OCTH 531: Class 11; Chapter 12, Personality Disorders

False.

People with Personality disorders (PD) often seek help early on.

True or False?

Childhood experiences.

Causes of Personal Disorders are unknown, but are typically associated with:

True.

People with Personality disorders (PD) do not typically seek help.

True or False?

It may seem natural to the patient.

This long term trait of Personality disorder (PD) is also why people typically do not seek help.

2/3rds.

Around _____ of patients diagnosed with Personality disorders (PD) have also been found to have another mental health diagnosis.

Early 20's.

Around what age does a Personality disorder (PD) become fixed?

Anxiety (52.4%).

What is the most prevalent comorbidity in people with personality disorders?

1. Anxiety,

2. Mood disorders,

3. Impulse control, &

4. Substance abuse.

What are comorbidities typically associated with personality disorders?

From long term individual or home trauma.

How are personality disorders typically developed?

Attachment theory.

What theoretical model is most useful in understanding the cause of Personality disorders?

Admission of responsibility for maladaptive behaviors.

What is the most important thing that is required of a patient with Personality disorder for them to have effective treatment?

1. Thinking,

2. Feeling,

3. Interpersonal relationships, &

4. Impulse control.

According to the DSM-5 categorization for Personality disorders, enduring patterns of deviating behavior must affect at least two of these areas:

1. Biological/ Genetic predisposition, &

2. Environmental.

What are the primary factors that contribute to the development of a Personality disorder?

1.

Symptoms must be present for at least _____ year(s) if younger than aged 18.

1. Maladaptive,

2. Inflexible,

3. Persistent, &

4. Cause significant functional impairment or subjective distress.

For the traits to lead to a diagnosis of a Personality disorder (PD), it must have these characteristics:

1. Anxiolytics,

2. Neuroleptics,

3. Mood stabilizers, &

4. Antidepressants.

What types of medication are used to treat Personality disorders?

c. A face painting group activity.

All of the following are good activities to use for someone with Paranoid Schizophrenia, except:

a. Doing arts and crafts alone.

b. A small group putting together a simple puzzle.

c. A face painting group activity.

d. Organizing a shopping list for themselves.

Cluster A.

People with this cluster of Personality disorders are characterized as being odd, eccentric, or bizarre by others. ("para-zoids")

Cluster B.

People with this cluster of Personality disorders are characterized as being erratic, dramatic, emotional, and self-centered by others. ("drama queen bee")

Cluster C.

People with this cluster of Personality disorders are characterized as being fearful, anxious, or avoidant by others. ("scaredy cat")

a. Paranoid.

c. Schizoid.

d.. Schizotypal.

Cluster A of Personality disorder includes these subtypes: (pick all that apply)

a. Paranoid.

b. Antisocial.

c. Schizoid.

d.. Schizotypal.

e. Avoidant.

f. Borderline.

g. Histrionic.

h. Dependent.

i. Obsessive-Compulsive.

j. Narcissistic.

b. Antisocial.

f. Borderline.

g. Histrionic.

j. Narcissistic.

Cluster B of Personality disorder includes these subtypes: (pick all that apply)

a. Paranoid.

b. Antisocial.

c. Schizoid.

d.. Schizotypal.

e. Avoidant.

f. Borderline.

g. Histrionic.

h. Dependent.

i. Obsessive-Compulsive.

j. Narcissistic.

e. Avoidant.

h. Dependent.

i. Obsessive-Compulsive.

Cluster C of Personality disorder includes these subtypes: (pick all that apply)

a. Paranoid.

b. Antisocial.

c. Schizoid.

d.. Schizotypal.

e. Avoidant.

f. Borderline.

g. Histrionic.

h. Dependent.

i. Obsessive-Compulsive.

j. Narcissistic.

Paranoid PD.

(don' look at me)

This subtype of PD is characterized by a pervasive distrust and suspiciousness of others such that their motives are interpreted as malevolent.

Schizoid PD.

(don't talk to me)

This subtype of PD is characterized by a pervasive pattern of detachment from social relationships with a restricted range of expression of emotions in interpersonal settings.

Schizotypal PD.

(don't laugh at me)

This subtype of PD is characterized by a pervasive pattern of social and interpersonal deficits marked by acute discomfort with reduced capacity for close relationships as well as by cognitive or perceptual distortions and eccentricities of behavior.

Antisocial PD.

This subtype of PD is characterized by a pervasive pattern of disregard for and violation of the rights of others.

Borderline PD.

This subtype of PD is characterized by a pervasive pattern of instability of interpersonal relationships, self-image, affects, and control over impulses.

Histrionic PD.

This subtype of PD is characterized by a pervasive pattern of excessive emotion and attention seeking behavior.

Narcissistic PD.

This subtype of PD is characterized by a pervasive pattern of grandiosity, need for admiration, and lack of empathy.

Avoidant PD.

This subtype of PD is characterized by a pervasive pattern of social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation.

Dependent PD.

This subtype of PD is characterized by a pervasive and excessive need to be taken care of, which leads to submissive and clinging behavior and fears of separation.

Obsessive-Compulsive PD.

This subtype of PD is characterized by a pervasive pattern of preoccupation with orderliness, perfectionism, and mental and interpersonal control, at the expense of flexibility, openness, and efficiency.

1. Understanding defense mechanisms,

2. Establishing therapy addressing occupational dysfunction, &

3. Prevention.

OT intervention of Personality disorders involve:

Schizoid PD.

People with this form of Personality disorder (PD) are considered "loners."

Depression.

Someone with Schizotypal PD may likely seek treatment for this mood disorder:

Antisocial PD.

The majority of the prison population may be occupied by people suffering from this Personality disorder:

1. ADL's,

2. Poor work history,

3. Difficulty with leisure, &

4. Poor social skills.

A common occupational problem among all Personality disorders are:

d. Tell them they can work alone until they are ready.

A client with Paranoid Schizophrenia refuses to participate in a group. What should the OT do to get them to participate?

a. Encourage them to join the group, nicely.

b. Force them to do the activity.

c. Tell them it is ok to work alone.

d. Tell them they can work alone until they are ready.

c. Practicing communication skills.

Which of the following social activities are good for a Schizophrenia client?

a. Play a game of Pictionary.

b. Play a game Charades.

c. Practicing communication skills.

d. A group activity requiring imagination.