Behavioral Health

Front 1

Suspects, without sufficient basis, others are harming/exploiting or deceiving:

Back 1

Paranoid; cluster A

Front 2

Preoccupied with doubts about loyalty, trustworthiness of friends or associates:

Back 2

Paranoid; cluster A

Front 3

Reluctant to confide in others - fear info will be used against them:

Back 3

Paranoid; cluster A

Front 4

Reads hidden meanings/threats into benign remarks or events:

Back 4

Paranoid; cluster A

Front 5

Persistently bears grudges:

Back 5

Paranoid; cluster A

Front 6

Perceives attacks on character, not apparent to others; quick to react angrily:

Back 6

Paranoid; cluster A

Front 7

Recurrent, unfounded suspicions of spouse infidelity:

Back 7

Paranoid; cluster A

Front 8

Psychotherapy is the treatment of choice

Pharmacotherapy is mainly used for agitation or anxiety
Benzodiazepines
Possibly an antipsychotic in small dosages for short periods of time

Long term prognosis is not really known, but appears to have adaptive capacities

Back 8

Paranoid; cluster A

Front 9

Pervasive distrust and suspiciousness of others; Refuse responsibility for their feelings and assign responsibility to others; Often hostile, angry, and irritable; An inability to relax, muscular tension, and a need to scan the environment for clues ; Manner is humorless and serious; Their speech is goal directed and logical in their arguments;

Back 9

Paranoid; cluster A

Front 10

Pervasive social detachment, restricted emotional expression in interpersonal settings; Rarely tolerates eye contact; Speech is goal-directed, but give short answers to questions and avoid spontaneous conversation; Proverb interpretation is abstract;

Back 10

Schizoid; cluster A

Front 11

Neither desires nor enjoys close relationships:

Back 11

Schizoid; cluster A

Front 12

Solitary, loner:

Back 12

Schizoid; cluster A

Front 13

Little interest in sex with people:

Back 13

Schizoid; cluster A

Front 14

Takes pleasure in few, if any, activities:

Back 14

Schizoid; cluster A

Front 15

No close friends/confidants:

Back 15

Schizoid; cluster A

Front 16

Indifferent to praise or criticism:

Back 16

Schizoid; cluster A

Front 17

Emotionally cold, flat, or detached:

Back 17

Schizoid; cluster A

Front 18

Little is known about treatment

No effective pharmacologic agent

Some cases, family intervention may be helpful

Group therapy

Use of antipsychotics, antidepressants helpful

Any kind of forced intimacy may cause a breakdown in these patients
Prognosis is poor

Back 18

Schizoid; cluster A

Front 19

Pervasive social and interpersonal deficits marked by acute discomfort with, and limited capacity for, close relationships; Cognitive or perceptual distortions and eccentricities of behavior;

Back 19

Schizotypal; cluster A

Front 20

Ideas of reference (not delusional):

Back 20

Schizotypal; cluster A

Front 21

Odd beliefs, magical thinking that's inconsistent with cultural norms: (superstition, ESP, fantasies)

Back 21

Schizotypal; cluster A

Front 22

Unusual perceptual experiences, illusions:

Back 22

Schizotypal; cluster A

Front 23

Odd thinking and speech (vague, circumstantial, metaphorical, stereotyped)

Back 23

Schizotypal; cluster A

Front 24

Suspiciosness or paranoid ideation:

Back 24

Schizotypal; cluster A

Front 25

Inappropriate or constricted affect:

Back 25

Schizotypal; cluster A

Front 26

Odd, eccentric, or peculiar behavior:

Back 26

Schizotypal; cluster A

Front 27

Lack of close friends or confidants:

Back 27

Schizotypal and schizoid; cluster A

Front 28

Excessive social anxiety - mostly due to paranoid fears, not self doubt:

Back 28

Schizotypal; cluster A

Front 29

Does not occur during course of schizophrenia, mood disorder with psychotic features, another psychotic disorder or a pervasive developmental disorder

Back 29

Schizotypal; cluster A

Front 30

Frank thought disorder is absent but speech may be distinctive or peculiar

May show features of borderline personality

Under stress they can decompensate and have psychotic symptoms, generally brief

Current thinking is that the schizotype is the premorbid personality of the patient with schizophrenia

One long term study showed that 10% of schizotypal PDs committed suicide

Low dose neuroleptics or antipsychotics. Positive results with Haldol

Antidepressants can be used as indicated

Group therapy

Back 30

Schizotypal; cluster A

Front 31

Pervasive disregard for and violation of rights of others occurring since age 15 years; Poor job performance, academic failure, illegal activities, impulsive behavior, reckless; Antisocial patients can fool even the most experienced clinicians, appear composed and credible, but beneath the veneer there is tension, hostility, irritability and rage; Exhibit no anxiety or depression, although suicide threats and somatic preoccupations may be common; Lack of remorse, appear to lack a conscience; manipulative and will attempt to split staff if an inpatient to benefit their own needs.

