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34 Cards in this Set

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Cluster A personality disorders (3)
Paranoid
Schizoid
Schizotypal
Cluster B personality disorders (4)
Antisocial
Borderline
Histrionic
Narcissistic
Cluster C personality disorders (3)
Avoidant
Dependent
Obsessive Compulsive
Paranoid Personality Disorder
Distrust and suspiciousness

NO hallucinations or delusions
No "odd or magical" thinking

Defenses - externalization, projection
Externalization
General tendency to place blame outside of oneself
Displacement
Specifically displacing emotions onto some particular other person
Schizoid personality disorder
Detachment from social relationships
Restricted range of emotions

Few friends, but NOT bothered by this
Often live at home w/ parents into adulthood

Defenses - Autistic fantasy
Schizotypal personality disorder
Discomfort in close relationships

Cognitive/perceptual distortions
"Magical thinking"
(not severe enough to be called hallucinations)

Resembles negative symptoms of Schizophrenia
Often has markers of Schizophrenia
(ie smooth pursuit eye movement abnormalities)
Antisocial personality disorder
Core feature is lack of conscience or empathy for others

Often preceded by childhood Conduct Disorder

Genetic relationship to somatoform disorders in women

May "burn out" in some after age 40
EEG changes in Antisocial personality disorder
Diminished response to novel stimuli

May indicate that pt. requires higher amount of stimulation than normal people
Treatment of Avoidant personality disorder requires what?
Motivation by the patient

NOTE: avoid being conned
Borderline personality disorder
Instability in relationships, self-image, affects
Marked impulsivity

Frantic efforst to avoid abandonment
Relationships alternated between extremes of idealization and devaluation

Often demonstrates splitting
Pharmacotherapy for paranoid thinking in Borderline pd
Low-dose anti-psychotics
Pharmacotherapy for impulse control in Borderline pd
SSRIs, Carbamazepine, Li

NOTE: AVOID Alprazolam, TCAs
Pharmacotherapy for affective instability in Borderline pd
SSRIs

MAO-Is (helpful, but dangerous)
Pharmacotherapy for melancholic depression in Borderline pd
SSRIs
Pharmacotherapy for Identity disturbance in Borderline pd
NO GOOD MEDICATION
Histrionic personality disorder
Excessive emotionality and attention seeking
Inappropriately sexual and seductive

More common in women than in men
Treatment of Histrionic pd
Psychotherapy
-- Be aware of splitting, sexualization
-- Anti-depressants, anxiolytics, depending on comorbidity
Narcissistic pd
50 - 75% are male

May present for treatment of depression or "mood swings"
Avoidant pd
Wish for social contact, but fear humiliation

Overlaps w/ social phobia
Treatment for narcissistic pd
Psychotherapy
Medications for comorbid depression or anxiety
Treatment for avoidant pd
Supportive psychotherapy
Challenge expectations of failure

SSRIs, BDZs, Beta-blockers
Dependent pd
Need to be cared for
Difficulty being alone
Submissive behaviors

Higher risk of depression and anxiety

One of most common pds
Treatment for dependent pd
Supportive psychotherapy
Assertiveness training

NOTE: avoid dependence on therapy
Treatment for OCPD
Psychotherapy
OPCD
Perfectionism that interferes w/ task completion
Major pts. of activities are lost
Unable to discard worthless objects
Miserly spending style

Twice as prevalent in men as in women

Comorbidity includes Avoidant and Paranoid pds
Defense mechanisms in OPCD
Externalization, Isolation, Rationalization
Displacement, Reaction formation
Immature defense mechanisms (7)
Denial
Autistic fantasy
Passive-aggressive behavior
Acting out
Splitting
Projection
Projective identification
Mature defense mechanisms (5)
Anticipation
Humor
Sublimation
Suppression
Affiliation
Intellectualization
Separating onself from uncomfortable emotions
Taking a pseudo-objective stance
Dissociation
Separating emotional significance from situation
Reaction formation
Avoids one position by taking a polar opposite
Splitting
Viewing objects, situations, etc. as all bad or all good