Transtornos de personalidade

PRESENTING CONCERNS

[comment memo="Dependent concerns"][checkbox value="Pt has difficulty making everyday decisions without an excessive amount of advice and reassurance from others|Pt needs others to assume responsibility for most major areas of life|Pt has difficulty expressing disagreement with others because of fear of loss of support or approval.|Pt has difficulty initiating projects or doing things alone|Pt goes to excessive lengths to obtain nurturance and support from others|Pt feels uncomfortable or helpless when alone|Pt urgently seeks another relationship as a source of care and support when a close relationship ends|Pt is unrealistically preoccupied with fears of being left alone"].

[comment memo="Histrionic concerns"][checkbox value="Pt is uncomfortable in situations in which she is not the center of attention|Pts interaction with others is often characterized by inappropriate seductive or provocative behaviours|Pt does not tend to feel deeply about people or issues|Pt over-relies on physical appearance to gain attention|Pt preferences impressions and avoids small detail|Pt dramatizes and externalises internal feeling states|Pt exaggerates expressed emotions|Pt is easily influenced by others or circumstances|Pt considers relationships to be more intimate than they actually are"].

[comment memo="Hypomanic dependent concerns"][checkbox value="Pt is extremely extroverted in all settings|Pt is overly energetic and struggles to switch off|Pts strong emotions override reason and logic|Pt is hyper-confident, ambitious without the requisite skills|Pt is frequently perceived to be rude, irritable, and irresponsible|Pt is behaviourally disorganized, has a decreased need for sleep, is extremely distractible, has chronic flight of ideas, and exercises poor judgment|Pt is driven by an excessive need for excitement and stimulation|Pt is poorly able to delay gratification, and evidences a penchant for momentary excitements and fleeting adventures|Pt is notably thrill-seeking, easily infatuated, and overly, but transiently, attached to one thing or person following another|Pt often lacks social dependability, exhibiting a disdain for the effects of their behaviors|Pt has a capricious disregard for agreements hastily assumed, and leaves a trail of broken promises and contracts, squandered funds, distraught acquaintances, and so on|Pt finds it hard to settle down, concentrate, and expend effort"]

[comment memo="Compulsive concerns"][checkbox value="Pt is preoccupied with details, rules, lists, order, organization, or schedules to the extent that the major point of the activity is lost|Pt shows perfectionism that interferes with task completion|Pt is excessively devoted to work and productivity to the exclusion of leisure activities and friendships|Pt is overconscientious, scrupulous, and inflexible about matters of morality, ethics, or values|Pt is unable to discard worn-out or worthless objects even when they have no sentimental value|Pt is reluctant to delegate tasks or to work with others unless they submit to exactly his or her way of doing things|Pt adopts a miserly spending style toward both self and others|Pt shows rigidity and stubbornness|Pt makes gestures of excessive self-sacrifice to regulate distressing thoughts or feelings"].

[comment memo="Negativistic concerns"][checkbox value="Pt passively resists fulfilling routine social and occupational tasks|Pt complains of being misunderstood and unappreciated by others|Pt is sullen and argumentative|Pt unreasonably criticizes and scorns authority|Pt expresses envy and resentment toward those apparently more fortunate|Pt voices exaggerated and persistent complaints of personal misfortune|Pt alternates between hostile defiance and contrition|Pt is discontented with society because others are not pulling their weight"]

[comment memo="Ambivalent concerns"][checkbox value="Pt makes frantic efforts to avoid real or imagined abandonment|Pt has a pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation|Pt has a markedly and persistently unstable self-image or sense of self|Pt has impulsivity in areas that are potentially self-damaging|Pt has recurrent suicidal behavior, gestures, or threats, or self-mutilating behavior|Pt has affective instability due to a marked reactivity of mood such as intense episodic dysphoria, irritability|Pt has chronic feelings of emptiness|Pt has inappropriate, intense anger or difficulty controlling anger that can include recurrent physical fights|Pt has transient, stress-related paranoid ideation|Pt has dissociative symptoms"]

[comment memo="Narcissistic concerns"][checkbox value="Pt has a grandiose sense of self-importance|Pt has excessive mirror needs|Pt exaggerates achievements and talents, and expects to be recognized as superior without commensurate achievements|Pt is preoccupied with fantasies of unlimited success, power, brilliance, beauty, or ideal love|Pt believes that she is special and unique and can only be understood by, or should associate with, other special or high-status people or institutions|Pt requires excessive admiration|Pt has a sense of entitlement|Pt has unreasonable expectations of especially favorable treatment or automatic compliance with her expectations|Pt takes advantage of others to achieve her own ends|Pt lacks empathy and is unwilling to recognize or identify with the feelings and needs of others|Pt is often envious of others or believes that others are envious of him or her|Pt shows arrogant, haughty behaviors or attitudes|Pt lacks insight into the effects of their behaviour on others|Pt assumes centralized importance in the lives of others"].

