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Psychiatry · Personality disorders: schizotypal
Sample itemA 30-year-old lives alone, believes he can read others' thoughts, dresses oddly, talks in vague, circumstantial speech and has no close friends. There is no frank psychosis. The diagnosis is:
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Schizotypal personality disorder
Schizotypal personality disorder (Cluster A) is characterised by magical thinking, odd beliefs, eccentric behaviour, unusual perceptual experiences and social anxiety. Schizoid personality has detachment without eccentricity.
Option by option
A. Schizotypal personality disorder (correct)
Correct. Eccentricity with magical thinking indicates schizotypal personality.
B. Avoidant personality disorder
Avoidant personality involves fear of rejection and desire for relationships.
C. Paranoid personality disorder
Paranoid personality shows pervasive suspiciousness.
D. Schizoid personality disorder
Schizoid disorder shows detachment and restricted emotion without odd beliefs.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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