Schizoid Personality Disorder (A guide)
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In this brief guide, Schizoid personality disorder will be discussed with diagnostic criteria, types of personality, causes of schizoid personality disorder, and treatment of schizoid personality disorder.
What are the Characteristics of Schizoid Personality Disorder?
The Schizoid personality disorder is a persistent pattern of lack of socialization and the inability to maintain the relationships. They prefer solitary activities and have extreme privacy. The emotional instability and coldness hinders their ability to socialize and initiate new relationships. Schizoid personality disorder is a unique condition. They seem loner and dismissive to others.
To know more about Schizoid personality disorder, it is necessary to learn about personality disorder and their types.
Personality Disorders
Person with a personality disorder thinks, feels, and behaves differently. There are several different types of personality disorders clustered into different categories on the basis of their characteristics.
Personality disorder is a persistent pattern of behaving and feeling, which is altered. Initially in DSM IV, personality disorder used to be diagnosed on Axis-II, but in DSM 5 (2013), the axial system has been changed and now single diagnosis with co-occurring symptoms use to be given.
Symptoms of Personality Disorder
There are a number of different personality disorders, such as the cluster A is categorized as suspicious, delusional, not interested in social interactions or not having social skills to maintain the social relationships, as well as inability to consider the consequences of their actions and lead towards illegal, and risky behaviour.
Similarly, Cluster B is categorized on the basis of dramatic symptoms. The person experiencing cluster B personality condition will report feelings of emptiness, self-harm incidents or multiple failed suicide attempts, overly impressionistic, having fragile self-esteem, and excessively praising oneself in situations.
Whereas, Cluster C, is categorized on the basis of anxious symptoms. They are sometimes overly clingy to other person, are overly concerned with order, or tries to avoid social situations because of fear of criticism.
Diagnostic Criteria of Personality Disorder
The Diagnostic and Statistical Manual of Mental Disorder 5 (2013), has given the criteria for the personality disorder diagnosis, the overview of that criteria are given below:
A. It is the enduring pattern and persistent pattern of behaviour which is not according to the particular culture the person is living. This disturbing pattern is manifested in either, cognition, affectivity, interpersonal relationships or spontaneity.
B. This pattern of behaviour is constant over time and prevail in a number of personal or social situations.
C. The condition is affecting other areas of a person’s functioning such as work, academics, personal life etc.
D. The pattern of behaviour became more consistent and spans over the course of years, as well as it appeared in teenage or young adulthood.
E. The condition is not the symptom of any other mental disorder
F. The condition and symptoms are not because of the impact of drug or substance and medical condition.
Types of Personality Disorder
The personality disorders are clustered into three:
Cluster A: Odd, Eccentric
In this cluster there are three disorders named:
1. Paranoid Personality Disorder
2. Schizoid Personality Disorder
3. Schizotypal Personality Disorder
Cluster B: Dramatic, or Unpredictable
1. Antisocial Personality Disorder
2. Borderline Personality Disorder
3. Histrionic Personality Disorder
4. Narcissistic Personality Disorder
Cluster C: Anxious, or Fearful
1. Avoidant Personality Disorder
2. Dependent Personality Disorder
3. Obsessive Personality Disorder
Now we will go into detail of all the nine disorders in each cluster:
Cluster A
1. Paranoid Personality Disorder:
In the paranoid personality disorder, it will be difficult for the person to put trust into others, they are always suspicious, and thinks that others are taking advantage of them. They keep an eye on the actions of others and keenly monitor the signs of mistrust and cheating. They are quick in reading the danger signs and reacts immediately which are hard for others to notice.
2. Schizoid Personality Disorder
In the schizoid personality disorder, person losses interest in forming and maintaining relationships with other people, including their own family. They consider relationships as intervening and prefer freedom. They want to be immersed in their own thoughts and unable to enjoy life. They are not interested in romantic relationships and feels emotionally aloof of others feelings and emotions.
3. Schizotypal Personality Disorder
In schizotypal personality disorder, the person experiencing the symptoms will go through a hard time in developing relationships, they are unable to form close relationships. It is difficult for them to express themselves. They behave in an odd manner which makes others fearful of themselves, they also feel anxiousness about others who are not able to understand them. They consider themselves to have extraordinary sense and claim to understand what anyone else is thinking.
Cluster B
1. Antisocial Personality Disorder
Person with antisocial personality disorder use to be reckless, dangerous and unable to think about the consequences of their actions. They are dangerous, aggressive and gets easily bored. They have no feeling of guilt or remorse. They consider whatever they value is an opportunity and they have to avail it, no matter if they are hurting the feelings of others. For the diagnosis of antisocial disorder, the age must be 18 years or older, as before the age of 18 years these symptoms are diagnosed as conduct disorder if happening before 15 years of age.
2. Borderline Personality Disorder
They are dramatic and think as other people are leaving them, they have an extreme feeling of emptiness, having intense emotions that last for a few days and then vanish. They have weak self-esteem, as well as it is difficult for them to maintain stable relationships, they are driven by impulses and exercise self-harm or attempt suicide mostly for the purpose to seek attention. They feel lonely at times and experience extreme anger. Sometimes they also report experiencing the psychotic features.
