Exam (elaborations)
Psychiatry EOR
Exam of 50 pages for the course Psych at Psych (Psychiatry EOR)
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Psychiatry EORCluster A personality d/o?
Schizoid, Schizotypal, Paranoid
Note: Cluster A can have transient psychosis; tx w/ short course of low-dose
antipsychotics. Clusters A, B, & C => "Weird, wild, and worried/wimpy."
Cluster B personality d/o?
Antisocial, Borderline, Histrionic, Narcissistic
Note: Clusters A, B, & C => "Weird, wild, and worried/wimpy."
Cluster C personality d/o?
Avoidant, Dependent, Obsessive Compulsive
Note: Clusters A, B, & C => "Weird, wild, and worried/wimpy."
Cluster B uniquely associated w/ _____ d/o.
mood
Note: Cluster B: Antisocial, Borderline, Histrionic, Narcissistic => Wild.
Cluster C uniquely associated w/ _____ d/o.
anxiety
Note: Cluster C: Avoidant, Dependent, Obsessive-Compulsive Personality D/o =>
Worry.
,*Cluster A uniquely associated w/ _____ d/o.
psychotic (Schizophrenic)
Note: Cluster A: Schizoid, Schizotypal, Paranoid => Weird.
Emotional aloofness, voluntary social withdrawal, content w/ social isolation.
Schizoid
Note: Schizoid = Avoid (on purpose).
Avoidant Personality D/o desires relationship w/ others but wants to avoid
criticism.
43y/o unmarried M keeps to himself, works as computer programmer. Doesn't
get out much but content w/ his life.
Schizoid
Schizoid Personality D/o vs. Avoidant Personality D/o?
Schizoid: Content (ego-syntonic) w/ social isolation. They choose isolation.
Avoids on purpose.
Avoidant: Desires relationship (ego-dystonic = not content w/ their life) w/ others
for fear of rejection.
Wants to avoid criticism/rejection only.
,Eccentric/odd behavior, magical thinking, no/few close friends, discomfort w/
social relationships. Possible transient psychosis.
Schizotypal Personality D/o
Schizotypal Personality D/o tx most successful?
Psychotherapy, but won't change thought processes. Requires antipsychotics.
29y/o M who believes he must wear foil to avoid unintentionally sharing thoughts
with other people. Unusual clothing.
Schizotypal Personality D/o
General distress and suspicion/mistrust of others. Thinks spouse is cheating.
Inability to confide, hold grudges.
Paranoid Personality D/o
Note: Avoid group therapy.
Personality D/o where you should think sociopath (= lack of remorse and concern
for others)?
Antisocial Personality D/o
Don't respect rules, drug use, law-breaking, homicide/suicide.
If pt. using drugs, how do you tell difference btw Substance Abuse D/o and
Antisocial Personality D/o?
Which came 1st
, Disregard for and violation of rights of others w/ lack of remorse. Sociopath.
Dx if pt. is <18y/o?
Dx if pt. is at least 18y/o?
Conduct D/o
Antisocial Personality D/o
Difference btw Conduct D/o and Oppositional Defiant D/o?
Conduct D/o: Worse; precursor to Antisocial Personality D/o.
Oppositional Defiant D/o: Not aggressive toward people/animals, don't destroy
property, no pattern of theft/deceit.
Unstable in relationships (splitting, emotional instability, separation,
emotions/identity tied to relationship); high impulsivity; limited self-identity (b/c
defined by relationship). Possible addiction. Self-harm. Low self-esteem.
Borderline Personality D/o
Dramatic, center of attention, very shallow, seductive, concern w/ appearance.
Low self-esteem.
Histrionic Personality D/o
Note: More dramatic and no splitting, as compared to Borderline Personality D/o.
F acting inappropriate. Telling stories. At first, easy to get along with, then
increasingly more difficult.
Histrionic Personality D/o
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