Mental Health Quiz 4

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catomanski
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249906
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Mental Health Quiz 4
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2013-12-17 18:15:05
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social work anxiety disorders personality ADHD ODD
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BGSU mental health class quiz 4 covering anxiety disorders, personality disorders, ADHD, and ODD
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  1. Prevalence of personality disorders (PD) (5,1/2,30)
    • Affect between 5-10% of population
    • 1/2 of those who seek counseling are diagnosed with a PD
    • Up to 30% of those who seek mental health services have at least 1 PD
  2. Those with a PD are at a higher risk for...? (EISL)
    • Eating Disorders
    • Impaired social and occupational functioning
    • Substance abuse
    • Legal issues
  3. Define  a Personality Disorder (PD)
    • Inflexible, maladaptive patterns of behavior that cause distress to the individual or impairment in functioning
    • Culturally defined
  4. People with PDs typically (behaviors)...
    • Responds poorly to change
    • Has trouble forming/ maintaining relationships
    • Has interpersonal problems in a variety of areas (work, school, home, legal system, etc)
  5. Cluster A personality Disorders
    • Individuals seen as odd and eccentric
    • Encompasses paranoid, schoizotypal, and schizoid personality disorders
  6. Cluster B Personality Disorders
    • Individuals appear highly emotional, erratic, or dramatic.
    • Anti-social, borderline, histrionic and narcissistic PD
  7. Cluster C Personality Disorders
    • Anxious and fearful
    • Avoidant, obsessive compulsive, and dependent personality disorders
  8. DSM 4 Diagnostic criteria for personality disorders
    • Personality traits which deviate from one's general cultural expectations
    • Pervasive and inflexible
    • On set is in adolescence or young adulthood
    • Stable over time, leading to distress and impairment
  9. DSM Criteria for pattern of personality disorders (must me 2 or more)
    • Cognition/perceptions impaired
    • Emotional abnormality/ range
    • Interpersonal functioning impaired
    • Poor impulse control
    • Not accounted for by another disorder
    • Not due to substance use or another medical condition
  10. Aspects of personality (TDDST)
    • Traits
    • Dimensions
    • Domains
    • States
    • Types
  11. Personality Traits
    Long standing characteristics that endure over time a cicrumstance
  12. Personality States
    Time limited conditions that can be associated with with a specific personality type (like anxiety and depression)
  13. Personality Dimensions
    Clusters of traits
  14. Personality domains
    Clusters of dimensions such as being agreeable, good nurtured, etc.
  15. Paranoid personality disorder
    • Pervasive distrust and suspicion.
    • Usually referred for treatment by others
    • Hostile, irritable, angry, refuse to take responsibility for actions/feelings
  16. DSM criteria for paranoid personality disorder
    • Feels exploited, harmed, deceived by others without justification
    • Unjustified doubts about others loyalty
    • Reluctant to confide in others due to distrust
    • Reads into harmless comments
    • Bears grudges
    • Perceived attacks on character (unjust)
    • Recurring doubts about others fidelity
  17. Aspects of functioning impacted by PDs
    • Cognition- Distorted ways of thinking and perceiving
    • Affect- dysfunctional or abnormal in range
    • Interpersonal functioning
    • Impulse- control poor.
  18. Schizoid Personality Disorder diagnostic criteria
    • Does not desire or enjoy close relationships with others; including family members.
    • Almost always chooses solitary activities
    • Has little (or no) sexual interests or experiences with others. 
    • Takes little pleasure from activities
    • Lacks close friends, except close relatives
    • Indifferent to the praise or criticism of others
    • Emotional coldness, detachment, and flat affect
  19. Schizotypal Personality Disorder
    • May have a strong genetic component (linked with schizophrenia)
    • Ideas of reference
    • Odd beliefs or magical thinking which influences behavior (not subculture norms)
    • Odd thinking and speech
    • unusual experiences
    • Inappropriate or constricted affect
    • Peculiar appearance or behavior
    • No close friends (other than relatives)
    • Excessive social anxiety which is related to paranoia and does not diminish with familiarity
  20. Anti-social personality disorder
    • Failure to conform to laws and norms (repeated arrests)
    • Deceitfulness
    • Impassivity/ failure to plan ahead.