3. Histrionic Personality Disorder
People with histrionic personality disorder are overly impressionistic, attention-seeking by their exaggerated dramatized body language, accent, or appearance. They are selfish and consider themselves before anyone else. They require a lot of admiration and approval from others. They try to keep everyone entertained and try to remain in the centre.
4. Narcissistic Personality Disorder
They consider themselves to be superior than others. They consider as they are special and more deserving than the others. They have fragile self-esteem, as well as depend on others to acknowledge their importance and value. They are selfish and think about themselves, tries to take benefit from others, and feels sad about the achievements of others.
Cluster C
1. Avoidant Personality Disorder
In this condition, the person tries to escape social situations and avoid activities where others are involved. They avoid work, social activities, ad sensitive to criticism. They remain in the fear of being pointed out and shamed. They feel embarrassed about the slightest events, as well as they try to avoid making relationships and friendships, they feel lonely and dissatisfied with life.
2. Dependent Personality Disorder
In the dependent personality disorder, a person is overly clingy to any attachment figure. They feel compelled and requires someone to be attached to. They feel as weak and unable to do anything if deserted. They have low self-esteem, as well as they believe that others are good at things then they are, they are submissive and passive.
3. Obsessive-Compulsive Personality Disorder
They set unrealistic goals, demand order and control. They consider their plan of action as perfect and things are required to follow that order, they are reluctant to spend money, and are worried for others if they will make the mistakes.
Obsessive-compulsive disorder is different from obsessive-compulsive personality disorder, which can be found here.
Symptoms of Schizoid Personality Disorder
If you have schizoid personality disorder, it’s likely that you:
- Prefer being alone and choose to do activities alone
- Don’t want or enjoy close relationships
- Feel little if any desire for sexual relationships
- Feel like you can’t experience pleasure
- Have difficulty expressing emotions and reacting appropriately to situations
- May seem humourless, indifferent or emotionally cold to others
- May appear to lack motivation and goals
- Don’t react to praise or critical remarks from others
Causes of Personality Disorder
There are a number of causes of personality disorder, but there is no one clear cause of personality disorder. The factors contribute to personality disorders are biological, psychological, physical and socio-cultural.
The biological causes include the genes, heredity, family history, functioning of neurotransmitters and chemical substances.
The psychological causes of personality disorders are childhood trauma, stress, adverse family environment, low self-esteem, child neglect and parental rejection.
Physical causes include brain dysfunction and psychiatric pathology.
The sociocultural causes include divorce, being deserted, deprivation of relationships, assault, abuse death and separation.
Treatment of Personality Disorder
There are different forms of treatment for personality disorders.
2. Medication
Psychotherapy:
It is one form of treatment, in this a mental health professional especially a psychologist deal with the client experiencing the personality disorder symptoms. This is also called ‘talk-therapy’, this usually takes up to three months and sometimes more. There are different therapies which can be used for personality disorder.
Dialectic Behaviour Therapy
This is the evidence-based therapy for personality disorders, especially for the treatment of borderline disorder. In this treatment approach, the skills to manage one’s emotions, as well as mindfulness is discussed in detail.
Arts Therapy
This type of therapy is useful to uncover the unconscious pattern and understand the person’s emotions, and feelings in a non-threatening environment. It includes the use of dance, art, drama and music.
Cognitive Behaviour Therapy
In CBT, the clinician looks for the discrepancy in the thoughts, emotions and behaviour of the person along with the automatic thought patterns.
Schema Therapy
It is a long term talking therapy, which is based on the model of CBT, and goes further deep into the core beliefs and schemas of the person, which influence their thoughts, behaviours and actions.
Medication
There are no specific drugs made for personality disorders, but the combination of drugs for the symptoms of depression, anxiety, and psychosis are used for particular symptoms.
Frequently Asked Questions for Schizoid Personality Disorder
What is typical of the schizoid personality disorder?
The type of schizoid personality disorder is a long-standing pattern of detachment from others, and inability to initiate and maintain the interpersonal relationships.
What causes schizoid personality disorder?
The cause of schizoid personality disorder is not known but environmental and genetic factors can influence the schizoid personality disorder.
Is schizoid personality disorder bad?
Schizoid personality disorder is not born bad, but they are personally dangerous. They are co-occurring disorder with self-harm which can induce more risk.
Can schizoid personality disorder turn into schizophrenia?
Schizoid personality disorder is not schizophrenia, and has no link with schizophrenia, as in schizophrenia the reality contact is disrupted while in schizoid personality disorder the social relationships are altered.
References
Recommended Readings
Borderline, Narcissistic, and Schizoid Adaptations: The Pursuit of Love, Admiration, and Safety
Wounded Personalities: A Practical Guide to Understanding Personality Disorders
Reversing Schizoid Personality Disorder: Overcoming Cravings The Raw Vegan Plant-Based Detoxification & Regeneration Workbook for Healing Patients. Volume 3
The Misunderstood Loner: An Explanation of Schizoid Personality Disorder: Transcend Mediocrity, Book 16
Transform Your Life with Personalized Therapy for Personality Disorders on BetterHelp
