PSY 034 Lecture Notes - Lecture 24: Eating Disorder, Pathological Lying, Antipsychotic

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In general: distortion in thinking, not clear,false ideas, probms in emotional regulation(too/under),interpersonal difficulty, impulse control. Commonality with intellectual disability: both are resistant to change, pd can start 2,3 yrs, and patients don"t believe there"s something wrong with themselves. Axis 1: problems the person coming with. But most clinicians use intuition, see how the person interact during interview. High comorbidity with axis i disorders,eg. depression, substance abuse, eating disorder. Prevalence = 0. 5 - 2. 5%, may be closer to 10% Clinician bias: when talk about borderline, 75% female/girls. Mistrust and suspicion; pervasive; unjustified; few meaningful relationships; volatile; tense; sensitive to criticism. Learning: parents be abducted when young, told children to be careful, world is dangerous . Unlikely to seek on own, only go to the clinician due to crisis in life. Assumptions: patients naturally made negative assumptions, need to challenge these assumptions. Appear to neither enjoy nor desire relationships, the loner . Unlikely to seek on own, come due to crisis.

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