Which of these characteristics describes cluster A?
B.
Which one of these describes Cluster B?
A.
Which one of these characteristics describes cluster C?
B.
Which cluster (a,b,c) is a person who is paranoid?
A
Which cluster A disorder is this client:
1. generally distrustful and suspicious of others
2. reacts severely if they feel like they've been lied to
3. holds grudges
Paranoid
Which cluster is a person who is considered Schizoid? a,b,c
A
T or F: a person who is schizoid will typically have a flat affect
True
Which cluster and disorder in that cluster does this person have:
1. might be considered as a "loner"
2. physical contact is less pleasurable
3. unconcenred about praise or criticism
schizoid: cluster A
Schizotypal is considered to be in which letter cluster?
Cluster A
Which cluster and disorder in that cluster is this person:
1. has "magical thinking." believes everything relates to destiny about them
2. eccentric behavior, has trouble concentrating for long periods
3. poor at gauging how others' perceive them
Schizotypal: cluster A
t or f: most with schizotypal disorder can marry and have multiple people they relate to closely
false: many marry, but most do not have more than one person they relate to closely
Can schizotypal be genetic?
Yes
Fill in:
Some studies in schizotypal causes have shown a poor regulation of _____ pathways in the brain.
dopamine
This med is used for schizotypal personalty disorder if there are some psychotic symptoms present. (hint: starts with a C)
Clozapine (clozaril)
Medications are not warranted for this type of personality disorder. (hint: type A)
Schizoid
What are the 3 personality disorders in Cluster B?
1. Antisocial
2. Histrionic
3. Narcissistic
What is antisocial personality disorder:
C.
This cluster (a,b,c) is hard to treat because they rarely seek evaluation or treatment, and typically needs a court order (or pressure by a family member).
Cluster B
T or F: when treating a person in cluster B, it is considered progress when they experience intense feelings
True: you want to assist in making connections between actions and feelings
To treat cluster B personality disorder, What are the meds you use to control mood swings as well as aggressive outbursts?
Mood swings: lithium
outbursts: propranolol or carbamazepine
What is the matter of fact approach?
It is when you set limits at the 1st sign that rights of others are not being violated
make sure the patient knows exactly what behaviors are acceptable
focus on behavior not their feelings
What are the disorders in cluster C personality disorder? (3)
1. avoidant
2. dependent
3. obsessive-compulsive (ocpd, NOT OCD)
What cluster and the disorder in this cluster is this person:
1. disregard moral and societal norms
2. charming, which can be used to manipulate for personal gain
3. little empathy and poor impulse control
Antisocial: cluster B
What luster and disorder in this cluster is this person?
1. unstable moods: intense joy <--> intense rage
2. can have wonderful relationships which can become dramatic and sour over time
3. hard time distinguishing reality from their own misperceptions of the world
Borderline personality: cluster B
Which cluster and the disorder in this cluster is this person:
1. Attention-seeking and excessive emotion: manipulate to draw attention
2. viewed as shallow, flighty, and egocentric (phony)
3. easily hurt by others, yet have no loyalty (lack of empathy for others)
Histrionic: cluster B
T or F: people who have histrionic personality disorders will sometimes make suicidal gestures as a way to get attention and should not be taken too seriously.
False: threats should always be taken seriously and needs to be assessed
T or F: Group therapy is used over individual therapy with Histrionic treatment
False: individual over group
What other personality disorder can be associated with Narcissistic PDO?
Many with narcissistic PDO will also have histrionic and/or borderline PDO characteristics or dx
Which personality disorder was dialectical behavior therapy (DBT) specifically designed for?
borderline personality disorder
What are the disorders in cluster C PDO?
1. avoidant
2. dependent
3. obsessive-compulsive
What cluster and disorder is this?
1. shy, timid, low self-esteem
2. want close relationship, but rarely takes social risks
3. hypersensitive to rejection and negative feedback
Avoidant: cluster C
What cluster and disorder is this?
1. constantly thinking about orderliness, complete control, and detail
2. inflexible and easily stressed
3. rigid with beliefs and moral issues (perceived as stubborn)
obsessive-compulsive personality disorder: cluster c
What is the difference between OCD and OCPD?
OCD: repetition of ritualistic actions which are ego-dystonic (wishes they could stop)
OCPD: ego-syntonic: happy with who they are, and don't want to change
What disorder and cluster is this?
1. intense fear of separation/rejection
2. lacks self-confidence
3. find it very hard to make simple decisions for themselves
dependent: cluster C
What other psychiatric disorders can also be seen with people who have avoidant personality disorder?
social phobia, schizoid, agoraphobia, dissociative disorders
