Schizotypal2017-11-20T21:53:45+00:00

Schizotypal Personality Disorder

Schizotypal Personality Disorder

Schizotypal Personality Disorder

People with schizotypal personality disorder are often described as odd or eccentric and usually have few, if any, close relationships. They generally don’t understand how relationships form or the impact of their behavior on others. They may also misinterpret others’ motivations and behaviors and develop significant distrust of others.

These problems may lead to severe anxiety and a tendency to turn inward in social situations, as the person with schizotypal personality disorder responds inappropriately to social cues and holds peculiar beliefs.

Schizotypal personality disorder typically is diagnosed in early adulthood and is likely to endure, though treatment, such as medications and therapy, can improve symptoms.

Causes

Personality is the combination of thoughts, emotions and behaviors that makes you unique. It’s the way you view, understand and relate to the outside world, as well as how you see yourself. Personality forms during childhood, shaped through an interaction of inherited tendencies and environmental factors.

In normal development, children learn over time to accurately interpret social cues and respond appropriately. What exactly goes wrong for a person with schizotypal personality disorder isn’t known for certain, but it’s likely that changes in the way the brain functions and genetics may play a role.

Risk factors

Your risk of schizotypal personality disorder may be greater if you have a relative who has schizophrenia or another psychotic disorder.

Symptoms of Schizotypal Personality Disorder:

Schizotypal personality disorder typically includes five or more of these signs and symptoms:

  • Being a loner and lacking close friends outside of the immediate family
  • Incorrect interpretation of events, such as a feeling that something which is actually harmless or inoffensive has a direct personal meaning
  • Peculiar, eccentric or unusual thinking, beliefs or mannerisms
  • Dressing in peculiar ways, such as appearing unkempt or wearing oddly matched clothes
  • Belief in special powers, such as mental telepathy or superstitions
  • Unusual perceptions, such as sensing an absent person’s presence or having illusions
  • Persistent and excessive social anxiety
  • Peculiar style of speech, such as vague or unusual patterns of speaking, or rambling oddly during conversations
  • Suspicious or paranoid thoughts and constant doubts about the loyalty of others
  • Flat emotions or limited or inappropriate emotional responses

Signs of schizotypal personality disorder, such as increased interest in solitary activities or a high level of social anxiety, may be seen in the teen years. The child may be an underperformer in school or appear socially out of step with peers, and as a result is often bullied or teased.

Schizotypal personality disorder vs. schizophrenia

Schizotypal personality disorder can easily be confused with schizophrenia, a severe mental illness in which people lose contact with reality (psychosis). While people with schizotypal personality disorder may experience brief psychotic episodes with delusions or hallucinations, the episodes are not as frequent, prolonged or intense as in schizophrenia.

Another key distinction is that people with schizotypal personality disorder usually can be made aware of the difference between their distorted ideas and reality. Those with schizophrenia generally can’t be swayed away from their delusions.

Despite the differences, people with schizotypal personality disorder can benefit from treatments similar to those used for schizophrenia. Schizotypal personality disorder is sometimes considered to be on a spectrum with schizophrenia, with schizotypal personality disorder viewed as less severe.

Treatment for Schizotypal Personality Disorder:

Treatment for schizotypal personality disorder often includes a combination of medication and one or more types of psychotherapy. Many people can be helped by work and social activities that are a fit for their personality style.

Psychotherapy

Psychotherapy, also called talk therapy, may help people with schizotypal personality disorder begin to trust others by building a trusting relationship with a therapist.

Psychotherapy may include:

  • Cognitive-behavioral therapy — identifying and changing distorted thought patterns, learning specific social skills, and modifying problem behaviors
  • Supportive therapy — offering encouragement and fostering adaptive skills
  • Family therapy — involving family members, which may help reduce fighting or emotional distance and improve trust in the home

Medications

There are no medications approved by the Food and Drug Administration specifically for the treatment of schizotypal personality disorder. However, doctors may prescribe an antipsychotic, a mood stabilizer, an antidepressant or an anti-anxiety drug to help relieve certain symptoms, such as psychotic episodes, depression or anxiety. Some medications may help reduce distorted thinking.

