Cluster A (Paranoid, Schizoid, Schizotypal) Personality Disorders (Memorable Psychiatry Lecture)
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- Опубліковано 13 тра 2024
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Let’s continue our discussion of personality pathology by talking about cluster A personality disorders which include paranoid, schizoid, and schizotypal personality disorders. Each has features that overlap with psychotic disorders making it easy to confuse them, so we’ll spend some time learning how to disentangle each from schizophrenia as well as reviewing how to diagnose them using mnemonics!
Learn more about cluster A personality disorders, including their diagnostic criteria and treatment strategies, in this high-yield talk intended for all healthcare providers, including doctors, medical students, psychologists, nurses, nurse practitioners, physician assistants, social workers, and more!
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Beauty Flow Kevin MacLeod (incompetech.com)
Licensed under Creative Commons: By Attribution 3.0 License
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People do misjudge me because I’m different. As I have gotten older, that’s come to matter much less. Mostly, folks’ behavior baffles me. I’m tired of explaining myself. I work as a housekeeper, gardener, and pet care specialist. I’m able to be a friendly, unobtrusive, efficient presence. There are very few people I take the trouble to try to get close to. I pull my own weight and don’t want to hurt myself or anyone else. I know I’m different in other’s eyes. I leave them to it, put them in their place if they try to push my buttons, and share myself with those few who care.
You sound like my type of person. Keep being you.
We are all diffrent but some of us are just extremely awake and smart to the ways of human beings 😂🤭
Much love ❤
word
When you were going over schizotypal and said they would hear their name randomly in an empty room that has me almost crying dude. That's happened to me since I was a kid
Me too! I also “love” conspiracy theories, sometimes finding them comforting, and have odd beliefs. I also often have drastic “fashion changes” which I’m guessing would fall under the umbrella here. Watching this made me feel “heard” in a way! :)
I'm a schizophrenic with symptoms since childhood and a full break at 15.
having auditory hallucinations is not enough of an indicator for future schizophrenia, and audio hallucinations are more common than most people think.
if you are also starting to have erratic thoughts, which can be a hard thing to measure in yourself, but "this person is out to get me", "I am set on an important destiny" "I am god" or anything similar, that's when to start worrying, even worse if the hallucinations worsen with this.
basically, you have nothing to worry about right now. and even then, do I seem like I'm currently in anguish? recovery is possible and alienation and demonization of the illness are what make people who are newly diagnosed suffer the most.
How often may I ask? I hear my name or a loud “hey” once in a blue moon, super rarely. Over the course of the past few years I’d only say a handful of tomes
U should read the quran in English translation available online and listen to it in Arabic. Islam has a cure for your symptoms.
@@woodhousii2445yo i just made a comment where i started giggling and thinking "im god" please help
This was VERY helpful! Thank you! Happy I came across your video.
Thank you so much for this video!!! I went through so many and this was wonderful!!!!
I had such a hard time understanding all the different disorders in cluster a,b, and c but this helped tremendously!! Thank you!!
Keep studying it. You *will* get it! It's a lot to take in in the early years of learning it.
Cluster A = odd/eccentric
Cluster B = erratic/dramatic (and I would add the most dangerous to others health/well-being)
Cluster C = anxious/avoidant
Another way...
Cluster A = mad (as in crazy)
Cluster B = bad (as in amoral)
Cluster C = sad ( as in hurt)
This isn't a differential diagnosis, just some sweeping generalizations to help *you* remember what is at the core of the Cluster.
Remember, personality disorders were originally known as character disorders because they are characterological in nature. In Psychiatry, the still call them characterological disorders, but in psychology, they've been calling them "personality disorders" for a few decades. They are disorders of character, never forget that (and some people who don't know the history of the terms will try and tell you that's not so, but it is).
The DSM committee decided to change the term they used from character disorder to personality disorder because they felt that the term "character disorder" was too pejorative, despite being accurate.
Really great Schizoid description.
My symptoms are
Sensing a presence in the room, even though there's nobody there, and sometimes having a full-blown conversation with somebodv who can't see but I feel that is there the presents in the room tells me I have to dress weird act weird I just be eccentric and I can't make friends.
