Personality Disorders

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Personality Disorders"

Transcription

1 Personality s The Good, the Bad and the Really, Really Ugly: Borderline and other Cluster B Personality s BY CHRIS OKIISHI, MD! Long standing! Often life long! Developmental origins! Genetic origins! Resistant to change! Difficult to treat! Colors a person s entire perspective! Really more of a world view Personality s Personality s! Must affect the following:! self (identity or self-direction) and interpersonal (empathy or intimacy) functioning! Inflexible across a broad range of experiences! Not due to substance abuse or another mental illness alone! Cluster A! Unusual, odd, eccentric, weird! Almost psychotic, but not quite! Cluster B! Dramatic, moody, in-your-face, destructive! Cluster C! Avoidant, shy, anxious, inhibited, removed 1

2 The Cluster B Personality s! Histrionic! Narcissistic! Borderline! Antisocial Histrionic Personality! Uncomfortable if not the center of attention! Inappropriately sexual or provocative! Rapid, shallow shifts of emotion! Uses physicality to attract attention! Impressionistic, low-detail speech pattern! Theatrical, high drama form of expression! Easily suggestible! Over interprets strength of relationships Histrionic Personality! 2-3 % of general population! 10-15% of mentally ill population! More often diagnosed in women, but may be likely equally prevalent! Tend to court the victim or princess role! Highly dislike delayed gratification Narcissistic Personality! Grandiose sense of self-importance! Fantasies of unlimited success! Believes self to be special and should only associate with other special people! Requires excessive admiration! Strong sense of entitlement! Exploitative! Lacks empathy! Envious of others and thinks others are similarly envious of self! Arrogant, haughty in behavior and attitude 2

3 Narcissistic Personality! 1% of general population! 2-16% of mentally ill population! 50-70% male! Seems to exist to cover a supremely low self esteem! Easily injured! Can become violent if challenged Borderline Personality! Frantic efforts to avoid real or imagined abandonment! Unstable and intense relationships! Poor sense of self! Impulsively self-destructive! Frequent suicidal gestures, threats or selfmutilation! Mood instability! Chronic feelings of emptiness! Inappropriate, intense anger! Stress-related paranoid ideation or severe dissociative symptoms Borderline Personality! 2% of general population! 30-60% of mentally ill population! 75% of those diagnosed are female! Also known as Emotional Intensity! Strong family component! Higher risk of substance abuse, mood disorders, Antisocial PD What is Bipolar?! Criteria according to DSM IV for Manic Episode! Elevated mood and DIGS FAST! Distractibility! Irritability! Grandiosity! Sleep! Flight of ideas (racing thoughts)! Activity (hyper)! Spending, sex and stupid stuff! Talkitivity (hyper) 3

4 What is Bipolar?! Additional criteria! Must last 1 week! Must be a distinct change from baseline! Must be impairing! Must NOT be due to a medical condition (hyperthyroid, HIV) or drug use/abuse (steroids, stimulants, ecstasy)! Do NOT need a history of depressive episode! Though most do have them Antisocial Personality! Failure to follow laws and rules! Deceitful! Impulsive, poor advance planning! Chronically irritable, aggressive multiple physical fights! Reckless disregard for safety of self or others! Chronic irresponsibility! Lack of remorse Antisocial Personality! 3% in males, 1% in females in general population! 3-30% of mentally ill population! Less evident as a person gets older-- Burning out! Both adopted and biologic children of antisocial parents are more likely to have ASPD, and also Somatization, Substance abuse disorders! Adopted away children still at high risk Treatment of Personality s! Establish clear boundaries! Do not cross! Ever! Ever! Ever!! Keep your role clear! Avoid personal involvement! Including taking things personally! Remind self and patient of treatment goals 4

5 Treatment of Personality s! Medications! Symptom management only! Depression! Serotonin meds in particular! Impulse control! Hard to overdose! Anti-psychotics! Anti-seizure meds! Anger, aggression, self-harm! Anti-psychotics! Anti-seizure meds 5

What is a personality disorder?

What is a personality disorder? What is a personality disorder? What is a personality disorder? Everyone has personality traits that characterise them. These are the usual ways that a person thinks and behaves, which make each of us

More information

Understanding 5 High Conflict Personality Disorders

Understanding 5 High Conflict Personality Disorders Understanding 5 High Conflict Personality Disorders Bill Eddy, LCSW, Esq. Attorney, Mediator, Therapist, Author Family Law Institute March 19, 2013 - Minneapolis Copyright 2013 High Conflict Institute

More information

Compiled by Julie Ann Romero AS 91 Spring 2010

Compiled by Julie Ann Romero AS 91 Spring 2010 Compiled by Julie Ann Romero AS 91 Spring 2010 Antisocial personality disorder is a psychiatric condition in which a person manipulates, exploits, or violates the rights of others. This behavior is often

More information

Does Non-Suicidal Self-injury Mean Developing Borderline Personality Disorder? Dr Paul Wilkinson University of Cambridge

