What is the major risk factor for the development of borderline personality disorder? | |
Which cluster and specific personality disorder is most likely? “Need for companionship, reassurance, often indecisive (looking to others to decide for them or affirm their decision), fear of being left alone to care for self, often submissive” | |
When do personality disorders usually present? What is thier course? | Begin in childhood, persist throughout life |
Which cluster and specific personality disorder is most likely? “Values productivity, orderliness, perfection. Often puts work or school tasks before friendships/relationships. Stubborn, doesn’t adapt well to other’s ways of doing things” | Cluster C Obsessive compulsive personality disorder |
Which cluster and specific personality disorder is most likely? “Needs to be admired, desire for success and power, lack of empathy, fantastical ideas about self” | |
What is the prevalence of personality disorders altogether? | 10% of the population Cluster A and Cluster C are most common |
Which personality disorder carries the highest risk of suicide and self-harm? | Borderline personality disorder |
Which personality disorders are included in cluster C? | Avoidant Obsessive-compulsive PD Dependent
“Anxious, fearful” |
Which cluster and specific personality disorder is most likely? “Fears confiding in others, suspicious of others, unforgiving, does not trust motives of friends” | Cluster A Paranoid personality disorder **Paranoia must be pervasive accross many situations, relationships; if it’s just directed at one person, their paranoia is likely real!! |
Which cluster and specific personality disorder is most likely? Which personality disorder is most likely? “Difficulty in close relationships, few close friends, unusual perceptions/thinking/speech, interest in witchcraft” | Cluster A Schizotypal personality disorder |
Which cluster and specific personality disorder is most likely? “Unsure of identity/self image, fear of abandonment, mood instability, impulsivity, history of unstable interpersonal relationships” | |
Which personality disorders are included in cluster B? | Borderline Narcissistic Antisocial Histrionic
“Dramatic, emotional, erratic” |
Which cluster and specific personality disorder is most likely? “Provocative/sexually seductive style of speech and dress, history of intensely intimite relationships, wants attention (and influenced by others in order to get their attention), theatrical” | |
A 15 year old girl is referred to a psychiatrist for the following behaviors that have concerned her parents and PCP She is often deceitful and manipulative, with little regard for the feelings of others. She has been in trouble multiple times in school and does not complete chores at home, and is often aggressive when these transgressions are brought to attention. This causes significant distress to her parents, teachers, and peers If a personality disorder is present, which one is most likely? | Personality disorder is NOT present These signs are consistent with antisocial personality disorder (cluster B), but cannot diagnose in anyone <18 y/p This may be either adolecent-limited conduct disorder or oppositional defiant disorder If persisting to and past age 18, can be diagnosed as antisocial personality disorder
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Which cluster and specific personality disorder is most likely? “Difficulty in new relationships, feelings of inadequacy, socially isolated, fear of rejection” | Cluster C Avoidant Isolated due to fear of rejection/fear that new people will enforce inferiority vs. schizoid just wants to be left alone, indifferent to rejection or criticism |
Describe the alernative model of personality disorders | Personality disorders are variants of normal personality, rather than disease entities If 1 or more pathological personality traits are present, suspect “a personality disorder,” rather than a specific PD
Allows clinicians to be more dimensional in their diagnosis and management |
What are the key differences between borderline and dependent PD? | Both may have signs of clinginess/fear of abandonment Borderline
Dependent
Fear of needing to care for self More indecisive (vs impulsive) Has sense of self image, but changes behavior to appease others so they won’t be left alone
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Which cluster and specific personality disorder is most likely? “Blunted affect, lack of interest in relationships, indifferent to criticism or praise, very introverted” | Cluster A Schizoid personality disorder |
Which cluster and specific personality disorder is most likely? “Disregard for and violation of the rights of others, often deceitful or manipulative. Angry, unempathetic” | Cluster B Antisocial personality disorder |
Which personality disorders are included in cluster A? | Schizoid Schizotypal Paranoid
“Odd, eccectric” |
