personality disorder

personality is

depp ingrained, enduring pattern, thinking behaving, felling

perople disorder have diffuclt with

impulse mamage

interpersonal relationshio

emotion and thought

problem in living,disrupt quaility of life,

cluster A

eccenteria odd

social isolation, detachment, perception distortion

paranpid, shcizid,scizotypal

cluster b

drmaatic emotional ,erratic

impluse control, interpersonal difficulty

antisocial, borderline,nacrisstic, histrionic

cluster C

anxious, fearful

hypersensitvity

dependent, OCD, avoidant

most common

bordeline,ocd, antiscoial

comorbidity

anxiety, depresision,eating disoder, susbtance abuse

etiology

-genetic

-neurobio/neuro chem

-learning-maladaptive response from modeling

-cognitev therapuy

-family encir,ent

denfensive ,echanism

ego attempt to protect feeling inadeuqcy,worthlessness

1.projection”unoncsiou rejection of unacceptable personal feature, and attribute to others

2.acting out

3**spliting-cant integrrat postive and negative feeling, if bad even a bit, quickly devaluation,

antisoical epidemiology

men

inconstieetn parenting

abuse, neglect

genetic

DSM antisocial

since age 15 more than 3:

-failure to conform social norm,criminal misconduct

-deceitfeulness;lying, aliase, con other for profit

-ompulsivity, cant plan ahead

-irritability, aggressiveness, repeat physical fight

-reckelss,disregard for other safety

-irresponssibility;repeated failure,no obligationhigh risk

-lack of remorese:indifferent,rationalizing, hurt, mist

antisoical tx

-hard,mandated by court

-psychotherpay

-mood stablzier-aggresion.impulse

bordeline epidemiology

-women

-geneitc

-abandonment

-high mortality

DSM criteria

instable interperonsal relationship,self image, affect, implusivity 5+

-frantic effort to aovid abndon

-unstable intense relationship,extrem indealziation, devalution

-identity disturbance-unstable self image,sense of self

-impulsive self destructive

-suicide behvairo,gestue,threat, self mutilating

-affect instability-emotion extrem

-intense anger unable control

bordeline tx

-sually seek help for depression,anxiety, suicidal,self harm,eating

-reflet about self injry, assume res;onsbile and control owm bhevaior

-repsonse to low dose antipsy,mood stabilizer

dilatical behbiaor therapy

incrase ability to manage stress

focus on behabior target, begin with identification,intervention,progress to focus on destructive behvair

1mindfulness:aware own thought, action motivation

2.interpersonal efectibenss, solve social and interpersonal

3.emotional regulation

-disress tolerance:accept distress

NPD-DSM criteria

grandiosoity,need amdimiration,lack of empathu 5+

-grandiouse self importance

-preoccupy fantay unlimited sucess, power,brilliance,beauty

-special unqiue,only undestood by high status people

-excessivee admiration needed

-entilement

-exploaitove, take advantaeg of others

-lack empathy

-arrogant, haughty

-sensitve to rejectiion and ctiticize

NPD CBT

deconstucting faulty thinking

froup therapy help with empathy

seek healp for depression if sb dont appreciate qualoity

-no med

OCD characterized

repetive to fix obesession,mean to reduce anxiety, prevent dreaded vent,orderliness, perfetionism mental control,expense of fleixbility,openness,

-preoccupied with detail,rule,shcledue, lost major activity

-show perfectionist intefere with task completion

-devote to work and productive exclude leisure

-overconscientious:scrupulour,infleixble about morelity mayer, ehtnic

-unable t odiscard worthless objedt

-delucant to delegate taks unless good

-rigidity,stubborness,

ocpd and ocd difference

ocd:obesessive thought to reduce anxiety, aware it is unreasonble ,ss fluctuate

OCPD:chronic unhelathy focus on perfectionism,action ir right, feel comfortable with it

assessment

-suicidal.homicial thought

-recent loss

-medical disorder.psy

-violent

-past abuse

-med

susbatance

-might not be accurate lack of insight, ask family friend instead

planning

=relationship:might blame oyhers

lack ability to trsut, need sense of control

cluster b intervention-impulse

get theri need frist si non they will acting out tomanipulate

-ientify feeling prior to act,i deitfy situation trigger, discuss alternate behvaior

-assit identify course of possible action pro and con

-cur to stop and think before axcting

-practive problme solving

-pisitve reinforcement

clsuter c specific behavior

empathetic mirror

i understand but it si not safe

iscuss what is desirable /underiable

communicate expecation and consequence

-refrain from argue, bargneing

aggresion intervention

identiy soufce,instead of acting on intense feeling

-dicuss behaviral expectation,conseuqnce of inaaproate

-monitor aggresion potential,intervene before

-seek asssitance if increse tension

-physical outlet if anger

-prevent physcial harm