Differential Diagnosis of Schizotypal Personality Disorder

A. Schizoid and Avoidant Personality Disorder. Schizoid and avoidant patients will not display the oddities of behavior, perception, and communication of schizotypal patients.

B. Schizophrenia. No formal thought disorder is present in personality disorders. When psychosis is present in schizotypal patients, it is of brief duration.

C. Paranoid Personality Disorder. Patients with paranoid personality disorder will not display the oddities of behavior, perception and communication of schizotypal patients. Unlike schizotypals, paranoid patients can be very verbally aggressive and do not avoid conflict.

D. Personality Change Due to a General Medical Condition and Substance-Related Disorder. Acute symptoms are temporally related to a medication, drugs or a medical condition. The longstanding patterns of behavior required for a personality disorder are not present.

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