*Symptoms of conditions such as schizotypal personality disorder may improve over time through experiences that help foster — among other positive traits — self-confidence, a belief in one’s ability to overcome difficulty and a sense of social support.

Schizotypal Personality Disorder complications:

People with schizotypal personality disorder are at an increased risk of:

  • Depression
  • Anxiety
  • Work, school, relationship and social problems
  • Other personality disorders
  • Problems with alcohol or drugs
  • Suicide attempts
  • Temporary psychotic episodes, usually in response to stress
  • Schizophrenia

Treatment for schizotypal personality disorder often includes a combination of medication and one or more types of psychotherapy. Many people can be helped by work and social activities that are a fit for their personality style.

Symptoms of Schizotypal Personality Disorder:

Schizotypal personality disorder typically includes five or more of these signs and symptoms:

  • Being a loner and lacking close friends outside of the immediate family
  • Incorrect interpretation of events, such as a feeling that something which is actually harmless or inoffensive has a direct personal meaning
  • Peculiar, eccentric or unusual thinking, beliefs or mannerisms
  • Dressing in peculiar ways, such as appearing unkempt or wearing oddly matched clothes
  • Belief in special powers, such as mental telepathy or superstitions
  • Unusual perceptions, such as sensing an absent person’s presence or having illusions
  • Persistent and excessive social anxiety
  • Peculiar style of speech, such as vague or unusual patterns of speaking, or rambling oddly during conversations
  • Suspicious or paranoid thoughts and constant doubts about the loyalty of others
  • Flat emotions or limited or inappropriate emotional responses

Signs of schizotypal personality disorder, such as increased interest in solitary activities or a high level of social anxiety, may be seen in the teen years. The child may be an underperformer in school or appear socially out of step with peers, and as a result is often bullied or teased.

Schizotypal personality disorder vs. schizophrenia

Schizotypal personality disorder can easily be confused with schizophrenia, a severe mental illness in which people lose contact with reality (psychosis). While people with schizotypal personality disorder may experience brief psychotic episodes with delusions or hallucinations, the episodes are not as frequent, prolonged or intense as in schizophrenia.

Another key distinction is that people with schizotypal personality disorder usually can be made aware of the difference between their distorted ideas and reality. Those with schizophrenia generally can’t be swayed away from their delusions.

Despite the differences, people with schizotypal personality disorder can benefit from treatments similar to those used for schizophrenia. Schizotypal personality disorder is sometimes considered to be on a spectrum with schizophrenia, with schizotypal personality disorder viewed as less severe.

Treatment for Schizotypal Personality Disorder:

Treatment for schizotypal personality disorder often includes a combination of medication and one or more types of psychotherapy. Many people can be helped by work and social activities that are a fit for their personality style.

Psychotherapy

Psychotherapy, also called talk therapy, may help people with schizotypal personality disorder begin to trust others by building a trusting relationship with a therapist.

Psychotherapy may include:

  • Cognitive-behavioral therapy — identifying and changing distorted thought patterns, learning specific social skills, and modifying problem behaviors
  • Supportive therapy — offering encouragement and fostering adaptive skills
  • Family therapy — involving family members, which may help reduce fighting or emotional distance and improve trust in the home

Medications

There are no medications approved by the Food and Drug Administration specifically for the treatment of schizotypal personality disorder. However, doctors may prescribe an antipsychotic, a mood stabilizer, an antidepressant or an anti-anxiety drug to help relieve certain symptoms, such as psychotic episodes, depression or anxiety. Some medications may help reduce distorted thinking.

*Symptoms of conditions such as schizotypal personality disorder may improve over time through experiences that help foster — among other positive traits — self-confidence, a belief in one’s ability to overcome difficulty and a sense of social support.

Schizotypal Personality Disorder complications:

People with schizotypal personality disorder are at an increased risk of:

  • Depression
  • Anxiety
  • Work, school, relationship and social problems
  • Other personality disorders
  • Problems with alcohol or drugs
  • Suicide attempts
  • Temporary psychotic episodes, usually in response to stress
  • Schizophrenia

Treatment for schizotypal personality disorder often includes a combination of medication and one or more types of psychotherapy. Many people can be helped by work and social activities that are a fit for their personality style.