Does Non-Suicidal Self-injury Mean Developing Borderline Personality Disorder? Dr Paul Wilkinson University of Cambridge Does Non-Suicidal Self-injury Mean Developing Borderline Personality Disorder? Dr Paul Wilkinson University of Cambridge If I see a patient who cuts themself, I just assume they have borderline personality

More information

Personality Disorders

Personality Disorders Personality Disorders Chapter 11 Personality Disorders: An Overview The Nature of Personality and Personality Disorders Enduring and relatively stable predispositions (i.e., ways of relating and thinking)

More information

PERSONALITY DISORDERS

PERSONALITY DISORDERS PERSONALITY DISORDERS UNDERSTANDING THEIR EFFECT ON THE THERAPEUTIC RELATIONSHIP, COMPLIANCE WITH TREATMENT & RECOVERY DR ANDREW ASHLEY-SMITH PSYCHIATRIST SOUTH SHORE NOVA SCOTIA DISCLOSURE Over the past

More information

Study Guide - Borderline Personality Disorder (DSM-IV-TR) 1

Study Guide - Borderline Personality Disorder (DSM-IV-TR) 1 Study Guide - Borderline Personality Disorder (DSM-IV-TR) 1 Pervasive pattern of instability of interpersonal relationships, selfimage, and affects, and marked impulsivity that begins by early adulthood

More information

Borderline Personality Disorder

Borderline Personality Disorder Borderline Personality Disorder Borderline Personality Disorder Formerly called latent schizophrenia Added to DSM III (1980) as BPD most commonly diagnosed in females (75%) 70-75% have a history of at

More information

Not All That Swings Is Bipolar: Diagnosis and Treatment of Borderline Personality Disorder

Not All That Swings Is Bipolar: Diagnosis and Treatment of Borderline Personality Disorder Not All That Swings Is Bipolar: Diagnosis and Treatment of Borderline Personality Disorder Michael D. Jibson, MD, PhD Professor of Psychiatry University of Michigan Disclosure In the past 12 months I have

More information

Personality Difficulties

Personality Difficulties Personality Difficulties The essential features of a personality disorder are impairments in personality (self and interpersonal) functioning and the presence of pathological personality traits. There

More information

Putting the smiles back. When Something s Wr ng o. Ideas for Families

Putting the smiles back. When Something s Wr ng o. Ideas for Families Putting the smiles back When Something s Wr ng o Ideas for Families Borderline Personality Disorder (BPD) Disorder is characterized by an overall pattern of instability in interpersonal relationships and

More information

Chapter 12 Personality Disorders

Chapter 12 Personality Disorders The Nature of Personality Disorders Chapter 12 Personality Disorders Enduring patterns of perceiving, relating to, and thinking about the world and oneself Manifest across many life areas Are inflexible

More information

Diagnosis and Assessment of Personality Disorders

Diagnosis and Assessment of Personality Disorders Diagnosis and Assessment of Personality Disorders Michael B. First, M.D. Editor, DSM-IV Text and Criteria Department of Psychiatry, Columbia University What is a Personality Disorder? an enduring pattern

More information

Personality Disorders

Personality Disorders Abnormal Psychology PSYCH 40111 s s: An Overview The Nature of Personality and s A personality is all the ways we have of acting, thinking, believing, and feeling that make each of us unique and different

More information

Personality disorder. Caring for a person who has a. Case study. What is a personality disorder?

Personality disorder. Caring for a person who has a. Case study. What is a personality disorder? Caring for a person who has a Personality disorder Case study Kiara is a 23 year old woman who has been brought to the emergency department by her sister after taking an overdose of her antidepressant

More information

DSM-IV and DSM-5 Criteria for the Personality Disorders

DSM-IV and DSM-5 Criteria for the Personality Disorders General Criteria for a Personality Disorder General Criteria for a Personality Disorder DSM-IV DSM-5 Criteria - Revised June 2011 pathological personality traits. To diagnose a personality disorder, the

More information

Mental Health Needs Assessment Personality Disorder Prevalence and models of care

Mental Health Needs Assessment Personality Disorder Prevalence and models of care Mental Health Needs Assessment Personality Disorder Prevalence and models of care Introduction and definitions Personality disorders are a complex group of conditions identified through how an individual

More information

Anti-Social Personality Disorder

Anti-Social Personality Disorder Anti-Social Personality Disorder Definition Anti-Social Personality Disorder is a type of chronic mental condition in which a person's ways of thinking, perceiving situations and relating to others are

More information

Personality Disorders

Personality Disorders LP 13BF personality disorders 1 Personality Disorders Personality disorders: Disorders characterized by deeply ingrained, Inflexible patterns of thinking, feeling, or relating to others or controlling

More information

Lisa Davies Consultant Forensic Psychologist Malta, October 2012

Lisa Davies Consultant Forensic Psychologist Malta, October 2012 Lisa Davies Consultant Forensic Psychologist Malta, October 2012 What is Borderline Personality Disorder How to treat BPD effectively Pink Elephants Principles of Dialectical Behaviour Therapy BPD is:

