Schizotypal personality disorder
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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.
Schizotypal personality disorder typically includes five or more of these signs and symptoms:
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 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.
People with schizotypal personality disorder are likely to seek help only at the urging of friends or relatives. If you suspect a friend or family member may have the disorder, you might gently suggest that the person seek medical attention, starting with a primary care physician or mental health provider.
If you’re concerned that you might harm yourself or someone else, go to an emergency room or call 911 or your local emergency number immediately. Or call a suicide hotline number. In the U.S., call the National Suicide Prevention Lifeline at 1-800-273-TALK (1-800-273-8255).
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.
Your risk of schizotypal personality disorder may be greater if you have a relative who has schizophrenia or another psychotic disorder.
People with schizotypal personality disorder are at an increased risk of:
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Schizotypal personality disorder
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