Back 31

Antisocial; cluster B

Front 32

Repeated criminal activity - failure to conform to social norms of lawful behavior:

Back 32

Antisocial; cluster B

Front 33

Deceitful, lying, use of aliasis, conning of others for personal profit or pleasure:

Back 33

Antisocial; cluster B

Front 34

Impulsivity or failure to plan ahead:

Back 34

Antisocial; cluster B

Front 35

Irritability and aggressiveness manifested in repeated fights or assaults:

Back 35

Antisocial; cluster B

Front 36

Reckless disregard for safety of self or others:

Back 36

Antisocial; cluster B

Front 37

Consistent irresponsibility in work or financial obligations:

Back 37

Antisocial; cluster B

Front 38

Lack of remorse, indifference to suffering of others:

Back 38

Antisocial; cluster B

Front 39

The individual is at least age 18
Evidence of conduct disorder with onset before age 15
If in a hospital setting, this personality will comply with psychotherapy

Self help groups are useful

Since patients are usually substance abusers, pharmacotherapy must be used judiciously

Anti-epileptic drugs (valproate) have been tried to control impulsive behavior

Back 39

Antisocial; cluster B

Front 40

Pervasive instability of interpersonal relationships, self-image, and affects; Marked impulsivity; Considered to be borderline between neurosis and psychosis; Increased prevalence of major depressive disorder, alcohol use disorders and substance abuse in first-degree relatives of persons with borderline personality;
More males are antisocial
More females are borderline

Back 40

Borderline; Cluster B

Front 41

More males are antisocial
More females are ________:

Back 41

Borderline; Cluster B

Front 42

May do cutting behavior, cig burning because physical pain overrides the mental anguish

Back 42

Borderline; Cluster B

Front 43

Frantic efforts to avoid real or imagined abandonment

Back 43

Borderline; Cluster B

Front 44

Unstable and intense interpersonal relationships: alternate between extremes of idealizing and devaluing people

Back 44

Borderline; Cluster B

Front 45

Identity disturbance- unstable self image

Back 45

Borderline; Cluster B

Front 46

Impulsivity in at least 2, potentially self-damaging areas:
Spending, Sex, Substance abuse, reckless driving, binge eating

Back 46

Borderline; Cluster B

Front 47

Recurrent suicidal ideation, gestures, threats or self mutilation

Back 47

Borderline; Cluster B

Front 48

Affective instability- marked mood reactivity

Back 48

Borderline; Cluster B

Front 49

Chronic feelings of emptiness

Back 49

Borderline; Cluster B

Front 50

Inappropriate, intense anger or difficulty controlling anger

Back 50

Borderline; Cluster B

Front 51

Transient, stress-related paranoid ideation or severe dissociative symptoms

Back 51

Borderline; Cluster B

Front 52

Cannot tolerate being alone and will frantically search for companionship no matter how unsatisfactory

See people as either all good or all bad

Leads to frequent shifts of allegiance

High incidence of MDD (multiplex developmental disorder)

Back 52

Borderline; Cluster B

Front 53

Psychotherapy has been the treatment of choice

Best results, add meds
Antipsychotics for anger, hostility, brief psychotic episodes
Antidepressants
MAOIs for impulsive behavior
Benzodiazepines for anxiety or depression
Anticonvulsants may help with global functioning

Back 53

Borderline; Cluster B

Front 54

Pervasive pattern of excessive emotionality and attention seeking; Creative and imaginative; Play hunches rather than thinking things out; Draw attention to themselves; Control others; Substance abuse disorders are common; Association with somatization disorders; Need for reassurance is endless; Treatment - Meds don’t really work-possibly MAOIs; Long term therapy;

Back 54

Histrionic: Cluster B

Front 55

Discomfort with not being center of attention

Back 55

Histrionic; Cluster B

Front 56

Often inappropriate sexual seductiveness or provocative behavior

Back 56

Histrionic; Cluster B

Front 57

Labile/shallow expression of emotions

Back 57

Histrionic; Cluster B

Front 58

Uses appearance to draw attention to self

Back 58

Histrionic; Cluster B

Front 59

Speech- impressionistic, lacking in detail

Back 59

Histrionic; Cluster B

Front 60

Melodramatic, theatrical, exaggerated emotional reactivity

Back 60

Histrionic; Cluster B

Front 61

Highly suggestible

Back 61

Histrionic; Cluster B

Front 62

Sees relationships as more intimate than they actually are

Back 62

Histrionic; Cluster B

Front 63

Pervasive grandiosity, need for admiration, and lack of empathy; Depression is common due to fragile self-esteem; Brief reactive psychoses; Lying to oneself by distorting the facts so they feel important; Treatment - Meds do not really help; Psychoanalytic therapy (controversial); Rarely seek treatment since they feel they do not need to change;