More information

Borderline Personality Disorder and Treatment Options

Borderline Personality Disorder and Treatment Options Borderline Personality Disorder and Treatment Options MELISSA BUDZINSKI, LCSW VICE PRESIDENT, CLINICAL SERVICES 2014 Horizon Mental Health Management, LLC. All rights reserved. Objectives Define Borderline

More information

Introduction to Personality Disorders

Introduction to Personality Disorders Introduction to The objective of this lecture is to present an overview of the ten DSM-V-TR personality disorders. Key features of each of the ten personality disorders will be highlighted. Introduction:

More information

DSM-V: DISRUPTIVE BEHAVIORS, PERSONALITY DISORDERS AND V-CODES

DSM-V: DISRUPTIVE BEHAVIORS, PERSONALITY DISORDERS AND V-CODES DSM-V: DISRUPTIVE BEHAVIORS, PERSONALITY DISORDERS AND V-CODES STEPHEN SOLTYS, MD PROFESSOR AND CHAIRMAN DEPARTMENT OF PSYCHIATRY SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE DISCLOSURES No conflicts

More information

Personality Disorders (PD) Summary (print version)

Personality Disorders (PD) Summary (print version) Personality Disorders (PD) Summary (print version) 1/ Definition A Personality Disorder is an abnormal, extreme and persistent variation from the normal (statistical) range of one or more personality attributes

More information

Unraveling (some of) The Mystery of Borderline Personality Disorder Have we been barking up the wrong tree?

Unraveling (some of) The Mystery of Borderline Personality Disorder Have we been barking up the wrong tree? Unraveling (some of) The Mystery of Borderline Personality Disorder Have we been barking up the wrong tree? Barbara Stanley, Ph.D. Director, Suicide Intervention Center New York State Psychiatric Institute

More information

Abnormal Psychology Practice Quiz #3

Abnormal Psychology Practice Quiz #3 Abnormal Psychology Practice Quiz #3 1. People with refuse to maintain a minimum, normal body weight, and have an intense fear of gaining weight. a. anorexia nirvana b. anorexia bulimia c. bulimia nervosa

More information

Sue/Sue/Sue Understanding Abnormal Behavior, 9 th edition 2010 Cengage Learning CHAPTER EIGHT. Personality Disorders

Sue/Sue/Sue Understanding Abnormal Behavior, 9 th edition 2010 Cengage Learning CHAPTER EIGHT. Personality Disorders Sue/Sue/Sue Understanding Abnormal Behavior, 9 th edition 2010 Cengage Learning CHAPTER EIGHT Personality Disorders PERSONALITY DISORDERS Personality Disorder: Sue/Sue/Sue Understanding Abnormal Behavior,

More information

How to Recognize Depression and Its Related Mood and Emotional Disorders

How to Recognize Depression and Its Related Mood and Emotional Disorders How to Recognize Depression and Its Related Mood and Emotional Disorders Dr. David H. Brendel Depression s Devastating Toll on the Individual Reduces or eliminates pleasure and jo Compromises and destroys

More information

Contents of This Packet

Contents of This Packet Contents of This Packet 1) Overview letter 2) Dialectical Behavior Therapy (DBT) Clinic flyer 3) Diagnostic criteria for borderline personality disorder 4) Guidelines and agreements for participating in

More information

Aggression and Borderline Personality Disorder. Michele Galietta, Ph.D. January 15, 2012 NEA.BPD Call-In Series

Aggression and Borderline Personality Disorder. Michele Galietta, Ph.D. January 15, 2012 NEA.BPD Call-In Series Aggression and Borderline Personality Disorder Michele Galietta, Ph.D. January 15, 2012 NEA.BPD Call-In Series Goals for this Presentation Define Aggression Distinguish Anger from Aggression Discuss Evidence-Based

More information

Personality Disorders

Personality Disorders Abnormal Psychology Clinical Perspectives on Psychological Disorders 5e Personality Disorders Chapter 10 Personality Disorders Chapter 10 Personality trait An enduring pattern of perceiving, relating to,

More information

Borderline Personality. Disorder. N.P. Costigan, MD. Alberta Health Services. Community Addiction & Mental Health. Central Zone. Clinical Professor

Borderline Personality. Disorder. N.P. Costigan, MD. Alberta Health Services. Community Addiction & Mental Health. Central Zone. Clinical Professor Borderline Personality 1 N.P. Costigan, MD Alberta Health Services Community Addiction & Mental Health Central Zone Disorder Clinical Professor University of Alberta 2 Introductory Comments The terms borderline

More information

Antisocial personality disorder

Antisocial personality disorder Page 1 of 7 Diseases and Conditions Antisocial personality disorder By Mayo Clinic Staff Antisocial personality disorder is a type of chronic mental condition in which a person's ways of thinking, perceiving

