Personality Patterns (cluster B & C)
Obsessions & Compulsions
Developmental Diagnoses
Differential Diagnosis
DSM Details
100

This disorder is characterized by grandiosity, need for admiration, and lack of empathy.

What is Narcissistic Personality Disorder?

100

This disorder includes intrusive, unwanted thoughts and repetitive behaviors aimed at reducing anxiety.

What is Obsessive-Compulsive Disorder (OCD)?

100

This diagnosis requires deficits in intellectual functioning and adaptive functioning with onset during developmental period.

What is Intellectual Disability?

100

This distinguishes Bipolar I from Bipolar II.

What is presence of a manic episode?

100

Minimum number of symptoms required for MDD diagnosis.

What is 5 symptoms?

200

This disorder includes instability in relationships, self-image, and affect, plus impulsivity.

What is Borderline Personality Disorder?

200

This personality disorder involves preoccupation with orderliness, perfectionism, and control, without true obsessions.

What is Obsessive-Compulsive Personality Disorder (OCPD)?

200

This diagnosis is used for children under age 5 when severity cannot yet be reliably assessed.

What is Global Developmental Delay?


200

This distinguishes MDD from PDD.

What is duration (2 weeks vs. 2 years)?

200

Minimum duration of hypomanic episode.

What is 4 days?

300

This disorder involves disregard for and violation of others' rights, beginning before age 15.

What is Antisocial Personality Disorder?
(Extra 200 points if you can name the disorder someone prior to age of 15 is diagnosed with)

300

These are repetitive behaviors or mental acts performed in response to obsessions.

What are compulsions?

300

An 8-year-old demonstrates below-average intellectual functioning and significant impairment in adaptive skills(communication, social, daily living).

What is Intellectual Disability?

300

A client reports intrusive thoughts about contamination and spends hours cleaning, but states: “I know this doesn’t make sense and I hate doing it.”

What is Obsessive-Compulsive Disorder (OCD)?

300

Minimum duration of manic episode.

What is 1 week?

400

This disorder is marked by excessive need to be taken care of, leading to submissive and clinging behavior.

What is Dependent Personality Disorder?


400

This key difference: OCD behaviors are typically ego-dystonic, while OCPD traits are…

What is ego-syntonic?

400

Severity of Intellectual Disability is based on this, not IQ score alone.

What is adaptive functioning level?

400

This (two things) must be ruled out before diagnosing a personality disorder.

What is substance use or medical condition?

400

In Antisocial Personality Disorder, the individual must be at least this age.

What is 18 years old?

500

Alex reports a 5-day period of increased energy, decreased need for sleep, and feeling unusually productive. Friends noticed they were more talkative and confident, but Alex continued functioning at work. They also report multiple depressive episodes.

What is Bipolar II Disorder?

500

For OCD diagnosis, symptoms must be time-consuming, defined as taking more than this amount of time per day.

What is 1 hour per day?

500

This must be present in Intellectual Disability: onset during this developmental timeframe.

What is childhood/developmental period?

500

This distinguishes Borderline Personality Disorder from Bipolar Disorder.

What is chronic instability vs episodic mood changes?

500

A client presents with chronic emptiness, fear of abandonment, self-harm, and intense relationships, but also reports mood swings. What diagnosis is most consistent?

What is Borderline Personality Disorder?

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