Final- Mental Health- Personality Disorders

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-cluster A (Odd or eccentric)
-example hermit

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Schizoid Personality Disorder

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-primary feature of emotional detachment

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Schizoid Personality Disorder

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-depersonalization may occur as a result of the persons limited interactions with others

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Schizoid Personality Disorder

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-etiology: based on a genetic predisposition to shyness

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Schizoid Personality Disorder

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-etiology: often raised in a cold and neglectful atmosphere in which they may conclude that relationships are unsatisfying and unnecessary

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Schizoid Personality Disorder

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-this individual may be able to function in a solitary occupation but shows indifference to praise or criticism from others

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Schizoid Personality Disorder

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-can be a precursor to schizophrenia or delusional disorder

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Schizoid Personality Disorder

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Characteristics:

-emotional detachment from social engagement

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Schizoid Personality Disorder

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Characteristics:

-reclusive, loner, isolative

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Schizoid Personality Disorder


reclusive: a person who lives in seclusion or apart from society

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Characteristics:

-avoidant, uncooperative

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Schizoid Personality Disorder

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Characteristics:

-indifferent to praise or criticism

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Schizoid Personality Disorder

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Interventions:

-do not be too friendly (provide personal space, if you get to close, anxiety will increase)

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Schizoid Personality Disorder

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Interventions:
-do not try to increase or force social interaction otherwise their anxiety will increase (they can eat in their room)

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Schizoid Personality Disorder

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-cluster B “dramatic, emotional erratic
-most stigmatized disorder

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Borderline Personality Disorder

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-not being parented and not being able to establish identity with self and parent

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Borderline Personality Disorder

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-thinking that is all black or white (worship then hate a nurse)

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Borderline Personality Disorder

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-mainly occurs in women (emotional or sexual abuse)

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Borderline Personality Disorder

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-no parent so they are unable to keep the identify of someone else in mind and they feel empty and abandoned

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Borderline Personality Disorder

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Characteristics:
-unstable, intense relationships, unstable identify

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Borderline Personality Disorder

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Characteristics:
-intense fear of abandonment, chronic emptiness

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Borderline Personality Disorder

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Characteristics:
-impulsivity, self-mutilation,

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Borderline Personality Disorder

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Characteristics:
-suicide prone behavior

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Borderline Personality Disorder

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Characteristics:
-shows separation anxiety

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Borderline Personality Disorder

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Characteristics:
-manifests ideas of reference

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Borderline Personality Disorder

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Characteristics:
-affect: moods intense, can’t moderate intense and pervasive anger, rapid mood shifts

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Borderline Personality Disorder

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-splitting: major defense (adoring then devaluing persons)

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Borderline Personality Disorder

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Interventions:
-safety (assess for SI, especially in times of stress)

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Borderline Personality Disorder

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Interventions:
-provide clear and consistent boundaries
-limit set, reinforce rules and boundaries

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Borderline Personality Disorder

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Interventions:
-when patient is splitting, get patient to discuss problems with the other nurse –validate feelings (otherwise it looks like you are agreeing)

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Borderline Personality Disorder

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Interventions:
-regular team meetings

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Borderline Personality Disorder

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Interventions:
-don’t rescue them, promote coping

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Borderline Personality Disorder

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Interventions:
-can give a teddy bear to resemble someone

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Borderline Personality Disorder

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Interventions:
-set realistic goals and use clear action words

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Borderline Personality Disorder

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Interventions:
-be aware of manipulative behaviors (flattery, seductiveness, instilling of guilt)

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Borderline Personality Disorder

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Interventions:
-when behavior problems emerge, calmly review the therapeutic goals and boundaries of treatment

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Borderline Personality Disorder

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-suggested therapy: dialectical behavior therapy

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Borderline Personality Disorder

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-major features are patterns of marked instability in emotion regulation, interpersonal relationships, impulsivity, identity or self-image distortions, unstable mood

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Borderline Personality Disorder

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-ineffective and harmful self-soothing habits, such as cutting, promiscuous sexual behavior, and numbness with substances are common and can result in death

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Borderline Personality Disorder

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-co-occurring mood, anxiety, or substance disorders complicate the treatment

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Borderline Personality Disorder

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-etiology: develop as a result of early abandonment, which results in an unstable view of self and others

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Borderline Personality Disorder

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Narcissistic Personality Disorder is cluster (?)

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-cluster B personality (dramatic, emotional, or erratic)

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-primary feature of arrogance with a grandiose view of self importance

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Narcissistic Personality Disorder

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-need for constant admiration

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Narcissistic Personality Disorder

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-a lack of empathy for others which strains most relationships

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Narcissistic Personality Disorder

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-these individuals experience a feeling of personal entitlement, when aspired with their lack of social empathy, it may result in the exploitation of other people

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Narcissistic Personality Disorder

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-feel intense shame and fear of abandonment

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Narcissistic Personality Disorder

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-afraid of their own mistakes as well as the mistakes of others

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Narcissistic Personality Disorder

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-may seek help for depression, feeling that loved ones do not show enough appreciation of their special qualities

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Narcissistic Personality Disorder

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-etiology: childhood neglect and criticism

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Narcissistic Personality Disorder

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as an adult they hide feelings of emptiness with invulnerability and self-sufficiency

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Narcissistic Personality Disorder

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Characteristics:
-arrogance, grandiose view of self-importance --> superior self concept

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Narcissistic Personality Disorder

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Characteristics:
-fear rejection

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Narcissistic Personality Disorder

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Characteristics:
-preoccupied with fantasies of power, success, beauty or ideal love