More information

Personality Disorders

Personality Disorders Personality Disorders Source: Linda Lebelle, Focus Adolescent Services A Personality Disorder is identified by a pervasive pattern of experience and behaviour that is abnormal with respect to any of the

More information

Feeling Moody? Major Depressive. Disorder. Is it just a bad mood or is it a disorder? Mood Disorders. www.seclairer.com S Eclairer 724-468-3999

Feeling Moody? Major Depressive. Disorder. Is it just a bad mood or is it a disorder? Mood Disorders. www.seclairer.com S Eclairer 724-468-3999 Feeling Moody? Is it just a bad mood or is it a disorder? Major Depressive Disorder Prevalence: 7%; 18-29 years old; Female>Male DDx: Manic episodes with irritable mood or mixed episodes, mood disorder

More information

Provider Attestation (Expedited Requests Only) Clinical justification for expedited review:

Provider Attestation (Expedited Requests Only) Clinical justification for expedited review: Inpatient Treatment Request Fax completed form to: 866 949 4846 Fill out completely to avoid delays Date: / / Request Type (Check one): Standard Expedited (additional information required below) Provider

More information

Dialectical Behaviour Therapy (DBT) for Borderline Personality Disorder

Dialectical Behaviour Therapy (DBT) for Borderline Personality Disorder Dialectical Behaviour Therapy (DBT) for Borderline Personality Disorder Dr. Kathy Fitch, Psychiatrist Janice Wingrave,, RPN, Clinical Supervisor Janice Wingrave,, RPN Clinical supervisor to comprehensive

More information

Personality Disorders

Personality Disorders Personality Disorders What Is A Personality Disorder? Personality traits are patterns of perceiving, thinking about, relating and interacting with people. These traits contribute to how a person is perceived

More information

PSYCHIATRIC EMERGENCY. Department of Psychiatry Pomeranian Medical University in Szczecin

PSYCHIATRIC EMERGENCY. Department of Psychiatry Pomeranian Medical University in Szczecin PSYCHIATRIC EMERGENCY Department of Psychiatry Pomeranian Medical University in Szczecin Sudden psychic disturbances including: - cognition - thought process - emotional area - psychomotor activity when

More information

Working Definitions APPRECIATION OF THE ROLE OF EARLY TRAUMA IN SEVERE PERSONALITY DISORDERS

Working Definitions APPRECIATION OF THE ROLE OF EARLY TRAUMA IN SEVERE PERSONALITY DISORDERS Working Definitions PERSONALITY TRAIT a stable, recurring pattern of human behavior - e.g. a tendency to joke in serious situations, hypersensitivity to criticism, talkativeness in groups. PERSONALITY

More information

Borderline Personality Disorder

Borderline Personality Disorder Borderline Personality Disorder N.P. Costigan, MD Alberta Health Services Community Addiction & Mental Health Central Zone Personality Disorder An enduring pattern of inner experience and behavior that

More information

30 Minute Lesson: Personality Disorders Participant Version

30 Minute Lesson: Personality Disorders Participant Version 30 Minute Lesson: Personality Disorders Participant Version People with personality disorders (PD) display personality traits that are noticeably different from other people, and that show up and cause

More information

Clinical features - Depression

Clinical features - Depression Mood CRS Formulation Depression The word depression is used to describe a variety of states ranging from normal unhappiness after a loss up to severe major depressive illness with physical and psychotic

More information

Bipolar. New in DSM-5 Bipolar 1 Bipolar 2

Bipolar. New in DSM-5 Bipolar 1 Bipolar 2 Sheila Ward APRN Norton Women s Counseling Louisville KY Sheila.ward@nortonhealthcare.org Bipolar Historically under-diagnosed Historically misdiagnosed Major Depression 10 years to Diagnosis Diagnosis

More information

Borderline Personality Disorder

Borderline Personality Disorder Borderline Personality Disorder What is Borderline Personality Disorder? Borderline Personality Disorder (BPD) is a most misunderstood, serious mental illness characterized by pervasive instability in

More information

ANTISOCIAL PERSONALITY DISORDER: IS IT TREATABLE? JESSICA YAKELEY PORTMAN CLINIC TAVISTOCK AND PORTMAN NHS FOUNDATION TRUST

ANTISOCIAL PERSONALITY DISORDER: IS IT TREATABLE? JESSICA YAKELEY PORTMAN CLINIC TAVISTOCK AND PORTMAN NHS FOUNDATION TRUST ANTISOCIAL PERSONALITY DISORDER: IS IT TREATABLE? JESSICA YAKELEY PORTMAN CLINIC TAVISTOCK AND PORTMAN NHS FOUNDATION TRUST ANTISOCIAL PERSONALITY DISORDER: IS IT TREATABLE? Why care about ASPD? Why care

More information

Drugs PSYCHOSIS. Depression. Stress Medical Illness. Mania. Schizophrenia

Drugs PSYCHOSIS. Depression. Stress Medical Illness. Mania. Schizophrenia Drugs Stress Medical Illness PSYCHOSIS Depression Schizophrenia Mania Disorders In preschool children imaginary friends and belief in monsters under the bed is normal (it may be normal in older developmentally

