Personality Disorders

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Questions and Answers

Which aspect of a person does personality primarily encompass?

  • Physical health and genetic predispositions.
  • Combination of thoughts, emotions, and behaviors that make one unique. (correct)
  • Dietary habits and exercise routines.
  • Socioeconomic status and educational background.

Which of the following is a primary factor in the development of personality disorders?

  • Adult choices of hobbies and recreational activities.
  • Childhood experiences interacting with inherited traits. (correct)
  • Sudden geographical relocations during adulthood.
  • Late-life career changes and associated stress.

Which statement accurately describes the characteristics of personality disorders?

  • They are primarily caused by substance abuse.
  • They are easily treated with short-term medication.
  • They are temporary reactions to stressful life events.
  • They involve inflexible patterns of thinking, feeling, and behaving. (correct)

Which of the following is considered a core feature of personality disorders as defined in DSM-5?

<p>Defense mechanisms become established within their personality. (D)</p> Signup and view all the answers

What is a significant challenge in addressing personality disorders (PDS)?

<p>Patients may be perceived as difficult. (C)</p> Signup and view all the answers

What should clinicians take into consideration in the diagnosis of personality disorders?

<p>The patient's individual ethnic, cultural, and social background. (C)</p> Signup and view all the answers

Which manifestations are commonly associated with personality disorders?

<p>Physical injury from fights and accidents due to impulsive behavior. (B)</p> Signup and view all the answers

Under what circumstance does a provider have a duty to warn a potential victim?

<p>If a patient threatens someone else with injury. (D)</p> Signup and view all the answers

When diagnosing a personality disorder, what must be ruled out first?

<p>Whether the behavior is better explained by another psychiatric condition. (D)</p> Signup and view all the answers

What are the three general characteristic clusters of personality disorders?

<p>Odd-eccentric, dramatic-emotional, and anxious-fearful. (A)</p> Signup and view all the answers

Which group of personality disorders is characterized by a limited range of emotional expression and few close relationships?

<p>Odd/ Eccentric (Cluster A). (A)</p> Signup and view all the answers

Which characteristic is most indicative of Paranoid Personality Disorder?

<p>Pervasive distrust and suspiciousness of others. (C)</p> Signup and view all the answers

Which of the following best describes a core characteristic of Schizoid Personality Disorder?

<p>Detachment from social relationships and restricted range of emotional expression. (D)</p> Signup and view all the answers

Which of the following is a key characteristic of Schizotypal Personality Disorder?

<p>Eccentric behaviors, perceptions, and beliefs. (A)</p> Signup and view all the answers

What is a primary focus of the treatment approach for Cluster A personality disorders?

<p>Building a trusting relationship and respecting boundaries. (C)</p> Signup and view all the answers

Which general characteristic is associated with Cluster B personality disorders?

<p>Dramatic and erratic behavior. (D)</p> Signup and view all the answers

What is a core characteristic of Antisocial Personality Disorder?

<p>A pattern of disregard for and violation of the rights of other. (D)</p> Signup and view all the answers

Which of the following is a recommended element of treatment for patients with Antisocial Personality Disorder?

<p>The provider being streetwise and setting firm boundaries. (B)</p> Signup and view all the answers

Which feature distinguishes Borderline Personality Disorder from other personality disorders?

<p>Unstable relationships, self-image, and emotions. (C)</p> Signup and view all the answers

What is the primary goal of Dialectical Behavior Therapy (DBT) in treating Borderline Personality Disorder?

<p>To curb self-destructive impulses and improve emotional regulation. (C)</p> Signup and view all the answers

How does 'mindfulness' assist patients in Dialectical Behavioral Therapy (DBT)?

<p>By enabling them to be fully aware of the present moment without judgement (C)</p> Signup and view all the answers

What is the goal of 'distress tolerance' in Dialectical Behavior Therapy (DBT)?

<p>To ability to tolerate painful emotions in difficult situations. (C)</p> Signup and view all the answers

What is the purpose of 'emotional regulation' as a skill in Dialectical Behavior Therapy (DBT)?

<p>To strategies to manage and change intense emotions. (A)</p> Signup and view all the answers

What is the goal of interpersonal effectiveness in Dialectical Behavior Therapy (DBT)?

<p>communicating needs and wants effectively while maintaining respect for oneself and others. (D)</p> Signup and view all the answers

What should therapy concentrate on when dealing with borderline personality disorder?

