Exam 2 Personality Disorders
Questions with Correct Answers
Manifestations of personality disorders - ANSWER-•Physical injury d/t impulsive
reckless behavior
•Suicide attempts
•Unplanned pregnancy, high risk sex behavior
•Comorbid anxiety, mood, and/or substance use disorder
•Less favorable response to tx for depression, anxiety, or substance use disorder
•Comorbid physical disorders, including CV dz, arthritis, diabetes, and
gastrointestinal conditions
•Reduced life expectancy
Duty to warn - ANSWER-If a patient threatens someone else with injury, the provider
may has a duty to warn the intended victim, either directly or through legal
authorities, under the Tarasoff ruling.
Personality Disorders 3 Clusters: - ANSWER-Weird, Wild, Worried
Weird Cluster A: - ANSWER-Social detachment w/unusual behaviors (Old, eccentric,
and mad)
•Express only a limited range of emotion in social interactions and form few if any
close relationships with others
•Patients viewed as weird or peculiar
•Can be associated with psychotic features
Wild Cluster B: - ANSWER-Dramatic, emotional, and bad
Worried Cluster C: - ANSWER-Anxious, fearful, and sad
What personality disorders fall under Cluster A: Weird - ANSWER-1.Paranoid
2.Schizoid
3.Schizotypal
Paranoid personality disorders - ANSWER-Disorder distrust others and suspicious of
their motives. "GET FACT"
Paranoid personality disorder diagnostic criteria A -
ANSWER-Distrust/suspiciousness of others such that their motives are interpreted
as malevolent, begins by early adulthood and present in a variety of contexts, as
indicated by four (or more) of the following:
(1) suspects w/o sufficient basis, that others are exploiting, harming, or deceiving
them
(2) preoccupied w/unjustified doubts about loyalty/trustworthiness
, (3) reluctant to confide in others d/t unwarranted fear that the info used maliciously
against them
(4) reads hidden mean on benign remarks/events
(5) bears grudges
(6) perceives attacks on character or reputation that are not apparent to others
(7) suspicions w/o reason regarding fidelity
Paranoid PD Diagnostic Criteria B - ANSWER-Doesn't occur exclusively during the
course of Schizophrenia a Mood Disorder With Psychotic Features, or another
Psychotic Disorder and isn't d/t direct physiological effects of medical condition.
Note: If criteria are met prior to the onset of Schizophrenia, add "Premorbid," e.g.,
"Paranoid Personality Disorder (Premorbid)."
Schizoid personality disorder - ANSWER-express only a limited range of emotion in
social interactions and form few if any close relationships with others.
Schizoid PD Diagnostic Criteria A - ANSWER-Pervasive pattern of detachment from
social relationships & restricted range of expression of emotions in interpersonal
settings, beginning by early adulthood and present in a variety of contexts, as
indicated by four (or more) of the following:
(1) neither desires/enjoys close relationships, including family
(2) almost always chooses solitary activities
(3) little, if any, interest in having sex
(4) takes pleasure in few, if any, activities
(5) lacks close friends/confidants other than first-degree relatives
(6) appears indifferent to the praise/criticism
(7) emotional coldness, detachment, or flat affect
Schizoid PD Diagnostic Criteria B - ANSWER-Does not occur exclusively during the
course of Schizophrenia, a Mood Disorder With Psychotic Features, another
Psychotic Disorder, or a Pervasive Developmental Disorder and is not due to the
direct physiological effects of a general medical condition. Note: If criteria are met
prior to the onset of Schizophrenia, add "Premorbid," e.g., "Schizoid Personality
Disorder (Premorbid)."
Schizotypal personality disorder - ANSWER-•Like individuals with schizoid
personalities, have little capacity for close relationships, but would like to
•eccentric in their behaviors, perceptions, and thinking
Schizotypal PD Diagnostic Criteria A - ANSWER-Pervasive pattern of
social/interpersonal deficits w/reduced capacity for close relationships as well as by
cognitive/ perceptual distortions/eccentricities of behavior; early adulthood. Indicated
by 5+ of the following:
(1) ideas of reference (excluding delusions)
(2) odd beliefs/magic thinking that influences behavior and is inconsistent with
subcultural norms (e.g., superstitious)
(3) unusual perceptual experiences, including bodily illusions
(4) odd thinking/speech (metaphoric, vague)
(5) suspiciousness/paranoid ideation
(6) inappropriate/constricted affect
Questions with Correct Answers
Manifestations of personality disorders - ANSWER-•Physical injury d/t impulsive
reckless behavior
•Suicide attempts
•Unplanned pregnancy, high risk sex behavior
•Comorbid anxiety, mood, and/or substance use disorder
•Less favorable response to tx for depression, anxiety, or substance use disorder
•Comorbid physical disorders, including CV dz, arthritis, diabetes, and
gastrointestinal conditions
•Reduced life expectancy
Duty to warn - ANSWER-If a patient threatens someone else with injury, the provider
may has a duty to warn the intended victim, either directly or through legal
authorities, under the Tarasoff ruling.
