Described as eccentric or odd and usually have a few close relationships are people who have schizotypal personality disorder.
They do not understand relationships and mostly they misinterpret the motivation and behavior of other people which can lead to significant distrust.
As the person with this disorder inappropriately responds to social cues and holds peculiar belief, these may lead to severe anxiety that can lead to turn inward in social situations.
This is diagnosed in early adulthood and some symptoms may improve with age with medications and therapy.
flat emotions or limited and inappropriate responses,
peculiar style of speech like unusual or vague patterns of speaking.
This may be seen in teen years and a kid may underperform in school which can lead to being teased or bullied.
Do not confuse schizotypal personality disorder with schizophrenia that is a severe mental illness that can lead to people losing contact with reality (psychosis).
In schizotypal personality disorder the episodes are not frequent, intense or prolonged like schizophrenia but may experience brief psychotic episodes with hallucinations and delusions. People with schizotypal personality disorder know what real and what is not while people with schizophrenia they cannot be swayed away with their delusions.
You can suggest gently to a person to seek medical attention if you suspect that he/she has schizotypal personality disorder to help her/him.
3 Causes
There is no certain cause for schizotypal personality disorder but it is believed that genetics and changes in the brain functions may play a role.
The combination of emotions, behaviors and thoughts that makes you unique is called personality.
It is how you see yourself and how you understand the outside world and this is formed during childhood that is shaped through interaction of environmental factors and inherited tendencies.
4 Making a Diagnosis
Consult your doctor and he may recommend you to a psychiatrist to receive a diagnosis of schizotypal personality disorder.
Bring a close family member or friend with you to support and help you. Before the appointment, write down the symptoms that you think you are experiencing or what your family have noticed and for how long. Write down any traumatic events or major stresses in your life, even your family medical history and your medical information. Make a list of all the supplements, vitamins or medications that you are taking.
Some of the questions that you can ask your doctor include:
What is causing my symptoms?
What are other possible causes?
Is this temporary or chronic?
What treatments are available for me?
How often will I need psychotherapy?
Do you recommend any medications?
What are the possible side effects?
Do they have generic alternatives?
What websites do you recommend?
Your doctor will ask you questions such as:
What are your symptoms?
How is it affecting your life?
When did your family first notice it?
Have they expressed concern?
Do you feel comfortable in social situations?
Why and why not?
What do you think is causing your problems?
Have you ever thought about harming yourself?
Have you ever felt that other people can control your thoughts?
Have any of your close relatives been diagnosed for mental illness?
Call 911 or go to emergency room if you think you might harm yourself or someone else. Based on the doctor’s thorough interview about your symptoms and your medical and personal history is how they will diagnose personality disorder.
Your doctor will conduct a physical exam to rule out other medical condition. A person must meet the criteria in Diagnostic and Statistical Manual and Mental Disorders (DSM) that is published by the American Psychiatric Association to be diagnosed with schizotypal personality disorder which is used by insurance companies to reimburse for treatment and mental health providers to diagnose mental illnesses.
At least five of the following criteria must be met to be diagnosed with schizotypal personality disorder such as:
Incorrect interpretations of events, such as a feeling that something which is actually harmless or inoffensive has a direct personal meaning;
Unusual perceptions, including illusions;
Odd beliefs or magical thinking that's inconsistent with cultural norms;
Odd thinking and speech patterns;
Flat emotions, appearing aloof and isolated;
Suspicious or paranoid thoughts, such as the belief that someone's out to get you;
Lack of close friends or confidants other than relatives;
Excessive social anxiety that doesn't diminish with familiarity;
Odd, eccentric or peculiar behavior or appearance;
and a person must not met the criteria for schizophrenic disorder.
A combination of medications and one or more types of psychotherapy is the treatment for schizotypal personality disorder.
The Food and Drugs Administration never approved any medications for schizotypal personality disorder but doctors may prescribe antipsychotic, anti-anxiety or antidepressants to relieve certain symptoms like depression, psychotic episodes or anxiety.
Medications such as risperidone (Risperdal) or olanzapine (Zyprexa) can help in reducing distorted thinking.
Talk therapy or psychotherapy may also help by building a trust relationship with a therapist that may include behavior therapy, learning social skills or cognitive therapy even family therapy which can be more effective and may improve trust in the home and reduce fighting and emotional distance.
Some factors that can reduce the symptoms in time include:
sense of achievement at school, extracurricular activities and in work;
positive relationships with family and friends.
These may help when it comes to confidence.
6 Prevention
To prevent the symptoms of schizotypal personality disorder follow dome of these steps:
for pregnant women, follow good prenatal care and avoid smoking during pregnancy;
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