[comment memo="Antisocial concerns"][checkbox value="Pt fails to conform to social norms with respect to lawful behaviors as indicated by repeatedly performing acts that are ground for arrest|Pt is frequently deceitful, as indicated by repeated lying, use of aliases, or conning others for personal profit or pleasure|Pt impulsively fails to plan ahead|Pt is frequently irritability and aggressiveness|Pt has a reckless disregard for safety of self or others|Pt is consistently irresponsibility, as indicated by repeated failure to sustain consistent work behavior or honour financial obligations|Pt demonstrates a lack of remorse, as indicated by being indifferent to or rationalizing having
hurt, mistreated, or stolen from others"].

[comment memo="Paranoid concerns"][checkbox value="Pt suspects, without sufficient basis, that others are exploiting, harming, or deceiving her|Pt is preoccupied with unjustified doubts about the loyalty or trustworthiness of friends or associates|Pt is reluctant to confide in others because of unwarranted fear that the information will be used maliciously against him or her|Pt reads hidden demeaning or threatening meanings into benign remarks or events|Pt persistently bears grudges and is unforgiving of insults, injuries, or slights|Pt perceives attacks on his or her character or reputation that are not apparent to others and is quick to react angrily or to counterattack|Pt has recurrent suspicions, without justification, regarding the fidelity of her sexual partner"]

[comment memo="Schizoid concerns"][checkbox value="Pt neither desires nor enjoys close relationships, including being part of a family|Pt almost always chooses solitary activities|Pt has little, if any, interest in having sexual experiences with another person|Pt takes pleasure in few, if any, activities|Pt lacks close friends or confidants other than first-degree relatives|Pt appears indifferent to the praise or criticism of others|Pt shows emotional coldness, detachment, or flattened affectivity"]

[comment memo="Avoidant concerns"][checkbox value="Pt avoids occupational activities that involve significant interpersonal contact, because of fears of criticism, disapproval, or rejection|Pt is unwilling to get involved with people unless certain of being liked|Pt shows restraint within intimate relationships because of the fear of being shamed or ridiculed|Pt is preoccupied with being criticized or rejected in social situations|Pt is inhibited in new interpersonal situations because of feelings of inadequacy|Pt views self as socially inept, personally unappealing, or inferior to others|Pt is unusually reluctant to take personal risks or to engage in any new activities because they may prove embarrassing"]

[comment memo="Schizotypal concerns"][checkbox value="Pt has a persistent pattern of intense discomfort with and decreased capacity for close relationships|Pt has cognitive or perceptual distortions and eccentricities of behaviour|Pt has unusual ideas of reference|Pt lives in accordance with odd beliefs or magical thinking|Pt reports unusual perceptional experiences|Pt has an odd style of thought and speech|Pt has suspicions or paranoid thoughts|Pt demonstrates incongruous or limited affect|Pt has an odd, eccentric, set of behaviours|Pt demonstrates odd and unusual manner of dressing|Pt has a lack of close friends or confidants|Pt has excessive social anxiety that does not lessen with familiarity"][textarea default=""]SUBJECTIVE REPORT[textarea cols=80 rows=20 default=""].OBSERVATIONSPt is a [checkbox value="male|female"] [checkbox value="young adult|mid-aged adult|older adult|young teen|older teen|child"]. [checkbox value="Reasonably|Not well|Meticiulously"] kempt [checkbox value="+|++|+++"], [checkbox value="average weight|overweight|underweight"][checkbox value="+|++|+++"].

PRESENTING CONCERNS

Dependent concerns .

Histrionic concerns .

Hypomanic dependent concerns

Compulsive concerns .

Negativistic concerns

Ambivalent concerns

Narcissistic concerns .

Antisocial concerns .

Paranoid concerns

Schizoid concerns

Avoidant concerns

Schizotypal concerns
SUBJECTIVE REPORT
.OBSERVATIONSPt is a . kempt , .

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