Clusters A
What three disorders fall into Cluster A
1. Paranoid
2. Schizoid
3. Schizotypal
What 4 disorders fall into Cluster B?
1. Antisocial
2. Boarderline
3. Histrionic
4. Narcissistic
What three disorders fall into Cluster C?
1. Avoidant
2. Dependent
3. Obsessive Compulsive
How many Personality Disorders are there?
10
Guidelines for Nursing Care for this personality disorder consists of:
-Counteracting mistrust
-1:1 psychotherapy
- Prescribing; Anti-anxiety & Antipsychotics Ex. Pimozide & Haldol
-Avoid being overly friendly
-Use simple, direct language
Paranoid Personality Disorder
What are the characteristics of cluster A?
“Odd or Eccentric”
What are the characteristics of cluster B?
“Dramatic or Emotional”
What are the characteristics of cluster C?
“Anxious or Insecure”
This cluster B personality disorder presents as having severe mood swings, impulsive behavior, NSSI behaviors, fear of abandonment and difficulty forming stable personal relationships.
Boarderline Personality Disorder
Treatment modalities for this personality disorder include:
-Mood-stabilizers may help with aggression
-SSRIs & Benzodiazepines
-CBT, DBT & MBT (Mentalization-Based-Therapy) Is a psychodynamic therapy that focuses on improving a persons ability to understand and regulate their own emotions and those of others.
Antisocial Persoanlity Disorder
Patient presents with pervasive distrust and suspicion of others.
What is Paranoid Personality Disorder?
The patient presents with the following diagnostic features:
-may be inappropriate sexually seductive & flirtatious.
-overly dramatic, attention seeking behavior.
-uses physical appearance to draw attention to self
-excessive amounts of time, energy and $ on appearance
-considers relationships more intimate than they actually are
Histrionic Personality Disorder
The patient presents with the following diagnostic features:
-Not flexible preoccupied by details or rules.
-Excessive devotion to work
Obsessive Compulsive Personality Disorder
When you can have characteristics of various personality disorders the diagnosis is called ?
Unspecified Personality Disorder
Treatment modalities for this cluster B personality disorder include:
-Meds to tx s/s
-CBT, DBT & Schema-focused therapy (Schema-focused therapy is a form of psychotherapy that aims to help individuals identify and change unhealthy patters of feeling and behaviors. Helps by understanding how early childhood experiences, unmet needs can impact their relationships).
Borderine Personality Disorder
The patient presents with the following diagnostic features:
-Described as a loner
-Socially withdrawn or detached
-Avoids close relationships even being part of the family
Schizoid
Previously known as psychopaths or sociopaths. Have a general disregard for the rights of others and often accompanied by criminal behavior. Resent authority.
Antisocial Personality Disorder
The patient presents with the following diagnostic features:
-begins in early childhood
-a pattern of withdrawing socially, feelings of inadequacy and hypersensitivity to negative evaluation
-social isolation
-fears criticism, disapproval and rejection
Avoidant Personality Disorder
A deeply ingrained pattern of behavior and thought process that’s extreme and problematic in the context of one’s culture.
Personality Disorder
Clomipramine (Anafranil) & Fluoxetine are commonly used in the treatment of this cluster C personality disorder?
Obsessive Compulsive Personality Disorder
The patient presents with the following diagnostic features:
-odd beliefs: mind reading, special powers, six sense, bizarre fantasies, disorganized thinking, episodes of Hallucinations/delusions but can be made aware
-vulnerable to cults
- Severe discomfort with close relationships
Schizotypal
The patient presents with the following diagnostic features:
-Have a need for excessive admiration
-Grandiose sense of self importance. Exaggerates achievements and talents
-preoccupied with fantasies of unlimited success & power
-lacks empathy
Narcissistic Personality Disorder
-A pattern of submissiveness & clingy to others and an excessive need to be taken care of.
-begins early adulthood
-unrealistic fear of being left to take care of themselves
Dependent Personality Disorder
Dialectical Behavioral Therapy or DBT was developed as an appropriate and sensitive therapy for patients with what personality disorder?
Borderline Personality Disorder
The following nursing diagnosis are common for this type of cluster B personality disorder?
Risk for self-mutilation
Risk for suicide
Risk for violence
Social isolation
Impaired socialization
Disturbed personal identity
Difficulty coping
Borderline Personality Disorder