder
SUSPECT
SUSPECT stands for
- Suspects without basis that others are exploiting, harming or deceiving
- Unforgiving (bears grudges)
- Spousal infidelity suspected without grounds
- Perceives attacks on reputation that are not apparent to others
- Enemy or Friend? Preoccupied with doubts about trustworthiness
- Confiding in others is feared
- Threats perceived in benign events
pathophysiology of paranoid personality disorder
Genetics
Connection with schizophrenia
symptoms of paranoid personality disorder
Hypersensitive, easily insulted
Reduced capacity for emotional involvement, general social withdrawal
Bear grudges, suspicious
treatment of paranoid personality disorder
Psychotherapy
Antidepressants & anti-anxiety medications
schizoid personality disorder
Lack of interest in social relationships, a tendency towards a solitary or sheltered lifestyle, secretiveness, emotional coldness, and apathy.
criteria of schizoid personality disorder
Pervasive pattern of detachment from social relationships & restricted range of expression of
emotions in interpersonal settings, 4 or more:
- Detached or flattened affect (emotional coldness / detachment)
- Indifferent to Criticism or Praise
- Sexual experiences of little interest
- Tasks done Solitarily
- Absence of close Friends
- Neither enjoys desires close relationships
- Takes pleasure in few Activities
acronym for remembering criteria of schizoid personality disorder
DISTANT
DISTANT stands for
- Detached or flattened affect (emotional coldness / detachment)
- Indifferent to Criticism or Praise
- Sexual experiences of little interest
- Tasks done Solitarily
- Absence of close Friends
- Neither enjoys desires close relationships
- Takes pleasure in few Activities
pathophysiology of schizoid personality disorder
Genetics
Premature birth, LBW, malnutrition
symptoms of schizoid personality disorder
Tend to be cold & indifferent
Often have trouble developing interpersonal relationships
Happy in relationship with few emotional demands
Some state life passes them by or feel disassociated from life
Ddx for schizoid personality disoder
Avoidant or Narcissistic PD
Depression
treatment for schizoid personality disorder
Psychotherapy
Nil available meds
schizotypal personality disorder
Severe social anxiety, paranoia, and often unconventional beliefs. People with this disorder feel extreme discomfort with maintaining close relationships with people
criteria for schizotypal personality disorder
Pervasive pattern for social & interpersonal deficits marked by discomfort with & decreased
capacity for close relationships as well as cognitive or perceptual distortions & eccentricities
of behaviour
- Magical thinking/odd beliefs,
- Experiences unusual perceptions
- Paranoid ideation
- Eccentric behaviour/appearance
- Constricted affect
- Unusual thinking and speech
- Lacks close friends
- Ideas of reference
- Anxiety in social situations
- Rule out psychotic disorder and pervasive developmental disorder
acronym for remembering criteria of schizotypal personality disorder
ME PECULIAR
ME PECULIAR stands for
- Magical thinking/odd beliefs,
- Experiences unusual perceptions
- Paranoid ideation
- Eccentric behaviour/appearance
- Constricted affect
- Unusual thinking and speech
- Lacks close friends
- Ideas of reference
- Anxiety in social situations
- Rule out psychotic disorder and pervasive developmental disorder