220 personality disorders

What is the biggest challenge in personality disorders?

Interpersonal dysfunction + maladaptive behaviors.

Hallmark of paranoid PD?

Distrust and suspicion.

Best communication approach PPD?

Clear, direct, neutral (avoid friendliness).

Key trait schizoid?

Prefers isolation, no desire for relationships.

Key features? schizotypical

Odd beliefs, magical thinking, social anxiety.

Nursing approach? schizotypical

Build trust slowly, avoid judgment.

Hallmark of BPD?

Emotional instability + impulsivity + unstable identity.

“I love you / I hate you” behavior indicates?

Splitting.

#1 nursing priority?

Prevent self-harm and suicide.

Most important intervention?

Consistent boundaries.

Patient says, “You’re the only good nurse.” Best response?

Patient says, “You’re the only good nurse.” Best response?

Gold standard therapy BPD?

Dialectical Behavior Therapy (DBT)

Dialectical Behavior Therapy (DBT).

Lack of empathy + disregard for others.

#1 nursing priority APD?

Protect others (risk for violence).

Key trait histronic PD?

Attention-seeking, dramatic.

Key trait narcissistic PD?

Grandiosity + need for admiration.

Key trait avoidant PD?

Wants relationships but fears rejection.

Best nursing approach avoidant PD?

Supportive, gradual exposure.

Key trait Dependent PD?

Needs others to make decisions.

Nursing goal dependent PD?

Promote independence.

Key trait OCPD?

Key trait?

Patient upset with schedule change. Best response?

Provide advance notice

BPD vs Antisocial—key difference?

• BPD = fear of abandonment

• Antisocial = no remorse

Who self-harms?

BPD

Who harms others?

antisocial pd

Paranoid personality disorder, treatment

• Psychotherapy, group therapy is not recommended

• Valium diazepam

• Haperidol (haldol)

• Pimozide (orap)

Schizoid personality disorder treatment

Group therapy can be beneficial

Psychotherapy

Antidepressants for comorbid depression

Narcissistic personality disorder

• CBT

• Group therapy

• Lithium may be used to address associated mood swings

BPD treatment

• DPT gold standard

• Biological treatment

• CBT

• Schema focused therapy