A 24-year-old man is brought to the clinic by his mother for a general checkup. He tells the physician that he feels nervous around other people because he can sense their "negative auras." He spends most of his time alone in his room studying astrology and believes that he can predict the weather by reading tea leaves. The mother reports that he has always been a "loner" with odd beliefs since early adolescence. He has never experienced auditory or visual hallucinations, and his thought processes are organized. He does not have any history of major depressive or manic episodes. Which of the following is the most likely diagnosis?
- AAvoidant personality disorder
- BDelusional disorder
- Schizotypal personality disorderCevap
- DSchizoid personality disorder
- ESchizophrenia
Cevap
Schizotypal personality disorder
The patient's presentation of lifelong social isolation, odd beliefs, magical thinking (predicting weather with tea leaves), and eccentric behavior without frank psychosis is highly characteristic of Schizotypal personality disorder. This Cluster A personality disorder is marked by a pervasive pattern of acute discomfort with close relationships alongside prominent cognitive or perceptual distortions.
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Anahtar Kavram
Schizotypal personality disorder is characterized by a pervasive pattern of social and interpersonal deficits, cognitive or perceptual distortions (such as magical thinking), and eccentricities of behavior, typically presenting by early adulthood.