The schizotypale personality disorder is characterized by a pervasive pattern of intense discomfort associated with, and reduced capacity for close relationships, by distorted perception and perception and eccentric behavior. Diagnosis is based on clinical criteria. Treatment is with antipsychotics, antidepressants and cognitive behavioral therapy.
(See also personality disorders overview.)
The schizotypale personality disorder is characterized by a pervasive pattern of intense discomfort associated with, and reduced capacity for close relationships, by distorted perception and perception and eccentric behavior. Diagnosis is based on clinical criteria. Treatment is with antipsychotics, antidepressants and cognitive behavioral therapy. (See also personality disorders at a glance.) In the schizotypal personality disorder, reflecting cognitive experiences a flowery deviation from reality (eg. As ideas of reference, paranoid ideation, physical illusions, magical thinking) and there is a greater disorganization of thought and speech than other personality disorders. The known prevalence varies, but is probably in about 1 to 2% of the general population. Comorbidities are common. More than half of patients with personality disorder schizotypaler had ? 1 episode of major depressive disorder and 30 to 50% of them have a major depressive disorder when a schizotypale personality disorder is diagnosed. These patients often also have a substance abuse disorder. Etiology It is believed that the etiology of schizotypalen personality disorder is primarily organic, because there are many common Hirnabnormalitäten, which are characteristic of schizophrenia. It is more common in first-degree relatives of people with schizophrenia or other psychotic disorder. Symptoms and discomfort patients with schizotypaler personality disorder have no close friends or confidants other than first-degree relatives. It is very unpleasant for them with other people in relation to treten.S you interact with people when they need it but prefer to avoid this because they feel that they are different and are not included. However, you can say their lack of relationships makes them unhappy. They are very anxious in social situations, especially if they are not familiar with them. More time to spend in a situation not relieved her anxiety. These patients interpret ordinary incidents often wrong, as if they had a special meaning for them (ideas of reference). You can be superstitious, or think they have special paranormal powers that allow them to capture events before they happen, or that they can mind reading. You may think that they have other magical control that they get other people, ordinary things to do (eg. B. feed the dog) or that performing magical rituals prevent damage can (z. B. that the can prevent hands three times to wash disease). The language may be inaccurate. They can be very abstract or concrete or contain comical expressions or use phrases or words in a strange way. They often dress or a strange unkempt type (eg. As wearing ill-fitting or dirty clothes) and have strange mannerisms. You can ordinary social conventions ignore (z. B. not maintain eye contact), and because they do not understand the usual social cues, they can interact inappropriate or stiff with others. Patients with schizotyper personality disorder are often suspicious and think that others chase them. Clinical diagnostic criteria in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition [DSM-5]) found. For a diagnosis of schizotypaler personality disorder patients as ? 5 the following represented must have intense discomfort and reduced capacity for close relationships: Delusional own relationship happen (presentation of patients that everyday events have a special meaning for him, because of him or against directed him), but no delusions (which are similar but associated with greater conviction) Comic beliefs or magical thinking (eg on clairvoyance, telepathy, or a sixth sense to believe;. to deal with paranormal phenomena) Unusual on perception (listen for. example, a voice whispering her name) based experiences comical thinking and comical saying (z. B. that is vague, metaphorical, over-elaborate, or stereotyped) suspicions or paranoid Gedan ken Unsuitable or limited influence strange, eccentric or peculiar behavior and / or appearance of the lack of close friends or confidants other than first-degree relatives Excessive social anxiety that does not decrease with familiarity and especially with paranoid fears related stands addition must have begun symptoms in early adulthood. Differential Diagnosis The primary diagnostic challenge is to distinguish the schizotypale personality disorder of the large thought disorders (eg. For example, schizophrenia, bipolar or depressive disorder with psychotic features), the heavier usually have more bizarre and persistent manifestations and of delusions and hallucinations to be accompanied. A schizotypale personality disorder can be distinguished from a paranoid and schizoid personality disorder by the fact that patients with these personality disorders not strange, disordered thinking and behavior. Therapy antipsychotics and antidepressants Cognitive behavioral therapy is the general treatment of schizotypal personality disorder the same as with all personality disorders. The primary therapy for schizotypal personality disorder is the drug. reduce antipsychotics anxiety and psychotic-like symptoms; Antidepressants may also help to reduce anxiety in patients with schizotypaler personality disorder. Cognitive behavioral therapy, which focuses on the acquisition of social skills and dealing with anxiety, can also help. Such therapy can raise awareness of the patients about how their behavior is perceived to increase. Supportive Psychotherapy is also useful. The goal is to achieve an emotional, encouraging, supportive relationship with the patient and help the patient to develop healthy defense mechanisms, especially in interpersonal relationships.