Personality Disorders
Definition
Note: Suicide is more common in Cluster B
Treatment
Pharmacological
Prognosis
Source
DSM V
Dr Snezana Alempijevic
Prof S Pridmore
- Inflexible, pervasive behaviour that is very different from cultural expectations that affects ADL
Note: Suicide is more common in Cluster B
Treatment
- CBT (identify/learn 'normal' behaviour and responses)
- Group therapy
- Manage comorbidities
Pharmacological
- Avoidant: Anxiolytic (gabapentin/ pregabalin)
- Schizotypal: low dose anti-psychotics
- Antisocial: lithium to reduce aggression
- Borderline: fluoxetine (impulsiveness), flupenthixol deconoate (suicidal ideation), lithium and anticonvulsants (affective instability), Aripiprazole (range of sx) Note: no meds for emptiness and interpersonal dysfunction; Note: avoid benzos (OD risk and worsen sx)
Prognosis
- 85% remit in 10 years, 12% relapse
Source
DSM V
Dr Snezana Alempijevic
Prof S Pridmore