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Medicine Notes Clinical Psychiatry Notes

Personality Disorder Notes

Updated Personality Disorder Notes

Clinical Psychiatry Notes

Clinical Psychiatry

Approximately 47 pages

This series of notes is on psychiatry. It includes psychiatry basics, treatments and complications. Each disease is separated into a different document, with it's own classification. These notes were made using a variety of textbooks, notes from tutorials with consultants and knowledge gained on the ward with doctors. These notes helped me a achieve a good grade of 78% in the end of year exams....

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The following is a more accessible 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

    • Characteristic and enduring patterns of inner experience & behaviour= deviate markedly from culturally expected and accepted range

    • Manifest in two or more of following areas

      • COGNITION

      • AFFECTIVITY

      • CONTROL OVER IMPULSES & GRATIFICATION OF NEEDS

      • MANNER RELATING TO OTHERS & HANDLING INTERPERSONAL SITUATIONS

    • Organic brain disease, injury, or dysfunction must be excluded as cause

    • REPORT

      • Relationships affected

      • Enduring

      • Pervasive

      • Onset in childhood/adolescence

      • Result in distress

      • Trouble in occupational/social performance

    • 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?

    • Genetic

    • Neurophysiology

      • Low 5HT levels

      • Decreased amygdala activity

    • Childhood development

      • Trauma=physical/sexual abuse

      • Violence

      • Behaviour problems (severe aggression, disobedience, temper tantrums)

      • Attachment issues

      • ADHD

    • Psychodynamic theories

    • Cognitive behavioural theories

  • CLINICAL PRESENTATION OF PERSONALITY DISORDERS

    • PARANOID PERSONALITY DISORDER (DDs: schizophrenia, persistent delusional)

      • Sensitive

      • Unforgiving

      • Suspicious

      • Possessive & jealous of partners

      • Excessive self importance

      • Conspiracy theories

      • Tenacious sense of rights

    • EMOTIONALLY UNSTABLE PERSONALITY DISORDER

      • 2 subtypes. Both have

        • Affective instability

        • Explosive behaviour

        • Impulsive

        • Outbursts of anger

        • Unable to plan/consider consequences

      • BORDERLINE PD (DDs: adjustment disorder, depression, psychosis)

        • Self-image unclear

        • Chronic 'empty' feelings

        • Abandonment fears

        • Relationships intense/unstable

        • Suicide attempts/Self-harm

      • IMPULSIVE (DDs: affective disorder, adjustment disorder, ADHD)

        • Lacks impulse control

        • Outbursts/threats of violence

        • Sensitivity to being criticised

        • Emotional instability

        • Inability to plan ahead

        • Thoughtless of consequences

  • Differential diagnosis

    • Affective disorders

    • Psychotic disorders

    • Autism

    • Obsessive compulsive disorder

    • Anxiety disorders

    • Organic disorders

  • ...

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