Summary Final year MD notes - personality disorders
6 views 0 purchase
Module
Institution
Macquarie University (MQ
)
A collection suite of final psychiatric and mental health MD notes to ace your penultimate and final year exams!
Look no further and save the stress of accessing multiple resources as this PDF collates and summarises information from several resources including but not limited to:
-Talley and...
PERSONALITY DISORDERS
Personality disorders "mad (A) /bad (B)/sad (C)"
CLUSTER A ( ODD/ECCENTRIC/MAD)
Pervasive distrust with 4 of the following: Risk factors for cluster A
• Recurrent suspicions without justifications about other harming and deceiving them • Strong FHx of schizophrenia (esp. biological parents)
Paranoid • Unjustified doubt loyalty/trustworthiness • Immigrants (minority groups)
suspicious • Unforgiving of insults and bears grudges
• transition from rural to urban
• Interpret hidden/threatening meanings into benign events/remarks
• Reluctant to confide info in fear as it would be maliciously used against them
Pervasive pattern of detachment from social relationships with At least 4 of the following
General Mx:
Schizoid
socially • Solitary lifestyle • Sexual libido 1) Always be honest and respectful to these patients
indifferent / • Indifferent to praise or • Anhedonia 2) Understand that paranoid patient like to project
detached criticism • Friends lacking 3) Minimise interactions and provide factsheets or
• Relationships of no • Emotionally cold and detached technical information
SIR SAFE interest
Pervasive pattern of social and interpersonal deficits marked by acute discomfort and reduced
capacity to make close relationships with 5 or more of the following:
#1: Personality disorders (Sigmund Freud)
Schizotypal • Unusual perceptions • Affect – inappropriate, constricted All disorders related to fixation to ONE
eccentric + psychosexual stage of development e.g. oral
• Friendless except for • Ideas and Delusions of refence
distortions family stage = dependent and passive characteristic
• Doubts others – suspicious
• Odd beliefs / thinking and • Eccentric appearance / behaviour #2: B criteria for all
UFO AIDER speech (magical thinking) • Reluctant in social situations and XS social anxiety that
does NOT diminish with increasing familiarity
All do NOT occur exclusively during course
• of schizophrenia or bipolar disorder or
depressive disorder with psychotic features
CLUSTER B - Bad (dramatic/emotional)
A. Persistent Sx of disregard for and violation of rights of others since the age of Risk factors for cluster B
15yo with at least 3 or more of the following • Cluster B have Genetic component
• Conduct disorder before age 15y • Unstable • Strong assoc. between histrionic & somatisation disorders
Antisocial
• Current age at least 18 • Safety of self/others ignored • High risk of antisocial PD developing somatisation disorder
CALLOUS
• Antisocial acts that warrant arrest • Manipulative - others to profit, gain
MAN • High TT levels = impulsive traits
• Lies frequently power or materials
NO empathy • Tendency to talk more than listen
• Lacks a superego • Aggressive / apathetic
• Obligations not honoured • Not exclusively occurring during
schizophrenia or mania General Mx:
Pervasive pattern of unstable relationships, self-image and affect and marked 1) Gain an understanding of personality factors (sometimes
impulsivity starting from early adulthood with 5 or more of the following including their family of origin)
• Identity disturbance • Affective instability 2) Reduce idealisation of unit before admission to reduce
• Relationships unstable • Paranoid ideation devaluation after
Borderline • Abandonment frantically avoided • Anger poorly controlled 3) Appreciate that self-harm (e.g. cutting self) may be
“I RAISED A • Impulsive in ≥ 2 areas = e.g. XS spending, • Idealisation followed by protective mechanism to halt suicidal execution
PAIN!” sex, substance use, binge eating devaluation
4) Pharmacotherapy (for antisocial PD)
unstable ID • Suicidal behaviours, gestures and self- • Negativity – undermine
themselves with self-
• Nb: firm limit setting BEFORE therapy
mutilating behaviours
• Emptiness – chronic feeling defeating behaviour • Anti-psychotics for anxiety, rages
• Dissociative symptoms • Anti-depressants (SSRI) ® depression
Rx: Dialetic behavioural therapy (MINDFULLNESS® accept and change) 5) Dialetic behavioural therapy for borderline PD
Pervasive pattern of XS emotionality and attention seeking in early adulthood with 5 or 6) Validation through positive feedback (sandwich method),
more of the following • Important for narcissistic PD to accept narcissism
• Inappropriate behaviour – seductive or provocative before they can make progress
Histrionic • Centre of attention
attention • Relationships seen as closer than they really are
seeker
• Appearance most important
• Vulnerable to other’s suggestions (suggestive)
I CRAVE SIN
• Emotions exaggerated
• Shifting emotions, shallow
• Impressionist speaking (i.e. lack details) è Novelty is craved
Pervasive pattern of grandiosity (in fantasy or behaviour) with need for admiration and
self-entitlement with 5 or more of the following
Narcistic • Admiration required in XS amounts • Grandiose (sense of importance)
self-centred • Fantasise about unlimited success emphasise VIP status/wealth
grandiose and brilliance è requires XS admiration
• Arrogant / haughty behaviours - • Associated with special people
A FAME devalues others • Me first attitude
GAME • Manipulative • Empathy lacking for others
• Envious of others and thinks others
enby them
CLUSTER C - (anxious/fearful)
Avoidant Social inhibition (feeling inadequate) and hypersensitive with at least 4 of the following Risk factors
Inhibited – • Restrained within relationships • Criticism ( expected in social situations) • Nb: some cultures emphasise
feeling • Inhibited in interpersonal situations • Unwilling to get involved passivity, politeness, while others
inferior to • Disapproval expected at work • Longs for attachment to others discourage dependence
others • Inadequate view of self • Embarrassment is the feared emotion
RIDICULE Hallmarks
Nb: If blushing (DDx: social anxiety disorder)
Submissive and fear of separation with 5 of the following • risk of burnout
Dependent • Disagreement is difficult to express • Helpless when alone • always staying back after work
submissive • Advice- needs XS input • Unrealistically preoccupied with being left to care for • constant worry
anxious • Responsibility delegated to others self
DARN HURT • Nurturance – VOLUNTEER to do unpleasant • Relationships desperately sought after General Mx:
things to obtain nurturance and support • Tasks – difficulty to start projects 1) Psychotherapies - give time, things
Orderliness, perfectionism, mental and interpersonal control with 4 or more: may need to be repeated, meet
• Pre-occupied with orderliness (rules, lists, schedules) è Interferes with task completion when not hectic
Obsessive • XS devotion to work/productivity at expense of leisure and friendship 2) Goal to become independent,
rigid • Overly conscientious – inflexible about morality/values/ethics assertive and self-reliant
perfectionist
(self-critical)
• Cannot discard worthless objects or delegate tasks 3) Provide support to avoid burnout as
• Rigid and stubborn (miserly pending) work very slowly
• Does NOT spend time on self (unlike anti-social and narcistic personalities)
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller firstclass64. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for £6.42. You're not tied to anything after your purchase.
