Personality Disorders – Cluster A

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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