Week 6 - Personality and Mood Disorders

what cluster C disorder can be described as: They want to have friends, interact, and feel special but they are too insecure so they avoid it because of getting rejected, disappointing others

Avoidant Personality disorder

personalities includes ones perception of the world, including ______________, _____________, and ___________

attitudes, thoughts, and feelings

What disorders are in cluster C?

avoidant, dependent, obsessive-compulsive

Bipolar 2 is more ________________ but it interferes with their ____________

balanced; function

Anhedonia interfere with ________ function

daily

what is "psychosis" ?

delusions/hallucinations with depressive themes during a major depressive episode

what is hypomania

similar to mania but less intense degree of true mania

people with Schizoid Personality Disorder has a pattern of ____________ detachment

social

People with Schizotypal Personality Disorder have ________ and ___________________ deficits harped by acute discomfort

social and interpersonal

____-____% of population have borderline personality disorder

1-2%

bipolar is estimated in ___-____% of people

1-2.5%

people with antisocial personality disorder have had this pervasive pattern of disregard from ________ of _________

rights of others

what are environmental factors of personality disorders?

- Baby/Caregiver "fit" - Negative circumstances - Childhood Trauma

characteristics of Major Depressive Disorder

- Deep depression or functioning at a fairly normal level - Impacts ability to function, work, relationships - At risk for self-harm

impact on occupational performance for people with a personality disorder

- Extreme or black or white thinking for people with these personality disorders - They will be VERY happy or VERY unhappy

what are genetic predispositions of personality disorders

- Moderately heritable - Some genes may mediate risk - Biological vulnerability:

what factors are involved with mood disorder?

- biology - genetic - psychosocial - environmental

what are the criteria from the DSM-5 for Clinical Depression

- episodes - Anhedonia - mania - hypomania

what are treatment and intervention options for mood disorders?

- medications - psychological therapies - CBT/SI/exercise - peer suport - education

what disorders are in Cluster A of personality disorders?

- paranoid personality disorder - schizoid personality disorder - schizotypal personality disorder

Characteristics of people with Schizoid Personality Disorder: 1. restricted ____________ 2. (introverted/extroverted) ???? 3. do not choose to be around _________ 4. only trust a few people but majority are ________________ 5. dont seek __________________

1. emotions 2. introverted 3. others 4. isolated 5. treatment

Characteristics of Dependent Personality Disorder: 1. cannot make __________________ decisions 2. lean to a small group or family members for ___________________ for the things they do

1. independent 2. reassurance

Characteristics of Borderline Personality Behavior: 1. ________ on to people (hostility) 2. have a great sense of being _____________

1. latch 2. abandon

Characteristics of Histrionic Personality Disorder: 1. people see them as ____________ 2. very (secure/insecure) ??? 3. these people are the ______ of the _________ and are ________ _______ influencers

1. special 2. insecure 3. life of the party and social media influencers

Characteristics of Narcissistic Personality Disorder: 1. tend to see themselves as _____________ 2. ________ do not apply to them 3. ______________ and preoccupation with unlimited _________ and __________ 4. they have ____ limits ("I can be anything I want to be")

1. special 2. rules 3. arrogant; power and success 4. NO

_____% of outpatient and ____% of inpatient are in an psychiatric setting with Borderline Personality Disorder

10%; 20%

what is the ratio between males and females for depression ?

2:1

prevalence of personality disorders

6-10% of adults

_____% of bipolar disorders occur and are diagnosed before the age of _____

65%; 19

depression is seen in ____% of men and ____% of women

7% and 12%

Melancholy is not as severe as a major depressive mood, has some _______________, loss of ____________, along with __________ disturbance, _________ loss, guilt, ___________________ changes such as moving more slowly, think more slowly, overall general sadness or lose of interest

Anhedonia; pleasure; sleep; weight; psychomotor

what are the 3 treatment options for personality disorder

CBT, DBT, and prevention (early intervention, education for parents)

what bipolar disorder is more commonly seen to be diagnosed?

Cyclothymic

Histrionic Personality Disorder

People tend to be focused on being center of attention to make them feel better about themselves

Dependent Personality Disorder

Pervasive and excessive need of being taken care of

Avoidant Personality Disorder

Pervasive pattern of social inhabitation

obsessive-compulsive disorder

Preoccupation with orderliness, perfectionism, inflexible

course of personality disorders

Recognized at adolescence/young adult

gender differences of personality disorders

Some differences noted because of behaviors that are associated with the personality disorder

what is the impact on occupational performance for people with mood disorders?