Kids at school used to tease me because we would be in class, and I would look at the wall and have a conversation with the wall because I sent somebody was in the wall of the school it's kind of like having invisible friends that you can't control.
¡remember having this disease ever since I was in first grade, and in first grade I was very shy I didn't talk to anybody because I thought I was so different I didn't deserve to talk to anybody.
ohhhh im gonna love this channel so much u r going to help me pass my psych degree
I'm paranoid but agreeable, somewhat schizoid it gets lonely sometimes but I socialize more now and engage in social connection now, schizotypal yes, delusions of reference and auditory hallucinations but hope not to end up totally schizophrenic.
Love your videos and books. I am learning so much and making NP school so much easier!!!
What happens when a Schizoid person who is unaffected by praise or criticism meets someone with Histrionic or Narcissistic personality disorder who are highly affected by criticism or praise?
I’m Schizoid/Schizotypal and was married to a narcissist for 20 years, raised by a narcissist father and have a histrionic older sister. I make them cry…. They make me cry. And then I don’t care if I hurt their feelings because they hurt mine first. All is fair in love in war. It’s far deeper but I generally don’t want to be bothered. 😊❤
ina romantic/sexual relationship the schiziod (or schisotypal leaves them after a month or two, doesnt take long to realise what they are like.better to be on your own.
I had to purchase your books for desk reference when I start practicing…thanks for the simplicity
Glad you like them!
Can you have a mix of Cluster A disorders? I have a "friend" (she's so odd and hostile that it's difficult to call her a real friend) who ticks almost all of the boxes in paranoid personality disorder, but has a very odd speaking pattern and extreme "magical thinking" that are supposedly common in schizotypal. She truly believes tarot cards work, and does dozens of readings a day. She regularly removes her picture from her Facebook profile because she "feels" someone is using it to wish her ill intent and that's why her life is going so bad. She believes her aunt is using "Islamic magic" to bring her misfortune for some reason. She has a crush on a neighbor and "feels" it when he apparently thinks about her, and "feels his presence" when he's at home. They've hardly interacted at all and she has made a huge narrative of them having some special connection.
On the paranoid side, she thinks her dates/partners are always with some "wh*re" when they don't answer her messages fast enough. She has ruined every single relationship because she thinks they are all cheating on her. She thinks people are looking at her when she's out, which they aren't - I've been with her when she says this, and I don't see it. When she's at her worst, she thinks I want to "steal" her neighbor crush (I'm gay), even though I've only seen him 3 times in my life, and I've only said one word to him (I said "hi" when I met him once). I don't even think he is gay either, and she still thinks that we are together when she's at her most suspicious - it's so bizarre. She thought at one point I was partying with him, because I didn't answer her messages for one day due to me having a migraine. She thinks everyone is "false" or have malicious intentions based solely on them not using an emoji or setting a period at an "odd" place and so on in text messages.
It's exhausting...
This is extreme
How I remember schizoid is because i have many characteristics relating to that PD.
Side note, everyone display some type of PD or have some traits of PD!
You are awesome 🤩
Hello kind commenters, I’m looking for some insight and different opinions from the schizoid perspective. I just went through a painful process of figuring out what is going on with one of my family members and it seems like the search has landed me here. There may be other factors that play, but all the schizoid features line up with them perfectly. So here’s my question now. How do I go about interacting with this person? Do schizoids truly just wanna be left alone with not much interaction? This is very difficult for me to understand because I’m very much the opposite personally.
I just came to the realization that this person cannot meet the emotional needs of the family, the desired amount of closeness, and hang-out time. But I’m trying to figure out what to do next. I want to invite them to come around and reach out to them on occasion, but I’m not sure if this is welcome. I have tried discussing with them what I want/need but it just felt flat and maybe even got worse after that. When I try to state my wants/needs to this person it kind of seems like it makes them feel guilty and they push away even more.