Personality Disorders 3 Clusters: - ANSWER-Weird, Wild, Worried
Weird Cluster A: - ANSWER-Social detachment w/unusual behaviors (Old, eccentric,
and mad)
•Express only a limited range of emotion in social interactions and form few if any
close relationships with others
•Patients viewed as weird or peculiar
•Can be associated with psychotic features
Wild Cluster B: - ANSWER-Dramatic, emotional, and bad
Worried Cluster C: - ANSWER-Anxious, fearful, and sad
What personality disorders fall under Cluster A: Weird - ANSWER-1.Paranoid
2.Schizoid
3.Schizotypal
Paranoid personality disorders - ANSWER-Disorder distrust others and suspicious of
their motives. "GET FACT"
Paranoid personality disorder diagnostic criteria A -
ANSWER-Distrust/suspiciousness of others such that their motives are interpreted
as malevolent, begins by early adulthood and present in a variety of contexts, as
indicated by four (or more) of the following:
(1) suspects w/o sufficient basis, that others are exploiting, harming, or deceiving
them
(2) preoccupied w/unjustified doubts about loyalty/trustworthiness
, (3) reluctant to confide in others d/t unwarranted fear that the info used maliciously
against them
(4) reads hidden mean on benign remarks/events
(5) bears grudges
(6) perceives attacks on character or reputation that are not apparent to others
(7) suspicions w/o reason regarding fidelity
Paranoid PD Diagnostic Criteria B - ANSWER-Doesn't occur exclusively during the
course of Schizophrenia a Mood Disorder With Psychotic Features, or another
Psychotic Disorder and isn't d/t direct physiological effects of medical condition.
Note: If criteria are met prior to the onset of Schizophrenia, add "Premorbid," e.g.,
"Paranoid Personality Disorder (Premorbid)."
Schizoid personality disorder - ANSWER-express only a limited range of emotion in
social interactions and form few if any close relationships with others.
Schizoid PD Diagnostic Criteria A - ANSWER-Pervasive pattern of detachment from
social relationships & restricted range of expression of emotions in interpersonal
settings, beginning by early adulthood and present in a variety of contexts, as
indicated by four (or more) of the following:
(1) neither desires/enjoys close relationships, including family
(2) almost always chooses solitary activities
(3) little, if any, interest in having sex
(4) takes pleasure in few, if any, activities
(5) lacks close friends/confidants other than first-degree relatives
(6) appears indifferent to the praise/criticism
(7) emotional coldness, detachment, or flat affect
Schizoid PD Diagnostic Criteria B - ANSWER-Does not occur exclusively during the
course of Schizophrenia, a Mood Disorder With Psychotic Features, another
Psychotic Disorder, or a Pervasive Developmental Disorder and is not due to the
direct physiological effects of a general medical condition. Note: If criteria are met
prior to the onset of Schizophrenia, add "Premorbid," e.g., "Schizoid Personality
Disorder (Premorbid)."
Schizotypal personality disorder - ANSWER-•Like individuals with schizoid
personalities, have little capacity for close relationships, but would like to
•eccentric in their behaviors, perceptions, and thinking
Schizotypal PD Diagnostic Criteria A - ANSWER-Pervasive pattern of
social/interpersonal deficits w/reduced capacity for close relationships as well as by
cognitive/ perceptual distortions/eccentricities of behavior; early adulthood. Indicated
by 5+ of the following:
(1) ideas of reference (excluding delusions)
(2) odd beliefs/magic thinking that influences behavior and is inconsistent with
subcultural norms (e.g., superstitious)
(3) unusual perceptual experiences, including bodily illusions
(4) odd thinking/speech (metaphoric, vague)
(5) suspiciousness/paranoid ideation
(6) inappropriate/constricted affect
