Day # 142: Review Quiz-> Personality Disorders Part 2

Today will be our last review quiz for the personality disorders theme. Take a few minutes and check your learning.

1) Which of the following evidence-based interventions for borderline personality disorder does not require specialized provider training?

a) Dialectical Behavioral Therapy (DBT)

b) Mentalization-Based Therapy (MBT)

c) Good Psychiatric Management (GPM)

d) Transference-Focused Psychotherapy (TFP)

2) Which of the following is not one of the nine diagnostic criteria for borderline personality disorder?

a) Easily influenced by others or circumstances

b) Chronic feelings of emptiness

c) Frantic efforts to avoid real or imagined abandonment

d) Difficulty controlling anger

1) Which of the following personality disorder clusters have the strongest familial association with anxiety disorders?

a) Cluster A

b) Cluster B

c) Cluster C

d) None of the above

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ANSWERS

Question 1:

From day #136

Answer: b

Good Psychiatric Management (GPM)

Explanation: 1

• GPM is a treatment for BPD that does not require specialized provider training or an intensive therapy schedule. It was developed to address shortages of mental health professionals with training and experience in treating severe personality disorders.

• GPM can be used by general clinicians including non-mental health practitioners and focuses on psychoeducation, active case management, goal setting, and interpersonal skills.

• A randomized trial compared GPM to DBT and found similar reductions in suicidal and self-injurious episodes, BPD symptoms, and improved functioning.

• Please see full post for description of other answer choices: Dialectical Behavioral Therapy (DBT), Mentalization-Based Therapy (MBT), Transference-Focused Psychotherapy (TFP).

Question 2:

From day # 135 and 138

Answer: a

Easily influenced by others or circumstances

(This is a diagnostic criteria for histrionic personality disorder)

Explanation: 2

The diagnosis of borderline personality disorder requires a pervasive pattern of impulsivity and unstable relationships, moods, behaviors, and self-image beginning by early adulthood and present in a variety of contexts.

• ≥5 of the following must also be present: Mnemonic "DESPAIRER"

• Disturbance of identity- unstable self-image

• Emotional- unstable mood/affect

• Suicidal behavior- recurrent suicidal threats, suicidal attempts, or self-harm/mutilation

• Paranoia or dissociative sx- transient when under stress

• Abandonment (fear of)- frantic efforts to avoid real or imagined abandonment

• Impulsive- in ≥ 2 potentially harmful ways (spending, sexual activity, substance use, binge eating, etc.)

• Relationships- unstable, intense interpersonal relationships (e.g., extreme love–hate relationships)

• Emptiness - chronic feelings of emptiness

• Rage (inappropriate) - dificulty controlling anger

Question 3:

From day #128

Answer: c

Cluster C

Explanation: 3

Cluster C

• Disorders: avoidant, dependent, and obsessive-compulsive

• Group similarities: anxious or fearful

• Mnemonic: "cluster Concerned" (the worried)

• Prevalence: 2.7%

• Familial association: anxiety disorders. More common in biological relatives of patients with anxiety disorders. Patients with avoidant personality often have high anxiety levels themselves. Obsessive-compulsive traits are associated with anxiety and depressive disorders.

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CONCLUSION

• Nice work. If you want to see all of the weekly quizzes you can see them here. You have now completed the personality disorders theme. Our next theme will cover eating disorders.

• If you are looking for more reading materials then check out our recommended resources.

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