I’m at a place where I accept that this is just the way things are but looking for perspectives on how to proceed with interacting with this person because it seems cruel and needless to just cut them out, almost did to be fully honest, but after researching this it seems like it would be mean to hold this condition against them.
For more context, this person is the sibling of my significant other and we recently had a child and moved across the country to be closer to family and have gotten very little reaction or response despite living very close by for their convenience. It’s been heartbreaking to realize that our child will not have a close and loving aunt/uncle figure but we just need a plan to move forward. Of course, this has also devastated my significant other who expected a tight bond with their sibling upon returning to their home turf after living away for many years. (Seems that this condition was much less back in the past, hence the shock.)
Sorry for the long post but felt that it would be good to clarify a few things to get the best answers possible from people. Also, I want to say that in no way am I judging people with this condition I’m just trying to be honest about the fact that it has been painful to deal with. It feels like grieving a loss but the person is still there. Trying to focus on the positive and still have a relationship without overburdening or having unrealistic expectations of this person.
They also might be in a toxic (at best) or abusive relationship (at worst) but it is difficult to figure it out considering how little we see them in the mixed messages that we’ve got. Even though we thought that was the main reason for their distance for a while, there is much more to this puzzle and schizoid personality seems to fit the bill so far. They both have unusual social behaviors, although their significant other is more hostile. Anyway, I guess that adds more context but it’s not really the main point.
I look forward to hearing and brainstorming some ways to help. How do we show we care and that we are always here for this person without pressuring them and making them feel worse about who they are? Right now the approach is to throw out invitations for family get-togethers once a month (or way less) for birthdays or holidays but not trying to pressure for more hangouts or time together. Some casual chatting online but again no pressure, not overly frequent, and typically about the topics that they seem to care about. Any insight helps. Thanks for taking the time to read this and for your comments if you feel so inclined to leave one.
I'm not a doctor, not diagnosed, and nobody, so take my suggestion with a grain of salt. But I do have a personality congruent with SzPD. I also have a sister who is more emotional, and has a strong conception of family.
I love her as my sister unconditionally. But I feel like I don't have to be near her to do that. I don't think much about the idea of family, and desire to be as self sufficient as possible. I will help her out if she ever asks, but otherwise am fine with not talking in person or online for months.
If you'd like to have this person around more, the best situations might be ones involving work, or similarly neutral goals. If you have a project that needs doing around the house. Or something similar. It allows for interaction without the burden of normal socialization, or the requirement to act social or cheerful in the context of a gathering. Even though it's essentially asking a favor, they might be surprisingly happy to help, even if you won't be able to tell.
Another thing to keep in mind is that the beliefs and behavior of a schizoid person may be a defensive measure against negative aspects of relationships. And they may have contradictory feelings within themselves in regards to others. For all humans a lack of socialization is harmful, and those with the disorder can become lonely. So it would likely be good for both sides for there to be more interaction. And they may open up some over time. Though they may never be proactive in a relationship.
P.S. Those with severe SzPD may structure their entire life to avoid being in any relationship, let alone a romantic one. So the fact they are in one may be significant.
@@kommikoo7360 This is extremely helpful and actually lines up with behaviors I've noticed. i.e. being very willing to drop everything to help in emergency situations, and willing to help us move, etc. Thank you so much!
Your needs, wants and expectations do not align. If they want to be left alone and require a lot of space, leave them alone. Schizoids like being in solitude and keeping people at a distance. Closeness comes with dealing with messy human emotions and they do not have any desire to deal with that. Low maintenance relationships without imposing on them, may keep some level of contact. For me, I can easily go for months with no communication. Monthly even, drains me to no end. These expectations for social comitments expected by the status quo makes me extremely uncomfortable and like my time is being wasted. I am perfectly content being alone (and do not feel lonely), doing my own thing. When that is disturbed, I get very annoyed. I have virtually no tolerance for needy, insecure people who require validation and a lot of contact, and especially pushy ones that do not understand boundaries. Something like that will make me cut contact and not respond. It feels like relief and I have space to breathe. Otherwise, it feels like a 100 lb weight sinking me into the abyss.
