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
