Difficulty maintaining course of action Histrionic PD Self-dramatization May attempt to impose impractical conditions on Suggestibility treatment Labile affect Set clear limits Seek attention and excitement Treatment focuses on Over-concern with physical responding to stressful attractiveness situations. Medication of little value Anakastic Preoccupied with details and rules Do not respond well to PD psychotherapy Inhibited by perfectionism Treatment directed to Rigid and stubborn avoiding situations that Excessively doubting and cautious increase the pts difficulties and to coping with stressful situations. Avoidant Tension Providing a therapeutic relationship in which they feel (anxious) PD Feel socially inferior/inadequate valued Preoccupation with rejection or Be alert to co-morbid criticism depressive disorder. Avoidance of risk Avoidance of social activity Dependent Let others take responsibility for Problem-solving PD Should not be seen too important decisions frequently to avoid Unduly compliant with wishes of dependence. others Avoid meds unless associated Feel unable to care for self and fear depression. having to do so Needs excessive advice to make decisions Generalized Anxiety Disorder Often present as somatic symptoms: Gastrointestinal (dry mouth, dysphagia, abdo discomfort, wind, diarrhoea) Respiratory (chest tightness, hyperventilation) Cardiovascular (palpitations, chest pain) Genitourinary (frequent/urgent micturation, erectile dysfunction) Neuromuscular (tremor, parathesiae, dizziness, headache) Sleep disturbance (insomnia, night terrors) Psychological (fearfulness, irritability, restlessness, poor concentration)
Difficulty maintaining course of action Histrionic PD Self-dramatization Suggestibility Labile affect Seek attention and excitement Over-concern with physical attractiveness May attempt to impose impractical conditions on treatment Set clear limits Treatment focuses on responding to stressful situations. Medication of little value Anakastic PD Preoccupied with details and rules Inhibited by perfectionism Rigid and stubborn Excessively doubting and cautious Do not respond well to psychotherapy Treatment directed to avoiding situations that increase the pts difficulties and to coping with stressful situations. Avoidant (anxious) PD Tension Feel socially inferior/inadequate Preoccupation with rejection or criticism Avoidance of risk Avoidance of social activity Providing a therapeutic relationship in which they feel valued Be alert to co-morbid depressive disorder. Dependent PD Let others take responsibility for important decisions Unduly compliant with wishes of others Feel unable to care for self and fear having to do so Needs excessive advice to make decisions Problem-solving Should not be seen too frequently to avoid dependence. Avoid meds unless associated depression. Generalized Anxiety Disorder Often present as somatic symptoms: Gastrointestinal (dry mouth, dysphagia, abdo discomfort, wind, diarrhoea) Respiratory (chest tightness, hyperventilation) Cardiovascular (palpitations, chest pain) Genitourinary (frequent/urgent micturation, erectile dysfunction) Neuromuscular (tremor, parathesiae, dizziness, headache) Sleep disturbance (insomnia, night terrors) Psychological (fearfulness, irritability, restlessness, poor concentration)
Psych-Revision-Notes.docx