Cluster A (odd/eccentric)
Distrust AndSuspiciousness Towards Others
, based onthe belief (unsupported by evidence) thatothers want to exploit, harm, or deceive theperson. These individuals are:-Hypervigilant-Anticipate hostility-May provoke hostile responses by initiating a“counterattack”-Demonstrate jealousy, controlling behaviors,and unwillingness to forgive.**Paranoid people are difficult to interview b/cthey are reluctant to share information aboutthemselves
Characterized Emotional Detachment,disinterest in close relationships, andindifference to praise or criticism; oftenuncooperative.The person with this disorder does not seekout or enjoy close relationships. Theseindividuals may be able to function in a solitaryoccupation.Schizoid PD can be a precursor toschizophrenia or delusional disorder. There isincreased prevalence of the disorder infamilies with schizophrenia or schizotypal PD.
Characterized by Odd Beliefs, leading tointerpersonal difficulties, an eccentricappearance, and magical thinking or perceptual distortions that are not clear delusions or hallucinations.
Objective, matter-of-fact approach
Avoid being too “nice or friendly”
Clear, simple, consistent verbal-non-verbalcommunication
Give clear straightforward explanations
Warn about changes, side effects etcMANIPULATIVE BEHAVIORSET LIMITS!!-Discuss concerns about behavior with patient-identify undesirable behavior, and discuss with patient what isdesirable behavior in a give situation or setting-Establish consequences for occurrence or nonoccurrence of desired behavior in a non punitive ad easily understood way-Refrain from arguing or bargaining with patient about