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What is schizoid personality disorder?
Schizoid personality disorder is a cluster A personality disorder characterized by a pervasive pattern of detachment from social relationships and a restricted range of expression of emotions in interpersonal settings that begins by early adulthood. Individuals with this condition do not desire intimacy and are seen by others as "loners". The prevalence rate of schizoid personality disorder is 3.1-4.9% and is more commonly seen in men.
What does schizoid personality disorder look like?
Risk Factors
- Family member with schizophrenia or delusional disorder
Prognosis
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Impairment in occupational settings, especially in situations where interpersonal relationships are required
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Few friendships, date infrequently, and often unmarried due to lack of social skills and lack of desire for sexual experiences
- Higher risk for major depressive disorder
Differential Diagnosis
- Other mental disorders with psychotic symptoms
- Personality change due to another medical condition
- Autism spectrum disorder
- Substance use disorder
- Obsessive-compulsive personality disorder
- Avoidant personality disorder
- Paranoid personality disorder
- Schizotypal personality disorder
How is schizoid personality disorder treated?
- Cognitive behavioral therapy (CBT)
- Psychodynamic therapy
- Group therapy
References
[1] American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). Arlington, VA.
[2] Boyd, M. A. (2019). Psychiatric & mental health nursing for Canadian practice. Wolters Kluwer.
[3] Townsend, M. C. (2015). Psychiatric mental health nursing. F.A. Davis.