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Narcissistic Personality Disorder

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Characteristics:
-lack empathy for others, sense of entitlement --> exploiting others

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Narcissistic Personality Disorder

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Characteristics:
-very sensitive to criticism, intense shame and fear that if inadequate --> abandoned

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Narcissistic Personality Disorder

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Characteristics:
-afraid of their own and others’ mistakes

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Narcissistic Personality Disorder

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Characteristics:
-don’t have capacity for empathy

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Narcissistic Personality Disorder

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Characteristics:
-exploitive
-disparaging

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disparaging = belittle

Narcissistic Personality Disorder

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Characteristics:
-filled with rage

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Narcissistic Personality Disorder

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Characteristics:
-cannot show empathy
-handles aging poorly

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Narcissistic Personality Disorder

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Interventions:
-remain neutral

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Narcissistic Personality Disorder

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Interventions:
-do not get defensive in response to the patient’s disparaging remarks

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Narcissistic Personality Disorder

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Interventions:
-do not get into power struggle in response to the patients remarks

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Narcissistic Personality Disorder

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Interventions:
-be confidant and show that you know what you’re doing and you are in charge

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Narcissistic Personality Disorder

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Interventions:
-convey unassuming self-confidence

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Narcissistic Personality Disorder

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etiology: childhood neglect and criticism --> doesn’t learn others can be comforting and supportive

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Narcissistic Personality Disorder

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-adults: veneer of invulnerability and self-sufficiency to hide feelings of emptiness

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Narcissistic Personality Disorder

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Histrionic Personality Disorder
-what cluster (?)

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-cluster B “dramatic, emotional, or erratic”

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-ex: drama queens

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Histrionic Personality Disorder

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-marked by emotional attention-seeking behavior in which the person needs to be the center of attention

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Histrionic Personality Disorder

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-impulsive and melodramatic

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Histrionic Personality Disorder

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-may act flirtatious or provocative

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Histrionic Personality Disorder

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-relationships don’t last b/c the partner feels smothered or reacts to the insensitivity

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Histrionic Personality Disorder

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-doesn’t have insight into their role in breaking up relationships

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Histrionic Personality Disorder

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-may seek treatment for depression or another comorbid condition

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Histrionic Personality Disorder

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-in treatment setting, the person demands “the best of everything”

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Histrionic Personality Disorder

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-etiology: beginning at 3-5 yrs of age with an overly intense attachment to the opposite sex parent, which results in fear and retaliation by the same sex parent.

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Histrionic Personality Disorder

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-etiology: inborn character traits such as emotional expressiveness and egocentricity are predisposing factors too

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Histrionic Personality Disorder

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Characteristics:
-attention seeking: needs to be the center of attention

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Histrionic Personality Disorder

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Characteristics:
-impulsive and melodramatic, intense, exaggeration emotions

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Histrionic Personality Disorder

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Characteristics:
-flirtatious and seductive, consider relationships more intimate than they are

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Histrionic Personality Disorder

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Characteristics:
-lacks insight, shallow

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Histrionic Personality Disorder

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Characteristics:
-depressive and suicidal when attention withdrawn

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Histrionic Personality Disorder

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Characteristics:
-seductive
-flamboyant

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Histrionic Personality Disorder

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Interventions:
-seductive, flirtatious behavior is a response to stress

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Histrionic Personality Disorder

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Interventions:
-keep communication and interactions professional, avoid flirting back --> maintain boundaries

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Histrionic Personality Disorder

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Interventions:
-teach and role model assertiveness (don’t know how to express feelings)

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Histrionic Personality Disorder

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Interventions:
-encourage and model the use of concrete and descriptive rather than vague and impressionistic language

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Histrionic Personality Disorder

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Interventions:
-suggest therapies: treatment of comborbid personality disorders

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Histrionic Personality Disorder

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Avoidant Personality Disorder
-what category (?)

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Avoidant Personality Disorder

-cluster C “anxious and fearful”

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-extreme sensitivity to rejection and robust avoidance of interpersonal situations

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Avoidant Personality Disorder

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-prone to misinterpreting others feedback b/c they are overly sensitive to rejection

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Avoidant Personality Disorder

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-demonstrate poor self-confidence

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Avoidant Personality Disorder

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-strongly desire close relationships but they avoid them

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Avoidant Personality Disorder

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Characteristics:
-extreme sensitivity to rejection

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Avoidant Personality Disorder

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Characteristics:
-avoidance of social situations, interactions and relationships (excessive anxiety)

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Avoidant Personality Disorder

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Characteristics:
-feel inadequate, hypersensitive to correction or criticism

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Avoidant Personality Disorder

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Characteristics:
-excessively anxious in social situations

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Avoidant Personality Disorder

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Characteristics:
-hypersensitive to negative evaluation

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Avoidant Personality Disorder

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Characteristics:
-desire social interaction

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Avoidant Personality Disorder

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-etiology: biological predisposition to anxiety and physiological arousal in social situations

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Avoidant Personality Disorder

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-genetically on continuum of disorders related to social phobia (may be related to social anxiety disorder)

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Avoidant Personality Disorder

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-etiology: linked with parental and peer rejection and criticism

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Avoidant Personality Disorder

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-timid temperament in infancy and childhood may be associated

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Avoidant Personality Disorder

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Interventions:
-do not force in social situation (anxiety increases)

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Avoidant Personality Disorder

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Interventions:
-friendly and reassuring in gentle way is the best way to treat patients

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Avoidant Personality Disorder

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Interventions:
-teach positive self talk
-teach assertiveness training

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Avoidant Personality Disorder