Personality Disorders and Sexual Dysfunction

Classified in Psychology and Sociology

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Dx Criteria of SPD

1. Changes in Personality and Societal Function

Individuals with Schizotypal Personality Disorder (SPD) exhibit significant changes in their personality that affect their ability to function in social and occupational settings.

2. Stereotypic Behavior

SPD is characterized by stereotypic behaviors that impact social and occupational functioning.

3. Stereotypic Features

Stereotypic features, such as unusual beliefs and behaviors, are prominent in SPD.

4. Distress

SPD can cause significant distress to individuals and those around them.

Antisocial & Emotional Symptoms & Differential Diagnosis

Personality Disorder (PD)

PD encompasses a range of mental health conditions characterized by inflexible and unhealthy personality traits.

Psychopathic PD

Psychopathic PD involves a disregard for and violation of the rights of others.

Symptoms:
  • Apathy towards others
  • Ignoring social norms
  • Inability to maintain long-term relationships
  • Low frustration threshold
  • Inability to feel guilt
  • Blaming others
Differential Diagnosis:
  • Parasitic PD: Lacks impulsiveness or aggression.
  • Histrionic PD: Seeks attention, unlike the disregard for others in psychopathic PD.
  • Psychotic or Manic Episodes: Have specific triggers, unlike the persistent pattern in psychopathic PD.

Paranoid Personality Disorder: Symptoms & Differential Diagnosis

Paranoid PD

Paranoid PD involves constant distrust and suspicion of others.

Symptoms:

  • Interpreting others' actions as deliberate attacks
  • Oversensitivity and suspicion
  • Jealousy
  • Blaming others
  • Overvaluing one's abilities
  • Holding grudges
  • Interpersonal problems

Differential Diagnosis:

  • Schizophrenia: Involves a loss of touch with reality, hallucinations, which are not present in PPD.
  • Schizoid PD: Exhibits different speech patterns, while speech in PPD is typically normal.

Schizoid Personality Disorder: Symptoms & Differential Diagnosis

Schizoid PD

Schizoid PD is marked by a detachment from social relationships and limited emotional expression.

Symptoms:

  • Emotional coldness
  • Limited capacity for love and anger
  • Indifference to criticism
  • Low interest in sex
  • Lack of close friends
  • Ignoring social norms
  • Odd speech patterns

Differential Diagnosis:

  • Schizophrenia: SPD may have negative symptoms but not the positive symptoms of schizophrenia.
  • Anxiety Disorders: SPD does not involve the fear of criticism that is common in anxiety disorders.
  • Medical Disorders: It's essential to rule out underlying medical conditions that may contribute to similar symptoms.

Anankastic Personality Disorder

Definition

Anankastic PD, also known as Obsessive-Compulsive Personality Disorder, is characterized by a pursuit of perfection and orderliness.

Symptoms:

  • Preoccupation with orderliness and control
  • Excessive devotion to work and productivity
  • Inflexibility regarding opinions and thoughts
  • Inability to discard objects or money
  • Difficulty working in groups

Differential Diagnosis:

  • OCD: OCD is an anxiety disorder with a sudden onset and does not stem from a need for perfection.

Avoidant Personality Disorder

Definition (Anxious PD)

Avoidant PD involves social discomfort, self-consciousness, fear of rejection, and hesitancy in social situations.

Symptoms:

  • Restricted lifestyle
  • Avoiding activities due to fear of rejection
  • Difficulty developing relationships

Differential Diagnosis:

  • Dependent PD: APD does not involve a need for others to take care of them.
  • Neurotic Disorders: APD does not have a sudden onset or specific triggers.
  • Schizoid PD: Both involve social isolation, but APD is characterized by low self-esteem.

Histrionic Personality Disorder: Symptoms & Differential Diagnosis

Histrionic PD

:-ecesisve emotional-ateention seeking-drama Queen
^^Sx: -center of attention-acting like a victim-interpersonal relationship with dorment partner-excessive concern about physical activity
^^Diff Dx: -Narcissisitc PD -desperately Looking for attention 



**35. Main Sexual dysfunction ..I-exhibitionismII-FetishismIII-FortterusimIV-PaedophiliaV- MasochismVI- SadismVII- Tranverse FetishismVIII- VoyerrismIX- necorphiliaX-zoophiliaXI-Sxotophili^^Sexual duscintion:I-sexual desireII-Sexual arousalIII-OrgasmicIV- Pain^^Tx: I-Sexual DeviationII-Secual dysfucntion***. Sleep disorder: causes, types ,Dx .....^^ Classification : -non organic insomnia-non organic hypersomnia-Non oranic disorder of sleep&  Awake-Parasomnias occur as part of normal sleep(Sleepwalking/ sleep terro / nightmares)

InsomniaHypersomniaSleep & awake disorderInsufficient quantity of sleepExcessive daytime sleeping & sleep attack that causes distubance in persona lifeSleeping at time of awakeness^^Dx:-tiredness throught X(??) -Pattern (diffuculty staying asleep early waking)^^Dx: -daytime sleeping-No catalepsy-sleep paralysis-hallucination^^Dx:-sleeping & walking-difficulat to rouse^^causes:-enviroment-Poor hygiene-Stress-psychaitircacute anxiety-Physical pain-X: caffeine , OH,X^^Cause:-Depression-Idiopathic^^Cause: -enterainment-delayed sleep phase syndrome-PScyhiatric disorder

^^Tx:-Sleep Hygiene-hypontic (BZD)-Behavioral approach^^Tx: -Treat underlung disorder( depression)-X : amphetamine (? hyposomna)^^Tx:-Safe room & surrounding area-treat menal disease

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Personality Disorders Sexual Dysfunction Sleep Disorders Mental Health