More information

Part 1: Depression Screening in Primary Care

Part 1: Depression Screening in Primary Care Part 1: Depression Screening in Primary Care Toni Johnson, MD Kristen Palcisco, BA, MSN, APRN MetroHealth System Objectives Part 1: Improve ability to screen and diagnose Depression in Primary Care Increase

More information

Presently, there are no means of preventing bipolar disorder. However, there are ways of preventing future episodes: 1

Presently, there are no means of preventing bipolar disorder. However, there are ways of preventing future episodes: 1 What is bipolar disorder? There are two main types of bipolar illness: bipolar I and bipolar II. In bipolar I, the symptoms include at least one lifetime episode of mania a period of unusually elevated

More information

The Dance of Power Frustrating

The Dance of Power Frustrating The Dance of Power Frustrating the DRAMA! Presented by: Josh Smith, LMSW, BCD Co Owner of The DBT Center of Michigan Owner of The DBT Center of Western Kentucky dbtcentermiwky@gmail.com Normal Personality

More information

Personality Disorders. Overview. Overview. The Nature of Personality Disorders. Categorical vs. Dimensional Views of Personality Disorders

Personality Disorders. Overview. Overview. The Nature of Personality Disorders. Categorical vs. Dimensional Views of Personality Disorders Personality Disorders Overview The Nature of Personality Disorders Enduring and relatively stable predispositions (i.e., ways of relating and thinking) Predispositions are inflexible and maladaptive, causing

More information

Chapter 14. Psychological Disorders

Chapter 14. Psychological Disorders Chapter 14 Psychological Disorders We ve Come a Long Way Trepanning Ancient priests or medicine men cut holes into the skills of living persons, to release the demons. What is Abnormality Psychopathology

More information

Bipolar Disorder. When people with bipolar disorder feel very happy and "up," they are also much more active than usual. This is called mania.

Bipolar Disorder. When people with bipolar disorder feel very happy and up, they are also much more active than usual. This is called mania. Bipolar Disorder Introduction Bipolar disorder is a serious mental disorder. People who have bipolar disorder feel very happy and energized some days, and very sad and depressed on other days. Abnormal

More information

Personality Disorders: Recognition, Diagnosis, Treatment & Survival Chatman Neely

Personality Disorders: Recognition, Diagnosis, Treatment & Survival Chatman Neely Personality Disorders: Recognition, Diagnosis, Treatment & Survival Chatman Neely Welcome Phase One: Recognition Chronic and Persistent Pattern of relating to self and others: look for suffering!!! Characteristics

More information

Borderline Personality Disorder (BPD)

Borderline Personality Disorder (BPD) Borderline Personality Disorder (BPD) Kathi Pauncz registered counselling psychologist RGF Conference Practice Forum Date: April 2012 Content Areas covered in this 1 hour 40 minute forum include: What

More information

FACT SHEET 4. Bipolar Disorder. What Is Bipolar Disorder?

FACT SHEET 4. Bipolar Disorder. What Is Bipolar Disorder? FACT SHEET 4 What Is? Bipolar disorder, also known as manic depression, affects about 1 percent of the general population. Bipolar disorder is a psychiatric disorder that causes extreme mood swings that

More information

Irritability and DSM-5 Disruptive Mood Dysregulation Disorder (DMDD): Correlates, predictors, and outcome in children

Irritability and DSM-5 Disruptive Mood Dysregulation Disorder (DMDD): Correlates, predictors, and outcome in children Irritability and DSM-5 Disruptive Mood Dysregulation Disorder (DMDD): Correlates, predictors, and outcome in children Ellen Leibenluft, M.D. Chief, Section on Bipolar Spectrum Disorders National Institute

More information

B i p o l a r D i s o r d e r

B i p o l a r D i s o r d e r B i p o l a r D i s o r d e r Professor Ian Jones Director National Centre for Mental Health www.ncmh.info @ncmh_wales /WalesMentalHealth 029 2074 4392 info@ncmh.info Robert Schumann 1810-1856 Schumann's

More information

Inpatient Behavioral Health and Inpatient Substance Abuse Treatment: Aligning Care Efficiencies with Effective Treatment

Inpatient Behavioral Health and Inpatient Substance Abuse Treatment: Aligning Care Efficiencies with Effective Treatment Inpatient Behavioral Health and Inpatient Substance Abuse Treatment: Aligning Care Efficiencies with Effective Treatment BHM Healthcare Solutions 2013 1 Presentation Objectives Attendees will have a thorough

More information

Borderline Personality Disorder

Borderline Personality Disorder Borderline Personality Disorder What Is It, and How to Work More Effectively With People Who Have It State Public Defenders Conference September 2005 Ronald J Diamond M.D. Department of Psychiatry University

