Schizotypal Personality Disorder Treatment
(Also Known As: Schizotypal Treatment, Schizotypal Personality Treatment, Mood Disorder Treatment, Paranoid Treatment, Social Anxiety Treatment, Delusions Of Reference Treatment)
(Reviewed by: Paul Peterson, Licensed Therapist)
What are the available treatment for Schizotypal Personality Disorder?
A psychodynamic approach builds a therapeutically trusting relationship which will attempt to counter the intrinsically held mistrust in these patients. Schizotypals with the ability to empathize with others can be expected to have better outcomes in psychodynamic approaches to treatment.
Cognitive approaches focus on attempting to identify and alter the content of the patient’s thoughts. It addresses the distortions that occur in both perception and thought processes to establish a trusting therapeutic relationship. The therapy aims to relax some of the social anxiety felt in most interpersonal relationships and allow for some exploration of the thought processes. Constructive ways of accomplishing this might include communication skills training, the use of videotape feedback to help the affected person perceive his or her behavior and appearance objectively, and practical suggestions about personal hygiene, employment, among others.
Treatment using an interpersonal approach would allow patients to remain relationally distant while starting to get to know the therapist. Development of trust is the primary goal of this approach. Consequently, it will facilitate patients to obtain insight into the distorted and magical thinking that dominates their beliefs.
Group therapy provides patients with a socializing experience which allows them to receive feedback from others in a safe and controlled environment. It is typically recommended only for schizotypals who do not display severe eccentric or paranoid behavior.
Family and marital therapy
It is unlikely that a person with schizoid personality disorder will seek family or marital therapy because most schizoid types do not usually marry. These individuals prefer living with and being dependent upon first-degree family members. Married schizotypes often have problems centered on insensitivity to their partner's feelings or behavior. Marital therapy offers to focus on helping the couple, particularly the schiztypal partner, to become more aware of their partner’s needs and improve communication patterns.
Antipsychotics used to treat schizotypal patients control symptoms such as illusions and phobic anxiety, among many others. A tricyclic antidepressant, Amoxapine has antipsychotic properties which have been effective in improving depression and symptoms mimicking schizophrenia. Other antidepressants such as fluoxetine have also been used successfully to reduce symptoms of anxiety, paranoid thinking, and depression. 10
Could You Have Schizotypal Personality Disorder?
Schizotypal Personality Disorder Topics