Basics
Maladaptive behavior patterns
Egocentric means?
Self-focused
What is a key trait of ASPD?
lack of empathy/remorse, deceptive/coercive behaviors, violating others' rights
What is the core issue with BPD?
Emotional instability
What is the main treatment for personality disorders and what should be combined with main treatment?
Therapy
Medications should be used in collaboration with therapy
When do they typically start?
Adolescence or young adulthood
Do people with personality disorders accept responsibility?
No, they deflect
What is the prevalence of ASPD?
3-4% of the population, 4x more likely in men, common in prisons and substance abuse programs
What are risk factors of BPD?
Female (75% of diag. are women), childhood abuse (physical, sexual, mental), childhood abandonment, genetic predisposition (5x more likely is 1st degree relative has it)
What type of therapy is used for BPD?
Dialectical Behavioral Therapy (DBT)
Are behaviors flexible?
No, they're rigid
Environment
What is the diagnostic requirement?
Must be 18, before 18: diagnosed with conduct disorder or ADHD
What are some characteristics of someone with BPD?
fear of abandonment/crazy efforts to prevent abandonment, identity disturbance, chronic feeling of emptiness, paranoid thoughts during stress
What type of medications are used with BPD?
SSRIs, antidepressants, and antipsychotics
What areas of life are affected?
Relationships and functioning
What common traits does someone with a personality disorder portray?
*identity problems
*poor social skills
*manipulation or controlling behaviors
*taking advantage of others
*impulsiveness
What are some risk factors of ASPD?
Family hx of ASPD, caregiver with alcoholism, childhood abuse, unstable home life
What is the suicide rate?
8-10%
What are alternative treatments for personality disorders?
yoga, meditation, breathing exercises, vit B12, omega 3 fatty acids
What is one's insight level?
Poor insight
Do they believe their behaviors affect others?
No, they have a limited understanding
What are other features shown in ASPD?
egocentric, difficulty forming relationship, antagonistic
What is splitting and what does it contribute to?
They see people or situations as all good or all bad, there's no middle ground
Contributes to rapid mood swings and unstable relationships
What type of therapy is especially useful in ASPD?
Group therapy