<p>Concentrating upon the patient's life outside of therapy by establishing long-term goals (C)</p> Signup and view all the answers

Which medication class is a first-line consideration in the treatment of Borderline Personality Disorder?

<p>Mood stabalizers (B)</p> Signup and view all the answers

Which of the following is a core characteristic of Histrionic Personality Disorder?

<p>A pattern of excessive emotionality and attention-seeking. (C)</p> Signup and view all the answers

In treatment of Histrionic Personality Disorder, why should therapists maintain interpersonal distance?

<p>They can provide emotional support while avoiding dependence and boundary issues. (D)</p> Signup and view all the answers

What is a defining characteristic of Narcissistic Personality Disorder?

<p>Grandiosity, need for admiration, and lack of empathy. (B)</p> Signup and view all the answers

Why is it important to avoid being defensive about mistakes and include patient in decision making?

<p>This is needed with Narcissistic Personality Disorder (A)</p> Signup and view all the answers

Which characteristic is central to Cluster C personality disorders?

<p>Anxiety and fear. (B)</p> Signup and view all the answers

Which behavior is most characteristic of Avoidant Personality Disorder?

<p>Social inhibition and hypersensitivity to negative evaluation. (C)</p> Signup and view all the answers

What approach is most important when treating Avoidant Personality Disorder?

<p>Avoid criticism and establish the provider-patient relationship (B)</p> Signup and view all the answers

What is a primary characteristic of Dependent Personality Disorder?

<p>Excessive need to be taken care of. (C)</p> Signup and view all the answers

When dealing with Dependent Personality Disorder Patient?

<p>Set limits with the patient. (D)</p> Signup and view all the answers

Which of the following is a core feature of Obsessive-Compulsive Personality Disorder (OCPD)?

<p>Preoccupation with orderliness and control. (B)</p> Signup and view all the answers

What is the most important for Obsessive-Compulsive Personality Disorder treatment?

<p>Share control of treatment with the patient (C)</p> Signup and view all the answers

What differentiates Obsessive-Compulsive Disorder (OCD) from Obsessive-Compulsive Personality Disorder (OCPD)?

<p>OCD involves distressing, unwanted thoughts or behaviors, while OCPD involves preoccupation with control. (C)</p> Signup and view all the answers

What is the main point from the 'PERSONALITY CHANGE DUE TO A MEDICAL CONDITION EXAMPLE'?

<p>Medical event can cause changes in personality. (A)</p> Signup and view all the answers

A 23-year-old student attempts to slit her wrist because things did not work out with a man she had been dating over the past 3 weeks. She thought he was “perfect” at first and now states that “all guys are jerks” and “not worth her time.” She often feels that she is “alone in this world.” Which personality disorder does this depict?

<p>Borderline PD (C)</p> Signup and view all the answers

A 30-year-old postal worker rarely goes out with their coworkers and often makes excuses when the coworkers ask them to join them because they are afraid the coworkers will not like them. They wishes to go out and meet new people but, they says “I’m too shy.” Which personality disorder does this depict?

<p>Avoidant PD (D)</p> Signup and view all the answers

A 45-year-old scientist works in the lab most of the day and had has no friends, according to her coworkers. Has not been able to keep a steady job because of failure to collaborate with others. She expresses no desire to make friends and is content with her single life. She has no evidence of a thought disorder. Which personality disorder does this depict?

<p>Schizoid PD (A)</p> Signup and view all the answers

A 40-year-old administrative assistant has been recently fired because of her inability to prepare some work projects in time. According to her, they were not in the right format, and she had to revise them six times, which led to the delay. This has happened before, but she feels that she was not given enough time. Which personality disorder does this depict?

<p>Obsessive-Compulsive PD (C)</p> Signup and view all the answers

A 25-year-old scantily clad woman comes to your office complaining that her fever feels like “she is burning in hell.” She vividly describes how the fever has affected her work as a teacher. "I love them all so dearly, But they are like little barbarians. I come home totally dissipated!“ Which personality disorder does this depict?

<p>Histrionic PD (A)</p> Signup and view all the answers

A 40-year-old man, who lives with his parents, has trouble deciding on how to go about having his car fixed. He calls his father at work several times to ask very trivial things. He has been unemployed over the past 3 years. Which personality disorder does this depict?

<p>Dependent PD (A)</p> Signup and view all the answers

A 48-year-old company CEO is rushed to the ED after an automobile accident. He does not let the residents operate on him and requests the chief of trauma surgery because he is “vital to the company." He makes several business phones calls in the ED to stay on "top of his game.” Which personality disorder does this depict?

