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by Scholten A

Definition

Schizotypal personality disorder is a pattern of odd beliefs and behaviors. People with this condition often have problems making and keeping friends. They may also have problems at work or school.

Causes

The cause of this condition is not clear. It is likely due to genes and environment.

Frontal Lobe of the Brain
Frontal lobe
Although the cause of personality disorders is not clear, it is believed that the frontal lobe is where personality and impulses arise.
Copyright © Nucleus Medical Media, Inc.

Risk Factors

Schizotypal personality disorder is more common in men. However, women can also have it. The risk may be higher in those with relatives who have schizophrenia.

Symptoms

Symptoms of schizotypal personality disorder may be:

  • Feeling uneasy with people
  • Problems forming relationships
  • Odd speech, dress, and grooming
  • "Magical" thinking—having special powers
  • Odd or paranoid thoughts
  • Problems showing some emotions
  • Talking to self

Diagnosis

A mental health provider will ask about symptoms, health, and mental health. Mental health assessments will be done. The results will be used to confirm a diagnosis.

Treatment

The goal is to treat the disorder. Other mental health problems may also need to be treated. Options may be:

  • Counseling—to help with coping
  • Group therapy—to help with social skills
  • Medicine—to treat thinking problems

Prevention

There are no guidelines to prevent schizotypal personality disorder.

RESOURCES

Mental Health America  http://www.mentalhealthamerica.net 

National Institute of Mental Health  https://www.nimh.nih.gov 

CANADIAN RESOURCES

Canadian Psychiatric Association  https://www.cpa-apc.org 

Canadian Psychological Association  https://cpa.ca 

References

Apthorp D, Bolbecker AR, et al. Postural sway abnormalities in schizotypal personality disorder. Schizophr Bull. 2019;45(3):512-521.

Cluster A personality disorders. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/overview-of-cluster-a-personality-disorders. Accessed March 11, 2021.

Personality disorder. Mental Health America website. Available at: http://www.mentalhealthamerica.net/conditions/personality-disorder. Accessed March 11, 2021.

Schizotypal personality disorder. Merck Manual Professional Version website. Available at:http://www.merckmanuals.com/professional/psychiatric-disorders/personality-disorders/schizotypal-personality-disorder. Accessed March 11, 2021.

Revision Information

  • Reviewer: EBSCO Medical Review Board Adrian Preda, MD
  • Review Date: 01/2021
  • Update Date: 03/11/2021