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Behavioral Health > Week 10 - Personality Disorders > Flashcards

Week 10 - Personality Disorders Flashcards

1
Q

What is cluster A?

A

odd/eccentric

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2
Q

What is cluster B?

A

dramatic/erratic/emotional

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3
Q

What is cluster C?

A

anxious/fearful

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4
Q

What disorders are in cluster A?

A

paranoid, schizoid, schizotypal

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5
Q

What disorders are in cluster B?

A

antisocial, borderline, histrionic, narcissistic

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6
Q

What disorders are in cluster C?

A

avoidant, dependent, obsessive-complusive

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7
Q

What is the DSM-5 criteria for paranoid personality disorder?

A

A. a pervasive distrust & suspiciousness of others such that their motives are interpreted as malevolent in 4! or more:
-suspects others are exploiting, harming or deceiving
-preoccupied with loyalty or trustworthiness of friends
-reluctant to confide in others
- reads hidden demeaning or threatening meanings into benign remarks
-bears grudges
-perceives attacks on character that are not and reacts angrily
-recurrent suspicions with spouse
B. does not occur with other mental disorders

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8
Q

What is the DSM-5 criteria for schizoid personality disorder?

A

A. pervasive pattern of detachment from social relationships, restricted range of emotions, and 4 or more of:
-neither desires nor enjoys relationships
-chooses solitary activities
-little sexual experiences
-little pleasure
-lacks close friends or confidants
-indifferent to praise
-emotional coldness, detachment, flattened affect
B. does not occur with other disorder

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9
Q

What is the DSM-5 criteria for schizotypal personality disorder?

A 
A. pervasive pattern of social and interpersonal deficits marked by acute discomfort with and reduced capacity for close relationships as well as cognitive or perceptual distortions and eccentricities of behavior with 5 or more of the following:
-delusions
-odd beliefs or magical thinking
-unusual perceptual experiences
-odd thinking and speech
-suspiciousness or paranoid ideation
-inappropriate or constricted affect
-odd, eccentric, peculiar
-lack close friends or confidants
-excessive social anxiety
B. does not occur with other mental illness - AUTISM
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10
Q

Who gets cluster A more?

A

men

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11
Q

What disorder in cluster A is more prevalent?

A

Paranoid

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12
Q

What are some co morbid conditions with cluster A?

A

anxiety, depression, schizo, bipolar, substance use, psychiatric disorder, ADHD

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13
Q

What is related to antisocial personality disorder?

A

psychopathy

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14
Q

What is the DSM-5 for antisocial personality disorder?

A

A. pervasive pattern of disregard for and violation of rights of others, SINCE AGE 15 with 3 or more:
-failure to conform to social norms
- deceitfulness
-impulsivity
-irritability and aggressiveness
-reckless disregard for safety
-consistent irresponsibility
-lack of remorse
B. must be at least 18 yo
C. must have evidence of conduct disorder with onset before age 15 yo
D. not within course of schizo or bipolar disorder

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15
Q

What are some signs/symptoms of psychopathy?

A

Aggression
Lack empathy
Lack guilt and remorse
Lack of positive and negative emotions (lack anxiety)
Positive feelings for others are an “act”
Superficially charming and manipulate others for personal gain
Callousness
Manipulativeness
Arrogance
Irresponsible towards others
Short-tempered
Does not form strong emotional connections to others
Often does things simply for the “thrill”

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16
Q

What is signficant callous-unemotional low anxiety, low depression with greater likelihood to commit both nonviolent and violent crimes?

A

psychopathy

17
Q

What is higher rates of comorbid mental disorders and more likely to demonstrate impulsive and irresponsible behavior?

A

APD

18
Q

What is the DSM-5 criteria for borderline personality disorder?

A

A. pervasive patthern of instability of interpersonal relationships , self image and affect, starts in early adulthood and has 5 or more:

  • avoid real or imagined abandonment
  • unstable and intense interpersonal relationships characterized by alternating btw extremes of idealization and devaluation
  • identity disturbance - unstable self-image
  • impulsivity in at least two areas
  • recurrent suicidal behavior
  • affective instability
  • chronic feelings of emptiness
  • inappropriate, intense anger
  • stress-related paranoid ideation or severe dissociative symptoms
19
Q

What is the DSM-5 for histrionic personality disorder?

