front 1 Personality Dx- definition | back 1 - an enduring pattern of inner experience and bx that deviates
markedly from the norms and expectations of the individual's
culture
- pervasive and inflexible
- has an onset in
adolescent or early adulthood
- stable over time
- leads to distress or impairment
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| back 2 - Paranoid PD
- Schizoid PD
- Schizotypal PD
- Antisocial PD
- Borderline PD
- Histrionic PD
- Narcissistic PD
- Avoidant PD
- Dependent PD
- Obsessive Compulsive PD
- Personality change due to
another medical condition
- other specified personality
dx
- unspecified personality dx
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| back 3 - A. enduring pattern of inner experience and bx that deviates
from the expectations of the culture. Pattern manifested in two (or
more) of the following areas:
- cognition
- affectivity
- interpersonal functioning
- impulse control
- B. enduring pattern is
inflexible and pervasive across a broad range of personal and social
situations
- C. enduring pattern leads to distress and
impairment
- D. pattern is stable and of long duration; onset
can be traced back at least to adolescence of early adulthood
- E. enduring pattern is not better explained as manifestation or
consequence of another mental dx
- F. enduring pattern is not
attributable to the physiological effects of a substance or medical
condition
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| back 4 - A. pervasive distrust and suspiciousness of others such that
their motives are interpreted as malevolent, beginning in early
adulthood, manifested by 4+ of the following
- suspects (w/o
basis) that others are exploiting/ harming them
- is
preoccupied with unjustified doubts about loyalty
- reluctant to confide in others because of unwarranted fear
that the info will be used maliciously against them
- reads hidden demeaning/ threatening meanings into benign
remarks
- persistently bears grudges
- perceives
attacks on character or reputation that are not apparent and are
quick to react angrily
- recurrent suspicions without
justification regarding spouse
- B. doesn't
occur exclusively during schizophrenia spectrum dx, bipolar,
etc.
- cluster A PD
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| back 5 - A. pervasive pattern of detachment from social relationships
& restricted range of emotion in interpersonal settings,
beginning in early adulthood, and indicated by 4+ of the following:
- neither desires nor enjoys close relationships
- almost always chooses solitary activities
- has
little, if any, interest in having sexual experiences with
others
- takes pleasure in few, if any, activities
- lacks close friends or confidants other than first degree
relatives
- appears indifferent to the praise or
criticism of others
- shows emotional coldness,
detachment, or flattened affectivity
- B.
doesn't occur exclusively in course of schizophrenia, bipolar, or
depressive dx
- Cluster C PD
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| back 6 - Pattern of social and interpersonal deficits marked by acute
discomfort with close relationships as well as by cognitive or
perceptual distortions, beginning in early adulthood, with 5+ of
following sx:
- ideas of reference
- odds beliefs or
magical thinking that influences bx
- unusual perceptual
experiences, including bodily illusions
- odd thinking
and speech
- suspiciousness or paranoid ideation
- inappropriate or constricted affect
- bx or
appearance that is odd, eccentric, or peculiar
- lack of
close friends or confidants other than 1st degree relatives
- excessive social anxiety that does not diminish with
familiarity and tends to be associated with paranoid fears
rather than negative judgements about self
- B. does not occur exclusively during the course of
schizophrenia, bipolar dx, or depressive dx
- Cluster A
PD
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| back 7 - A. pervasive pattern of disregard and violation of the rights
of others, occurring from age 15+ and evidenced by 3+ of following:
- failure to conform to social norms with respect to lawful
bx
- deceitfulness, as indicated by repeated lying, using
of aliases, or conning others for personal profit
- impulsivity or failure to plan ahead
- irritability
and aggressiveness, as indicated by repeated physical fights or
assaults
- reckless disregard for safety of self or
others
- consistent irresponsibility, as indicated by
repeated failures to sustain consistent work bx
- lack of
remorse
- B. individual is at least 18 years
old
- C. evidenced of conduct dx with onset before age 15
- D. occurrence of antisocial bx is not exclusively during course
of schizophrenia or bipolar dx
- Cluster B PD
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| back 8 - A. pervasive pattern of instability of interpersonal
