Schizotypal Personality Disorder

Diagnosis

People with schizotypal personality disorder often seek help due to symptoms such as anxiety, depression, difficulty coping with social situations, or substance misuse.

Diagnosis usually begins with a physical exam to rule out other medical conditions. Your healthcare professional may then refer you to a mental health specialist for a more detailed evaluation.

Diagnosis is typically based on:

• A thorough discussion about your symptoms and difficulties.

• Your personal and medical history, including past treatments and interventions.

Treatment

Treatment for schizotypal personality disorder often combines talk therapy and medications. Supportive work and social activities tailored to an individual’s personality style can also help.

Talk therapy
Talk therapy, or psychotherapy, helps individuals build trust, develop coping skills, and manage social relationships. Therapy is based on forming a supportive relationship with a trained therapist.

Psychotherapy may include:

• Cognitive behavioral therapy — Identifying and challenging negative thought patterns, improving social skills, and modifying problematic behaviors.

• Supportive therapy — Providing encouragement and promoting adaptive skills.

• Family therapy — Involving family members to improve communication, trust, and cooperation within the home.

Medicines
No medicines are specifically approved by the FDA to treat schizotypal personality disorder. However, healthcare professionals may prescribe:

• Antidepressants to help manage symptoms such as depression or anxiety.

• Antipsychotic medications for occasional symptoms such as hallucinations or delusions.

• Medicines that support flexible thinking, helping individuals process thoughts in multiple ways.