Psych DSM IV Criteria

yixadoxi's version from 2017-01-29 13:28


Paranoid Personality Disordergeneral distrust of others + 4 of 7
1. Suspicion (without evidence) that others are exploiting or deceiving him or her.
2. Preoccupation with doubts of loyalty or trustworthiness of acquaintances.
3. Reluctance to confide in others.
4. Interpretation of beninign remanarks as threatening or demeaning.
5.Persistence of grudges.
6. Perception of attacks on his or her character that are not apparent to others; quick to counterattack.
7. Recurrence of suspicions regarding fidelity of spouse or lover.
0.5 to 2.5%.
is higher in men
Higher incidence in family members of schizophrenics.
Paranoid schizophrenia
Social disenfranchisement and social isolation
chronic course, marital and job-related problemsPsychotherapy is the treatment of choice. Patients may also benefit from antianxiety medications or short course of antipsychotics for transient psychosis
Schizoid Personality Disorderpattern of voluntary social withdrawal and restricted range of emotional expression + 4 of 7
1. Neither enjoying nor desiring close relationships (including family)
2. Generally choosing solitary activities
3. Little (if any) interest in sexual activity with another person
4. Taking pleasure in few activities (if any)
5. Few close friends or confidants (if any)
6. Indifference to praise or criticism
7. Emotional coldness, detachment, or flattened affect
7%, men is twice that of women. No T incidence of schizoid personality disorder in families with history of schizophrenia. Paranoid schizophrenia, Schizotypal personality disorderchronicpsychotherapy is the treatment of choice; group therapy is often beneficial .Low-dose antipsychotics (short course) if transiently psychotic, or antidepressants if comorbid major depression is diagnosed.
Schizotypal Personality Disorder5 of 9
1. Ideas of reference (excluding delusions of reference)
2. Odd beliefs or magical thinking, inconsistent with cultural norms Magical thinking may include: Belief in clairvoyance or telepathy, Bizarre fantasies or preoccupations, Belief in superstitions
3. Unusual perceptual experiences (such as bodily illusions)
4. Suspiciousness
5. Inappropriate or restricted affect
6. Odd or eccentric appearance or behavior.Odd behaviors may include involvement in cults or strange religious practices.
7. Few close friends or confidants
8. Odd thinking or speech (vague, stereotyped, etc)
9. Excessive social anxiety
3%Paranoid schizophrenia, Schizoid personality disorderchronic or patients may eventually develop schizophrenia. Psychotherapy is the treatment of choice to help develop social skills training. Short course of low-dose antipsychotics if necessary
Antisocial Personality DisorderPatients must be at least 18 years old + 3 of 7
1. Failure to conform to social norms by committing unlawful acts
2. Deceitfulness/repeated lying/manipulating others for personal gain
3. Impulsivity/failure to plan ahead
4. Irritability and aggressiveness/repeated fights or assaults
5. Recklessness and disregard for safety of self or others
6. Irresponsibility/failure to sustain work or honor financial obligahons
7. Lack of remorse for actions
3% in men and 1% in women. There is a higher incidence in poor urban areas and in prisoners but no racial difference.Drug abusechronic course, existence of substance abuse and/or major depression is common.Psychotherapy is generally ineffective; dialectical behavior therapy (DBT) and behavioral therapy best choice.
Borderline Personality Disorder (BPD)5 of 9
1. Desperate efforts to avoid real or imagined abandonment
2. Unstable, intense interpersonal relationships (eg, extreme love-hate relationships)
3. Unstable self-image
4. Impulsivity in at least two potentially harmful ways (spending, sexual activity, substance use, binge eating, etc)
5. Recurrent suicidal threats or attempts or self-mutilation
6. Unstable mood/affect
7. General feeling of emptiness
8. Difficulty controlling anger
9. Transient, stress-related paranoid ideation or d dissociative symptoms
IMPULSIVE, Impulsive, Moody, Paranoid under stress, Unstable self-image, Labile (intense relationships), Suicidal, Inappropriate anger, Vulnerable to abandonment, Emptiness
1-2%, twice as high in women, suicide rate 10%schizophrenia, bipolar IIstable, chronic course. High incidence of coexisting major depression and/or substance abuse. High risk of suicidePsychotherapy (DBT) is the treatment of choice
Histrionic Personality Disorder5 of 7
1. Uncomfortable when not the center of attention
2. Inappropriately seductive or provocative behavior
3. Uses physical appearance to draw attention to self
Has speech that is impressicionistic and lacking in detail
5. Theatrical and exaggerated expression of emotion
6. Easily influenced by others or situation
7. Perceives relationships as more intimate than they actually are
2-3%, women > menBorderline personality disorderchronic coursePsychotherapy is the treatment of choice.
Narcissistic Personality Disorder (NPD)5 of 9
1. Exaggerated sense of self-importance
2. Preoccupation with fantasies of unlimited money, success, brilliance, etc
3. Believes that he or she is “special” or unique and can associate only with other high-status individuals
4. Needs excessiveve admiration
5. Has sense of entitlement
6. Takes advantage of others for self-gain
7. Lacks empathy
8. Envious of others or believes others are envious of him or her
9. Arrogant or haughty
1%Antisocial personality disorderchronic coursePsychotherapy is the treatment of choice. Group therapy may help these patients learn empathy.