More information

2) Recurrent emotional abuse. 3) Contact sexual abuse. 4) An alcohol and/or drug abuser in the household. 5) An incarcerated household member

2) Recurrent emotional abuse. 3) Contact sexual abuse. 4) An alcohol and/or drug abuser in the household. 5) An incarcerated household member Co Occurring Disorders and the on Children: Effectively Working with Families Affected by Substance Abuse and Mental Illness Definition (Co-Occurring also called Dual Dx) A professional diagnosis of addictive/substance

More information

TELEMEDICINE SERVICES Brant Haldimand Norfolk INITIAL MENTAL HEALTH ASSESSMENT NAME: I.D. # D.O.B. REASON FOR REFERRAL:

TELEMEDICINE SERVICES Brant Haldimand Norfolk INITIAL MENTAL HEALTH ASSESSMENT NAME: I.D. # D.O.B. REASON FOR REFERRAL: TELEMEDICINE SERVICES Brant Haldimand Norfolk TMS INITIAL MENTAL HEALTH ASSESSMENT NAME: I.D. # D.O.B. (OPTINAL) ADDRESS: CITY: P.C. HOME PHONE: ALTERNATE PHONE: G.P: MARITAL STATUS: AGE: ASSSESSMENT DATE:

More information

Bipolar Disorder. Mania is the word that describes the activated phase of bipolar disorder. The symptoms of mania may include:

Bipolar Disorder. Mania is the word that describes the activated phase of bipolar disorder. The symptoms of mania may include: Bipolar Disorder What is bipolar disorder? Bipolar disorder, or manic depression, is a medical illness that causes extreme shifts in mood, energy, and functioning. These changes may be subtle or dramatic

More information

HISTRIONIC PERSONALITY STYLE AND DISORDER

HISTRIONIC PERSONALITY STYLE AND DISORDER HISTRIONIC PERSONALITY STYLE AND DISORDER THE HISTRIONIC PERSONALITY TYPE IN A NUTSHELL The essential feature of HISTRIONIC PERSONALITY DISORDER is pervasive and excessive emotionality and attention-seeking

More information

2/12/2016. Depression Anxiety Bipolar Disorder Addiction. Julie Denton PMHNP-BC

2/12/2016. Depression Anxiety Bipolar Disorder Addiction. Julie Denton PMHNP-BC Julie Denton PMHNP-BC Depression Anxiety Bipolar Disorder Addiction Symptoms of depression, anxiety disorder and bipolar disorder have similarities they may require different treatments People may have

More information

Borderline Personality Disorder in Primary Care

Borderline Personality Disorder in Primary Care Borderline Personality Disorder in Primary Care Sherie Ramsgard RN, MSN Family Nurse Practitioner Psychiatric Nurse Practitioner Owner Borderline Personality Disorder (BPD) Learning Objectives: 1.To understand

More information

Client Information Leaflet

Client Information Leaflet The Dialectical Behaviour Therapy Endeavour Programme Creating a life worth living Client Information Leaflet HSE South - North Lee Adult Mental Health Service Dialectical Behaviour Therapy Programme July

More information

Personality Disorder:

Personality Disorder: Personality Disorder: An update for Primary Care Dr Pardeep Dhillon With inputs from Dr Chris Bench and Dr Neelima Reddi(Consultant Psychiatrists) Contents Diagnostic criteria Relation to Clustering Typical

More information

ENTITLEMENT ELIGIBILITY GUIDELINE

ENTITLEMENT ELIGIBILITY GUIDELINE ENTITLEMENT ELIGIBILITY GUIDELINE BIPOLAR DISORDERS MPC 00608 ICD-9 296.0, 296.1, 296.4, 296.5, 296.6, 296.7, 296.8, 301.13 ICD-10 F30, F31, F34.0 DEFINITION BIPOLAR DISORDERS Bipolar Disorders include:

More information

MENTAL HEALTH CONSUMER COOKBOOK

MENTAL HEALTH CONSUMER COOKBOOK MENTAL HEALTH CONSUMER COOKBOOK Information about common psychiatric diagnoses and how you can cope with them Prepared for members of Rainbow Heights Club (www.rainbowheights.org) as of January 16, 2014

More information

[KQ 804] FEBRUARY 2007 Sub. Code: 9105

[KQ 804] FEBRUARY 2007 Sub. Code: 9105 [KQ 804] FEBRUARY 2007 Sub. Code: 9105 (Revised Regulations) Theory : Two hours and forty minutes Q.P. Code: 419105 Maximum : 100 marks Theory : 80 marks M.C.Q. : Twenty minutes M.C.Q. : 20 marks 1. A

More information

PYSCHOPATHY AND ANTISOCIAL PERSONALITY DISORDER. Lisann Nolte & Justine Paeschen

PYSCHOPATHY AND ANTISOCIAL PERSONALITY DISORDER. Lisann Nolte & Justine Paeschen PYSCHOPATHY AND ANTISOCIAL PERSONALITY DISORDER Lisann Nolte & Justine Paeschen PSYCHOPATHY THE PSYCHOPATH TEST http://www.youtube.com/watch?v=e_va2tl6czwth E PSYCHOPATH TEST - are you a psychopath? PSYCHOPATHY

