Prep Cluster C Anxious, Fearful

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Prep Cluster CAnxious, Fearful

• Human Health Dysfunction
• Prof. D. E. Schreier, Psy.D.

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General diagnostic criteria for a Personality
Disorder 

• (A. An enduring pattern of inner experience and
  behavior that deviates markedly from the
  expectations of the individual's culture. This
  pattern is manifested in two (or more) of the
  following areas 
• (1) cognition (i.e., ways of perceiving and
  interpreting self, other people, and events) (2)
  affectivity (i.e., the range, intensity,
  lability, and appropriateness of emotional
  response) (3) interpersonal functioning (4)
  impulse control 

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General diagnostic criteria for a Personality
Disorder 

• B. The enduring pattern is inflexible and
  pervasive across a broad range of personal and
  social situations. 
• C. The enduring pattern leads to clinically
  significant distress or impairment in social,, or
  other important areas of functioning. 
• D. The pattern is stable and of long duration and
  its onset can be traced back at least to
  adolescence or early adulthood. 
• E. The enduring pattern is not better accounted
  for as a manifestation or consequence of another
  mental disorder. 
• F. The enduring pattern is not due to the direct
  physiological effects of a substance (e.g., a
  drug of abuse, a medication) or a general medical
  condition (e.g., head trauma).

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Avoidant PD 301.82

• Mnemonic CRINGES (4 criteria).
• C Certainty (of being liked required before
  willing to get involved with others)R Rejection
  (or criticism) preoccupies one's thoughts in
  social situationsI Intimate relationships
  (restraint in intimate relationships due to fear
  of being shamed)N New interpersonal
  relationships (is inhibited in)G Gets around
  occupational activity (involving significant
  interpersonal contact)E Embarrassment
  (potential) prevents new activity or taking
  personal risksS Self viewed as unappealing,
  inept, or inferior

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Dependent PD 301.6

• Mnemonic RELIANCE (5 criteria).
• R Reassurance required for decisionsE
  Expressing disagreement difficult (due to fear of
  loss of support or approval)L Life
  responsibilities (needs to have these assumed by
  others)I Initiating projects difficult (due to
  lack of self-confidence)A Alone (feels helpless
  and discomfort when alone)N Nurturance (goes to
  excessive lengths to obtain nurturance and
  support)C Companionship (another relationship)
  sought urgently when close relationship endsE
  Exaggerated fears of being left to care for self

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Obsessive Compulsive PD 301.4

• Mnemonic LAW FIRMS (4 criteria).
• L Loses point of activity (due to preoccupation
  with detail)A Ability to complete tasks
  (compromised by perfectionism)W Worthless
  objects (unable to discard)
• F Friendships (and leisure activities) excluded
  (due to a preoccupation with work)I Inflexible,
  scrupulous, overconscientious (on ethics, values,
  or morality, not accounted for by religion or
  culture)R Reluctant to delegate (unless others
  submit to exact guidelines)M Miserly (toward
  self and others)S Stubbornness (and rigidity)

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301.9 PD NOS (Not Otherwise Specified)

• Do not meet full criteria for any specific PD,
  however features of PD are present (DSM-IV p.
  729).

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What if there is something wrong but you cannot
put your finger on it

• Personality Disorder NOS 301.9
• (DSM-IV TR p. 729)
• e.g. PD NOS w histrionic features