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Personality Disorders

Personality Disorders. Chapter 8 p. 303. PERSONALITY DISORDERS. Onset Teens Enduring, Inflexible, Consistent, Maladaptive Can cause Significant Impairment and/or Distress. DSM IV PD. Axis II 10 Diagnoses + NOS. Paranoid Schizoid Schizotypal Antisocial Borderline. Histrionic

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Personality Disorders

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  1. Personality Disorders Chapter 8 p. 303

  2. PERSONALITY DISORDERS • Onset Teens • Enduring, Inflexible, Consistent, Maladaptive • Can cause Significant Impairment and/or Distress

  3. DSM IV PD • Axis II • 10 Diagnoses + NOS

  4. Paranoid Schizoid Schizotypal Antisocial Borderline Histrionic Narcissistic Avoidant Dependent Obsessive-Compulsive DSM IV PERSONALITY DISORDERS

  5. CLUSTERS A. Odd or Eccentric Paranoid Schizotypal Schizoid B. Dramatic or Erratic Antisocial Histrionic Borderline Narcissistic C. Anxious Avoidant Obsessive - Compulsive Dependent

  6. CHARACTERISTICS OF PD • Relation to Axis I • 10% - 20% of General Population • Gender : ASPD, Schizoid Avoidant, Dependent • Etiological Theories • Dynamic • Biological / Genetic

  7. PARANOID PD Pervasive Distrust + Suspiciousness, Interpret Motives as Evil 4 + of : Suspicious Feels Attacked Preoccupation with Distrust Jealous Won’t Confide Grudges Misinterprets Motives

  8. SCHIZOID PD Detached + Few Emotions 4 + of : Eschew Closeness No Close Friends Solitary Indifferent No Sex Interest Cold Not Enjoy Activities

  9. SCHIZOTYPAL PD Discomfort with Relationships, Cognitive Distortions + Eccentric 5 + of : Ideas of Reference Odd Magical Beliefs Perceptual Disturbances Odd Thoughts/Speech Paranoia Inappropriate Affect Odd Behavior/Appearance Loner Anxious Socially

  10. ANTISOCIAL PD (ASPD) Disregard Rights of Others (and meet Conduct Disorder) 3 + of : Unlawful Reckless Deceitful Irresponsible Impulsive Lack Remorse Aggressive

  11. BORDERLINE PD Unstable Relationships, Affect, Self-Image Plus Impulsiveness 5 + of : Fears Abandonment Mood Shifts Unstable Relationships Feels Empty Changing Self-Image Anger Impulsive Sex, Spending, Temporary Etc Paranoia Suicidal Behavior

  12. HISTRIONIC PD Excessive Emotionality, Attention Seeking 5 + of : Needs Attention Seductive Dramatic Flaunting Mood Shifts Suggestible Impressionistic, Exaggerates Vague Speech Relationships

  13. NARCISSISTIC PD Grandiose, Needs Admiration, Without Empathy 5 + of : Self Important Exploitative Fantasies of Success Lacks Empathy Feels Special Envious Needs Admiration Arrogant Entitled

  14. AVOIDANT PD Inhibited, Inadequate, Sensitive 4 + of : Avoids Social Activity Reluctant Relationships Fears Intimacy Fears Criticism Avoids New Activities Sees Self Inferior Fears Embarrassment

  15. DEPENDENT PD Needs to be Taken Care of, Fears Separation, Submissive 5 + of : Indecisive Seeks Nurturance Avoids Responsibility Fears Solitude Avoids Lacks Initiative Fears Abandonment

  16. OBSESSIVE-COMPULSIVE PD Orderliness, Perfectionist, Inflexible 4 + of : Detail Oriented Unable to Discard Perfectionism Can’t Delegate Work Oriented Miserly Over Conscientious Rigid

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