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Cluster A Personality Disorders
*Paranoid Personality D/O
*Schizoid Personality D/O
*Schizotypal Personality D/O
(These individuals are thought of as "Odd" people)
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Paronoid Personality D/O
- Common Characteristics:
- *Display a pattern of distrust & suspiciousness
- * They think people have hidden motives
- *Feel they maybe exploited by others
- *Inability to work with others
- *Poor self image
- *Hostility
- *Social Isolation
- **Hypervigelant-always have a guard up, emotionally sensitive, always feel threatened
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Causes of Paranoid Personality D/O
*Familial/Genetic Factors
*Learned Behavior (Traced with childhood experiences, anger, rage, sexual/physical abuse)
*Serotonin Deficiency Theory
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Treatment of Paranoid Personality Disorder
*Psychotherapy-Cog. Behavioral Therapy (change behavior)
*Pyschopharmacologic Therapy-Treat Symptoms not DO, (comorbities like depression, anxiety, etc)
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Schizoid Personality DO
- Common Characteristics:
- *Social Detachment of solitude
- *Prefer to be alone
- *Indifferent to critism or approval
- *Little or no intrest in sexual activity
- *Have difficult time expressing anger
- *Poor social skills
- *Ill defined life goals
- *Lack of pleasure in activities
- ***Key word: SOLITUDE, classic loner, prefer to be alone, dont show emotion
- ***They show negative symptoms of schizophrenia-blunting affect, inability to enjoy pleasurable activities
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Causes and Treatment of Schizoid Personality DO
- Causes:
- *Familial and Genetic Factors (Schizophrenia FHX)
- *Lack of Nurturing
- Tx:
- *Psychotherapy- CBT (increasing coping skills, social interaction, self esteem
- *Psychpharm-Treat Symptoms (anxiety, depression-SSRIs, typically not TCAs d/t risk for suicide)
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Schizotypal Personality DO
- Characteristics:
- *Social/Interpersonal deficits
- *Magical Thinkers/Odd Believers
- *Ideas of reference (thinking msgs are directed at them)
- *Illusions, ie, snakes in stomach
- *Derealization
- *Suspiciousness or Paronoid Ideation, ie, mocking bird
- *Lack of close friends
- *Excessive Social Isolation
- ***Failure to Launch
- ***Maladaptive coping mechanism-reflecting, ie, inatimate object is grandmother reincarnated
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