relationships, self image, affect, and impulsivity, beginning in
early adulthood, as indicated by 5+ of the following:
- frantic efforts to avoid real/imagined abandonment
- pattern of unstable and intense interpersonal relationships
characterized by alternating between extremes of idealization
and devaluation
- identity disturbance: marked and
persistently unstable self image or sense of self
- impulsivity in at least 2 areas that are potential self
damaging
- recurrent suicidal bx, gestures, or threats
- affective instability due to a marked reactivity of
mood
- chronic feelings of emptiness
- inappropriate, intense anger, or difficulty controlling
anger
- transient, stress related paranoid ideation or
severe dissociative symptoms
- Cluster B
PD
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| back 9 - A. Pervasive pattern of excessive emotionality and attention
seeking, beginning in early adulthood, as indicated by 5+ of the
following:
- is uncomfortable in situations in which they are
not the center of attention
- interaction with others is
often characterized by inappropriate sexually seductive or
provocative bx
- displays rapidly shifting and shallow
expression of emotions
- consistently uses physical
appearance to draw attention to self
- has a style of
speech that is excessively impressionistic and lacking in
detail
- shows self dramatization, theatricality, and
exaggerated expression of emotions
- is suggestible
- considers relationships to be more intimate than they really
are
- Cluster B PD
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| back 10 - A. Pervasive pattern of grandiosity, need for admiration, and
lack of empathy, beginning in early adulthood, as indicated by 5+ of
the following:
- has a grandiose sense of self
importance
- preoccupied with fantasies of unlimited
success and power
- believes that they are special and
unique
- requires excessive admiration
- has a
sense of entitlement
- is interpersonally exploitative
- lacks empathy: unwilling to recognize or ID with the
feelings and needs of others
- is often envious of others
or believes that others are envious of them
- shows
arrogant, haughty bx or attitudes
- Cluster B
PD
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| back 11 - a. Pervasive pattern of social inhibition, feelings of
inadequacy, and hypersensitivity to negative evaluation, beginning
in early adulthood, and as indicated by 4+ of the following:
- avoids occupational activities that involve significant
interpersonal contact because of fears of criticism
- unwilling to get involved with people unless certain of
being liked
- shows restraint within intimate
relationships because of the fear of being shamed or ridiculed
- preoccupied with being criticized or rejected in social
situations
- inhibited in new interpersonal situations
bx of feelings of inadequacy
- views self as socially
inept, personally unappealing, or inferior to others
- unusually reluctant to take personal risks or to engage in
any new activities bc they may prove embarrassing
- Cluster C PD
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| back 12 - A. Pervasive/ excessive need to be taken care of that leads to
submissive and clingy bx, and fears of separation, beginning in
early adulthood, as indicated by 5+ of the following:
- difficulty making everyday decisions without an excessive
amount of advice or reassurance
- needs others to assume
responsibility for most major areas of his or her life
- difficulty expressing disagreement with others because of
fear of loss of support or approval
- difficulty
initiating projects or doing things on their own
- goes
to excessive lengths to obtain nurturance and support from
others
- feels uncomfortable or helpless when alone because
of fears of unable to care for self
- urgently seeks
another relationship as a source of are and support when a close
relationship ends
- is unrealistically preoccupied with
fears of being left to take care of themself
- Cluster C PD
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| back 13 - Pervasive pattern of preoccupation with orderliness, control at
the expense of flexibility, starting in early adulthood, as
evidenced by 4+ of following:
- preoccupied with details,
rules, lists, order to extent that the point of the activity is
lost
- shows perfectionism that interferes with task
completion
- excessively devoted to work and productivity
to the exclusion of leisure activities
- overconscientious, scrupulous, and inflexible about matters
of morality
- is unable to discord worn out or worthless
objects even when they have no sentimental value
- reluctant to delegate tasks or to do work with others unless
they submit to exactly their way of doing things
- adopts
s miserly spending style toward both self and others
- shows rigidity and stubbornness
- Cluster
C PD
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