More information

BIPOLAR DISORDER IN PRIMARY CARE

BIPOLAR DISORDER IN PRIMARY CARE E-Resource January, 2014 BIPOLAR DISORDER IN PRIMARY CARE Mood Disorder Questionnaire Common Comorbidities Evaluation of Patients with BPD Management of BPD in Primary Care Patient resource Patients with

More information

Informed Consent for Research in Borderline Personality Disorder

Informed Consent for Research in Borderline Personality Disorder Informed Consent for Research in Borderline Personality Disorder Rachel E. Dew MD Post-doctoral Fellow, Center for Spirituality, Theology, and Health, Duke University Medical Center, Durham, NC Adjunct

More information

Co-Occurring Disorders

Co-Occurring Disorders Presented by Pamela Messore LICSW, LCDP Co-Occurring Disorder - formerly Dual Diagnosis - was once a challenge to providers. Historically, clients were treated in separate modalities - even separate agencies.

More information

EXHIBIT D, COVERED BEHAVIORAL HEALTH DIAGNOSES

EXHIBIT D, COVERED BEHAVIORAL HEALTH DIAGNOSES EXHIBIT D, COVERED BEHAVIORAL HEALTH DIAGNOSES Part I- Mental Health Covered Diagnoses 295-298.9 295 Schizophrenic s (the following fifth-digit sub-classification is for use with category 295) 0 unspecified

More information

From damage to disorder; working with personality difficulties in a forensic setting Julia Harrison Occupational Therapist - Adult Forensic Services

From damage to disorder; working with personality difficulties in a forensic setting Julia Harrison Occupational Therapist - Adult Forensic Services From damage to disorder; working with personality difficulties in a forensic setting Julia Harrison Occupational Therapist - Adult Forensic Services Northumberland, Tyne and Wear NHS Foundation Trust From

More information

Background: Previous Research

Background: Previous Research OUTCOME TRAJECTORIES FOR YOUTH SERVED IN RESIDENTIAL TREATMENT FACILITY SETTINGS OR THE COMMUNITY THROUGH THE HOME AND COMMUNITY BASED SERVICES MEDICAID WAIVER Office of Performance Measurement & Evaluation

More information

CHAPTER 10: Personality Disorders

CHAPTER 10: Personality Disorders CHAPTER 10: Personality Disorders Chapter Overview/Summary Personality disorders appear to be inflexible and distorted behavioral patterns and traits that result in maladaptive ways of perceiving, thinking

More information

Understanding The Dynamics of Co-occurring Disorders. Did you ever pull up to a red light and go a little too far into the intersection?

Understanding The Dynamics of Co-occurring Disorders. Did you ever pull up to a red light and go a little too far into the intersection? Understanding The Dynamics of Co-occurring Disorders Joe Garant MA Catholic Human Services Did you ever pull up to a red light and go a little too far into the intersection? So, you put the car in reverse

More information

Ways to support the person with bipolar disorder

Ways to support the person with bipolar disorder Ways to support the person with bipolar disorder People differ in what help they need and want from caregivers. Caregivers differ in how involved they are in providing support. Finding ways to provide

More information

Investigations Involving Victims Engaged in High Risk Behaviors

Investigations Involving Victims Engaged in High Risk Behaviors Investigations Involving Victims Engaged in High Risk Behaviors Catherine Johnson North Carolina Justice Academy (828) 685-3600 X223 office (816) 588-6380 cell CJJohnson@ncdoj.gov The Accused Training

More information

Identification and Management of Personality Disorders and how they can Affect HIV/AIDS Care

Identification and Management of Personality Disorders and how they can Affect HIV/AIDS Care Identification and Management of Personality Disorders and how they can Affect HIV/AIDS Care James Satriano, Ph.D. Columbia University HIV Mental Health Training Project Why is this Important? 20 40% with

More information

Depression Remission at Six Months Specifications 2014 (Follow-up Visits for 07/01/2012 to 06/30/2013 Index Contact Dates)

Depression Remission at Six Months Specifications 2014 (Follow-up Visits for 07/01/2012 to 06/30/2013 Index Contact Dates) Description Methodology Rationale Measurement Period A measure of the percentage of adults patients who have reached remission at six months (+/- 30 days) after being identified as having an initial PHQ-9

More information

Mood Disorders. Ch. 6- Mood Disorders. What do you know about depression? True or false? Depression is not a common psychological disorder.

