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Schizotypal Personality Disorder

Presentation

People with Schizotypal Personality Disorder have a reduced capacity for closeness with others which is present from an early age. They often have distorted or eccentric thinking, perceptions, and behaviours that can make them appear odd. [bpdworld.org]

Abstract Objectives In this article, we present the evolution in the diagnostic criteria in the DSM-5 for schizotypal personality disorder, which is included both in personality disorders and in the new schizophrenia spectrum. [em-consulte.com]

If the term is used, three or four of the typical features listed above should have been present, continuously or episodically, for at least 2 years. The individual must never have met criteria for schizophrenia itself. [en.wikipedia.org]

Other disorders are often also present. [msdmanuals.com]

Psychiatrical

  • Perceptual Distortion

    It is currently characterized as involving marked interpersonal deficits, cognitive and perceptual distortions, and odd and eccentric behaviors. [oxfordhandbooks.com]

    Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition [DSM-5]) For a diagnosis of schizotypal personality disorder, patients must have A persistent pattern of intense discomfort with and decreased capacity for close relationships Cognitive or perceptual [msdmanuals.com]

    As a rule, they underestimate maladaptiveness of their social isolation and perceptual distortions. [en.wikipedia.org]

  • Flat Affect

    Both simple schizophrenia and STPD may share negative symptoms like avolition, impoverished thinking and flat affect. Although they can look very similar, the severity usually distinguishes them. [en.wikipedia.org]

  • Anhedonia

    Social anhedonia and schizotypy in a community sample: the Maryland longitudinal study of schizotypy. Schizophr Bull (2011) 37 :587–602. doi:10.1093/schbul/sbp107 Pubmed Abstract | Pubmed Full Text | CrossRef Full Text 202. [frontiersin.org]

  • Anxiety Disorder

    For example, high levels of schizotypy are associated with cigarette smoking ( 190 – 192 ) and consumption of drugs such as cannabis ( 193, 194 ), negative affect, post-traumatic stress disorder, anxiety disorders and depression ( 195 – 198 ), and lower [frontiersin.org]

  • Depersonalization

    […] or magical thinking, influencing behavior and inconsistent with subcultural norms; Suspiciousness or paranoid ideas; Obsessive ruminations without inner resistance; Unusual perceptual experiences including somatosensory (bodily) or other illusions, depersonalization [en.wikipedia.org]

Treatment

Treatment Talk with your doctor about the best treatment plan for you. Options include: Counseling Counseling is often beneficial for people with schizotypal personality disorder. [winchesterhospital.org]

A randomized clinical trial of integrated treatment and standard treatment. Schizophr. Res. 2006; 83 :29–40. doi: 10.1016/j.schres.2006.01.002. [ PubMed ] [ CrossRef ] [ Google Scholar ] 69. Karterud S, et al. [ncbi.nlm.nih.gov]

Treatment includes antipsychotic drugs, antidepressants, and cognitive-behavioral therapy. [merckmanuals.com]

Etiology

SPD’s etiological relation with schizophrenia is supported by extensive genetic, neurobiological, neurocognitive, psychosocial, and clinical research. [oxfordhandbooks.com]

Etiology of schizotypal personality disorder is thought to be primarily biologic because it shares many of the brain-based abnormalities characteristic of schizophrenia. [msdmanuals.com]

First, the documentation of such a continuum provides important clues regarding the etiology of schizophrenia ( 5, 15 ). Continuously distributed (and reliably measured) phenotypes are suggested to be the result of multiple etiological factors. [frontiersin.org]

"Schizophrenia: Etiology and Course". Annual Review of Psychology. Annual Reviews. 55 (1): 401–430. doi : 10.1146/annurev.psych.55.090902.141950. ISSN 0066-4308. PMID 14744221. ^ Raine, A. (2006). [en.wikipedia.org]

Epidemiology

"Prevalence, Correlates, Disability, and Comorbidity of DSM-IV Schizotypal Personality Disorder: Results From the Wave 2 National Epidemiologic Survey on Alcohol and Related Conditions". [en.wikipedia.org]

Prevalence, correlates, disability, and comorbidity of DSM-IV schizotypal personality disorder: results from the wave 2 national epidemiologic survey on alcohol and related conditions. Prim. Care. Companion J. Clin. [ncbi.nlm.nih.gov]

Prevention

Prevention There are no current guidelines to prevent schizotypal personality disorder because the cause is unknown. [winchesterhospital.org]

They may think that they have magical control over others, thinking that they cause other people to do ordinary things (eg, feeding the dog), or that performing magical rituals can prevent harm (eg, washing their hands 3 times can prevent illness). [merckmanuals.com]

For example, they may think that they cause other people to do ordinary things (such as feed the dog) or that they can perform magical rituals to prevent harm (such as washing their hands 3 times to prevent illness). [msdmanuals.com]

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