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  • What is an essential feature of Borderline Personality Disorder (BPD)?
    What is an essential feature of Borderline Personality Disorder (BPD)?
    The correct answer is option A – Instability of relationships. Borderline personality disorder (BPD) is a type of personality disorder that belongs to cluster B of personality disorders. It is characterized by varying moods, behaviour and self-image. The symptoms often result in impulsive actions, problems in relationships, self-mutilation, suicidal thoughts and actions, sense of emptiness and explosive anger. Paranoia is an essential feature paranoid personality disorder; it is characterized by pervasive distrust and suspiciousness. Theatricality is an essential feature of schizotypal personality disorder. Lack of remorse is an essential feature of narcissistic personality disorder.

  • What would be your diagnosis? Matt is an active, physically strong, and exceptionally tall 18-year-old 12th grader who stays out late at night with his friends, despite his parents forbidding it....
    What would be your diagnosis? Matt is an active, physically strong, and exceptionally tall 18-year-old 12th grader who stays out late at night with his friends, despite his parents forbidding it....
    1. antisocial personality disorder-conduct disorder is commonly a precursor to antisocial personality disorder. a diagnosis of antisocial pd requires evidence of a conduct disorder before age 15. this patient meets all requirements of antisocial pd including failure to conform to social norms relative to lawful behavior, repeated lying or conning other for personal profit or pleasure, impulsivity, aggressiveness around physical attacks, irresponsibility, and lack of remorse for hurting or mistreating others or stealing.adhd is not an appropriate diagnosis because the patient doesnt show any signs of inattention of hyperactivity-impulsivity, although there may be a learning disorder present.oppositional defiant disorder would not be the correct diagnosis either because this patient fails to meet the criteria for frequent loss of temper, arguing with adults, refusing to comply with requests, blaming, vindictiveness, and hostility. he may have some of the symptoms from each category, but his prominent symptoms are shown in the way he conducts himself and violates the rights of others.

  • What would managing a patient with a Dependent Personality Disorder include?
    What would managing a patient with a Dependent Personality Disorder include?
    1. setting firm limits-managing a dependent personality disorder can be a wearying task. they tend to call the office incessantly seeking advice or to ask for more appointments. setting firm limits, up front, as to expectations can greatly relieve the practitioner and create a sense of security for the patient.attention to detail would be good for working with an obsessive-compulsive personality disorder patient, so they get the idea you are just like them, therefore creating a practitioner/patient alliance.the narcissist is best managed by a practitioner who acknowledges their uniqueness. this will make it so the patient has a better perception of the practitioner being able to appreciate all their special problems.graded exposure to social situations is helpful in managing schizoid personality disorder patients.those with schizotypal personality disorders can benefit from low-dose antipsychotics to relieve their anxiety and unusual perceptions.

  • Which of the following are at increased risk for suicide?
    Which of the following are at increased risk for suicide?
    Suicide is a problem plaguing the United States and other countries around the world for years. Studies have been conducted frequently to determine which groups of people are more likely to commit suicide. In the United States, men are more likely to take their own lives than women. Since men use more dangerous ways of committing suicide, they are more likely than women to follow through. Also, white males are more likely to take their lives than other races. Only a few guesses have been established to determine the cause of this, but a suggestion states that white males feel like they can’t reach out for help. In most cases, single men may also feel like they can’t talk to anyone since they aren’t married.

  • Which of the following is not a suggested treatment for patients with Avoidant Personality Disorder?
    Which of the following is not a suggested treatment for patients with Avoidant Personality Disorder?
    Why not? Isn't group therapy even worse? At least the family is familiar

  • What would she be diagnosed with? Frances, an only child, is a 20-year-old receptionist in a wholesale dress house who feels that she hasnt been discovered yet by the fashion world. She has...
    What would she be diagnosed with? Frances, an only child, is a 20-year-old receptionist in a wholesale dress house who feels that she hasnt been discovered yet by the fashion world. She has...
    Narcissistic Personality DisorderSymptoms for this diagnosis include a grandiose sense of self-importance, preoccupied with fantasies of unlimited success, a belief of being special, a sense of entitlement, lacking in empathy, and an arrogant attitude toward others.

  • What is DSM-IV diagnosis most appropriate for this client? A 23-year-old female comes to see you for the first time. She states that her mom thought she should see a doctor for her problem. When...
    What is DSM-IV diagnosis most appropriate for this client? A 23-year-old female comes to see you for the first time. She states that her mom thought she should see a doctor for her problem. When...
    1. schizoid personality disorder-this client expresses a lack of desire for social relationships, a preference for solitary activities, little interest in most activities or intimacy, and has demonstrated a flattened affect. the onset of symptoms is occurring in the beginning of adulthood (which rules out autism), and she is not experiencing any psychotic symptoms or paranoid ideations. since she avoids social situations due to a lack of desire, this differentiates her from a diagnosis of avoidant personality disorder, in which the person isolates themselves due to a fear of social situations.