Back 63

Narcissistic; Cluster B

Front 64

Grandiose sense of self importance

Back 64

Narcissistic; Cluster B

Front 65

Fantasies of unlimited success, power, beauty, love, brilliance

Back 65

Narcissistic; Cluster B

Front 66

Belief that he/she is “special” and unique- can only be understood by, and should only associate with similarly elite individuals

Back 66

Narcissistic; Cluster B

Front 67

Requires excessive admiration

Back 67

Narcissistic; Cluster B

Front 68

Sense of entitlement; deserving of special treatment

Back 68

Narcissistic; Cluster B

Front 69

Interpersonally exploitative

Back 69

Narcissistic; Cluster B

Front 70

Lacks empathy

Back 70

Narcissistic; Cluster B

Front 71

Often envious of others or believes that others are envious of him/her

Back 71

Narcissistic; Cluster B

Front 72

Arrogant, haughty

Back 72

Narcissistic; Cluster B

Front 73

Pervasive social inhibition, preoccupation with inadequacy, hypersensitivity to criticism; Many can function in a protected environment; Some marry, have children and live lives surrounded only by family members; If support system fails are subject to depression, anxiety and anger

Back 73

Avoidant; Cluster C

Front 74

Avoids interpersonal contact for fear of criticism or rejection

Back 74

Avoidant; Cluster C

Front 75

Avoids interpersonal relationships unless certain of being liked

Back 75

Avoidant; Cluster C

Front 76

Restraint with intimacy for fear of shame or ridicule

Back 76

Avoidant; Cluster C

Front 77

Preoccupation with criticism or rejection in social situations

Back 77

Avoidant; Cluster C

Front 78

Inhibition in new interpersonal situations

Back 78

Avoidant; Cluster C

Front 79

Self image: socially inept, unappealing or inferior

Back 79

Avoidant; Cluster C

Front 80

Avoids personal risks, new activities for fear of embarrassment

Back 80

Avoidant; Cluster C

Front 81

Psychoanalytic therapy

Assertiveness training

Group therapy

SSRIs, MAOIs, and beta blockers for social phobias
Tend to abandon treatment abruptly

Back 81

Avoidant; Cluster C

Front 82

Excessive need to be taken care of leading to submissive, clinging behaviors and fear of separation; Risk major depression if they lose the person they depend on;

Back 82

Dependent; Cluster C

Front 83

Trouble with everyday decisions- need for excessive advice, reassurance

Back 83

Dependent; Cluster C

Front 84

Needs others to assume responsibility for most major areas of his/her life

Back 84

Dependent; Cluster C

Front 85

Difficulty disagreeing with others for fear of losing approval or support

Back 85

Dependent; Cluster C

Front 86

Difficulty initiating projects, doing things independently due to low self-confidence

Back 86

Dependent; Cluster C

Front 87

Goes to excessive lengths to obtain nurturance and support from others (ex. Volunteering for unpleasant things)

Back 87

Dependent; Cluster C

Front 88

Uncomfortable, helpless when alone due to exaggerated self-doubt

Back 88

Dependent; Cluster C

Front 89

Urgently seeks another relationship when close relationship ends

Back 89

Dependent; Cluster C

Front 90

Unrealistic fears of being left to care for self

Back 90

Dependent; Cluster C

Front 91

Anxiolytic meds given during crisis

Group therapy

Assertiveness training

Back 91

Dependent; Cluster C

Front 92

Those who are suffering from ________ do not generally feel the need to repeatedly perform ritualistic actions, a common symptom of OCD. Instead, people with ________ tend to stress perfectionism above all else, and feel anxious when they perceive that things are not "right".

Back 92

Obsesive-Compulsive personality disorder; Cluster C

Front 93

Preoccupation with rules, lists, details, order- “can’t see forest from the trees”

Back 93

Obsesive-Compulsive personality disorder; Cluster C

Front 94

Perfectionism interferes with task completion

Back 94

Obsesive-Compulsive personality disorder; Cluster C

Front 95

Excessive devotion to work and productivity to the exclusion of leisure and social interactions

Back 95

Obsesive-Compulsive personality disorder; Cluster C

Front 96

Over conscientious, scrupulous and inflexible on matters of morality, ethics or values

Back 96

Obsesive-Compulsive personality disorder; Cluster C

Front 97

Excessive hoarding of worthless items

Back 97

Obsesive-Compulsive personality disorder; Cluster C

Front 98

Reluctance to delegate or work with others

Back 98

Obsesive-Compulsive personality disorder; Cluster C

Front 99

Miserly spending style

Back 99

Obsesive-Compulsive personality disorder; Cluster C

Front 100

Rigidity and stubbornness

Back 100

Obsesive-Compulsive personality disorder; Cluster C

Front 101

Clonazepam (Klonopin) reduces symptoms in severe obsessive compulsive personality

Clomipramine (anafranil) and prozac may help

Group therapy is difficult

Back 101

Obsesive-Compulsive personality disorder; Cluster C