Personality Disorders

Question 1

List the disorder assc with cluster A,B,C PD groups

Answer 1

• A: assc with psychotic disorders
• B: assc with mood disorders
• C: assc with anxiety disorders

Question 2

List the cluster A PD’s

Answer 2

• schizoid
• schizotypal
• paranoid

Question 3

List the cluster B PD’s

Answer 3

• histrionic
• borderline
• antisocial
• narcissistic

Question 4

List the cluster C PD’s

Answer 4

• avoidant
• dependent
• OCPD

Question 5

Personality disorders are ego____

Answer 5

syntonic

Question 6

PD must manifest in what ways?

Answer 6

2 of the following:

• cognition
• affect
• interpersonal functioning
• impulse control

Question 7

When must PD onset?

Answer 7

-before early adulthood

Question 8

1 treatment for most PDs

Answer 8

therapy, not drugs

**But lack of insight into illness is often a challenge when convincing patient to go to therapy

Question 9

Common belief in paranoid PD

Answer 9

jealousy –> cheating spouse

but remember, they distrust everyone, not just spouse, not a simple single delusion.

Question 10

Contrast schizoid and schizotypal PD

Answer 10

schizoid: no desire to be around other people
schizotypal: magical thinking, weird hobbies, no friends

Question 11

Cluster A PDs are more common in males or females?

Answer 11

-males

Question 12

What distinguishes antisocial PD from simply being a criminal?

Answer 12

• not diagnosed before 18, but criminal like behavior is often present in childhood (ie hurting animals)
• patient has no remorse for their actions
• patient is charming and manipulative
• behavior doesn’t occur only secondary to substance use

Question 13

Describe behaviors seen in Borderline PD

Answer 13

• splitting
• threats/attempts to commit suicide
• unstable relationships
• frantic efforts to avoid abandonment

Question 14

Contrast BPD with Bipolar type 2

Answer 14

• hypomanic episodes in BP2 last a few days and don’t have an identifiable trigger
• mood in BPD are brief/rapid and often have external or psych trigger

Question 15

Describe behaviors seen in histrionicPD

Answer 15

• attention seeking
• flamboyant
• sexually inappropriate

Question 16

Which patient is often more “stable”: BPD or HPD?

Answer 16

-HPD, BPD more likely to self harm

Question 17

Defense mechanism seen in HPD

Answer 17

regression

Question 18

Contrast narcissistic PD with antisocial PD

Answer 18

• NPD = taking advantage of others to gain status or recognition
• APD= harming others for material gain or souly for subjugation of others

Question 19

Avoidant PD has significant overlap with what other disorder?

Answer 19

social anxiety disorder/social phobia

**and note that patients can carry BOTH diagnoses

Question 20

Contrast avoidant PD with SAD

Answer 20

• avoidant PD is lifelong and stems from fear of rejection

- SAD may be transient and stems from fear of public embarrassment as opposed to complete “rejection”

Question 21

What medication might be prescribed in avoidant PD?

Answer 21

-SSRI esp if patient has comorbid SAD

Question 22

Contrast avoidant PD and schizoid PD.

Answer 22

avoidant wants relationship but fears rejection

schizoid has no desire for relationship

Question 23

Defense mechanism seen in Dependent PD?

Answer 23

-regression, like in histrionic PD

both are attention seeking to some degree

Question 24

Are men or women more likely to be diagnosed with DPD?

Answer 24

-women

Question 25

What separates OCPD from being Leah or Melissa?

Answer 25

-So preoccupied with order and detail that they FAIL TO COMPLETE TASK AND LACK INTERPERSONAL SKILLS.