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Mental Health/Psych

Personality Disorders

Personality Ingrained enduring pattern of behaving and relating to self, others, environment. Perceptions, attitudes, emotions. Usually not aware of own personality
Personality disorders traits inflexible and maladaptive; significant interference with functioning or cause of emotional distress. Not dx until age 18. Maladaptive behavior often traced to early childhood or adolescence
Maladpative or Dysfunctional Personality Traits Negative behavior toward others; anger/hostility; irritable/labile moods; lack of guilt, remorse or emotionally cold, and uncaring. Impulsive, poor judgment, irresponsible, not accountable for own actions, risk-taking, thrill-seeking behaviors
Many with personality disorders Have coexisting mental illness
Schizotypal personality disorder Pervasive pattern of social and interpersonal deficits marked by acute discomfort with and reduced capacity for close relationships as well as by cognitive or perceptual distortions and behavioral eccentricities
Borderline personality disorder Pervasive and enduring pattern of unstable interpersonal relationships, self-image, and affect; marked impulsivity; frequent self-mutilation behavior
Antisocial personality disorder Pervasive pattern of disregard for and violation of the rights of others and with the central characteristics of deceit and manipulation
Narcissistic personality disorder Pervasive pattern of grandiosity (fantasy or behavior), need for admiration, and lack of empathy
OCD personality Pervasive pattern of preoccupation with perfectionism, mental and interpersonal control, and orderliness at the expense of flexibility, openness and efficiency
Avoidant personality Pervasive pattern of social discomfort and reticence, low self-esteem, and hypersensitivity to negative evaluation
Paranoid personality disorder Pervasive mistrust and suspiciousness of others
Schizoid personality disoder Detachment from social relationships and restricted range of emotional expression in interpersonal settings
Histrionic personality disorder Excessive emotionality and attention seeking
Dependent personality disorder Excessive need to be taken care of, leading to submissive and clinging behavior and fear of separation
Passive-Aggressive behavior Negative attitude and pervasive pattern of passive resistance to demands for adequate social and occupational performance
Depressive behavior Pervasive pattern of depressive cognitions and behaviors in various contexts
Borderline personality disorder demonstrates decreased impulsive behavior, increased behavior and more stable relationships by age 50
Temperament Biologic processes of sensation, association and motivation that underlie integration of skills and habits based on emotion
People with high-harm avoidance Exhibit fear of uncertainty, social inhibition, shyness with strangers, rapid fatigability, and pessimistic worry in anticipation of problems
Low-harm avoidance Carefree, energetic, outgoing and optimistic
High-harm avoidance behaviors May result in maladaptive inhibition and excessive anxiety
Low-harm avoidance behaviors May result in unwarranted optimism and unresponsiveness to potential harm or danger
High-novelty seeking temperament Results in someone who is quick tempered, curious, easily bored, impulsive, extravagant, and disorderly. May be easily bored and distracted with daily life, prone to angry outbursts and fickle in relationships
Low-novelty seeking Slow tempered, stoic, reflective, frugal, reserved, orderly, and tolerant of monotony; may adhere to a routine of activities
Psychodynamic Theories: Three major character traits Self-directedness; Cooperativeness; Self-transcendence
Self-directedness responsible, goal oriented
Cooperativeness integral part of society
Self-transcendence integral part of the universe
Antisocial personality disorder diagnosed more often in men
Borderline personality disorder diagnosed more often in women
Combination of medication and group and individual therapies More likely to be effective than any single treatment
Cognitive-perceptual distortions Affective symptoms and mood dysregulation; aggression and behavioral dysfunction; anxiety
Assertiveness training groups CBT, cognitive restructuring, thought stopping, positive self-talk and decatastrophizing
Dialectical behavior therapy Designed for clients with borderline personality disorder
Personality disorders Antisocial, borderline, schizotypal, narcissistic, obsessive-compulsive, avoidant
Forming a Therapeutic relationship and promoting responsible behavior Provide structure in therapeutic relationship, identify acceptable and expected behaviors, be consistent in those expectations. Must minimize clients attempts of manipulation and control
Limit setting (Involves three steps) Stating the behavior limit (describing unacceptable behavior); Identifying the consequences if limit is exceeded; Identifying the expected or desired behavior
Created by: JennG2017