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Personality Disorder Notes

Medicine Notes > Clinical Psychiatry Notes

This is an extract of our Personality Disorder document, which we sell as part of our Clinical Psychiatry Notes collection written by the top tier of Bristol University students.

The following is a more accessble plain text extract of the PDF sample above, taken from our Clinical Psychiatry Notes. Due to the challenges of extracting text from PDFs, it will have odd formatting:

Personality Disorder
? ? ? ? Personality disorder- ICD10 o Characteristic and enduring patterns of inner experience &
behaviour= deviate markedly from culturally expected and accepted range o Manifest in two or more of following areas
? COGNITION
? AFFECTIVITY
? CONTROL OVER IMPULSES & GRATIFICATION OF NEEDS
? MANNER RELATING TO OTHERS & HANDLING INTERPERSONAL SITUATIONS o Organic brain disease, injury, or dysfunction must be excluded as cause o REPORT
? Relationships affected
? Enduring
? Pervasive
? Onset in childhood/adolescence
? Result in distress
? Trouble in occupational/social performance o Three broad groups/clusters (disorders co-exist)
? A (Odd/Eccentric)= Paranoid, schizoid
? B (Dramatic/Erratic/Emotional)= Histrionic, dissocial, borderline, narcissistic
? C (Anxious/Fearful)=
Anankastic (OCD), anxious, dependent
? ? ? ? What causes personality disorder?
o Genetic o Neurophysiology
? Low 5HT levels
? Decreased amygdala activity o Childhood development
? Trauma=physical/sexual abuse
? Violence
? Behaviour problems (severe aggression, disobedience, temper tantrums)
? Attachment issues
? ADHD o Psychodynamic theories o Cognitive behavioural theories
? ? ? ? CLINICAL PRESENTATION OF PERSONALITY DISORDERS o PARANOID PERSONALITY DISORDER (DDs: schizophrenia, persistent delusional)
? Sensitive
? Unforgiving
? Suspicious
? Possessive & jealous of partners
? Excessive self importance
? Conspiracy theories
? Tenacious sense of rights

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