PsychDr2B
Forum Elite
Topics: 35
Posts: 197
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A 45y/o woman has a history of many years of reclusiveness and peculiar fantasies about the lives of media celebrities. She has no history of hallucinations, delusions, or disorganized behavior. There is a history of schizophrenia in two uncles. She refuses to interact with other people. She is noncompliant with her trial antipsychotic medication that decreases her preoccupation. Which of the following is the most likely diagnosis?
A. Avoidant personality disorder
B. Obsessive-Compulsive disorder
C. Schizoid personality disorder
D. Schizophrenia, residual type
E. Schizotypal personality disorder
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| piter
Forum Elite
Topics: 34
Posts: 191
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C?
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| cache
Forum Guru
Topics: 130
Posts: 275
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Schizotypal personality disorder is primarily characterized by peculiarities of thinking, odd beliefs, and eccentricities of appearance, behavior, interpersonal style, and thought. Persons with this disorder may have peculiar like ideas: belief in psychic phenomena or have magical thinking.
Diagnostic Criteria ( DSM-IV™ ) made easy.
1. Indifferent / detachment from social relationships, cognitive or perceptual distortions, and eccentric behavior. As indicated by at least five of the following:
A. Ideas of reference.
B. Magical thinking or odd beliefs, that not consistent with the cultures norms and influences behavior.
C. Odd perceptual experiences.
D. Odd thinking or speech.
E. Suspiciousness or paranoid.
G. Narrowed or inappropiated affect.
H. Eccentric, odd, or peculiar behavior / appearance.
I. Few or no close friends or confidants. Not including first-degree relatives.
J. Excessive social anxiety.
2. Symptoms not due to another disorder.
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| zalato5
Forum Junior
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why not C? Help me out here.what is it that distinguishes schizoid from schizotypal in this case?
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| mash
Forum Fanatic
Topics: 147
Posts: 1,326
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i ll go fr C
schizoid ---they avoid people
schizotypal--people avoid 'em
___________________
I hear and I forget. I see and I remember. I do and I understand.
--Confucius
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| PsychDr2B
Forum Elite
Topics: 35
Posts: 197
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I initially fell in the distractor trap and went for C. Schizoid Personality Disorder. However, a distinguishing feature for Schizotypal Personality Disorder is the peculiarites of thinking. Both Schizoid and Schizotypal share the feature of reclusiveness and poor social interaction, and as you pointed out, only the reason is different.
Please see how closely these two diagnoses compare and contrast at the following site:
Schizotypal Personality Disorder
http://www.mentalhealth.com/dis1/p21-pe03.html
vs.
Schizoid Personality Disorder
http://www.mentalhealth.com/dis1/p21-pe02.html
CACHE gets the cash for this one!
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| reddy
Forum Newbie
Topics: 2
Posts: 14
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this questions is worthy, thankyou
___________________
life is beautiful.
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| Dharam
Forum Newbie
Topics: 0
Posts: 19
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mash has the best explanation of them all! guys.
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