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Personality Disorder Notes

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Personality Disorder Revision

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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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