In adults diagnosed with schizotypal personality disorder

Sample Answer

In adults diagnosed with Schizotypal Personality Disorder (STPD), both Cognitive Behavioral Therapy (CBT) and pharmacological treatment with Risperidone can affect overall social functioning, but they do so through different mechanisms and with varying levels of direct impact on social skills themselves.

Schizotypal Personality Disorder (STPD) and Social Functioning:

Individuals with STPD experience significant and pervasive social and interpersonal difficulties. These are often characterized by:

Acute discomfort with close relationships: They may desire connection but experience intense anxiety in social situations.

Cognitive distortions and eccentric behaviors: Odd beliefs, magical thinking, paranoid ideation, and unusual perceptions can make social interactions challenging.

Poor social skills: Difficulties with social cues, communication, and emotional expression contribute to social isolation.

Social withdrawal: This is often driven by anxiety and discomfort rather than a lack of interest (distinguishing it from schizoid personality disorder).

Cognitive Behavioral Therapy (CBT) and Social Functioning:

CBT is generally considered a cornerstone of treatment for STPD, and it directly targets aspects that impair social functioning: