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PD overview definition
pattern on perceiving, relating to, and thinking about self, others, and the environment as INFLEXIBLE, Maladaptive--sig distress
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NT involved in PD
DA and SER
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PD risk factors
SUD, mood disorders, anxiety, high risk
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Name ex of the defense mechanisms
- primitive and inefficient
- fantasy, splitting, projection
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PD dx criteria
- must have at least 2
- ineffective cogn cap (immature/distorted perceiving)
- affect abnormal (intense, labile)
- interpersonal functioning
- diff with impulse control
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antisocial sxs
No conscious or remorse
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Paranoid sxs
suspicious of others' motives
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Narcissistic sxs
need for admiration and lacks empathy
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Borderline sxs
unstable interpersonal relationships, self-image, and impulsivity
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Histrionic sxs
excessive emotionality and attention seeking
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Dependent sxs
submissive, fears separation, clinging
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Schizoid
detached from social relationships
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Cluster classifications
- Cluster A odd, eccentric, aloof (MAD)
- Cluster B dramatic, emotional, erratic (BAD)
- Cluster C anxious and fearful (SAD)
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Cluster A disorder and therapy & pharm
- Schizotypal, schizoid, paranoid
- straight forward, warm, and honest-->trust issues--> good therapy
antipsychotics and AD, and treat anxiety
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Cluster B disorders and therapy
- Narcissistic-difficult d/t renounce, group tx
- Antisocial-set limits, attend to self destructive beh
- Histrionic-clarify inner feelings, psychoanalytical tx
- Borderline-
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Cluster C disorders
- obsessive-usually aware
- dependent-dev indep and self reliance
- avoidant-accept attitude of fears, build skills
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What is a psychodynamic theory
understanding of how person's views self in relating to other significant people in environment
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What is splitting
- black and white (all or nothing)
- unable to integrate + or - feelings of self
- "i think i am an ok person"
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Object constancy and example disorder
- ability to maintain relationship even if there is high stress or changed in the environment
- -borderline, person leave and has rage
- example: office staff getting abuse
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What is the best therapy for BPD
DBT
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