Flashcards in personality disorders REVISE Deck (66)
what axis of DSM V do personality disorders come under?
characteristics of all personality disorders?
persitent not episodic
problems in relationships and social functioning
inflexible perception of the outside world and self which deviates from cultural exceptions
violence towards themselves (towards others in antisocial PD)
psychiatry compared to psychology
psychiatry - all about diagnostic categories
psychology - work on basis of formulations not diagnosis
statistics of GP visits of those with a PD?
stats for A&E?
visits 5x as often as a regular person
24% of GP visits are by those with a PD
9% of A&E visits
example of when a PD isn't persistent?
Zannarini found that 93% of those diagnosed with borderline PD no longer met criteria 16 years later (remission) due to personality maturation
however, all still experiencing psychological difficulties such as impairment of social functioning so not completely cured
definition of remission?
a temporary reduction of disease severity or pain
stat of how many world wide given diagnosis of PD?
1 in 16 people
morbidity stats related to those with PD?
one of the highest suicide rates of any mental health disorder (8-10%)
death also due to health issues relating to disorder e.g substance abuse
men with PD die 18 years earlier
women with PD die 19 years earlier
what makes PDs much more difficult to treat?
when it is paired with another mental disorder in an individual
what percent of those in mental health clinics have a PD?
what percentage of the prison population has a PD?
difference between axis 1 and axis 2?
axis 1 more episodic psychiatric disorders
axis 2 PDs and other persistent psychiatric disorders
how many with BPD have a depressive disorder?
what does depression + personality disorder increase likelihood of?
the PD part increases likelihood of chronicity (long duration) of depression
what percentage of those with bipolar disorder have a PD?
what disorder is almost ubiquitous (simultaneous) with PD?
what percent of drug users have a PD?
what percent of alcohol misusers have a PD?
how many have an eating disorder alongside their PD?
which forms of PDs are in cluster A?
paranoid, schizoid, schizotypal
which forms of PD are in cluster B?
antisocial, borderline, histrionic, narcissistic
which forms of PD are in cluster C?
avoidant, dependent, obsessive-compulsive
what are the criticisms of taking a categorical approach to diagnosising PD?
PDs generally fulfill the criteria for more than one form of the disorder
personality not naturally idvided into these categories
characteristics of cluster A?
paranoid and withdrawn so little contact with services
characteristics of Paranoid PD?
see others as critical and attacking of them
so react in a violent manner towards others
characteristics of Schizoid PD?
withdrawn and not engage in social contexts
characteristics of schizotypal PD?
odd and excentric ideas and behaviour (milde symptoms of schizophrenia)
61% heritability and at risk if 1st degree relative has schizophrenia
characteristics of APD?
disregard for rights of others
tendency towards agressive behaviour towards others
3/4 of criminals meet criteria
genetics, exposure to violence and poverty
characteristics of BPD?
instability and impulsivity in interpersonal relationships and mood
bouts of being psychotic and hearing voices as lack of realitiy understanding
highest rates of suicide behaviour and 2/3s engage in self mutilation (high contact with services and accident emergency)
high comorbidity with mood disorders and ptsd
genetics (35% concordance with MZs and only 7% in DZs) and childhood abuse