    • Irritability and aggressiveness (repeated fights or assaults)
    • Reckless disregard for the safety of others
    • Consistent irresponsibility
    • Lack of remorse.
  21. Borderline personality disorder diagnostic criteria
    • Frantic efforts to avoid real or imagined abandonment
    • Unstable or intense relationships involving idealization and devaluation
    • Identity disturbance- unstable self-image or sense of self
    • Impassivity in areas which can cause damage
    • Recurrent suicidal suicidal behavior/threats or self mutilation.
    • Unstable affect due to reactivity of mood
    • Chronic feelings of emptiness
    • Inappropriate intense or issues controlling anger
    • Stress related paranoid ideation or dissociation symptoms.
  22. Histrionic Personality Disorder diagnostic criteria (5 or more)
    • Discomfort when he or she is not the center of attention
    • Sexually seductive or provocative behavior
    • Rapidly shifting and shallow emotions
    • Uses physical appearance to draw attention to ones self.
    • Impressionistic style of talking which lacks detail
    • Prone to self-dramatization and theatrical expression of emotion
    • Suggestible and easily influenced by outside circumstances and others
    • Sees relationships to be more intimate than they actually are
  23. Narcissistic Personality Disorder diagnostic criteria (5 or more)
    • Grandiose sense of self-importance, exaggerates achievements and talents, expects to be recognized as superior.
    • Preocupied with fantasies of unlimited success, love, power, brilliance, and beauty
    • Believes they are special and unique and should only associate with high status people/places
    • Requires excessive admiration
    • Sense of entitlement
    • Takes advantage of others to meet their needs
    • Lacks empathy
    • Envious of others and believes others are envious of them
    • Shows arrogant or haughty behaviors or attitudes
  24. Avoidant Personality Disorder Diagnostic Criteria (4 or more)
    • Avoids occupational activities which involve interpersonal fears of criticism, rejection, etc
    • Unwilling to be involved with others unless it is certain they are liked.
    • Shows restraint in intimate relationships for fear of being shamed
    • Preoccupied with being criticized or rejected in social situations
    • Inhibited in new social situations for fear of inadequacy 
    • Views self  as socially inept, unappealing, or inferior
    • Unusually reluctant to take personal risks or engage in new activities for fear of embarrassment
  25. Dependent Personality Disorder (Excessive need to be taken care of) Diagnostic criteria (4 or more)
    • Has difficulty making common everyday decisions without reassurance from others.
    • Needs others to assume responsibility for most major areas of their life.
    • Difficulty expressing disagreement with others due to fear of loss of approval/support
    • Difficulty imitating due to lack of self-confidence in judgment or abilities
    • Excessive efforts to gain support and nuturance from others to the point of volunteering to do unpleasant things
    • Feels uncomfortable and/or helpless when alone
    • Has unrealistic fears and preoccupation with being left alone (To care for themselves)
  26. Obsessive Compulsive Personality Disorder diagnostic criteria (for or more)
    • Preoccupied with details, rules, lists, organization or schedules to the point that activity is lost
    • Perfectionism which interferes with task completion.
    • Excessively devoted to work and excludes leisure time relationships.
    • Is overly conscientious and inflexible about rules, morals, values, etc.
    • Unable to discard old, worthless objects, even when they have no sentimental value.
    • Reluctant to delegate tasks to others unless they do it exactly the same.
    • Adopts a miserly spending style
    • Rigidity and stubbornness.
  27. Treatments for Personality Disorder (PD) Levels
    • 1) Symptoms
    • 2) Modifying personality features related to the environment
    • 3) Personality features related to character
    • 4) Personality features related to temperment
  28. Types of PD Treatment
    • Individual, family, group, and medication (can all be combined)
    • Dialectical Behavioral Therapy (DBT)
    • Residential Treatment
    • Biological Therapy
  29. Risks associated with PD
    • Interapersonal risks (pg 307)
    • Interpersonal Risks (pg 308)
    • Community and environmental risks (308)

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