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49 Cards in this Set

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  • Back
What is a personality disorder?
maladaptive pattern of behavior

behavior done all of our life

Pat. doesn't think he has a problem
Are personality Disorders egosyntonic or egodystonic?
Egosyntonic

that's why suggesting tx. to them is not succesful

patients don't want to be treated
When do you usually diagnose a personality disorder?
adulthood

since personality still changing
Which is the only personality disorder that you need to give this person after 18?
Antisocial after 18


COnduct Disorder if younger than 18
Cluster A is what?
Eccentric

Peculiar

Weird
What is cluster B?
Theatrical
Dramatic/Emotional
Dissociative
Forget their name, who they are
Preocupation w/ rejection
What is cluster C?
Anxious or Fearful cluster

Sensitive to rejection
Rigid (their way or the highway)
What is a higher prevlance in Male PDs?
antisocial
narcisitic

adulthood only
others can be diagnosed in adolescence
What PD is mostly seen in women?
borderline
histrionic
What happens to the mood disorders in adulthood?
they get worse
What happens to symtoms for violent behavior as the patient reaches adulthood and gets older?
they get better with time
What is the Tx for PDs?
Psychotherapy

individual

if psychotherapy not working
anxious (anti-anxiety)
depression (anti-depressant)
Diff. Diagnosis for PDs?
Mood disorder
Adjustment Disorder
What is the defense mecahnism of paranoid personality Disorder?
projection
What is projection?
Transfering your thoughts to someone else

always question loyalty of family friends
What is common among paranoid?
Immigrants
Deaf people
What is the difference between paranoid and schizophrenia?
3 things to focus
duration of symptoms
level of functioning
psychosis


personality disorder is a long time
level of function is normal in PDs
Psychosis in PDs is not present
What is schizoid personality?
Loner

Person who goes to movies, vacation by themselves
Where do the schizoid's work?
night jobs
park ranger
lab work
What is schizotypal?
most strange
resembles to schizophrenia

dress, talk, think, looks
is strange
What is the difference between schizotypal vs. schizophrenic?
schizotypal all their life w/ symptoms

when stressor is maximal they become psychotic

schizophrenics very seldomly recover from their psychosis to normal
What problems do schizotypal PD have?
social relationships
thought distortions
eccentric
isolated
What are the clues of schizotypal?
magical thinking

magical caps
(lucky pencil)
lucky shirt
What is a common symptom of schizotypal?
Illusions

misperceive things
What is Illusion vs. hallucination?
sensory stimuli in Illusion
Histrionics what class?
Cluster B
dramatic and emotional cluster
What is characteristic of histrionics?
Over the top
very colorful
exaggerated
talking, dress, behavior
want to be the center of attention
Sexually Seductive
LEO
Marylin Monroe
Spanish Soap Opera
What is the borderline personality?
very unstable
problem w/ affect
impulsive

use drugs, sexually promiscuous, gambling
mood swings
What is very characteristic of borderline PDs?
Chronic feelings of emptyness or boredoom

Emotional numbness
clue for suicidal gestures
women who constatly cut themselves
wants to feel pain
What is in the history of borderline PDs?
child abuse

splitting

Fatal Attraction
Pschycotic or Neurotic?
Psychotic you loose sense of reality

Borderlines go back after having a brief episode of psychosis
What is the characteristic of antisocial?
don't care about the rules

egodystonic
ignore rules
lie and steal
What do we inherit?
superego
Is antisocial inherited?
Yes, superEgo
usually one parent also antisocial
What is the last one in the cluster B?
Narcissitic PD

they are the best
smartess, brightest
convinced they are special
Narcissitic expects what?
admiration


want special treatment
don't accept criticism

when they get older they get depressed
fragile self-esteem

actors
Physicians (neurosurgeon)
What does Cluster C involved?
you C the fear

Fearfull
Anxious
What is the first personality of Cluster C?
Avoidant

not go getters
restrained in relationships
What is the main issue of avoidant PDs?
afraid of rejection

avoid all kinds of rejection
phobias: social
restraint in everything
sensitive to criticism
If patient w/ criticism:
1) angry
2) don't care
3) freak out/very deppressed/ very sensitive
Dx?
1) Narcissitic
2) Schizoid
3) Avoidant
What is the difference between schizoid vs. avoidant?
Schizoid wants to be alone

Avoidant is alone because they feel inadecuate and don't want to be rejected
Another PD in cluster C?
Dependant Persnoality
In abusive relationships
can't be alone

need to be told what to do
subordinate
constantly need advice
What happens when they get a promotion?
they don't want it
don't want to assume responsability

woman beaten by husband
they are unable to make decisions/make it on their own
What is characteristic of dependant disorder?
Classic abusive relationship
What is the obsessive compulsive development?
anal retentive
anally fixated

orderly
perfectionistic
in control

class assignment (excellent)
i'll do all the work
they make lists for everything
What are associated features w/ obsessive compulsive?
indecisive
dysphoria (sad, mood down)
angry
social inhibition
problem w/ interpersonal
Do not confuse Obssesive compulsive Disorder than obsessive compulsive personality disorder (behavior)?
Person riddled w/ obsession

linked to serotonin
OCD they were normal before then develop disease
PHarmacotherapy

people w/ OCD don't function
MONK
Something's Gotta Give


People w/ OCPD (obsessive personality disorder) disorder function since Adolescence
Tx: Psychotherapy
Tx for OCPD?
Psychotherapy
Tx for OCD?
Pharmacotherapy