A

A. pervasive pattern of excessive emotinality and attention seeking, beginning early adult with 5 or more:

  • uncomfortable if not center of attention
  • sexually seductive or provactive
  • shallow expression of emotions
  • uses physical apperance
  • speech that is excessively impressionistic
  • exaggerated expression of emotions
  • suggestible
  • views relationships to be more intimate than actually are
20
Q

What is the DSM-5 for narcissistic personality disorder?

A

A. pervasive pattern of grandiosity, need for admiration, lack of empathy, beginning in early adult with 5 or more:

  • grandiose sense of self-importance
  • fantasies of unlimited success
  • believes that he or she is special and unique and can only be understood by those with high status
  • requires excessive admiration
  • sense of entitlement
  • interpersonally exploitative
  • lacks empathy
  • envious of others
  • arrogant
21
Q

Who gets antisocial more?

A

men

22
Q

Who gets borderline more?

A

women

23
Q

Who gets narcissistic more?

A

men

24
Q

Who gets histironic more?

A

women

25
Q

What type B cluster is most common?

A

antisocial 3.6%

26
Q

What is antisocial associated with?

A

unemployment, poverty, excessive substance use, incarceration

27
Q

What is associated with borderline?

A

substance use, depression, bipolar disorder, suicide, eating disorder, personality disorders

28
Q

What is the DSM-5 for avoidant personality disorder?

A

A. pervasive pattern of social inhibition, feeling inadequant, hypersensitivity to negative evalulation starts in early adulthood with 4 or more:

  • avoids occupational activities
  • unwilling to get involved with people
  • fear of being shamed
  • preoccupied with being criticized or rejected
  • inhibited in new interpersonal because of feeling of inadequacy
  • views self as socially inept
  • reluctant to take personal risks
29
Q

What is the DSM-5 for dependent personality disorder?

A

A. pervasive and excessive need to be taken care of that leads to submissive and clinging behavior starting in early adult, with 5 or more:

  • difficulty making everyday decision
  • needs others to assume responsibility
  • difficulty expressing disagreement
  • difficulty initiating projects
  • excessive lengths to obtain nurturance and support
  • feels uncomfortable or helpless when alone
  • urgently seeks another relationship when one ends
  • unrealistically preoccupied with fears of being left
30
Q

What is the DSM-5 of obsessive-compulsive personality disorder?

A

A, pervasive pattern of preoccupation with orderliness, perfectionism, mental and interpersonal control with 4 or more:

  • preoccupied with details
  • perfectionism
  • excessively devoted to work
  • over conscientious, scrupulous, inflexible
  • unable to discard worn out or worthless objects
  • reluctant to delegate tasks or work with others
  • adopts a miserly spending style
  • shows rigidity
31
Q

How do you differentiate OCPD and OCD?

A

OCD- aware of obsessions but still feel need to engage

OCPD- lacks awareness, believes normal

32
Q

What is the most prevalent cluster C disorder?

A

avoidant 2.4%

33
Q

Who gets dependent more?

A

women

34
Q

Who gets OCPD?

A

men

35
Q

What are the comorbities with cluster C?

A

anxiety, depression, somatic symptom disorder, eating disorder

36
Q

How do you assess personality disorders?

A

get to know pt over time
think about pt behavior across a variety of situations
pay attention to how you feel when meeting with pt

37
Q

How are personality disorders to treat?

A

DIFFICULT

38
Q

What is dialectical behavior therapy (DBT)?

A 
Form of CBT 
Focus on skills building 
Interpersonal effectiveness 
Emotional regulation 
Distress tolerance 
Mindfulness
39
Q

How is medication used in personality disorders?

A

treats symptoms not cause
antidepressants, antianxiety, antipsycotic
mixed results
many stop taking them

Behavioral Health (18 decks)

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