PERSONALITY DISORDERS – CLUSTER A
PERSONALITY DISORDERS – CLUSTER A
Disorders included:
- Paranoid personality disorder.
- Schizoid personality disorder.
- Schizotypal personality disorder.
1. Paranoid personality disorder:
- Characteristic feature – Excessive suspiciousness & distrust of others.
- Excessively sensitive & quick to react angrily.
- Excessive self-importance & believe in conspiracy theories.
- Teatment of choice -Psychotherapy.
- Medications: benzodiazepines & antipsychotics – For agitation & paranoia (excessive suspiciousness).
2. Schizoid personality disorder:
- Patients are detached from social relationships & prefer solitary activities.
- Emotionally cold.
- Indifferent to praise or criticism.
- Appear self-absorbed lost in daydreams.
- preoccupied with fantasies.
- Uncomfortable with human interaction.
- Least interest in sexual activities.
- Management: Psychotherapy & medications (antipsychotics, antidepressants & benzodiazepines).
3. Schizotypal personality disorder:
- Disturbances of thinking & communication.
- Exhibit odd beliefs or magical thinking (e.g. superstitiousness, belief in telepathy or “sixth sense”).
- Considered to be lschizophrenia continuum” (interim between “normal” & “schizophrenial).
- Management: Psychotherapy & medications (antipsychotics, antidepressants & benzodiazepines).
Exam Important
- In schizoid personality disorder patients are detached & emotionally cold.
- In schizotypal personality disorder patients exhibit odd beliefs or magical thinking.
- In paranoid personality disorder patients characteristic feature of excessive suspiciousness, distrust of others & are excessively sensitive.
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