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What types of personality disorders belong in Cluster A (odd & eccentric)?
- paranoid
- schizotypal
- schizoid
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What are the main features and interventions for Cluster A: PARANOID?
main features: blunted, cold guarded, suspicious, NO fixed delusion & hallucinations
interventions: non-intrusive & non-confrontational, build trust
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What are the main features and interventions for Cluster A: SCHIZOID?
main features: uncomfortable interacting with other, prefer solitary activites, remain reality oriented
interventions: slowly involve in unit activites, assist with verbal expression of feelings
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What are the main features and interventions for Cluster A: SCHIZOTYPAL?
main features: schizophrenia spectrum (do not meet full criteria); eccentric & odd, magical thinking, unusual perceptual experiences
interventions: offer support, guide gently, work on improving social, vocational, and interpersonal skills
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What types of personality disorders belong in Cluster B (Dramatic-Erratic)?
- Antisocial
- histrionic
- Narcissistic
- Borderline
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What are the main features and interventions for Cluster B: ANTISOCIAL?
main features: disregard for the rights of others; hx of criminal behavior; reckless & impulse; lack of remorse and responsibility
interventions: long term treatment; set & enforce firm limits; confront behavior; point out impact of behavior on others
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What are the main features and interventions for Cluster B: HISTRIONIC?
main features: dramatic; center of attention; overreaction to events; exaggerate intimacy
interventions: positive reinforcment for appropriate behaviors; independent problem-solving; expression of feelings
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What are the main features and interventions for Cluster B: NARCISSISTIC?
main features: inflated sense of self; grandiose; lacks empathy; arrogant; sense of entitlement
interventions: supportive confrontation; decrease focus on self-importance; group therapy
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What are the main features and interventions for Cluster B: BORDERLINE?
main features: emotional dyregulation, unstable relationships (over-idealization & devaluation); manipulative; SPLITTING may occur; increase risk for suicide; most likely to be hospitalized; increased PTSD; DID
interventions: implement safety plan; establish & maintain boundaries; supportive conforntation; DBT apprach; may use anti-depressants.
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What types of personality disoders belong in Cluster C (anxious-fearful)?
- avoidant
- dependent
- obsessive-complusive
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What are the main features and interventions for Cluster C: AVOIDANT?
main features: timid, withdrawn & socially uncomfortable; desire close relationships; appear uncertain & shy
interventions: assist in identifying and working through fears, development of social skills; teach relaxation techniques; activities to promote self-esteem
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What are the main features and interventions for Cluster C: DEPENDENT?
main features: excessive need to be taken care of; fear of separation; sense of helplessness; inability to make independent decisions; avoid conflict through passive behavior
Interventions: encourage & support independent decision-making; teach assertiveness; assist with anxiety management.
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What are the main features and interventions for Cluster C: OBSESSIVE-COMPLUSIVE?
main features: perectionistic & inflexible; preoccupied with rules and details; rigid & controlling; difficulty experiencing pleasure and having fun
interventions: encourage exploration of perfectionism; encourage development of leisure activites; explore impact of their behavior on others
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