WITH SOLUTIONS GRADED A+
✔✔__________________ disorder is the only somatic symptom-related disorder that
doesn't likely have a higher frequency in women. - ✔✔Illness anxiety disorder is the only
somatic symptom-related disorder that doesn't likely have a higher frequency in women
(men are babies !!!!)
✔✔Tx for Illness Anxiety D/O? - ✔✔CBT, SSRIs for co-morbid anxiety/depression
✔✔Both Illness anxiety D/O and somatic symptom d/o must occur for how long? - ✔✔6
months
✔✔First line tx for OCD? - ✔✔Combination of psychopharmacology (SSRIs) and CBT
✔✔What selective TCA can treat OCD? - ✔✔Clomipramine
✔✔Tx for body dysmorphic disorder? - ✔✔SSRIs & CBT to decrease obsessive and
compulsive symptoms
✔✔Name the Cluster A Personality D/Os - ✔✔schizoid, schizotypal, and paranoid
(eccentric or odd by others and can have psychotic symptoms)
✔✔Name the Cluster B Personality D/Os - ✔✔Borderline, Antisocial, Histrionic,
Narcissistic
✔✔Name the Cluster C Personality D/Os - ✔✔Dependent, Avoidant, Obsessive
Compulsive (OCPD)
✔✔TOC for paranoid personality d/o? - ✔✔Psychotherapy (avoid group therapy due to
mistrust)
✔✔Name that disorder: Quiet and unsociable and have a constricted affect. They have
NO desire for close relationships (including family) and prefer to be alone. No interest in
sexual activity. - ✔✔Schizoid Personality D/O (tx: day programs due to lack of insight)
✔✔Name that disorder: Pervasive pattern of eccentric behavior & peculiar thought
patterns. Often perceived as strange and odd. The disorder was developed out of the
observation that certain family traits predominate in first-degree relatives of those with
schizophrenia. - ✔✔Schizotypal Personality D/O
✔✔Schizotypal Personality D/O Tx? - ✔✔Psychotherapy & low-dose antipsychotics if
necessary (for transient psychosis)
, ✔✔A 30-year-old unemployed man has been accused of killing three senior citizens
after robbing them. He is surprisingly charming in the interview. In his adolescence, he
was arrested several times for stealing cars and assaulting other kids. Dx? Tx? -
✔✔Antisocial Personality Disorder
(remember psychotherapy is ineffective and watch out for addictive personality in drug
tx)
✔✔A 23-year-old medical student attempted to cut her wrist because things did not
work out with a man she had been dating over the past 3 weeks. She states that guys
are jerks and "not worth her time." She often feels that she is "alone in this world." Dx?
Tx? - ✔✔Borderline Personality Disorder; Psychotherapy (Dialectical Behavior Therapy
!!!!)
✔✔A 48-year-old company CEO is rushed to the ED after an automobile accident. He
does not let the residents operate on him and requests the Chief of trauma surgery
because he is "vital to the company."
He makes several business phone calls in the ED to stay on "top of his game." Dx? -
✔✔Narcissistic Personality Disorder
✔✔"You are the only doctor who has ever helped me. Every doctor I met before you
was horrible." This is an example of what defense mechanism? Often seen in pt with
what diagnosis? - ✔✔"Splitting" = viewing others as ALL good or ALL bad; BPD
✔✔Pharmacotherapy has been shown to be more useful in ________________ than in
any other personality disorder. - ✔✔Borderline Personality D/O
✔✔Patient who perceives relationships as more intimate than they actually are and
becomes uncomfortable when not the center of attention. Commonly use the defense
mechanism of REGRESSION. Dx? Tx? - ✔✔Histrionic Personality D/O; Psychotherapy
✔✔Both Narcissistic and A.P.D. enjoy exploiting others but which one of them needs
status and recognition in doing so? - ✔✔NPD.
No recognition = depression/mid-life crisis (APD wants material gain or simple
subjugation of others)
✔✔_______ _________ disorder involves a fear of embarrassment in a particular
setting (eating in public, urinating in public, etc.), whereas _______ ______ disorder is
an overall fear of rejection and a sense of inadequacy (& present before adulthood) -
✔✔-Social anxiety = fear of embarrassment in a particular setting (eating in public,
urinating in public, etc.)
-Avoidant personality disorder = fear of rejection and a sense of inadequacy