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NR 547 Differential Diagnosis Week Seven Quiz Summary.

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  • August 20, 2024
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NR547 Week Seven Quiz Summary
 Personality disorders are characterized by unhealthy thoughts and
actions, which interrupt one's day-to-day living. These disorders can
be further divided into three clusters: A, the odd and eccentric; B, the
dramatic or erratic; and C, the anxious or fearful.
 Narcissistic personality disorder is characterized by a heightened sense
of self-importance, lack of empathy, and grandiose feelings of
uniqueness, though self-esteem may be fragile. Individuals with
dependent personality disorder exhibit an excessive dependence on
others, feeling the need to have others assume responsibility for
significant portions of their lives. Individuals with borderline
personality disorder stand on the border between neurosis and
psychosis, exhibiting unstable affect, mood, behaviors, object
relations, and self-image.
 Individuals with borderline personality disorder stand on the border
between neurosis and psychosis, exhibiting unstable affect, mood,
behaviors, object relations, and self-image. They often engage in risky
behaviors. They are intensely fearful of abandonment, and their
relationships are often intense and unstable. Stress-related mood
swings and paranoia, and suicidal behavior or threats of self-harm are
common.
 Some patients are helped by β-adrenergic receptor antagonists, such
as atenolol, to manage autonomic nervous system hyperactivity,
which tends to be high in patients with avoidant personality disorder,
especially when they approach feared situations (p.573). Lithium can
help patients whose clinical picture includes mood swings. There is
limited evidence for the pharmacologic treatment of obsessive-
compulsive personality disorder. Some studies have suggested
benefits from fluvoxamine and carbamazepine.
 Personality disorder categories may be applied to children or
adolescents if maladaptive personality traits have been present for at
least a year and appear to be persistent, pervasive, and not likely to
be limited to a particular developmental stage or other mental
disorder. Antisocial personality disorder is an exception. Diagnosis of
antisocial personality disorder is not used in individuals younger than
18.




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