![]() Odd beliefs or magical thinking that influences behavior and is inconsistent with subcultural norms (e.g., superstitiousness belief in clairvoyance, telepathy, or “sixth sense” in children and adolescents, bizarre fantasies or preoccupations) Ideas of reference (excluding delusions of reference) A pervasive pattern of social and interpersonal deficits marked by acute discomfort with, and reduced capacity for, close relationships as well as by cognitive or perceptual distortions and eccentricities of behavior, beginning by early adulthood and present in a variety of contexts, as indicated by five (or more) of the following: Note: If criteria are met prior to the onset of schizophrenia, add “premorbid” (e.g., “schizoid personality disorder ”).ĭiagnostic Criteria for 301.22 Schizotypal Personality DisorderĪ. Does not occur exclusively during the course of schizophrenia, a mood disorder with psychotic features, another psychotic disorder, or a pervasive developmental disorder and is not due to the direct physiological effects of a general medical condition. Shows emotional coldness, detachment, or flattened affectivityī. Lacks close friends or confidants other than first-degree relativesĪppears indifferent to the praise or criticism of others Takes pleasure in few, if any, activities Has little, if any, interest in having sexual experiences with another person Neither desires nor enjoys close relationships, including being part of a familyĪlmost always chooses solitary activities A pervasive pattern of detachment from social relationships and a restricted range of expression of emotions in interpersonal settings, beginning by early adulthood and present in a variety of contexts, as indicated by four (or more) of the following: Note: If criteria are met prior to the onset of schizophrenia, add “premorbid” (e.g., “paranoid personality disorder ”).ĭiagnostic Criteria for 301.20 Schizoid Personality DisorderĪ. ![]() Does not occur exclusively during the course of schizophrenia, a mood disorder with psychotic features, or another psychotic disorder and is not due to the direct physiological effects of a general medical condition. Has recurrent suspicions, without justification, regarding fidelity of spouse or sexual partnerī. Perceives attacks on his or her character or reputation that are not apparent to others and is quick to react angrily or to counterattack Persistently bears grudges (i.e., is unforgiving of insults, injuries, or slights) Reads hidden demeaning or threatening meanings into benign remarks or events Is reluctant to confide in others because of unwarranted fear that the information will be used maliciously against him or her ![]() Is preoccupied with unjustified doubts about the loyalty or trustworthiness of friends or associates Suspects, without sufficient basis, that others are exploiting, harming, or deceiving him or her A pervasive distrust and suspiciousness of others such that their motives are interpreted as malevolent, beginning by early adulthood and present in a variety of contexts, as indicated by four (or more) of the following: Other therapeutic interventions include motivational interviewing and solution-based problem solving.ĭiagnostic Criteria for 301.0 Paranoid Personality DisorderĪ. Patients with antisocial personality disorder may benefit from the use of mood stabilizers, antipsychotics, and antidepressants. Patients with borderline personality disorder may benefit from the use of omega-3 fatty acids, second-generation antipsychotics, and mood stabilizers. Many patients with personality disorders can be treated by family physicians. Cluster C disorders are more prevalent and include avoidant, dependent, and obsessive-compulsive personality disorders. Cluster B includes borderline, histrionic, antisocial, and narcissistic personality disorders. ![]() Cluster A includes schizoid, schizotypal, and paranoid personality disorders. Personality disorders are classified into clusters A, B, and C. Psychotherapy, pharmacotherapy, and brief interventions designed for use by family physicians can improve the health of patients with these disorders. Personality disorders have been documented in approximately 9 percent of the general U.S. ![]()
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