Mood Disorders. Ch. 6- Mood Disorders. What do you know about depression? True or false? Depression is not a common psychological disorder. Ch. 6- Mood Disorders OBJECTIVE: Depressive Disorders: Major depressive Disorder Post Partum Disorder Mood Disorders Mood disorders are a group of disorders involving severe and enduring disturbances in

More information

The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5)

The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) Cardwell C Nuckols, PhD cnuckols@elitecorp1.com Cardwell C. Nuckols, PhD www.cnuckols.com SECTION I-BASICS DSM-5 Includes

More information

Brief Review of Common Mental Illnesses and Treatment

Brief Review of Common Mental Illnesses and Treatment Brief Review of Common Mental Illnesses and Treatment Presentations to the Joint Subcommittee to Study Mental Health Services in the 21st Century September 9, 2014 Jack Barber, M.D. Medical Director Virginia

More information

Criteria to Identify Abnormal Behavior

Criteria to Identify Abnormal Behavior Criteria to Identify Abnormal Behavior Unusualness Social deviance Emotional distress Maladaptive behavior Dangerousness Faulty perceptions or interpretations of reality Hallucinations Delusions Copyright

More information

Conceptual Models of Substance Use

Conceptual Models of Substance Use Conceptual Models of Substance Use Different causal factors emphasized Different interventions based on conceptual models 1 Developing a Conceptual Model What is the nature of the disorder? Why causes

More information

CHAPTER 6 Diagnosing and Identifying the Need for Trauma Treatment

CHAPTER 6 Diagnosing and Identifying the Need for Trauma Treatment CHAPTER 6 Diagnosing and Identifying the Need for Trauma Treatment This chapter offers mental health professionals: information on diagnosing and identifying the need for trauma treatment guidance in determining

More information

The behaviours that constitute the personality disorders can only be judged as maladaptive in the contexts in which they occur.

The behaviours that constitute the personality disorders can only be judged as maladaptive in the contexts in which they occur. Chapter 23 Personality disorders Personality disorders are persistent maladaptive patterns of behaviour and of perceiving and thinking about oneself and the environment, present since adolescence, that

More information

Treating Co-Occurring Mental Health and Substance Abuse Issues

Treating Co-Occurring Mental Health and Substance Abuse Issues Treating Co-Occurring Mental Health and Substance Abuse Issues September 20, 2012 Nick Turner, LCSW, CADC 1 Objectives My hope is that you walk away with increased knowledge and perspective on current

More information

Intensive Residential Treatment Services -IRTS. Program Description

Intensive Residential Treatment Services -IRTS. Program Description Intensive Residential Treatment Services -IRTS Program Description A highly structured non-hospital based treatment setting that brings comprehensive and specialized diagnostic and treatment services to

More information

Bipolar Disorder. Some people with these symptoms have bipolar disorder, a serious mental illness. Read this brochure to find out more.

Bipolar Disorder. Some people with these symptoms have bipolar disorder, a serious mental illness. Read this brochure to find out more. Bipolar Disorder Do you go through intense moods? Do you feel very happy and energized some days, and very sad and depressed on other days? Do these moods last for a week or more? Do your mood changes

More information

THE NEUROBIOLOGY OF PERSONALITY DISORDERS

THE NEUROBIOLOGY OF PERSONALITY DISORDERS THE NEUROBIOLOGY OF PERSONALITY DISORDERS Overview Neurologists and primary care doctors manage patients with a wide range of psychiatric disturbances to include personality disorders. The definition of

More information

GENDER SENSITIVE REHABILITATION SERVICES FOR WOMEN A workshop

GENDER SENSITIVE REHABILITATION SERVICES FOR WOMEN A workshop GENDER SENSITIVE REHABILITATION SERVICES FOR WOMEN A workshop Theresa Tatton Consultant Psychiatrist Women s Medium Secure Service Fromeside Bristol Shawn Mitchell Consultant Psychiatrist Women s Service

More information

Schizoaffective Disorder

Schizoaffective Disorder FACT SHEET 10 What Is? Schizoaffective disorder is a psychiatric disorder that affects about 0.5 percent of the population (one person in every two hundred). Similar to schizophrenia, this disorder is

More information

Child Abuse and Neglect in Indian Country

Child Abuse and Neglect in Indian Country Child Abuse and Neglect in Indian Country Physical Abuse Characterized by the infliction of intentional, non-accidental physical injury. Parent or caretaker may not have intended to harm the child. Injury

More information

KAP Keys. For Clinicians. Based on TIP 36 Substance Abuse Treatment for Persons With Child Abuse and Neglect Issues

KAP Keys. For Clinicians. Based on TIP 36 Substance Abuse Treatment for Persons With Child Abuse and Neglect Issues Substance Abuse Treatment for Persons With Child Abuse and Neglect Issues CSAT s Knowledge Application Program KAP Keys For Clinicians Based on TIP 36 Substance Abuse Treatment for Persons With Child Abuse

More information

ICD- 9 Source Description ICD- 10 Source Description

ICD- 9 Source Description ICD- 10 Source Description 291.0 Alcohol withdrawal delirium F10.121 Alcohol abuse with intoxication delirium 291.0 Alcohol withdrawal delirium F10.221 Alcohol dependence with intoxication delirium 291.0 Alcohol withdrawal delirium

More information