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Dx of Personality
Diagnosis of Personality Disorders - Psych
Question | Answer |
---|---|
DSM-V Classification of Personality Disorders: Clusters A, B, and C | . |
Cluster A disorders and group common traits? | * are Odd/Eccentric *Schizoid *Paranoid *Schizotypal |
Cluster B disorders and group common traits? | *are Dramatic/Erratic *Histrionic *Antisocial *Borderline *Narcissistic |
Cluster C disorders and group common traits? | *are Anxious/Fearful *Avoidant *Dependent *Obsessive-Compulsive PD |
The bad news about Personality Disorders ? | *they are lifelong (Sx can stay the same, get worse/better) *usually develop an Axis 1 issue (issues not lifelong, like depression, anxiety, etc.) |
**Board Review and not on the test** What are the 5 Axis Disorders? | AXIS 2 – PERSONALITY DISORDERS AND MENTAL RETARD …LIFELONG ISSUES AXIS 3 – MEDICAL CONCERNS AXIS 4 – PSYCHOSOCIAL CONCERNS…MOVING, NEW JOB, SCHOOL, ETC AXIS 5 – GAF GLOBAL ASSESSMENT FCTING…HOW WELL THE PER FCTS IN SOCIETY BASED ON A 1-100 SCALE |
“Diagnostic Issues” in Personality Disorders ? | * different social norms than yours, if change is abrupt think organic cause, and Axis 2 issues usually has an Axis 1 also |
Paranoid Personality Disorder signs ? | * Distrust and suspiciousness about the motives of others * suspects cheating, benign events as threats, bear grudges |
Paranoid Personality Disorder tmt ? | * they may keep things from you in fear, so ask consent to talk to others, be straight forward, tell all side effects |
Schizoid Personality Disorder signs ? | *Detachment from social relationships and a restricted range of emotional expression *rather be solitary, no pleasure in anything, no relationship desire, no sex drive |
Schizoid Personality Disorder tmt ? | *usu present when illness is bad bc of reluctance to engage with people *accept they may remain uninvolved in tmt |
Schizotypal Personality Disorder signs ? | *Acute discomfort in close relationships, cognitive or perceptual distortions, and behavioral eccentricities *want close relationships, but just too odd to have them *magical/weird beliefs, paranoid, dress eccentric, experiences weird things |
Schizotypal Personality Disorder tmt ? | *same as Schizoid *rule out psychosis |
Antisocial Personality Disorder signs ? | * lack of remorse, don't abide laws, don't follow obligations, very angry and aggressive, reckless *these are your killers and drug users |
Antisocial Personality Disorder tmt ? | *usu due to drug use *may lie a lot *be straightforward |
Borderline Personality Disorder signs ? | *Instability in emotions and interpersonal relationships, inadequate self image, fear of abandonment, suicidal, and marked impulsivity *Ex. married 5 times and an unsuccessful suicide attempt |
Borderline Personality Disorder tmt ? | *Pt & Dr relationship is up and down and they may have SPLITTING, = COMPLAIN ABOUT Dr X TO Y, THEN GO TO Dr Y TO COMPLAIN ABOUT X *Provide clear and consistent boundaries and limits – MOST IMPT *Feel Abandoned by you if they cant get in to see you |
Histrionic Personality Disorder signs ? | * Excessive emotionality and attention seeking, often dramatic *sexual dressers, center of attention, random bs talk just to make you look at them, theatrical emotions, basically your attention whores |
Histrionic Personality Disorder tmt ? | * experiences illness as attacks on their attractiveness *maintain prof boundaries bc they are very sexual |
Narcissistic Personality Disorder signs ? | *Grandiosity, a need for admiration, a lack of empathy for the problems and needs of others *arrogant, envious of others or thinks they are of them, will use someone to get what they want |
Narcissistic Personality Disorder tmt ? | *prepare for their superiority complex and maintain control, don't be defensive *hurts them mentally to go get help bc of their complex *usu ask for specialists bc generalists are not good enough |
Avoidant Personality Disorder signs ? | * Social inhibition, feelings of inadequacy, and hypersensitivity to criticism or negativism *needs to be liked and fears rejection by others *type to have to know people at a certain event likes them before they will go to it |
Avoidant Personality Disorder tmt ? | * you may see them a lot bc they develop Sx justifying visits to alleviate their issue |
Dependent Personality Disorder signs ? | *Submissive and clinging behavior and fears of separation, and dependent on others at all times *constant reassurance needed, never disagree with someone, exacerbbated fear of being left to fend for themselves/alone *aka. your Clingers |
Dependent Personality Disorder tmt ? | *won't disagree with you *set specific dates for them to come in to help control constant visits |
Obsessive Compulsive Personality Disorder signs ? | *Preoccupation with orderliness, perfectionism, and control *this is OCPD, NOT OCD* *can't complete tasks bc of perfectionism, tend to hoard stuff, super super tidy, and this disorder rules their entire life |
Obsessive Compulsive Personality Disorder tmt ? | *may be non-compliant as a way to maintain their control *let them participate in tmt decision making and avoid detailed description of the side effects |
Cluster A - weirdos, odd, no friends, and paranoid | * |
Cluster B - drama, huge egos, sexual, and reckless behavior | * |
Cluster C - clingers, perfectionists, and fearful group | * |