1002-Diagnosis of Personality Disorders A Trauma Informed Approach

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4.7 • 667 Ratings

🗓️ 5 September 2024

⏱️ 61 minutes

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Summary

Overview of Personality Disorders Definition: Key Features: Inflexible and Pervasive Behavior: Present across various contexts. Early Onset: Behavior is stable and typically begins in adolescence or early adulthood. Exclusion Criteria: Must rule out other mental disorders, medical conditions, or substance use as primary causes. Common Diagnostic Challenges Overlap with Other Disorders: Trauma Considerations: . Specific Personality Disorders and Trauma-Informed Perspectives Paranoid Personality Disorder: Mnemonic: "SUSPECT" - Suspiciousness, unforgiving, perceives attacks, etc. Trauma Link: May develop from environments with distrust or betrayal. Schizoid Personality Disorder: Mnemonic: "DISTANT" - Detached, indifferent to praise/criticism, tasks done solitarily, etc. Trauma Link: Chronic exposure to trauma may lead to emotional numbing and detachment. Schizotypal Personality Disorder: Mnemonic: "ME PECULIAR" - Magical thinking, eccentric behavior, anxiety in social situations, etc. Trauma Link: Development of odd beliefs or behaviors may stem from a need to cope with a traumatic environment. Avoidant Personality Disorder: Mnemonic: "CRINGES" - Certainty of being liked, rejection preoccupies thoughts, intimacy restrained, etc. Trauma Link: Likely related to experiences of rejection or abandonment, leading to extreme caution in relationships. Dependent Personality Disorder: Mnemonic: "RELIANCE" - Reassurance required, expressing disagreement difficult, life responsibilities assumed by others, etc. Trauma Link: Often linked to enmeshed or controlling family environments, where independence was discouraged. Antisocial Personality Disorder: Mnemonic: "CORRUPT" - Conformity to law lacking, obligations ignored, reckless, etc. Trauma Link: May develop from a criminogenic environment or chronic trauma leading to a disregard for societal norms. Borderline Personality Disorder: Mnemonic: "AM SUICIDE" - Abandonment fears, mood instability, suicidal behaviors, etc. Trauma Link: Strongly associated with early abandonment or chaotic environments. Histrionic Personality Disorder: Mnemonic: "PRAISE ME" - Provocative behavior, relationships considered more intimate than they are, uncomfortable not being center of attention, etc. Trauma Link: May develop as a way to gain attention in emotionally neglectful environments. Narcissistic Personality Disorder: Mnemonic: "SPECIAL" - Believes they are special, preoccupied with fantasies of success, lacks empathy, etc. Trauma Link: Possible development as a defense mechanism in response to trauma or low self-esteem. Obsessive-Compulsive Personality Disorder: Mnemonic: "LAW FIRMS" - Loses point of activity due to detail, friendships excluded due to work, inflexible, etc. Trauma Link: Rigidity and control may arise from environments where safety and predictability were lacking. Differential Diagnosis and Considerations Rule Out Other Disorders: Mood disorders with psychotic features. Autism spectrum disorders. Substance use disorders. Importance of Context: Acculturation and Intergenerational Trauma: Treatment and Systemic Considerations Personality Disorder Stigma: Trauma-Informed Care: Treatment Barriers: Chapters: 00:00:00 - Differential Diagnosis of Personality Disorders from a Trauma-Informed Perspective 00:06:56 - Characteristics of Paranoid Personality Disorder 00:13:38 - Trauma's effect on mood and libido 00:20:22 - Unusual Perceptions and Magical Thinking 00:27:13 - Characteristics of Dependent Personality Disorder 00:33:59 - Borderline Personality Characteristics 00:40:54 - Differential Diagnosis and Co-occurring Disorders 00:47:27 - Differential Diagnosis of Personality Disorders 00:54:12 - Differentiating Personality Disorders from Other Conditions Learn more about your ad choices. Visit megaphone.fm/adchoices

Transcript

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0:00.0	So welcome to everybody today's presentation on differential diagnosis of personality
0:06.7	disorders from a trauma-informed perspective. I'm your host Dr. Donnellyce Snipes.
0:17.1	In this presentation we're going to review the criteria for the various personality disorders and identify some common errors in diagnosis.
0:26.6	Let's just start out with what is a personality disorder in general. When we talk about personality disorders, they seem to have a lot of symptoms that overlap with a lot
0:38.9	of other disorders and the answer is yes they do so what is a personality
0:44.4	disorder is an an enduring pattern of inner experience and behavior that
0:50.8	deviates markedly from cultural expectations in two or more areas.
0:57.0	So there are a lot of things here that we need to look at.
1:01.0	Enduring pattern.
1:03.0	So this isn't just something that happens after a trauma.
1:07.0	This isn't something that just happens during a certain period of time.
1:16.0	Inner experience, how the person is feeling about themselves in the world,
1:21.1	and behavior that deviates markedly from cultural expectations. And we need to examine what that might be,
1:31.3	what that might look like for each individual and consider not only you know race and ethnicity and gender and gender identity but also
1:37.9	other cultures such as age and the time that people grew up in.
1:44.3	But it needs to differ markedly from cultural expectations in two or more areas.
1:50.7	Cognition, affectivity, so the range of affect, whether the person is flat or emotionally
1:58.1	disregulated, the intensity, libbelity and appropriateness of the
2:04.3	affect so we want to look at you know for that person's culture for that
2:12.1	person's environment for their context is their affect culturally appropriate their interpersonal functioning is it culturally and
2:23.7	contextually appropriate and impulse control is it culturally and contextually appropriate now one of the
2:33.1	other features of personality disorders as opposed to
	...

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