You’re the therapist (we give you a sample case, you diagnose)
Your patient is a young man who cannot understand why he is having trouble keeping friends and girlfriends. He claims that “ he is so fun and so good looking. Any girl or guy would be lucky to have them”. When you ask how they help maintain those relationships, they say “ I don’t have to do anything. They should be lucky to know me in the first place”. What is their diagnosis?
NPD narcissistic personality disorder
What mental disorder (that we discussed) did Ted Bundy have?
Antisocial personality disorder
Schizoid personality disorder is under what cluster?
Cluster A
What self-done behaviors can lead to a psychotic disorder?
Alcohol and drug use
What 4 personality patterns did Hippocrates describe in 400 BC?
Choleric (irritable) melancholic (sad), sanguine (optimistic), and phlegmatic (apathetic).
Your patient is a girl in her early 20’s. She sees you do to childhood trauma and trauma in her current life. Her boyfriend is verbally abusive. Her other friends will also see her a few times a year because they feel she can get too clingy if they see her for any longer. Her response is “ I know my boyfriend has a tough side but it's only because he loves me. Also don't worry about my friends, I still text them every night”. What does she have?
Dependent personality disorder
This known serial killer, who was diagnosed with borderline personality disorder, kept the remains of his victims in his apartment. He also struggled with alcohol abuse which did not help his violent tendencies.
Jeffrey Dahmer
What therapy is commonly used for personality disorder patients?
DBT dialectical behavioral therapy
What percentage of people experience one psychotic episode and no others?
25%
What does the term Manie sans delire, as coined by Pinel in the 1700s, mean?
Mania without delusion
Your patient has a long known habit of drinking. They have been drinking heavily especially after work since there 20’s and are now in their 50’s. One day your patient starts telling you about this stalker they have. They mention seeing this “person” outside their house, on the street, and one time your patient reported them breaking into their house but when cops arrived, there was no sign of a break in. Recently, he says the stalker has a bird that also follows him and that the bird watches him through the window and reports it to the stalker. When asked how often he sees the stalker, he responds “Not all the time. He usually is not there in the morning but i see him all the time at night. But if I see him one more time, I will burn the ground where he stands”. What is his diagnosis?
Psychotic disorder; schizophrenia
The serial killer “son of sam” told police that his dog told him to commit murder, which type of disorder was he classified as?
Schizophrenia
This therapeutic approach involves helping clients develop greater self-awareness and insight into their behaviors, often used for treating avoidant and dependent personality disorders.
Psychodynamic Therapy
What 2 medications used to treat schizophrenia also helps prevent violence in these types of patients?
clozapine and olanzapine
What year was the first DSM published?
1952
Your patient is a 45 year old male. He is highly detail-oriented, prioritizing order and perfection in both his personal and professional life, often spending excessive time organizing his workspace and adhering to strict schedules. Due to his strict scheduling, he has little room for spontaneity or relaxation. He also has difficulty delegating tasks to others, believing that only he can do things "correctly." Your patient expresses severe frustration about his rigid thought patterns and the impact it is having on his relationships, as his friends and family often feel controlled or criticized by him. Based on this, what would be your diagnosis?
Obsessive Compulsive Personality Disorder
Ed Gein, the inspiration for Psycho, silence of the lambs, and the texas chainsaw massacre movies, collected the body parts of his victims to make “house-furniture”. His “behaviors” began after his mother died, a woman he was incredibly devoted to. Before her death, he spent all his time catering to her and never left the house. After she died, he was determined to hold on to her as he had no one else. What was his diagnosis?
schizophrenia along with sexual psychopathy.
This personality disorder involves a chronic pattern of instability in interpersonal relationships, self-image, and emotions, often accompanied by impulsive behavior. It is also associated with more violent crimes.
Borderline Personality Disorder
Name the study that showed us “ “command hallucinations,” or psychotic voices telling a person to harm others; and psychopathy (characterized by a lack of empathy, poor impulse control, and antisocial deviance)” were associated with violence in psychotic patients?
The MacArthur Violence Risk Assessment Study
In 1938, who linked faulty personality to childhood experiences?
Sigmund Freud
Your patient is a 30 year old woman. She often seeks attention through her flamboyant clothing and dramatic storytelling, frequently exaggerating her life experiences to captivate her audience. She struggles with maintaining relationships, as her friends often feel overwhelmed by her need for constant validation and emotional support. In therapy, she reports feelings of emptiness and frustration when not the center of attention. Based on this, what is an appropriate diagnosis?
Histrionic personality disorder
The infamous female serial killer, Aileen Wuornos, was known for her killing spree in Florida from 1989-1990. The killer's psychological makeup left her vulnerable to powerful instincts and impulsive aggression. After being evaluated for her crimes, which she claimed to have been in self defense, Wuornos was diagnosed with what two Cluster B personality disorders?
Antisocial Personality Disorder & Borderline Personality Disorder
Name all three of the personality disorders that are most associated with crime?
dependent personality disorder (DPD), borderline personality disorder (BPD), and antisocial personality disorder (ASPD)
What is the ratio of people with psychosis or psychotic behaviors engage in criminal behaviors and had contact with the criminal justice system?
1 in five people
Who pioneered the use of statistics to discover personality dimensions in 1966?
Raymond Cattell