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Les 11 praktische psychofarmacologie: Middelen bij persoonlijkheidsstoornissen

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May 5, 2016
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Written in
2015/2016
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Middelen bij persoonlijkheidsstoornissen
Inhoudsopgave

1. INLEIDING 1

2. MEDICAMENTEUZE BEHANDELING VAN
PERSOONLIJKHEIDSSTOORNISSEN 1
2.1. CLUSTER A (‘EXCENTRIEK) 1
2.2. CLUSTER B (‘DRAMATISCH’) 2
2.3. CLUSTER C (‘ANGSTIGE’) 2




1. Inleiding
 Cluster A (vreemd of excentriek gedrag) (paranoia, schizoïd,
schizotypisch)
 Cluster B (theatraal, emotioneel of grillig gedrag) (antisociaal, borderline,
theatraal, narcistisch)
 Cluster C (gespannen of angstig gedrag) (ontwijkend, afhankelijk, OCPS)




2. Medicamenteuze behandeling van persoonlijkheidsstoornissen
 Als basistherapie: selectieve serotonine reuptake inhibitoren (SSRIs)
 Additioneel te gebruiken afhankelijk van de symptomen en
comorbiditeiten:
o – Stemmingsstabilisatoren
o – Antipsychotica
o – Anxiolytica
o –?



2.1. Cluster A (‘excentriek)

 Paranoïde persoonlijkheidsstoornis: De werking van medicijnen bij
paranoïde persoonlijkheidsstoornissen is nauwelijks onderzocht. Medicatie
(zoals kalmeringsmiddelen, tricyclische antidepressiva, MAO-remmers)
wordt voorgeschreven om symptomen die naast de
persoonlijkheidsstoornis kunnen voorkomen te verlichten, zoals angst of


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