DIAGNOSIS
Most patients who suffer from this personality disorder would refuse to seek help. Hence, they need gentle encouragement from their peers and loved ones.
During the diagnosis, the doctor will first conduct a physical exam. For further evaluation, the doctor will refer you to a mental health expert.
The diagnosis for a schizotypal personality disorder is based on:
- A detailed interview about your symptoms
- Your medical history
TREATMENT
Personality disorder treatment includes:
Psychotherapy helps people with a schizotypal personality disorder to trust others. It includes:
Cognitive-behavioral therapy- Recognizing and challenging negative thought patterns, learning particular social skills, and adjusting problem behaviors.
Supportive therapy- Presenting encouragement and stimulating adaptive skills.
Family therapy- Requiring family members to improve communication and trust with the patient for better relationships at home.
There are no medications for the treatment of schizotypal personality disorder. However, doctors recommend antidepressants to reduce the symptoms, such as anxiety and depression. In some cases, some medications improve flexibility in thinking.
The doctor may also prescribe the following medications:
- Antipsychotics: aripiprazole, olanzapine, quetiapine, or risperidone
- Stimulants like methylphenidate
- The ADHD drug guanfacine
- Benzodiazepines such as clonazepam
- Gabapentin to treat seizures
In some cases, severe stress and symptoms may need hospitalization.