I just suscribed, greetings from México
I feel like I temporarily went schizoid during the covid lockdowns since I had a nasty breakup just before that and lost most of my friends.
Thanks ☺️
I didn't understand the ocean reference 🤷
I cant remember his name, but some psychologist who was a pioneer in cluster A personality disorders felt that they were all actually a spectrum, and simply varying degrees of severity.
hmm ive just recently began learning about personality disorders after always knowing something was up! when it got to schizotypal i started giggling bc i couldnt help but think "oh yes i believe im god do i win?!"
Yeah that's pretty much my sister.
liked very much
Shciziod - Zen. ❤️👌🌟✔️
Good video
I’ve been diagnosed with this, Schizotypal personality disorder is worse than schizophrenia my friends. Once a cloud is gone the sun shines on but when there is no sky there can be no sun and so we cannot be treated like others sadly this is my life. If I was a social butterfly I’d be a billionaire so maybe better I’m not. Cheers
The poor guy at 6:18 seems to have an artificial right leg.Is that part of the diagnosis too?
Thats just art style
Those random diagnostic criteria can fit anyone.
Good
A monk, a nun, any type of religious person or eccentric, creative type is schizotypal?
Absolutely not! A key part of this diagnosis (and any diagnosis in psychiatry) is that it must be associated with dysfunction. There's nothing about being a monk or a nun that is inherently dysfunctional. It's much more about the process by which patterns come about than any particular patterns themselves
Ok. So Im still confused. If the main focus is the beliefs as stated here (nothing was said in the video about distress being a component), what about someone who holds non-conventional beliefs such as being extremely religious and believing angels speak to them, or thinking theyve been abducted by aliens or whatever "non-consensual reality" belief they hold- but they are well adjusted and content?
What then?
Also, what about the practicioner of a religion that believes "magic" or supernatural actions are possible and very real?
What about people from non western cultures?
It seems very broad to say "you have a belief that isnt accepted as what the western world defines as reality", so youre mentally ill. What if someones family doesnt approve of the nonconventional belief, but the person holding the belief is a functional person in society and happy? What if the person holding the belief is a minor?
Seems just ripe for abuse based on the tides of society. There should be some other component involved because what it sounds like is "youre odd by society's standards, ergo you have low grade schizophrenia"
@@childofcascadia I agree
@@childofcascadia the main thing about schizotypal is that there's usually the presence of ideas of reference, which combines with the magical thinking like that = "oh, I'm pretty sure that the plane that crashed just crashed because I accidentaly burned my collection of plane figures."
everything is related to the schizotypal, and there's always a magical thinking behind of this,
btw, not every schizotypal is like that, but i think this is a good way to explain why it's different from monks and nuns,
Considering my grandmother is schizotypal and she was going to be a nun before she was married, and then turned into a religious nut, i want to say yes…. But im sure not everybody like that is Cluster A 😂
is there a test I can take myself? Shrinks all come up with different flavors of personality disorders for me, I think I must just be normal
this is one of several conditions ive been diagnosed with, evry team/psychiatrist has diagnosed me with something completely different from all the others, thay all think they can acurately diagnose you after one apointment . you cant diagnose yourself but in reality also psychiatristys cant acurately diagnose you either. they only see what they want to see. yes you could be just "normal" as posychiatry pathologises "niormal"behaviour. also many shrinks themselves have serious mental illnesses such as antisocial or narcissistic personality disorder.
dont know what you got? theres a condition for tha,t"not otherwise specified", you can be diagnosed with a condition that doesnt even exist.
schrizotypal are just Buddhist monks or shamans with a lack of grounding (aka calmness). hence meditation to remove dear or anxiety to manifest heaven instead of hell on earth.
I’m Schizotypal and I don’t think it’s a disorder. It’s OTHER people who are narrow minded or in some other cluster group. 😂 I like being alone and I believe in telepathy. My daughter and I are practicing it and it is real. They might as well call us all witches. 🙄😂🙏❤
I have A,B and C 💀
🤒🤒🤕🤯😪🥵😓😷
I could do without the juvenile drawings