what disorders make up Cluster A? what do they have in common?
odd/eccentric thinking -Paranoid-Schizoid-Schizotypal
what disorders make up Cluster B? what do they have in common?
dramatic/emotional-Antisocial-Borderline-Histrionic-Narcissistic
what disorders make up Cluster C? what do they have in common?
anxious/fearful-Avoidant-Dependent-Obsessive-Compulsive
what is the criteria of diagnosis for paranoid personality disorder?
4 or more of the following:1. Suspects that others are exploiting, harming, or deceiving2. Preoccupied with doubts of loyalty of friends3. Reluctant to confide in others4. Reads hidden demeaning or threatening meanings into events5. Persistently bears grudges6. Perceives attacks on his or her characters or reputation that are not apparent7. Recurrent suspicions about spouse or sexual partner
what are the clinical s/s of paranoid personality disorder?
Pervasive distrust and suspiciousness of others-Feeling that someone will harm them/plotting against them with no evidence-Refusal to answer personal questions (say 'nobody's business')-Hold grudges and are hostile people
what is the diagnostic criteria for schizoid personality disorder?
including 4 of the following:1. Does not desire/enjoy close relationships2. Chooses solitary activities3. Little sexual interest4. Takes pleasure in few activities5. Lacks close friends/family6. Appears indifferent to praise or criticism7. Shows emotional 'coldness' or 'detachment'
what is the clinical s/s of schizoid personality disorder?
Essential feature is detachment from social relationships and restricted range of emotional expression
what is the diagnostic criteria for schizotypal personality disorder?
5 of the following:1. Ideas of reference2. Odd beliefs/magical thinking (ex-telepathy)3. Unusual perceptual experiences (ex- bodily illusions)4. Odd thinking and speech5. Suspiciousness or paranoid6. Inappropriate or constricted affect7. Odd, eccentric behavior8. Lack of close friends/family9. Excessive social anxietySchizoid disorder + magical thinking/eccentric thoughts
what is the clinical s/s of schizotypal personality disorder?
Pattern of social and interpersonal deficits marked by acute discomfort with close relationships & cognitive or perceptual distortions and eccentric behavior
what is the diagnostic criteria for antisocial personality disorder?
Since age 15, includes 3+ of the following1. Failure to conform to social norms with respect to lawful behavior2. Deceitfulness (repeated lying, conning others)3. Impulsivity or failure to plan ahead4. Irritability/aggressiveness (physical fights)5. Reckless disregard for safety6. Consistent irresponsibility (ex - unemployment)7. Lack of remorse-Pt must be at least 18 yr old
what are the clinical s/s of antisocial personality disorder? define conduct disorder.
Deceit and manipulation are central features - make sure to ask collateral sources about clinical presentationConduct Disorder: repetitive/persistent pattern of behavior in the basic rights of others or rules are violated (occurs before age 15) 4 categories:-Aggression to people and animals-Destruction of property-Deceitfulness or theft-Serious violation of rules
what is the diagnostic criteria of borderline personality disorder?
5+ of the following:1. Frantic efforts to avoid real or imagined abandonment2. Unstable or intense interpersonal relationships, alternating b/t idealization and devaluation3. Identity disturbance4. Impulsiveness in 2 areas that are self-damaging (ex - spending, sex, binge eating)5. Recurrent suicidal or self-mutilating behavior6. Marked reactivity of mood (ex - irritability, anxiety)7. Chronic feelings of emptiness8. Inappropriate, intense anger (ex - recurrent physical fights)9. Transient, stress-related paranoid ideation or dissociative symptoms
what is the clinical s/s of borderline personality disorder?
Instability of relationships, self-image, affects, marked impulsivity that begins by early adulthood-Intense abandonment fears
what is the diagnostic criteria for histrionic personality disorder?
5+ of the following:1. Uncomfortable when they are not center of attention2. Interactions w/ others is often sexually seductive or provocative3. Displays rapidly shifting and shallow expression of emotions4. Consistently uses physical appearance to draw attention to self5. Style of speech lacking in detail6. Self-dramatization, exaggerated expression of emotion7. Suggestible (ex - easily influenced by others)8. Considers relationships more intimate than they actually are
what is the clinical s/s of histrionic personality disorder?
Excessive emotionality and attention seeking, beginning by early adulthood
what is the diagnostic criteria for narcissistic personality disorder?
5+ of the following:1. Grandiose sense of self-importance2. Preoccupied with fantasies of success, power, etc.3. Believes she/he is "special" and unique that only people of high-status can understand them4. Requires excessive admiration5. Sense of entitlement6. Interpersonally exploitative (takes advantage of others)7. Lacks empathy8. Often envious of others9. Shows arrogant/haughty behaviors/attitudes
what is the clinical s/s of narcissistic personality disorder?
Pattern of grandiosity (in fantasy or behavior), need for admiration, lack of empathy, beginning by early adulthood
what is the diagnostic criteria for avoidant personality disorder?
4+ of the following:1. Avoids occupational activities due to fear of criticism, rejections2. Unwilling to get involved w/ people unless certain to be liked3. Shows restraint w/ intimate relationships4. Preoccupied w/ being criticized or rejected in social situations5. Inhibited in new interpersonal situations b/c of feelings of inadequacy6. Views self as socially inept or unappealing7. Usually reluctant to take personal risks for fear of embarrassment
what is the clinical s/s of avoidant personality disorder?
Pattern of social inhibition, feelings of inadequacy, hypersensitivity to negative evaluation beginning in adulthood
what is the diagnostic criteria for dependent personality disorder?
5+ of the following:1. Can't make every day decisions w/o excessive amount of advice/reassurance2. Needs others to assume responsibility for most areas of their life3. Difficulty expressing disagreement for fear of loss of support/approval4. Difficulty initiating projects or doing things on their own5. Excessive obtains nuture or support from others, to the point of volunteering for unpleasant things6. Feels uncomfortable/helpless when alone7. Urgently seeks another relationship as source of care/support when one ends8. Unrealistically preoccupied with fears of being left
what is the clinical s/s of dependent personality disorder?
Excessive need to be taken care of that leads to submissive and clinging behavior, fear of separation, beginning in adulthood
what is the diagnostic criteria for obsessive compulsive personality disorder?
4+ of the following:1. Preoccupied with details, rules, lists, schedules, organization, etc.2. Shows perfectionism that interferes with task completion3. Devoted to work and productivity to the exclusion of leisure activities and friendships4. Overconscientious, inflexible about matters of morals/ethics/values5. Unable to get rid of worn-out or worthless objects6. Reluctant to delegate tasks or work with others unless they submit to his/her way7. Adopts miserly spending style8. Shows rigidity or stubbornness
what is the clinical s/s of obsessive compulsive personality disorder?
Preoccupation with orderliness, perfectionism, and mental and interpersonal control at the expense of flexibility, openness, and efficiency, beginning in early adulthood