Patient doesn t know there is a problem Patient recognizes there is a problem OCD Cluster A Cluster B MOST COMMON Cluster C Three categories of personality disorders Suspicious distrusting argue humorless Egosyntonic Egodystonic Paranoid PD Schizoid PD Schizotypal Solitude distant unmotivated lacks spontaneity doesn t small talk Poor social skill odd behaviors Self centered attention seeking SEDUCTIVE dramatic Demands admiration insensitive to others VERY self centered Disregard right of others arrest impulsive fights no rules Fear of abandonment manipulative suicidal behaviors for attention feels empty self mutilating behaviors Poor self image high anxiety limits contact with people Submissive venerable helpless Histrionic PD Narcissistic PD Antisocial PD Borderline PD Avoidant PD Dependent PD Rigid detailed needs to fell in control perfectionist likes rules and order Blowing out of proportion Black and white OCD Catastrophizing Dichotomizing Self attribution errors Dialectical behavior therapy DBT Assume everything is their own fault Recreates a parent child relationship Therapist makes self available 24 7 Binge eating At least once a week for 3 months Mild 1 3 Mod 4 7 Severe 8 13 Extreme 14 Time limited Teaching about meds sexuality health Psych educational group Psychotherapy group Time limited or open ended Solution focused brief therapy Cognitive behavioral therapy Therapeutic milieu groups Authorative parenting Recreational physical activity social skills Parent controlling less support demanding Child less misconduct and drugs lacks closeness rebel when older Indulgent permissive Parent lenient least restrictive values individuality Child less cognitive more drug and conduct high self perception social competence Disengaged rejecting parenting Parent neglecting poor monitoring lacks support disorganized drugs Child lacks social connection drug use low cognitive emotional problems Authorative parenting Primary Secondary Tertiary Resilient child Autism Asperger s BEST PARENTING Parent clear standards supportive considerate rational Child competent individuality mature communal high self esteem Group teaching Early intervention minimize long term effect Rehab and support Adapts nurturing relationships good social good problem solving Impaired communication Impaired social Restricted Identified by 18month 3y Impaired social No language Later onset Oppositional defiant behavior Recurrent pattern of neg behavior but no violations make me Persistent pattern of behaviors which violate rights of others Kids irritable bored poor motivation headaches stomach aches Teens hypersomnia aggression irritable AGITATION substance promiscuity Eating non nutrition substances nonfood items Repeating rechewing and regurgitation of food Bed wetting after age 5 Pooping after age 4 Conduct disorder Depression Pica Rumination Enuresis Encopresis Person wishes to change sex Person born with both sex organs Recurrent intense sexually arousing fantasies must have symptoms for 6 months Display of genitals Sexually satisfied by object Touching or rubbing in crowded areas transsexual Hermaphroditism Paraphilia Exhibitionism Fetish Frotteurism Sexually attracted to kids Must be 16y old and victim must be 5 years younger Viewing of other people in intimate situations Dressing in opposite sex clothing Like to do suffering or humiliation of victim Satisfaction of being beating bound or suffered Restricting 02 Pedophile Voyeurism Transvestite fetish Sadism Masochism Hypoxyphilia Secondary to another condition Reversible Fluctuations in consciousness and cognition Long term Irreversible Onset is slow Difficulty forming words Loss of ability to perform purposeful movements Loss of ability to recognize familiar objects Delirium Dementia Aphasia Apraxia Agnosia