Henry often draws whispers and gossip from his classmates. He has a very unusual way of dressing that is outside the norm of his peers, gives the impression of being a rather "odd duck," and sometimes tells people that he feels that he has some magical abilities. He is sometimes suspicious of others for no real reason, although he does not have any thoughts that would be considered psychotic. Of the following personality disorders, Henry appears to be .

The correct answer is schizotypal

Schizotypal personality disorder is characterized by a generalized pattern of intense discomfort with intimate relationships and reduced ability to do so, by distorted cognition and perceptions and by eccentric behavior. The diagnosis is based on clinical criteria. Treatment is with antipsychotic drugs, antidepressants and cognitive-behavioral therapy.

In schizotypal personality disorder, cognitive experiences reflect a more flowery detachment from reality (eg, reference ideas, paranoid ideas, bodily illusions, magical thinking) and a greater disorganization of thought and speech than those that occur in others personality disorders.

The reported prevalence of schizotypal personality disorder varies, but the estimated prevalence is 3.9% of the American population in general. This disorder may be slightly more common among men.

Comorbidities are common. More than half of the patients with schizotypal personality disorder had ≥ 1 episode of major depressive disorder, and 30 to 50% of them have major depressive disorder when schizotypal personality disorder is diagnosed. These patients often also have addiction disorder.

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