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Personality Disorder (Cluster B ("Wild" (Borderline (Unstable…

- - - - Disregard or and violation of rights of others
        
        LACK OF REMORSE
      - criminality
      - impulsivity
      - males > females
        
        alcohol use disorder and prison
      - must be 18 y/o and have history of conduct disorder before age 15
        
        conduct disorder if less than 15
      - Occurrence not exclusively during the course of schizophrenia or bipolar disorder
    - - Unstable mood and interpersonal relationships
        
        frantic efforts to avoid abandonment
        
        transient stress related paranoid ideation
      - impulsivity
      - self-mutilation
      - suicidality
      - sense of emptiness
        
        unstable self image or sense of self, identity crisis
      - females > males
      - splitting
      - treatment
        
        dialectic behavior therapy
      - MDD, alcohol/substance abuse in first degree relatives
    - - Excessive emotionality and excitability
      - attention-seeking
      - sexually provocative
      - overly concerned with appearance
      - suggestible
      - female
    - - grandiosity
        
        sense of entitlement
        
        lacks empathy
      - requires excessive admiration
      - reacts to criticism with rage
      - demands the best
      - "special"
      - male
- - - - "Weird, Wild, Worried"
        
        Weird -Cluster A
        
        Accusatory, Aloof, Awkward
        
        Schizotypal
        
        excessive social anxiety that does not diminish with familiarity
        
        inappropriate or constricted affect
        
        lack of close friends or contacts
        
        bodily illusions
        
        can have suspiciousness or paranoid ideation
        
        eccentric appearance, magical/odd thinking, interpersonal Awkwardness
        
        Schizoid
        
        lack of close friends
        
        indifferent to praise or criticism
        
        takes pleasure in few activities
        
        little interest in sexual activities
        
        chooses solitary activities
        
        voluntary social withdrawal (Aloof) limited emotional expression
        content w social isolation
        
        Paranoid
        
        Doubt
        
        Grudges
        
        pervasive distrust
        
        Accusatory; cynical view of the world, suspicious of others
        
        do not occur w psychosis or Aut spectrum disorder, generally associated w schizophrenia
        
        can't develop meaningful social relationships
        
        odd, eccentric
    - - not usually in children
- - - - Hypersensitive to rejection
      - socially inhibited
      - timid
        
        unwilling to get involved with people unless certain of being liked
      - feelings of inadequacy
      - desires relationships with others (vs schizoid)
    - - Preoccupation with order, perfectionism and control
      - egosyntotic: behavior consistent with ones own beliefs and attitudes
      - overconscientious, scrupulous, inflexible
      - unable to discard worthless, worn out objects
        
        miser
      - men
    - - excessive need for support
      - low self confidence
      - often stuck in abusive relationships
      - difficulty expressing disagreement
      - women