does anyone else here suspect they might be schizotypal? - Social Anxiety Forum
 
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post #1 of 4 (permalink) Old 08-28-2017, 01:50 PM Thread Starter
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does anyone else here suspect they might be schizotypal?


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The ICD definition is:

A disorder characterized by eccentric behavior and anomalies of thinking and affect which resemble those seen in schizophrenia, though no definite and characteristic schizophrenic anomalies have occurred at any stage. There is no dominant or typical disturbance, but any of the following may be present:

Inappropriate or constricted affect (the individual appears cold and aloof);
at times I get this, I also looked up "blunted affect" and I can relate to this, I rarely show emotion as in actually express it, sometimes my words carry emotion but I don't think I really show it.

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Behavior or appearance that is odd, eccentric or peculiar;
yea totally, I generally get the impression that people think I am odd from my behaviour or body language, I can tell from the looks on peoples faces.

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Poor rapport with others and a tendency to withdraw socially;
yep. my social skills are pretty terrible, I seem to be socially at odds even with people I know well. and yea I withdraw a lot from any social contact.

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Odd beliefs or magical thinking, influencing behavior and inconsistent with subcultural norms;
Suspiciousness or paranoid ideas;
yes. I won't go into this too much but in terms of "magical thinking" I do get that and I am aware of my own crazy with this yet I still believe in the stuff I believe in. I rarely talk about it because I feel it serves no purpose, I will only be laughed at. and yes, massively paranoid.

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Obsessive ruminations without inner resistance
yep, mostly that sounds about right.

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Unusual perceptual experiences including somatosensory (bodily) or other illusions, depersonalization or derealization;
I don't think I have had this. will have to check on depersonalization and derealization, I may have had some experiences like this but its not something that is common I don't think?

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Vague, circumstantial, metaphorical, over-elaborate or stereotyped thinking, manifested by odd speech or in other ways, without gross incoherence;
er yes lol.

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Occasional transient quasi-psychotic episodes with intense illusions, auditory or other hallucinations and delusion-like ideas, usually occurring without external provocation.
haven't had this. I have had auditory hallucinations but put this down to medication withdrawl.

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The disorder runs a chronic course with fluctuations of intensity. Occasionally it evolves into overt schizophrenia. There is no definite onset and its evolution and course are usually those of a personality disorder. It is more common in individuals related to people with schizophrenia and is believed to be part of the genetic "spectrum" of schizophrenia.
I don't know my blood grandmother on either side, but one of my grandmothers was said to have a condition when she passed away and the words schizo was used. I generally think the general population does not know that there are 3 conditions with similar names that are different, so it's possible she could have suffered from any of the related conditions. my mother does not have any of these conditions though. I don't relate to schizophrenia, but schizoid and schizotypal both seem like they could be a possibility. I was referred on to a specialist who deals with psychotic episodes after describing my magical thinking and paranoia to a therapist. they concluded that I was not developing psychotic conditions after I explained how I have thought about this stuff all my life. but these other conditions were not brought up. from what I can tell from briefly reading up on it, it's hard to actually test for?

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post #2 of 4 (permalink) Old 08-28-2017, 02:46 PM
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For some weird reason the psychiatrist I had as a teenager took this down in her notes as being a possible side-diagnosis. She never told me about this, though, and I only found out years later when I applied for SSI.

I'm thinking it was actually Asperger's/autism they were seeing and they mistook it for this. For example, as an adult I was trying to describe my difficulty with eye contact and all I could think of to say was, "It feels as if they're reading my mind." I was careful to include that as if so they wouldn't think I was psychotic/delusional, but I was prescribed an antipsychotic anyway. I think that this med (Risperdal) is also sometimes prescribed for autism, though?--I didn't know that at the time, and though the psychologist mentioned Asperger's as a potential diagnosis she never followed up on it. Anyway, I read that schizotypal people often use similar phrasing, that it's "as if" somebody is reading their mind or whatever.

I have LOTS of weird/paranoid/magical thinking and I suspect that was the cause of the schizotypal label, but I realize this thinking is irrational, so I chalk it up mostly to my OCD and possible autism.

Oh. I have semi-frequent olfactory hallucinations (no idea what causes them)...but nobody in therapy ever asked about that (there's a lot they never asked me about), so they couldn't have used that in their diagnosis.

Other symptoms you listed:

*Blunted affect--no, mine is merely "constricted," because I try to hide myself and my emotions away from people. This too was mentioned in the notes. Actually I'm painfully emotional and border on histrionic at times.

*Odd appearance/behavior--I think I give the impression that I'm rather "slow" with how I dress and move, but I wouldn't really call it eccentric...like I said, I've learned to hide away my weirder traits. Yes, I'm definitely eccentric but I don't show it (and the therapists didn't even get past the tip of the iceberg asking about my eccentricity). Again I blame some form of autism for that.

*Poor rapport/withdrawing--SA combined with autism (I can't really "connect" with others if we don't have a lot of interests in common).

*Magical thinking/paranoia--already mentioned this.

*"Obsessive ruminations without inner resistance"--I obsess and ruminate a lot, yes, probably due to OCD, but I have no clue what "without inner resistance" means.

*Depersonalization/derealization--no, I don't tend to experience this except rarely and fleetingly. I just daydream a lot.

*Metaphorical/elaborate thinking/speech--autism. (I'm longwinded but I wouldn't call my speech/writing "circumstantial" or vague.)

*Delusions/psychosis--just odd smells.

As far as I'm aware, no "schizo-" traits of any kind run in my family, but then again neither does SA or autism. I'm the only weird one.


Tl;dr--schizotypal PD was suggested as a diagnosis for me as a teen, but I think the symptoms could be explained by a combination of SA, OCD (both diagnosed), and Asperger's/autism (not diagnosed but also suggested, years after the schizotypal PD suggestion).

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post #3 of 4 (permalink) Old 08-28-2017, 03:25 PM
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Very difficult to self diagnose personality disorders.

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post #4 of 4 (permalink) Old 08-28-2017, 03:26 PM Thread Starter
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Quote:
Originally Posted by tehuti88 View Post

*"Obsessive ruminations without inner resistance"--I obsess and ruminate a lot, yes, probably due to OCD, but I have no clue what "without inner resistance" means.
had to guess this, I think it means a person doesn't doubt the ruminations? or provide contrary explanations to them?* which my mind often doesn't do. I get stuck in the rumination cycle and it's hard to break out of it.

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Originally Posted by tehuti88 View Post
Tl;dr--schizotypal PD was suggested as a diagnosis for me as a teen, but I think the symptoms could be explained by a combination of SA, OCD (both diagnosed), and Asperger's/autism (not diagnosed but also suggested, years after the schizotypal PD suggestion).


yea, it's the reason I posted it here, there seems to be a lot of overlap and after watching someone describe the condition and then state that any related mental health conditions can explain the symptoms it made me think about how confusing it can be. that perhaps some of us, especially who self diagnosed, may have this condition unbeknown to us?

*if someone knows exactly,please chime in.

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