  • What is your provisional diagnosis? A 43-year-old single female has been referred to you for a psychiatric evaluation of the employee assistance program at her job of 21 years. She has been...
    What is your provisional diagnosis? A 43-year-old single female has been referred to you for a psychiatric evaluation of the employee assistance program at her job of 21 years. She has been...
    1. schizotypal personality disorder-this patients disclosures are consistent with a diagnosis of schizotypal personality disorder. she exhibits suspiciousness towards her co-workers, her relationships are limited to first-degree relatives, she has unusual perceptual experiences and ideas of reference, and she refers to herself in the third person.schizoid personality disorder is similar but does not include all of the eccentricities of this woman.there is not a history of psychotic symptoms to suggest schizophrenia.paranoid personality disorder would present with negativity and distrust of others with the expectation of exploitation and harm, and unusual perceptual experiences are not typicalavoidant personality disorder may also lead to restricted social relationships, but they would be driven by a lack of confidence and fear of negative criticism.

  • What is the most likely DSM-IV Axis II diagnosis for this patient? A 25-year-old male comes to see you after breaking up with his girlfriend. He is in a panic. He tells you that he has never been...
    What is the most likely DSM-IV Axis II diagnosis for this patient? A 25-year-old male comes to see you after breaking up with his girlfriend. He is in a panic. He tells you that he has never been...
    1. dependent personality disorder-this patient displays difficulty expressing disagreement with others; going to excessive lengths to please others; discomfort or helplessness when alone; an urgency in seeking another relationship; and difficulty making decisions without the advice of others. this patients symptoms are in reaction to his current situation and he does not report any symptoms of depression (suicidal ideation, depressed mood, or changes in sleep or appetite).you can rule out borderline personality disorder, because those patients typically react to abandonment with anger, rage, and threatening behavior.you can rule out histrionic personality disorder because those patients are often flamboyant and demand attention from others.you can rule out narcissistic personality disorder because they typically have an inflated sense of self, seek to please themselves, and are arrogant. whereas, dependent personality disorder patients, such as the man in the above case study, seek to please others, have a deflated self of sense, and seek nurturance from others.

  • What kind of disorder does this male have? A male goes to the clinic for follow-up treatment. He states that he takes his medicine exactly every 8 hours and keeps a record of how many pills he...
    What kind of disorder does this male have? A male goes to the clinic for follow-up treatment. He states that he takes his medicine exactly every 8 hours and keeps a record of how many pills he...
    1. obsessive-compulsive personality disorder-obsessive-compulsive personality disorder is characterized by being perfectionistic, inflexible, and unable to express warm and tender feelings. those suffering from this disorder are too concerned about trivial details and rules and do not appreciate changes in routine. they have a preoccupation with details, rules, lists, order, organization, or schedules to the extent that the major point of the activity is lost. any illness is perceived as a threat to their control, and they may therefore struggle with their physician for control. in this case, the physician is handling the patient properly by allowing him to take part in the decisions and details of his medical care (like charting medication times).

  • Is the following true or false? Obsessive-Compulsive Disorder and Obsessive-Compulsive Personality Disorder are considered the same thing.
    Is the following true or false? Obsessive-Compulsive Disorder and Obsessive-Compulsive Personality Disorder are considered the same thing.
    1. false-patients with ocd have obsessions, compulsions, and hoarding tendencies that are to the extreme that could present a danger to themselves and others. the ocpd patient, on the other hand, expresses a commitment to perfection, are self-critical, and has a discomfort with warm emotions. the ocpd patient is able to devote themselves to work and productivity, and exclude leisure activities. they are moral, inflexible, and preoccupied with making lists and organization. these patients are also unwilling to delegate duties to others and may be miserly because they fear the possibility of catastrophes.

  • This man is probably suffering from which type of personality disorder? A woman brings her 25-year-old son to your office for evaluation. She says that he never goes out and she complains that it...
    This man is probably suffering from which type of personality disorder? A woman brings her 25-year-old son to your office for evaluation. She says that he never goes out and she complains that it...
    1. Avoidant Personality DisorderAvoidant personality disorder is characterized by social inhibition and feelings of inadequacy. Individuals who suffer from this disorder are extremely sensitive to negative feedback from others. They avoid social activities due to their fear of having to participate.

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