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Flashcards in Personality Disorders Deck (46)
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1

Define Personality Disorder

Enduring pattern of inner experience or behavior that deviates from expectations of culture, manifested in two or more of the following: cognition, affectivity, interpersonal functioning, or impulse control

2

Diagnostic Criteria for Personality Disorders

Pattern leads to distress, impairment
Patter is stable & of long duration
Pattern not explained by another disorder
Pattern not due to substance abuse or medical condition

3

What are personality disorders linked to?

Mortality
Heart disease
Life satisfaction & well-being

4

Are personality disorders costly?

Yes

5

When there is a co-morbid personality disorder and Axis I disorder which disorder should you treat first?

Personality disorder
Will help the Axis I pathology

6

Cluster A Personality Disorders

Paranoid
Schizoid
Schizotypal

7

Cluster B Personality Disorders

Histrionic
Antisocial
Borderline
Narcissistic

8

Cluster C Personality Disorders

Compulsive
Avoidant
Dependent

9

6 Types of Personality Disorders Based on DSM 5

Antisocial
Avoidant
Borderline
Narcissistic
Obsessive-Compulsive
Schizotypal

10

Which cluster of personality disorders is described as odd or eccentric?

Cluster A

11

Which cluster of personality disorders is described as dramatic, emotional, erratic?

Cluster B

12

Which cluster of personality disorders is described as anxious or fearful?

Cluster C

13

What does cluster A personality disorders not have?

Psychosis

14

Define Paranoid Personality Disorder

Lack of trust in others
Fear that friends may be disloyal, unfaithful
Being hypersensitive, overly suspicious, perceived as hostile

15

Paranoid Personality Disorder DSM-V Criteria

Pervasive distrust
Suspicion of others
Suspects that others are exploiting, harming, deceiving
Preoccupied with unjustified doubts of loyalty or trustworthiness of people
Reluctant to confide in others
Reads hidden, demeaning, threatening meaning into benign actions
Persistently bears grudges
Perceives attacks on reputation
Unjustified suspicions about fidelity of others

16

Epidemiology of Paranoid Personality Disorder

Men > Women

17

Co-occuring Disorders with Paranoid Personality Disorder

GAD
Panic disorder
Delusional disorder
Other personality disorders

18

Treatment for Paranoid Personality Disorder

CBT to challenge paranoid thoughts
SSRI's to reduce suspiciousness
Day treatment programs

19

DSM-V Criteria for Schizoid Personality Disorder

Detachment from social relationships
Restricted emotions
Neither desires nor enjoys social relationships
Prefers solitary activities
Has little interest in sexual experiences
Gets pleasure from few activities
Lacks close friends
Appears indifferent to praise or criticism
Shows emotional coldness, detachment, flat affect

20

Treatment for Schizoid Personality Disorder

Not likely to seek help
Social skills training
Low dose antipsychotics or antidepressants

21

DSM-V Criteria for Schizotypal Personality Disorder

Acute discomfort with social relationships
Eccentric behavior
Ideas of reference
Odd beliefs
Unusual perceptual experiences
Odd speech
Suspiciousness or paranoid ideation
Inappropriate or constricted affect
Odd or eccentric appearance & behavior
Lack of close friends
Excessive social anxiety

22

Treatment for Schizotypal Personality Disorder

Social Skills Training
Low dose antipsychotics or antidepressants

23

Difference Between Schizoid & Schizotypal

Schizotypal: avoid social interaction because of fear of people
Schizoid: feel no desire to form relationships

24

Characteristics of Cluster B Personality Disorders

Self-absorbed
Prone to exaggerate importance of events
Difficulty maintaining close relationships

25

DSM-V Criteria for Antisocial Personality Disorder

Pattern of disregard for rights of others since age 15
Failure to conform to social norms, respect lawful behavior
Deceitfulness, lying, conning others for profit or pleasure
Impulsivity, failure to plan ahead
Irritability, aggressiveness, repeated fights
Reckless disregard for safety of others
Consistent irresponsibility, failure to honor obligations
Lack of remorse
Individual is at least 18
Evidence of CD before 15
Occurrence not exclusively during course of schizophrenia or a manic episode

26

Epidemiology of Antisocial Personality Disorder

Men > Women
Highest prevalence: men 25-44
Higher rates in prison, forensic settings, & substance abuse treatment programs

27

Treatment of Antisocial Personality Disorder

Court ordered
Anger management
Medication to treat impulsivity, aggressiveness, explosiveness & violence
Group therapy

28

Define Borderline Personality Disorder

Enduring pattern of thinking, behavior that involves instability of mood, self-image, interpersonal relationships; frantic efforts to avoid real or imagined abandonment; unrealistically positive or negative opinions about others

29

Epidemiology of Borderline Personality Disorder

Women > Men
Threats/actions of self-harm common
Black & white thinking

30

Common Co-morbidities with Borderline Personality Disorder

Mood disorder
Anxiety disorder
Substance use disorders