Schizotypal Personality Disorder is a mental disorder characterized by social isolation and depression. The person develops distorted or peculiar thinking, may imagine people or events, and can act inappropriately. He or she lacks friends and is suspicious of everybody. Commonly used schizotypal personality disorder treatments are psychotherapy, behavior therapy, cognitive therapy, and family therapy.
There is no specific medication that can cure this type of personality disorder. However, there are medications that can reduce or treat the associated symptoms such as stress, anxiety, confusion, agitation, or depression. The top drugs used in the treatment of schizotypal personality disorder treatment can be categorized as:
1) Antidepressants: These are used when the schizotypal personality disorder diagnosis indicates depression as a major contributing cause for the personality disorder. Some of the commonly used antidepressants for schizotypal personality disorder treatment include selective serontonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs), tricyclic antidepressants (TCAs), tetracyclic antidepressants (TeCAs), and monoamine oxidase inhibitors (MAOIs).
2) Stimulants: Stimulants are used in schizotypal personality disorder treatment when the patient displays excessive depression or isolation. Stimulants increase awareness, productivity, motivation, endurance, and wakefulness and keep the patient alert. This can reduce isolation and paranoia. Some examples of stimulants used for the treatment of this type of personality disorder are caffeine, nicotine, amphetamines, norepinephrine reuptake inhibitor (NRI), and norepinephrine-dopamine reuptake inhibitor (NDRIs).
3) Anti-anxiety medication: If the schizotypal personality disorder diagnosis indicates anxiety as a trigger of paranoid tendencies or other symptoms exhibited by the patient, anti-anxiety medication can be used under a qualified physician’s guidance. Some categories of these medications are SSRIs, azapirones, benzodiazepines, preganalin, and a few other over-the-counter medications for milder cases. Valium, Ativan, Librium, and Xanax are some examples.
4) Mood stabilizers: These are used for schizotypal personality disorder treatment in circumstances where the patient displays mood swings and depression. These medications control mood swings and stabilize mood. This medication also reduces manic behavior caused by paranoia in schizotypal patients. Some of the mood stabilizers used for this treatment are anticonvulsants such as valproic acid, lamotrigine, and oxcarbaxepine.
5) Antipsychotic medication: This type of schizotypal personality disorder medication is used as a tranquilizer to calm down patients who display psychosis including delusions, disordered thoughts, or hallucinations. This medication has side effects and needs to be taken only under the guidance of a qualified physician. Some of the side effects include vomiting, nausea, reduced blood pressure, and headache. The most commonly used mood stabilizers are butyrophenones, thixanthenes, and phenothiazines. Other less common mood stabilizers include clozapine, quetiapine, asenapine, ziprasidone, and sertindole
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