Schizotypal Personality Disorder Treatment
Table of Contents
As with most personality disorders, schizotypal personality disorder is
best treated with some form of psychotherapy. Individuals with this
disorder usually distort reality more so than someone with Schizoid
As with Delusional Disorder and Paranoid Personality Disorder, the clinician
must exercise care in therapy to not directly challenge delusional or
inappropriate thoughts. A warm, supportive, and client-centered environment
should be established with initial rapport. As with Avoidant Personality Disorder,
the individual lacks an adequate social support system and usually
avoids most social interactions because of extreme social anxiety.
The patient often reports feelings of being "different" and not
"fitting in" with others easily, usually because of their magical or
delusion thinking. There is no simple solution to this problem.
Social skills training and other behavioral approaches which
emphasize the learning of the basics of social relationships and
social interactions may be beneficial.
While individual therapy is the preferred modality at the onset
of therapy, it may be appropriate to consider group therapy as
the client progresses. Such a group should be for this specific
disorder, though, which may be difficult to form or find in smaller
Medication can be used for treatment of this disorder's more acute phases of psychosis.
These phases are likely to manifest themselves during times of extreme stress or
life events with which they cannot adequately cope. Psychosis is usually transitory,
though, and should effectively resolve with the prescription of an appropriate
There are not any self-help support groups or communities that we are
aware of that would be conducive to someone suffering from this disorder.
Such approaches would likely not be very effective because a person
with this disorder is likely to be mistrustful and suspicious of others and
their motivations, making group help and dynamics unlikely and
Symptoms of Schizotypal Personality Disorder
« Disorders Index
By John M. Grohol, Psy.D. on
9 Oct 2013
Published on PsychCentral.com. All rights reserved.
It is not because things are difficult that we do not dare; it is because we do not dare that they are difficult.