Topic 3 Personality Disorders

• Dialectical behavioral therapy targets which three behaviors?

  Quality of life behaviors, therapy interfering behaviors, suicidal behaviors
• Countertransference occurs when the feeling of wanting to avoid the patient is based on prior interaction with them.
• What medication is usually used for a patient with antisocial personality disorder with aggressive behavior?

  Valproic acid
• What does Fluoxetine help with?

  It decreases irritability and helps with anxiety and depression.
• What does Clonazepam help with?

  Anxiety
• What can behavior for cluster B personality disorders be described as?

  Antagonistic, deceitful and manipulative for personal gain. They can be hostile if their needs are blocked.
• What are behaviors in cluster A personality disorder?

  Odd or eccentric.
• What are the behaviors for cluster C personality disorder?

  Anxious or fearful.
• For someone with borderline personality disorder, they experience anger or rage when feeling rejected or ignored.
• For someone with antisocial personality disorder, they have no conscience and their sense of right and wrong is impaired.
• What is personality?

  A universal concept that shows in people when they are infants and are shaped and formed by our environment, our response to it, the people in our lives, how we respond and interact with the world around us.
• What is a healthy personality?

  When a person can adapt their usual way of interacting in response to a situation where it wouldn't be appropriate.
• What is an unhealthy personality?

  It affects a person's ability to function effectively in interpersonal relationship or when challenges arise.
• What is a personality disorder?

  Consistently dysfunctional, dysphoric or maladaptive personalities.
• What is the Minnesota Multiphasic Personality Inventory?

  Personality assessment or inventory with results that can be aligned with DSM diagnostics for personality disorders.
• Personality disorders are diagnosed by clinicians according to DSM-5 criteria.
• Some personality disorder diagnoses require nearly lifelong persistence of certain maladaptive behaviors.
• What is DSM-5 criteria?

  Pervasive patterns of dysfunctional or maladaptive interaction.
• What are areas of challenge for patients with personality disorders?

  • Self - identity, self - direction
  • Empathy
  • Intimacy in relationships
  • Insight into the impact they have on others
• What are stigma?

  Negative presumptions by others in general society.
• Personality disorders are not common but everyone has personality traits.
• What are cluster A personality types like?

  Odd or eccentric behaviors. Another word for this would be "atypical".
• What three disorders are classified within Cluster A?

  Paranoid, schizoid, and schizotypal personality disorders.
• What behaviors can show paranoid personality disorders?

  Distrust, suspicion, increased anxiety in social situations, and a belief that others have malicious intentions.
• What behaviors show schizoid personality disorders?

  Social withdrawal, limited emotional expression, introverted lifestyle, difficulty interpreting social cues, and a preference for solitary activities. May precede schizotypal PD or schizophrenia.
• What behaviors show schizotypal personality disorders?

  Magical thinking, odd speech, strange behavior, eccentric dress, wants meaningful relationships, severe social anxiety, and may precede schizophrenia.
• There is reduced brain cortical volume in patients with schizophrenia and schizotypal PD.
• What are challenges to paranoid personality disorders?

  Trusting others, anxiety, projection is used as a defense mechanism.
• What are nursing guidelines to paranoid personality disorders?

  Adhere to planned activities and schedules, be genuine but straightforward (avoid overly friendly), and set limits on patient behavior.
• What are treatments for paranoid personality disorders?

  Individual psychotherapy, medication can help reduce anxiety and paranoid ideation. *Avoid group therapy since it can be threatening to them*
• What are challenges for schizoid personality disorder?

  Social interaction, detachment and loneliness.
• What are nursing guidelines for for schizoid personality disorder?

  Do not force social interactions, avoid over-friendly approach, motivational interviewing to determine willingness to discuss symptoms.
• What are treatments for schizoid personality disorder?

  Individual psychotherapy. Establish trust first then they might benefit from group therapy. Medications can help reduce depressive symptoms via antidepressants and antipsychotics can help patients show range of expressions.
• What are challenges for schizotypal personality disorder?

  Severe social anxiety, interpersonal deficits and paranoia.
• What are nursing guidelines for schizotypal personality disorders?

  Give patient time and space to socially isolate from a group environment. Observe suspiciousness or paranoia and intervene appropriately. Assess for any unaddressed needs like suicidal ideation. Magical thinking and odd speech may lead to omission.
• What are some treatments for schizotypal personality disorder?

  Provide supportive care since patients with schizotypal PD are not very interested in therapy which makes rapport hard to create. Medications can help decrease delusions or hallucinations via antipsychotics, anxiolytics or antidepressants to treat comorbid anxiety or depressive disorders.
• What are cluster B personality types like?

  They are characterized by dramatic, emotional or erratic (unpredictable) behaviors. These personalities have big responses to interactions or situations regardless of what the typical response would be.
• What are the cluster B disorders?

  Histrionic, Narcissistic, Borderline, Antisocial.
• What is the histrionic personality disorder like?

  They like to be the center of attention, they feel unworthy unless praised, have low self-esteem, highly suggestible.
• What is the narcissistic personality disorder like?

  They have a grandiose sense of self, is the center of attention that is aware of their own "importance", lacks empathy or remorse.