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Treatments and drugs
By Mayo Clinic staffTreatment for schizotypal personality disorder often includes a combination of medication and one or more types of therapy:
- Medications. There's no specific drug treatment for schizotypal personality disorder. However, doctors may prescribe antidepressant or antipsychotic medications to help relieve associated conditions, such as anxiety, depression or other mood disorders. For example, prescription medications such as risperidone (Risperdal) and olanzapine (Zyprexa) may help reduce distorted thinking.
- Psychotherapy. Building a trusting relationship with a therapist may help people with schizotypal personality disorder begin to trust other interpersonal relationships.
- Behavior therapy. People with schizotypal personalities often need to learn specific social skills and behaviors. In behavior therapy, they might be taught to respond to social cues with appropriate words, tone of voice or facial expressions.
- Cognitive therapy. This type of therapy can help people with schizotypal personality disorder identify and change distorted thought patterns. For example, this type of therapy may help a person with schizotypal personality disorder uncover — and change — confused ideas about what goes on in interpersonal exchanges.
- Family therapy. Treatment can be more effective when family members are involved. Seeking professional counseling as a group may help reduce fighting or emotional distance in the home. Family therapy may also offer the affected person a support structure and a boost in morale.
References
- In: Diagnostic and Statistical Manual of Mental Disorders DSM-IV-TR. 4th ed. Arlington, Va.: American Psychiatric Association; 2000. http://www.psychiatryonline.com. Accessed July 13, 2010.
- Skodol AE, et al. Specific personality disorders. In: Hales RE, et al., eds. The American Psychiatric Publishing Textbook of Psychiatry. 5th ed. Arlington, Va.: American Psychiatric Association; 2008. http://www.psychiatryonline.com. Accessed July 13, 2010.
- Blais MA, et al. Personality and personality disorders. In: Stern TA, et al. Massachusetts General Hospital Comprehensive Clinical Psychiatry. Philadelphia, PA: Mosby; 2008. http://www.mdconsult.com/das/book/body/208922830-3/1022719999/1657/387.html#4-u1.0-B978-0-323-04743-2..50041-X--cesec11_990. Accessed July 13, 2010.
- Silk KR. Personality disorders. http://www.uptodate.com/home/index.html. Accessed July 13, 2010.
- Cohen P. Child development and personality disorder. Psychiatric Clinics of North America. 2008;31:477.
- Skodol AE, et al. Positive childhood experiences: Resilience and recovery from personality disorder in early adulthood. Journal of Clinical Psychiatry. 2007;68:1102.
- Hall-Flavin DK (expert opinion). Mayo Clinic, Rochester, Minn.
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