PSYCH257 Lecture Notes - Diagnostic And Statistical Manual Of Mental Disorders, Personality Disorder, Cognitive Therapy

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Personality disorders: axis ii in the dsm- iv. Patients usually don"t seek help for personality disorders! Personality disorders are often diagnosed after long treatment effort is not effective and provider becomes discouraged. Dsm iv general criteria for personality disorder: enduring pattern of inner experience and behavior that deviates markedly from cultural expectations. Manifested in two or more of the following areas: * person must meet the general criteria before a specific pd is diagnosed. Lack insight into pd (seek treatment for axis i problem or relationship problems) Pd symptoms are ego syntonic = feels like a normal part of oneself: most have interpersonal problems. Can be difficult to diagnose in initial session. Intractable, difficult to treat; can affect treatment of other disorders. The most common pd diagnosis is not one of the ten described in the dsm the most common. Pd influence course or outcome of other mental disorders. Pd diagnoses allow for a rationale for longer-term treatment.

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