wamss notes personality disorders 2

Question 1

what are the cluster C personality disorders

Answer 1

avoidant
dependant
obsessive compulsive

Question 2

obsessive compulsive personality disorder

Answer 2

Pervasive pattern of preoccupation with orderliness, perfectionism & mental &
interpersonal control at the expense of flexibility & efficiency beginning by early adulthood

Question 3

OCD vs. OCPD

Answer 3

OCD- egodystonic- behaviours & thoughts are unwanted & the product of anxiety inducing thoughts
OCPD- egosyntonic- perceived as rational eg adherence to routines to achieve perfection

Question 4

criteria for OCPD

Answer 4

A pervasive pattern of preoccupation with orderliness, perfectionism, and mental and
interpersonal control, at the expense of flexibility, openness, and efficiency, beginning by
early adulthood and present in a variety of
contexts. 4 or more of:
- Loses point of activity
- Ability to complete tasks compromised by perfectionism
- Worthless objects (unable to discard)
- Friendships (& leisure activities) excluded due to preoccupation
- Inflexible, scrupulous, overconscientious
- Reluctant to delegate
- Miserly
- Stubborn

Question 5

acronym

Answer 5

LAW FIRMS

Question 6

LAW FIRMS stands for

Answer 6

• Loses point of activity
• Ability to complete tasks compromised by perfectionism
• Worthless objects (unable to discard)
• Friendships (& leisure activities) excluded due to preoccupation
• Inflexible, scrupulous, overconscientious
• Reluctant to delegate
• Miserly
• Stubborn

Question 7

risk factors for OCPD

Answer 7

Genetic
Emotional or psychological trauma in childhood

Question 8

Tx for OCPD

Answer 8

Psychotherapy: CBT, BT, Self-help, Cognitive analytic therapy,
SSRI

Question 9

avoidant personality disorder

Answer 9

Pervasive pattern of social inhibition despite wanting to be close to others, feeling of inadequacy & hypersensitivity to negative feedback

Question 10

criteria of avoidant personality disorder

Answer 10

A pervasive pattern of social inhibition, feelings of inadequacy, & hypersensitivity to negative
evaluation; 4 or more of:
- Certainty of being liked required before willing to risk involvement
- Rejection possibility preoccupies his thoughts
- Intimate relationships avoided
- New relationships avoided
- Gets around occupational activities that involve interpersonal contact
- Embarrassment potential prevents new activities
- Self-viewed as unappealing, inept, inferior

Question 11

acronym for remembering features of avoidant personality disorder

Answer 11

CRINGES

Question 12

CRINGES stands for

Answer 12

• Certainty of being liked required before willing to risk involvement
• Rejection possibility preoccupies his thoughts
• Intimate relationships avoided
• New relationships avoided
• Gets around occupational activities that involve interpersonal contact
• Embarrassment potential prevents new activities
• Self-viewed as unappealing, inept, inferior

Question 13

symptoms of avoidant personality disorder

Answer 13

Social isolation despite desire for close relationships (fantasy of relationships)
Shyness & anxiety in social situations
Rejection & criticism hypersensitivity
Mistrust of others or one’s self
Highly self-conscious

Question 14

risk factors for development of avoidant personality disorder

Answer 14

Genetics

Childhood emotional neglect or rejection

Question 15

Tx for avoidant personality disorder

Answer 15

Psychotherapy: CBT & Social skills training
Medications for Anxiety if Sx are severe

Question 16

dependant personality disorder

Answer 16

Pervasive & excessive need to be taken care of that leads to submissive & clinging behaviour

& fears of separation

Pervasive psychological dependence on other people. This personality disorder is a long-
term condition in which people depend on others to meet their emotional and physical needs

Question 17

criteria for dependant personality disorder

Answer 17

A pervasive and excessive need to be taken care of that leads to submissive and clinging
behaviour and fears of separation, beginning by early adulthood and present in a variety of
contexts. 5 or more of:
- Reassurance required for decisions
- Expressing disagreement difficult (fear of loss of support or approval)
- Life responsibilities assumed by others
- Initiating projects difficult
- Alone (feels helpless and a sense of discomfort when alone)
- Nurturance (goes to excessive lengths to obtain nurturance & support)
- Companionship sought urgently when close relationship ends
- Exaggerated fears of being left to care for self

Question 18

acronym for remembering criteria of dependant personality disorder

Answer 18

RELIANCE

Question 19

RELIANCE stands for

Answer 19

• Reassurance required for decisions
• Expressing disagreement difficult (fear of loss of support or approval)
• Life responsibilities assumed by others
• Initiating projects difficult
• Alone (feels helpless and a sense of discomfort when alone)
• Nurturance (goes to excessive lengths to obtain nurturance & support)
• Companionship sought urgently when close relationship ends
• Exaggerated fears of being left to care for self

Question 20

risk factors for dependant personality disorder

Answer 20

Genetics
Childhood emotional neglect or peer rejection

Question 21

prognosis of dependant personality disorder

Answer 21

few achieve normal levels of independence

Question 22

Tx for dependant personality disorder

Answer 22

Psychotherapy: CBT