Diagnosis of Personality Disorders - Psych
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| DSM-V Classification of Personality Disorders: Clusters A, B, and C | .
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| Cluster A disorders and group common traits? | * are Odd/Eccentric
*Schizoid
*Paranoid
*Schizotypal
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| Cluster B disorders and group common traits? | *are Dramatic/Erratic
*Histrionic
*Antisocial
*Borderline
*Narcissistic
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| Cluster C disorders and group common traits? | *are Anxious/Fearful
*Avoidant
*Dependent
*Obsessive-Compulsive PD
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| 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.)
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| **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
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| “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
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| Paranoid Personality Disorder signs ? | * Distrust and suspiciousness about the motives of others
* suspects cheating, benign events as threats, bear grudges
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| 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
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| 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
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| Schizoid Personality Disorder tmt ? | *usu present when illness is bad bc of reluctance to engage with people
*accept they may remain uninvolved in tmt
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| 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
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| Schizotypal Personality Disorder tmt ? | *same as Schizoid
*rule out psychosis
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| 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
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| Antisocial Personality Disorder tmt ? | *usu due to drug use
*may lie a lot
*be straightforward
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| 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
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| 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
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| 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
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| Histrionic Personality Disorder tmt ? | * experiences illness as attacks on their attractiveness
*maintain prof boundaries bc they are very sexual
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| 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
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| 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
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| 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
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| Avoidant Personality Disorder tmt ? | * you may see them a lot bc they develop Sx justifying visits to alleviate their issue
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| 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
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| Dependent Personality Disorder tmt ? | *won't disagree with you
*set specific dates for them to come in to help control constant visits
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| 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
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| 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
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| Cluster A - weirdos, odd, no friends, and paranoid | *
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| Cluster B - drama, huge egos, sexual, and reckless behavior | *
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| Cluster C - clingers, perfectionists, and fearful group | *
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