What Is Involved in a Personality Disorder Assessment?

Schizophrenic personality disorder is a type of personality disorder. People with this kind of abnormal personality are sensitive and suspicious. They are always arrogant and easily feel shame and shame. The prevalence of such disorders may be higher than that of schizophrenia and other personality disorders. There are currently two main treatments, namely psychotherapy and biomedical treatment. Although some progress has been made in the treatment of personality disorders, and effective methods have been found to improve symptoms, the treatment of personality disorders is still largely based on the different characteristics of people with personality disorders to help them find a life that reduces conflict the way.

Schizotypal

Patients are characterized by emotional apathy and obvious interpersonal relationships, with more men than women. The main clinical features are:

1. Few activities that make for a pleasant experience 2. Emotional indifference

3. Very limited ability to express feelings of warmth, thoughtfulness, and anger towards others

4. Indifferent to criticism or praise

5. No interest in having sexual contact with the opposite sex

6. Prefer to act alone

7. Indulge in fantasy and introspection too much

8. Without close friends, you cannot build trustful relationships with others

9. Disregard of accepted social norms and customs ^[2]

The epidemiological data are mainly from 8 studies in the US, UK and Germany. In these eight studies, the prevalence of personality disorders, that is, the sum of various types of personality disorders, is estimated to be 6% to 15%. The overall prevalence of urban population is usually higher than that of rural population. The rate is similar, and the prevalence gradually decreases with age. It is reported that the overall prevalence of personality disorders is higher among patients with mental symptoms. The prevalence of personality disorders among those who attended the GP was about 5% to 8%, similar to the general population. The prevalence of personality disorders increased by 30% in those with a high incidence of mental illness . It has also been reported that the overall prevalence of personality disorders among psychiatric outpatients and inpatients is as high as 50%.

Early life experience and adulthood diagnosis

Personality disorder is defined as a permanent state of life, so it is expected that it will rarely change. There is currently little credible evidence for its outcome. A review of the follow-up studies showed that only two of them had been followed for more than 4 years. These studies have great differences in sample collection and evaluation methods, and most of them have relatively small sample sizes.

There are currently two main treatments, namely

Although some progress has been made in the treatment of personality disorders, and effective methods have been found to improve symptoms, the treatment of personality disorders is still largely based on the different characteristics of people with personality disorders to help them find a life that reduces conflict the way. Regardless of the treatment method adopted, the treatment goals set should be appropriate, and medical staff should be given sufficient time to complete the goals. Establishing a good doctor-patient relationship with patients is very important. It is not appropriate to arrange interviews frequently for persons with personality traits with a dependent personality, or they will become overly dependent. These patients are apt to create contradictions in the treatment process, and use contradictions to divert the doctor's attention to their own problems. Intervention of personality disorders usually requires at least one professional and close cooperation to avoid inconsistencies in treatment methods. Many patients with personality disorders respond poorly to staff changes, which allows them to re-experience the painful loss, rejection, and isolation experienced in early life. The treatment plan should include trying to help patients avoid difficult situations and make them more opportunities to develop the advantages of personality. Patients should be helped to avoid substance abuse or alcohol or unsatisfactory relationships to further increase the problem. They should also be encouraged to develop amateur interests, receive continuing education or participate in club activities. Even if their symptoms do not improve, these basic steps can stabilize the symptoms until some occasional turn in the patient's life promotes its improvement. The final improvement usually comes from a series of small advances, and the patient gradually changes gradually. Frustrations can often occur in the effort to change, but they can be used constructively in treatment, because it is at these times that patients are most likely to face their problems. Although the therapist is eager to do his best to help these patients, it should be recognized that no matter how skilled the therapist is, the condition of some patients will not improve.