Brain and Behavior: Personality disorders

…: enduring patterns of behavior, thoughts and feelings

personality

…: maladaptive thinking, feeling, behaving and social functioning, relatively inflexible, clinically significant distress to self and others, developmental origin, tend to be lifelong, one way of responding, unable to thrive outside of particular circumstances, ego syntonic, change the world not themselves

personality disorder

…: odd eccentric suspicious

mad disorders

…: dramatic, erratic, emotional

bad disorders

…: anxious fearful

sad disorder

Mad disorders: … (3)

paranoid, schizoid, schizotypal

bad disorders: … (4)

antisocial, borderline, histrionic, narcissistic

sad disorders: ... (3)

avoidant, dependent, obsessive-compulsive

Bad disorders have an increased association with … (3)

functional psychoses, mood/anxiety disorders, substance abuse

Sad disorders have an increased association with …

mood/anxiety disorders

the big five: … (5)

openness, conscientiousness, extraversion, agreeableness, neuroticism

…: appreciation for a variety of experiences

openness

…: planning ahead rather than being spontaneous

conscientiousness

…: being sociable, energetic and talkative

extraversion

…: being kind, sympathetic and happy to help

agreeableness

…: inclined to worry or be vulnerable or temperamental

neuroticism

People in the odd and eccentric cluster have some behaviors which we associate with schizophrenia without any of the …(4)

florid symptoms, delusions, hallucinations, thought disorders, underlying biochemical issue

…: long standing suspiciousness or mistrust of others

paranoid personality disorder

…: lifelong pattern of social withdrawal, and they enjoy their lives in isolation

schizoid

…: very odd, strange, weird, magical thinking, social anxiety (trouble reading social situations), lack of friends

schizotypal personality disorder

…: very unstable affect, behavior, self-image, always for them a never ending crisis, turmoil, upheaval, impusive, splitting, unstable but intense interpersonal relationships, self-mutilation to ensure their own reailty, have no boundaries

borderline personality disorder

…: Lifelong pattern of constant, continual only escalating criminal behavior and criminal acts, no long-term attachments, utilitarian use for people, no guilt or shame

antisocial personality disorder

…: antisocial disorder in training, until the age of 18

conduct disorder

Onset of antisocial behavior must be before the age of …

15

Antisocial individuals lack a …

superego

Emotional and fearful cluster do not have the … but they do have anxiety like behaviors

underling phycological anxiety response

…: isolated, but desperately crave community, vulnerable to rejection, social isolation, excessively shy, incapable of change

avoidant personality disorder

…: no obessessions and no compusions, orderliness inflexible and verything needs to be perfect, they love lists and crave rules, cant stand change, lack humor

obsessive compulsive personality disorder

…: they never take any responsibulies themselves and do not eant to make any decisions, look for others to assume responsibility, cant express diagreement, avoid confrontations, end up abused spouse

dependent personality disorder

…: aimed at reducing self-harming behaviors

dialectical behavior therapy

…: reflecting on own thinking and regulating oen affective response

mentalization based therapy

..: focuses on therapeutic alliance and transference/countertransference

mentalization based therapy

…: combines CBT, dynamic and mindfulness skills

schema focuses therapy

Pharmacotherapy of cluster A: …

low dose antipsychotics

Pharmacotherapy of cluster B: … (3)

mood stabilizers, anti-epileptics, antidepressants

Pharmacotherapy of cluster C: … (2)

SSRIs, venlafaxine

Prognosis of cluster A: …

poorer

Prognosis of cluster B: … (3)

functional improvement with age, poorer with substance abuse, high rates of suicide