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Personality Disorder Slides

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Summary

This informative on-demand teaching session is conducted by Medical Professional Mavi Capanna, an ST5 General Adult Psychiatrist and Darzi Fellow. The session would be beneficial for all medical professionals who are interested in learning about Personality Disorders, focusing on its diagnosis, various treatment options, and co-morbidity considerations. You would gain insights into various topics like defining personality disorders, assessing their severity, understanding comorbidities, and differentiating them from other conditions. Learn about new strategies for diagnosis under the ICD-11 guidelines and how to manage Personality Disorders with psychological therapies, medication, education and goal setting. Increase your competency in dealing with Personality Disorders and understanding their impact on individuals and their social environments.

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Description

About the MedAll Primary Care CPD Programme

We are passionate about making medical education free and more accessible. In light of the increasing financial pressures faced by healthcare professionals, including the rising cost of living and strained practice finances, we felt compelled to do something. It's why we have introduced a no-cost CPD programme for doctors, nurses and other healthcare professionals working in primary care. We recognise that the high expense of traditional CPD update courses is a significant barrier, and by collaborating as an entire primary care community we hope we can offer a practical, accessible alternative.

About our speaker: Dr Mavi Capanna MD

Dr Capanna is a psychiatrist working in London and a current Darzi Fellow. She has also held positions regionally and nationally in the BMA and HEE. She has an ongoing passion and drive to promote wellbeing and safe working for her colleagues and patients alongside tackling stigma around mental health. She has a special interest in forensic psychiatry and is committed to ensuring innovation in the workplace through whole-system thinking.

Who Should Join?

✅ GPs

✅ Primary care and practice nurses

✅ Practice pharmacists

✅ Other allied healthcare professionals in primary care

Note: this event is not formally accredited by an external organisation for CPD points. The current guidance for GP CPD is that it is appropriate that the credits you self-allocate should equal however many hours you spent on learning activities, as long as they are demonstrated by a reflective note on lessons learned and any changes made or planned (if applicable).

Learning objectives

  1. Understand and clearly define personality disorders, including their characteristics, symptoms, and manifestations.
  2. Identify and become familiar with the various treatment options and approaches available for personality disorders.
  3. Recognize and address the common comorbidities associated with personality disorders.
  4. Understand the role of the International Classification of Diseases (ICD-11) in the diagnosis, treatment, and management of personality disorders.
  5. Develop skills and strategies for patient assessment, including risk assessment and the use of self-reported measures.
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Computer generated transcript

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PERSONALITY DISORDERS Diagnosis, Treatment options, and Co- morbidity considerations Mavi Capanna ST5 General Adult Psychiatrist Darzi Fellow April 2024LEARNING OBJECTIVES LO1- Defining personality disorders LO2- Treatment options LO3- Comorbidities ICD-11 PD ICD-10 VS ICD-11 ● Characterized by problems in functioning of aspects of Now all the self and/or interpersonal dysfunction causing ages distress and impairment in personal, family, social, educations, and occupational functioning ● Persistent over an extended (2+years) period of time ● Manifest in patterns of cognition, emotional experience, emotional expression, and maladaptive behaviour ● Manifest across a range of social situations not explained by cultural or social factors or developmentally appropriateSeverity Behavioural manifestations Controlling impulses and modulating Cognitive manifestations behaviour, Appraisal under stress, appropriateness of decisions in uncertainty, and Emotional responses in stress, stability and flexibility of manifestations impact of dysfunction belief systems Range, on functioning appropriateness, and recognitionTrait domain descriptions Negative Detachment Dissociality affectivity Disinihbition Anankastia Why does it happen? Attachment Comorbidities, diagnosed or undiagnosed ACE’sComorbidities and differentials ❏ Personality difficulties (stress- Teens being related) Teens? ❏ ASD ❏ OCD ❏ PTSD ❏ Schizotypal disorder ❏ Dysthymic and cyclothymic disorders ❏ Organic eg stroke ❏ Substance use ❏ Anxiety and depressionAssessment ● Multiple meetings - clinical interviews ● Risk assessment ● Collateral ● Specialist vs non specialist settings ● ICD-11 Personality Disorder Severity Scale- 14 point measure for rapid assessment of personality dysfunction ● Self reported measures for both self and interpersonal functioning and trait domains based on Personality Inventory from DSM-5Treatment options Psychological + Family therapy Medication Education and goal setting Managing transitionsInpatient Psychological management/ ● CBT therapeutic ● DBT ● MBT communities ● Psychotherapy ● Family therapy Medication ● Psychoeducation Behavioural SupportSummary Understanding the new Be curious about social Understanding treatment classification: severity and impact and coping and course progression trait domains strategies to prevent further comorbidities and riskQuestions