<p>Narcissistic PD (C)</p> Signup and view all the answers

A 35-year-old man dresses in a space suit every Tuesday and Thursday. He has computers set up in his basement to "detect the precise time of alien invasion.” He has no evidence of auditory or visual hallucinations. Which personality disorder does this depict?

<p>Schizotypal PD (D)</p> Signup and view all the answers

A 30-year-oid man says his wife has been cheating on him because he does not have a good enough job to provide for her needs. He also claims that on his previous job, his boss laid him off because he did a better job than his boss. He refuses couples therapy because he believes the therapist will side with his wife. He also believes neighbors are critical of him. Which personality disorder does this depict?

<p>Paranoid PD (A)</p> Signup and view all the answers

A 35 year-old unemployed man has been accused of killing three senior citizens after robbing them. He is surprisingly charming in the interview. In his adolescence, he was arrested several times for stealing cars and assaulting other kids. Which personality disorder does this depict?

<p>Antisocial PD (D)</p> Signup and view all the answers

Flashcards

Personality Disorders

Patterns of thinking, feeling, and interpersonal behavior that are relatively inflexible & cause distress.

Personality

Combination of thoughts, emotions, and behaviors that makes one unique.

Personality Development

Forms during childhood, shaped by genetics and environment.

DSM 5 Personality Disorders

Enduring pattern of maladaptive inner experience & behavior. It's persistent and pervasive.

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Culture-Related Diagnostic Issues

Takes into account an individual's ethnic, cultural, and social background.

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Paranoid PD

Pattern of pervasive distrust and suspiciousness of others.

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Schizoid PD

Detachment from social relationships and restricted range of emotional expression.

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Schizotypal PD

Little capacity for close relationships, eccentric behaviors, perceptions, and thinking.

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Cluster A PDS Treatment

Low-dose anti-psychotic drugs have revealed to have efficacy for managing symptoms.

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Cluster B: Dramatic/Emotional

Regularly disregard and violate the rights of others.

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Antisocial PD

Pattern of disregard for the rights of others.

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Antisocial PD Treatment

Needs to be street wise, set boundaries, mood stabilizers, group, CBT and antipsychotics.

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Borderline PD

Impulsive, highly reactive, unstable relationships, self-image & unstable emotions.

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What does "I DESPAIRR" stand for?

I: Identity, D: Disordered affect, E: Empty, S: Suicidal, P: Paranoia, A: Abandonment terror

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Dialectical Behavior Therapy (DBT)

Addresses self-destructive impulses, emotional dysregulation.

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DBT Skills

Mindfulness: Fully aware, Distress tolerance: Manage difficult emotions.

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Borderline PD Treatment

Therapy, validate experience, stay active and response, and validate their feelings.

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Borderline PD Treatment Medication

Mood stabalizers, antipsychotics, and SSRI's may be used.

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Histrionic PD

“Dramatic” & attention-seeking behavior.

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Histrionic PD Treatment

Needs emotional support with space, psychotherapy, and Tx for anxiety.

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Narcissistic PD

Grandiosity, need for admiration, lack of empathy.

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Narcissistic PD Treatment

Deal with emotions, avoid being defensive,and be sure to include the client in decision making.

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Cluster C: Anxious/Fearful

Sacrifice openness & spontaneity for orderliness & control.

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Avoidant PD

Social inhibition, feelings of inadequacy, hypersensitivity to negative evaluation.

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Avoidant PD Treatment

Avoid Criticism, Establish Provider- Patient Relationship, Refer therapy, and SSRI's for this group.

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Dependent PD

Excessive need to be taken care of, submissive behavior & fear of separation.

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Dependent PD Treatment

Set limits and refere to therapy may help.

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Obsessive-Compulsive PD

Preoccupation with orderliness, perfectionism and mental and interpersonal control,

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Treatments to to help Obsessive Compulsive PD

Share control, allow the client to participate, may help thm follow.

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Obsessive-Compulsive Disorder (OCD)

Characterized by disturbing persistent or repetitive unwanted thoughts or behaviors.

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Obsessive-Compulsive Personality Disorder (OCPD)

Feel that thoughts are valid, preoccupied with perfectionism and rigid control.

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Personality Change Due to a Medical Condition (Example)

Lack of judgement, disinhibition and euphoria.

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