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49 Cards in this Set
- Front
- Back
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What is a personality disorder?
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maladaptive pattern of behavior
behavior done all of our life Pat. doesn't think he has a problem |
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Are personality Disorders egosyntonic or egodystonic?
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Egosyntonic
that's why suggesting tx. to them is not succesful patients don't want to be treated |
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When do you usually diagnose a personality disorder?
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adulthood
since personality still changing |
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Which is the only personality disorder that you need to give this person after 18?
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Antisocial after 18
COnduct Disorder if younger than 18 |
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Cluster A is what?
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Eccentric
Peculiar Weird |
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What is cluster B?
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Theatrical
Dramatic/Emotional Dissociative Forget their name, who they are Preocupation w/ rejection |
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What is cluster C?
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Anxious or Fearful cluster
Sensitive to rejection Rigid (their way or the highway) |
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What is a higher prevlance in Male PDs?
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antisocial
narcisitic adulthood only others can be diagnosed in adolescence |
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What PD is mostly seen in women?
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borderline
histrionic |
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What happens to the mood disorders in adulthood?
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they get worse
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What happens to symtoms for violent behavior as the patient reaches adulthood and gets older?
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they get better with time
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What is the Tx for PDs?
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Psychotherapy
individual if psychotherapy not working anxious (anti-anxiety) depression (anti-depressant) |
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Diff. Diagnosis for PDs?
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Mood disorder
Adjustment Disorder |
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What is the defense mecahnism of paranoid personality Disorder?
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projection
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What is projection?
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Transfering your thoughts to someone else
always question loyalty of family friends |
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What is common among paranoid?
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Immigrants
Deaf people |
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What is the difference between paranoid and schizophrenia?
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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 |
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What is schizoid personality?
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Loner
Person who goes to movies, vacation by themselves |
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Where do the schizoid's work?
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night jobs
park ranger lab work |
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What is schizotypal?
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most strange
resembles to schizophrenia dress, talk, think, looks is strange |
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What is the difference between schizotypal vs. schizophrenic?
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schizotypal all their life w/ symptoms
when stressor is maximal they become psychotic schizophrenics very seldomly recover from their psychosis to normal |
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What problems do schizotypal PD have?
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social relationships
thought distortions eccentric isolated |
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What are the clues of schizotypal?
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magical thinking
magical caps (lucky pencil) lucky shirt |
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What is a common symptom of schizotypal?
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Illusions
misperceive things |
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What is Illusion vs. hallucination?
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sensory stimuli in Illusion
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Histrionics what class?
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Cluster B
dramatic and emotional cluster |
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What is characteristic of histrionics?
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Over the top
very colorful exaggerated talking, dress, behavior want to be the center of attention Sexually Seductive LEO Marylin Monroe Spanish Soap Opera |
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What is the borderline personality?
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very unstable
problem w/ affect impulsive use drugs, sexually promiscuous, gambling mood swings |
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What is very characteristic of borderline PDs?
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Chronic feelings of emptyness or boredoom
Emotional numbness clue for suicidal gestures women who constatly cut themselves wants to feel pain |
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What is in the history of borderline PDs?
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child abuse
splitting Fatal Attraction |
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Pschycotic or Neurotic?
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Psychotic you loose sense of reality
Borderlines go back after having a brief episode of psychosis |
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What is the characteristic of antisocial?
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don't care about the rules
egodystonic ignore rules lie and steal |
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What do we inherit?
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superego
|
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Is antisocial inherited?
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Yes, superEgo
usually one parent also antisocial |
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What is the last one in the cluster B?
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Narcissitic PD
they are the best smartess, brightest convinced they are special |
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Narcissitic expects what?
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admiration
want special treatment don't accept criticism when they get older they get depressed fragile self-esteem actors Physicians (neurosurgeon) |
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What does Cluster C involved?
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you C the fear
Fearfull Anxious |
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What is the first personality of Cluster C?
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Avoidant
not go getters restrained in relationships |
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What is the main issue of avoidant PDs?
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afraid of rejection
avoid all kinds of rejection phobias: social restraint in everything sensitive to criticism |
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If patient w/ criticism:
1) angry 2) don't care 3) freak out/very deppressed/ very sensitive |
Dx?
1) Narcissitic 2) Schizoid 3) Avoidant |
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What is the difference between schizoid vs. avoidant?
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Schizoid wants to be alone
Avoidant is alone because they feel inadecuate and don't want to be rejected |
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Another PD in cluster C?
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Dependant Persnoality
In abusive relationships can't be alone need to be told what to do subordinate constantly need advice |
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What happens when they get a promotion?
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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 |
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What is characteristic of dependant disorder?
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Classic abusive relationship
|
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What is the obsessive compulsive development?
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anal retentive
anally fixated orderly perfectionistic in control class assignment (excellent) i'll do all the work they make lists for everything |
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What are associated features w/ obsessive compulsive?
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indecisive
dysphoria (sad, mood down) angry social inhibition problem w/ interpersonal |
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Do not confuse Obssesive compulsive Disorder than obsessive compulsive personality disorder (behavior)?
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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 |
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Tx for OCPD?
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Psychotherapy
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Tx for OCD?
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Pharmacotherapy
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