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Review of DSM5 Mental Disorders for NCMHCE Study
1. Avoidant Personality Disorder2. Dependent Personality Disorder3. Obsessive-Compulsive Personality
Disorder
Known as Anxious type
Pervasive patterns of thinking, moods and actions Relative to self perception, distressing or exciting
circumstances, personal impulses and urges, other people
Begun in youth, consistent and inflexible in many personal and social situations and stable over time
Causes problems
S2. Assess Testing Personality Disorders
Questionnaire- 4 MCMI3 (Millon) MMPI CATI (Coolidge ) Dimensional
Assessment of Personality Pathology—Basic Questionnaire
Structured Clinical Interview
International Personality Disorder Examination
NEO Five-Factor Inventory Thematic Apperception
Test Global Assessment of
Functioning scale Adult Attachment
Interview
S4. TreatmentTherapy Psychodynamic Therapy CBT CBT Schema Therapy DBT Mindfulness Therapy Mentalization Focused Therapy
Diagnosis IKey: Social inhibition Feelings of inadequacy Extreme sensitivity to negative evaluation Avoidance of social interaction
Diagnosis IIRequires at least four:1. Avoids occupational activities
that involve significant social contact, due to fears of disapproval or rejection
2. Unwilling to deal with people unless sure of being liked
3. Restraint within intimate relationships due to fear of being shamed or ridiculed
4. Preoccupied with being criticized or rejected in social situations
5. Inhibited in new social situations because of feelings of inadequacy
6. Views themselves as socially inept, personally unappealing, or inferior to others
7. Unusually reluctant to take risks or to engage in new activities because they may prove embarrassing
Diagnosis IIICo-occurring: Panic Disorder with
Agoraphobia Social Anxiety Disorder Generalized Anxiety
Disorder Obsessive Compulsive
Disorder
Rule out: Social Anxiety Disorder:
Monitors the other’s reactions, not just self
Dependent Personality Disorder
Paranoid, Schizoid and Schizotypal Personality Disorders
S1. Find Out S2. Assess & Refer MCMI3 (Millon) MMPI Structured Clinical
Interview
S4. Treatments Very challenging since clients fear therapist will dislike them Highly non-critical, non-
judgmental stance Simple supportive client
centered approach
Psychotherapy Psychodynamic
Therapy CBT Schema Social Skills Training Exposure Therapy Cognitive Therapy Group therapyMedications Antidepressants
S5. Monitoring Improved social functioning
S6. Termination
Diagnosis IKey: Excessive and pervasive need to be taken care of Submissive Clinging, needy behavior due to fear of abandonmentAppears in adolescence and young adulthood
Diagnosis IIRequires at least five:1. Needs excessive
reassurance and advice to make everyday decisions
2. Needs others to take responsibility for areas of their lives
3. Difficult to disagree with others out of fear of disapproval
4. Difficult to initiate projects or do things on their own
5. Excessively seeks nurturance and support from others, even by offering to do unpleasant things
6. Feels stressed or helpless when alone due to exaggerated fears of being unable to care for themselves
7. Urgently seeks another source of care when a close relationship ends
8. Preoccupied with fears of being left to take care of himself or herself
S1. Diagnosis 3Co-occurring: Domestic and other
kinds of abuse Substance abuse Depression and dysphoria
Rule out: Borderline Personality
Disorder Histrionic Personality
Disorder
S1. Find Out S2. Assess & Refer MCMI3 (Millon) MMPI Structured Clinical
Interview
S4. Treatments Important to build initial
rapport or clients leave Non-critical, non-
judgemental stance
Possible treatments: Psychodynamic Therapy CBT Schema Brief, Solution Based
TherapyMedications Depression
S5. Monitoring Improved autonomy
6. Termination
S1. Diagnosis 1Key: Preoccupation with
orderliness, perfectionism, details, mental and social control, and power over one's environment
At the expense of flexibility, openness, and efficiency
Requires at least 4:Preoccupied with details, rules, lists, order, organization, or schedules to the extent that the major point of the activity is lost shows perfectionism that interferes with task completion (e.g., is unable to complete a project because his or her own overly strict standards are not met) is excessively devoted to work and productivity to the exclusion of leisure activities and friendships (not accounted for by obvious economic necessity) is overconscientious, scrupulous, and inflexible about matters of morality, ethics, or values (not accounted for by cultural or religious identification) is unable to discard worn-out or worthless objects even when they have no sentimental value is reluctant to delegate tasks or to work with others unless they submit to exactly his or her way of doing things adopts a miserly spending style toward both self and others; money is viewed as something to be hoarded for future catastrophes shows rigidity and stubbornness
S1. Diagnosis 2Requires at least 4:1. Preoccupied with details, such
that the point of the activity is lost
2. Perfectionism that interferes with task completion
3. Too devoted to productivity to the exclusion of friends and leisure activities
4. Inflexible about morality, (apart from religion)
5. Unable to discard worth-less objects even with no sentimental value
6. Reluctant to delegate tasks or to work with others unless they submit to their way of doing things
7. Miserly; money hoarded for future crisis
8. Rigid and stubborn
S1. Diagnosis IICo-occurring: OCD Autism Spectrum Eating disorders
Rule out: OCD: Personality disorder
sees traits as rational, not distressed
S1. Find Out S2. Assess & Refer Dysfunctional Thought
Record MCMI3 (Millon) MMPI Structured Clinical
Interview
S4. Treatments to Use Very challenging since
clients deny symptoms and avoid confronting their irrational beliefs
Non-critical, non-judgemental stance is essential
Therapy Psychodynamic
best CBT Cognitive
Analytic Therapy Medications Antidepressants(SSRIs)
S5. Monitoring Progress Improved flexibility
S6. Termination