They are shutting down during depression episodes or spending too much with a manic episode

Personality

Unique stable qualities that a person brings to every situation they encounter.

when people who have borderline personality disorder feel abandon, what typically has happened?

a friend has given them space and it makes the person with this disorder feel like they are a "bad person"

clinical depression

a series of symptoms that meet criteria for clinical diagnosis

what culture is less likely to have access to treatment for mood disorders?

african american and hispanics

what are characteristics of Antisocial Personality Disorder?

aggressive, deceitful, manipulative

what personality disorders are in cluster B ?

antisocial, borderline, histrionic, narcissistic

is Bipolar 1 or 2 not as quite as severe but can be problematic?

bipolar 2

what Cluster B disorder is difficult to live with and hard to treat?

borderine personality disorder

what treatment is the most effective for personality disorders?

cognitive behavior therapy

People who have ___________, can get diagnosed with Antisocial Personality Disorder when developing into adulthood

conduct

people with paranoid personality disorder are reluctant to ___________ in others and get help because they cannot ________ them

confide; trust

people with OCD feel they need to have ___________ over their environment

control

People with Avoidant Personality Disorder is hypersensitive to ______________

criticism

DSM-5 Criteria for clinical depression means the episodes are a ___________ period where mood is significant depressed and during these periods you need to have ____________________

distinct; Anhedonia

People with paranoid personality disorder have pervasive __________ of people and are ________________ of people

distrust; suspicious

what is mania

elevated, expansive, or irritable mood

what is cyclothymic?

fluctuating hypomanic and depressive episodes for two years or more

what is rapid cycling?

high and low; day by day

a personality disorder is marked by an ________________ or ___________ to modify behavior to fit different situations

inflexibility or inability

depression

lay term for sad mood

what is Anhedonia

loss of interest or pleasure that come and go

with cyclothymic, it has some degree of _________ and some ________________

mania and some depression

what is the course of a depressive disorder?

mid 20s

people with psychosis have ___________________ of people and they think that people dont like or love you

misperceptions

what type of testing helps to identify features of depression ?

neuroimaging and diagnostic

is there a significant difference in males and females for bipolar?

no

what culture is less likely to seek/maintain treatment for mood disorders?

non-caucasians

how does culture effect personality disorders?

norms may contribute to diagnosis

treatment and intervention for personality disorders

o Once thought to be unchangeable o Recognition that tx does help o Psychotherapy o Medication

what is Bipolar 2

one or more manic episode with hypomanic episodes

what is Bipolar 1?

one or more manic or mixed (high and low) episodes

Major Depressive Disorder is when there is ______ or more episodes of depression with _________________ and no _________ episodes

one; Anhedonia; manic

what is the most helpful treatment and intervention option for bipolar disorder?

peer support

what are the overall characteristics of Cluster A Personality Disorders?

people are more paranoid, people are out to get them, disordered in the way they think

what is the major difference in Schizoid Personality Disorder and Schizotypal Personality Disorder?

people with Schizotypal Personality Disorder also have perceptual or cognitive disorders; they struggle perceiving sensory input from the environment

personality disorders are typically marked by difficulty in _______________ relationships

personal

what are atypical features of Melancholy?

positive events improve mood, excessive sleep, paralysis

what is the most effective treatment and intervention option for mood disorders?

psychological therapies

what are other names people call Antisocial Personality Disorder?

psychopath or sociopath

what is a possible characteristic of Bipolar 1?

psychosis

people with Bipolar 1 have go through a _________ cycle

rapid

personality is ones individual manner of ____________ to the world

relating

people with schizotypal personality disorder do not have many close _________________

relationships

personalities are usually _________ across time

stable

what do people with paranoid personality disorder that makes them not have a good relationship with people?

that people are out to get them

personality disorders are arranged in clusters by __________ shared commonly among diagnoses

traits

Although all people experience a variety of moods, a disorder occurs when fluctuations go beyond what is ___________ and are not ______________ with the situation

typical; congruent

why is rapid cycling hard to handle?

·Very hard to handle because you do not know what to expect