Disordered unstable affect with marked mood reactivity
Emptiness feelings
Suicidal behaviors, gestures that are recurrent
Paranoid ideation under duress
Abandonment sense
Impulsivity
Rage that is inappropriate
Relationship instability with extremes of idealization and devaluation
treatment for BPD - ANSWERS-Psychotherapy: individual therapy, group therapy
(not usually tho), behavioral therapy and social skill training, limit-setting
Pharmacologicical therapy: olanzapine (Zyprexa) recently shown promise in
stabilizing labile moods, controlling the characteristically brief psychotic episodes,
and impulsive behavior, SSRIs for depression, MOAIs for impulsive behaviors
,Histrionic Personality Disorder (HPD): - ANSWERS-pervasive, excessive
emotionality and attention-seeking behavior that begins by early adulthood and is
present in a variety of contexts
Histrionic personality disorder mnemonic - ANSWERS-Memory Aid: PRAISE ME
Provocative
Relationships overvalued
Attention seeking and uncomfortable when not
Influenced easily
Style of speech exaggerated without details
Emotions shallow and rapid shifting
Made-up in ways to draw attention
Emotions exaggerated (theatrical)
Treatment of HPD: - ANSWERS-Psychotherapy with focus on identification of
emotions/insight is the treatment of choice
Narcissistic Personality disorder (NPD): - ANSWERS-Pervasive pattern of
grandiosity, need for admiration, and lack of empathy; distinguishing feature is
grandiosity
narcissistic personality disorder and males - ANSWERS-closely related with
anorexia
Treatment of narcissistic personality disorder: - ANSWERS-(treatment is difficult)
Psychotherapy is recommended if individual is able to acknowledge need for
change
Pharmacological: antidepressants for co-existing mood disorders or lithium
(Eskalith) for mood swings
• Dialectical Behavior Therapy (DBT): - ANSWERS-This type of therapy was
developed for individuals with borderline personality disorder. DBT uses concepts
of mindfulness and acceptance or being aware of and attentive to the current
situation and emotional state. DBT also teaches skills that can help:
o Control intense emotions
o Reduce self-destructive behaviors
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