Just wondering what personality disorders could present as similar to sz or sza?
Thanks
PFL x
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Schizotypal and all of cluster a
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Thank you @Om_Sadasiva
How do they tell whether it’s a pd or sz? Can you have both?
Borderline PD? It was brought up before. Never diagnosed though.
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Similar to SZ would probably be Borderline PD and Schizotypal PD…
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Shizotypal, schizoid, paranoid, and borderline personality disorder.
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cluster a personality disorders can look similar to schizophrenia and are sometimes, especially schizotypal pd, considered to be part of the schizophrenia spectrum. schizoid can, in certain ways, look a lot like the negative symptoms of schizophrenia–Apathy, social withdrawal etc. paranoid pd obviously can, in its more severe forms, resemble the paranoid delusions of schizophrenia. schizotypal is the most similar to schizophrenia, and i actually think they should further demarcate the two because rn there is huge amounts of overlap and its not entirely clear where one ends the other starts. i guess the main difference between those two would be that schizotypals are often milder and lack psychosis, but ive seen plenty of descriptions saying that in times of stress schizotypals WILL experience psychosis, so idk. in the icd, i believe, its actually listed right alongside schizophrenia. borderline is a bit more removed from psychosis and psychotic disorders, but in times of stress borderlines can experience psychosis, which attaches it more to psychotic disorders than the other cluster b pds. i dont think any of the cluster c personality disorders would likely ever present similarly to schizophrenia, but then again maybe they could get so severe that the person experiences psychosis. idk, up to a psychiatrist to decide that.
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And don’t some dx respond to meds?
Like bpd needs therapy not meds?
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Hopefully you aren’t in the military. The VA doesn’t consider personality disorders to be a disability.
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Thank you everyone for the really helpful responses I think I understand a bit more now but I’m still confused as to whether you could have a personality disorder and sz at the same time (which might be what they are suggesting I have but doesn’t make sense to me)
At one point in the early 80s I was diagnosed with schizophrenia and personality disorder. What PD was never specified.
The primary treatment for PDs is reckoned to be therapy but antidepressant/antipsychotic/anti manic/anti anxiety medications can be used for individual symptom domains .
I am diagnosed with paranoid PD. I don’t receive therapy but am on risperdal consta 25 mgs. I’m reckoned to have had psychotic symptoms, with delusions being flagged up.
I think you can’t have both. I was diagnosed schizotypal before schizophrenia.
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@korieve bipolar 1 with psychosis and depression with psychosis also can have psychosis.
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those are mood disorders, not personality disorders
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yeah true, good point
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Schizotypal personality stereotype is the paranoid guy wearing a tinfoil hat thinking the government is monitoring brainwaves or cropdusting sedatives or whatever. To my knowledge they are not supposed to have hallucinations, just be socially withdrawn and generally paranoid and can have paranoid delusions as mentioned above. Eccentric, but functional. Generally the delusions are supposed to be nonbizarre I think. (Ie not fantastical, could physically happen, but extremely unlikely)
Vs someone w sz has fullblown hallucinations, paranoia, delusions of any kind & negative symptoms, etc
Schizotypal to me doesn’t sound like a well fleshed out personality disorder and very little detail is given on it in the multiple psych classes I’ve taken. I’m not a big fan of personality disorders to begin with. “Sorry that’s just who you are as a person, sucks to be you.” I know in recent studies done for example they found as much as 90% of those diagnosed w “borderline personality disorder” were found to have experienced traumatic events in their lives, and were probably just a misdiagnosis of ptsd.
In my opinion if something you experience makes you suffer or inhibits your functioning it is a mental illness, it is a disability.
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Schizotypal, schizoid, and paranoid, so all cluster c personality disorders
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