Personality Disorders

What are overall clinical manifestations of a personality disorder

frequent mood swings, angry outbursts, social anxiety, need to be center of attention, feeling taken advantage of, blaming world for problems, not seeing anything wrong with own behavior

Which cluster do individuals appear odd and eccentric and what types of disorders is it

Cluster A

paranoid, schizoid, schizotypal

What disorder is when an individual distrusts and suspicious

paranoid

in what personality disorder are psychopharmacological interventions are not useful

“pure” schizoid personality disorder

What are manifestations of schizoid personality disorder

denies or does not enjoy close relationships, solitary activities, has little interest in any activities, indifferent/detached

What are manifestations of paranoid personality disorder

unjustified doubts, reluctant to confide, bears grudges, perceives attacks on their character or reputation, suspicious of others without justification

what personality disorder is marked by discomfort with and reduced capacity for close relationships and cognitive distortions/eccentric behavior

schizotypical

What are manifestations of schizotypal personality disorder

odd beliefs or magical thinking, unusual beliefs or magical thinking, unusual perceptual experiences, odd thinking and speech, suspiciousness or paranoid ideation, inappropriate affect

What is the general characteristics of individuals who have cluster b personality disorders

appear dramatic, emotional, erratic

What is antisocial personality disorder and what are the manifestations

disregard for and violating the rights of others

manipulation of others for personal gain, lack of empathy, rarely remorseful, failure to develop stable interpersonal relationships, criminality

What is the treatment for antisocial personality disorder

difficult to treat

family therapy for prevention, CBT, therapeutic residential communities

What are the personality disorders of cluster B

histronic, narcissistic, borderline, antisocial

what personality disorder is a pervasive pattern of instability of interpersonal relationship, self image and affects and impulsivity beginning in early adulthood and present in many contexts

borderline

what is nursing care for borderline personality disorder

clear boundaries and limitations, countertransference responses, consistency in rules and staffing

What is histronic personality disorder

excessive emotionality and attention seeking

dramatic, suggestible, center of attention, inappropriate behavior, shallow expression of emotions

What can contribute to narcissistic personality disorder and what are manifestations

grandiosity, need for admiration, lack of empathy, superficial/exploitative relationships

parenting styles can contribute

manifestations - identity disturbances, difficulty with dependence/attachment, emptiness feelings, vulnerability in life transitions

What are people who have personality disorders at increased risk for

suicide attempts, physical injury, premature death, unplanned pregnancy, comorbid anxiety/mood/substance disorders

What do people with personality disorders have a less favorable response to

treatment for depression, anxiety, or substance use disorder

What are physical comorbid diseases that are common with personality disorders

CV disease, arthritis, diabetes, GI disease

What are the cluster C disorders and what is the main manifestation

avoidant, dependent, OCD personality disorders

anxious/fearful

What are manifestations of avoidant personality disorder

avoids occupational activities, need to be liked, restraint within relationships, preoccupation with being criticized or rejected

What are manifestations of dependent personality disorder

difficulty making daily decisions, excessive need for reassurance, need new relationship when a close relationship ends, unrealistic fear of not being able to take care of self, difficulty expressing disagreement

manifestations of obsessive compulsive disorder

preoccupation with details, lists, rules, order, perfectionism interferes with task completion, reluctant to delegate tasks, rigidity and stubbornness, excessively devoted to work/productivity

which personality disorders have psychopharmacological interventions as a treatment option

schizotypical (antipsychotics for schizophrenic symptoms)

paranoid (antipsychotics in small doses)