Unraveling the Enigma: Understanding the Differences Between Schizotypal Personality Disorder and Schizophrenia
Bhavya Sharma
Education Consultant at The Red Pen ? BSc. honors in Psychology, Krea University
Mental?illnesses?are?often?confusing?and?misunderstood,?especially?when?they?have?similar?characteristics.?Two?disorders?that?are?easy?to?understand?are?schizotypal?personality?disorder?(STPD)?and?schizophrenia.?Although?both?have?schizophrenia?spectrum?disorders,?they?have?unique?features?that?set?them?apart.?In?this?article,?we?will?examine?the?nature?of?these?two?diseases?and?clarify?their?characteristics?to?better?understand?their?differences.
Schizotypal?Personality?Disorder?(STPD):
Schizotypal?Personality?Disorder?is?classified?as?a?personality?disorder?in?the?Diagnostic?and?Statistical?Manual?of?Mental?Disorders?(DSM-5).
People?with?STPD?often?exhibit?strange?behaviors,?thoughts,?and?looks.?They?often?have?trouble?forming?and?maintaining?relationships,?and?their?relationships?are?marked?by?anxiety?and?doubt.
Symptoms?of?STPD?include?strange?beliefs?and?magical?thoughts,?cognitive?impairments?(such?as?decreased?sensation?or?hearing),?negative?reactions,?and?certain?speech?patterns.?These?individuals?may?also?have?reduced?socialization?abilities?and?may?prefer?to?work?alone.
Schizotypal?personality?disorder?usually?appears?in?early?adulthood?and?its?pattern?is?stable?over?time.
Although?social?functioning?and?work?can?and?may?be?affected?by?people?with?STPD,?their?symptoms?are?usually?not?severe?enough?to?affect?daily?life.
Schizophrenia:
Schizophrenia?is?a?more?serious?mental?illness.?It?falls?under?the?category?of?mental?disorders?that?involve?"dissociation"?from?reality,?leading?to?disruptions?in?thoughts,?feelings,?emotions,?and?behavior.
The?main?symptoms?of?schizophrenia?include?hallucinations?(perception?of?things?that?do?not?exist),?hallucinations?(fixed?beliefs),?delusions?and?speech?(inconsistent?or?superficial?communication),?abnormal?behavior?or?abnormal?behavior?(such?as?confusion?or?abnormal?movements),?and?negative?symptoms?(emotional?withdrawal,?depression).?,?social?exclusion).
Schizophrenia?usually?begins?in?adolescence?or?early?adulthood?and?has?a?long?course.
The?symptoms?of?schizophrenia?are?more?severe?and?more?common?than?the?symptoms?of?schizoid?personality?disorder.?People?with?schizophrenia?often?experience?significant?impairments?in?many?areas?of?work,?resulting?in?difficulties?in?managing?work,?relationships,?and?daily?activities.
Differences:
The?main?difference?between?schizophrenia?(STPD)?and?schizophrenia?is?severity.?STPD?is?characterized?by?abnormal?and?strange?behavior,?while?schizophrenia?is?associated?with?delusions?and?hallucinations?that?indicate?a?more?serious?mental?illness.?Although?people?with
STPD?struggle?with?relationships?and?anxiety,?they?can?still?participate?in?relationships?to?some?degree.
In?contrast,?schizophrenia?is?often?very?destructive,?making?it?very?difficult?for?individuals?to?form?and?maintain?relationships.
Although?schizophrenia?is?a?chronic?disease,?STPD?is?usually?stable?over?time?and?does?not?progress?to?the?severity?of?schizophrenia.
Cognitive?impairments?are?usually?more?severe?in?patients?with?schizophrenia;?this?includes?memory?deficits,?emotional?problems?and?executive?dysfunction,?which?are?less?common?in?patients?with?poor?attitudes.
The?diagnosis?of?schizotypal?personality?disorder?(STPD)?must?be?based?on?specific?diagnostic?criteria?listed?in?the?DSM-5.?Psychologists?conduct?clinical?interviews?to?assess?a?person's?behaviors,?thoughts,?and?feelings.
They?may?also?use?standard?assessment?tools?and?questionnaires?to?assess?personality?and?symptom?severity,?while?considering?other?underlying?diseases?to?make?a?differential?diagnosis.
Use?the?criteria?in?the?DSM-5?to?diagnose?schizophrenia.?Clinical?interviews?and?observations?help?assess?the?presence?and?occurrence?of?psychotic?symptoms,?as?well?as?changes?in?behavior?and?mood.?A?psychological?evaluation?will?be?done?to?evaluate?mental?health?and?medical?history?to?rule?out?other?causes?of?symptoms,?such?as?drug?addiction?or?illness.?An?accurate?diagnosis?relies?on?a?careful?evaluation?of?symptoms?and?the?exclusion?of?other?conditions.
Although?schizophrenia?and?schizophrenia?share?some?similarities,?they?are?different?mental?illnesses,?with?varying?degrees?of?severity?and?impact?on?daily?life.?While?schizophrenia?is?characterized?by?personality?disorder,?strange?behaviors?and?mild?disturbances,?schizophrenia?includes?severe?mental?disorders?and?severe?disturbances?in?thinking,?reasoning,?and?general?functioning.?Proper?diagnosis?and?understanding?of?these?diseases?are?essential?to?providing?treatment?and?support?to?those?affected.?Psychologists?play?an?important?role?in?distinguishing?between?the?two?problems?and?creating?interventions?that?will?improve?the?lives?of?those?experiencing?them.