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25 Cards in this Set
- Front
- Back
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43. Cluster C Personality Disorders includes?
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a. Includes avoidant, dependent, and obsessive-compulsive personality Disorders.
b. These pts appear anxious and fearful. |
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44. Avoidant Personality Disorder (Cluster C) overview?
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a. Pts w/avoidant personality disorder have a pervasive pattern of social inhibition and an intense fear of rejection.
b. They will avoid situations in which they may be rejected. c. Their fear of rejection is so overwhelming that is affects all aspects of their lives. d. These pts desire companionship but are extremely shy and easily injured. |
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45. Diagnosis of Avoidant Personality Disorder?
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a. A pattern of social inhibition, hypersensitivity, and feelings of inadequacy since early adulthood.
b. At least 4 of the following must be present: 1. Avoids occupation that involves interpersonal contact due to a fear of criticism and rejection. 2. Unwilling to interact unless certain of being liked. 3. Cautious of interpersonal relationships. 4. Preoccupied w/being criticized or rejected in social situations 5. Inhibited in new social situations because he or she feels inadequate. 6. Believes he or she is socially inept and inferior 7. Reluctant to engage in new activities for fear of embarrassment. |
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46. Mnemonic for sx of avoidant personality disorder (AFRAID)?
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a. Avoids occupation w/others
b. Fear of embarrassment and criticism c. Reserved unless they are certain that they are liked d. Always thinking rejection e. Isolates from relationships f. Distances self unless certain that they will be liked. |
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47. Most common phobia in avoidant personality disorder?
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a. Social phobia.
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48. Schizoid vs. avoidant personality disorder?
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a. Schizoid pts want to be alone.
b. Avoidant pts want to be w/other but are too scared of rejection. |
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49. Course of avoidant personality disorder?
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a. Course is usually chronic.
b. Particularly difficult during adolescence, when attractiveness and socialization are important. c. ↑ incidence of associated anxiety and depressive disorders. |
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50. Tx of avoidant personality disorder?
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a. Psychotherapy, including assertiveness training, is most effective.
b. Beta blockers may be used to control autonomic sx of anxiety and SSRIs may be prescribed for major depression. |
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51. Dependent Personality Disorder overview?
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a. Pts w/DPD have poor self-confidence and fear separation.
b. They have excessive need to be taken care of and allow others to make decisions for them. c. They feel helpless when left alone. |
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52. DSM-IV diagnosis of Dependent Personality Disorder?
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a. A pattern of submissive and clinging behaviour due to excessive need to be taken care of.
b. At least 5 of the following must be present: 1. Difficulty making everyday decisions w/out reassurance from others 2. Needs others to assume responsibilities for most areas of his or her life. 3. Cannot express disagreement because of fear of loss of approval. 4. Difficulty initiating projects bc of lack of self-confidence 5. Goes to excessive lengths to obtain support from others 6. Feels helpless when alone 7. Urgently seeks another relationship when one ends. 8. Preoccupied w/fears of being left to take care of self. |
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53. Prevalence of Dependent Personality Disorder?
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a. ~1%.
b. Women are more likely to have DPD than men. |
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54. Course of Dependent Personality Disorder?
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a. Usually chronic.
b. Often, sx ↓ w/age and/or therapy. c. Pts are prone to depression, particularly after loss of person on whom they are dependent. d. Difficulties w/employment since they cannot act independently or w/out closer supervision. |
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55. What defence mechanism is often seen in people w/Dependent Personality Disorder?
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a. Regression- Going back to a younger age of maturity.
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56. When must dependent traits manifest to be considered Dependent Personality Disorder/
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a. Early adulthood.
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57. Tx of Dependent Personality Disorder?
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a. Psychotherapy, particularly groups and social skills training, is the tx of choice.
b. Pharmacotherapy may be used to tx associated sx of anxiety or depression. |
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58. Obsessive Compulsive Personality Disorder (OCPD) overview?
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a. Pts w/OCPD have a pervasive pattern of perfectionism, inflexibility, and orderliness!
b. They get so preoccupied w/unimportant details that they are often unable to complete simple tasks in a timely fashion. c. They appear stiff, serious, and formal, w/constricted affect. d. They are often successful professionally but have poor interpersonal skills. |
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59. DSM dx of OCPD?
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a. Pattern of preoccupation w/orderliness, control, and perfectionism at the expense of efficiency, present by early adulthood and in a variety of contexts
b. At least 4 of the following must be present: 1. Preoccupation w/details, rules, lists, and organization such that the major point of the activity is lost. 2. Perfectionism that is detrimental to completeion of task. 3. Excessive devotion to work 4. Excessive conscientiousness and scrupulousness about moral and ethics 5. Will not delegate tasks 6. Unable to discard worthless objects 7. Miserly 8. Rigid and stubborn |
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60. Who is more likely to have OCPD, men or women?
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a. Men!
b. Occurs most often in the oldest child. c. ↑ incidence in first degree relatives. |
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61. Course of OCPD?
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a. Course is unpredictable.
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62. Tx of OCPD?
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a. Psychotherapy is the tx of choice.
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63. Personality Disorder Not Otherwise specified (NOS)?
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a. This diagnosis is reserved for personality disorders that do not fit into cluster A, B, or C.
b. Includes passive-aggressive PD, depressive PD, sadomasochistic PD, sadistic PD. |
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64. Passive-Aggressive PD?
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a. Pts are stubborn, inefficient procrastinators.
b. They alternate between compliance and defiance and passively resist fulfilment of tasks. c. They frequently make excuses for themselves and lack assertiveness |
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65. Tx of choice for Passive-Aggressive PD?
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a. Psychotherapy.
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66. Depressive Personality Disorder?
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a. Persons w/this disorder are characterized by lifelong traits of depressed-like state.
b. These people are pessimistic, self-doubting, chronically unhappy, and distressed. |
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67. Complete
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67. Complete
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