Diagnosing schizoid personality disorder is usually based on an in-depth interview with your doctor about your symptoms as well as your medical and personal history. Your doctor may perform a physical exam to rule out other conditions that may be causing or contributing to your symptoms. If your initial visit is with a primary care doctor, you'll likely be referred to a mental health professional for further evaluation.
To be diagnosed with schizoid personality disorder, you must meet criteria in the Diagnostic and Statistical Manual of Mental Disorders (DSM), published by the American Psychiatric Association. Diagnosis of schizoid personality disorder includes four or more of these characteristics:
- You neither desire nor enjoy close relationships, including being part of a family.
- You almost always choose solitary activities.
- You have little, if any, interest in sexual experiences with another person.
- You take pleasure in few, if any, activities.
- You don't have any close friends or confidants other than first-degree relatives.
- You seem not to care about praise or criticism.
- You seem emotionally cold, detached or unexpressive.
For schizoid personality disorder to be diagnosed, doctors need to rule out conditions with similar symptoms.
July 27, 2013
- Hales RE, et al. The American Psychiatric Publishing Textbook of Psychiatry. 5th ed. Washington, D.C.: American Psychiatric Publishing; 2008. http://www.psychiatryonline.com/resourceToc.aspx?resourceID=5. Accessed April 29, 2013.
- Personality disorders. In: Diagnostic and Statistical Manual of Mental Disorders DSM-5. 5th ed. Arlington, Va.: American Psychiatric Association; 2013. http://dsm.psychiatryonline.org/content.aspx?bookid=556§ionid=41101784#10344200. Accessed June 18, 2013.
- Ebert MH, et al. Current Diagnosis & Treatment: Psychiatry. 2nd ed. New York, N.Y.: The McGraw-Hill Companies; 2008. http://www.accessmedicine.com/resourceTOC.aspx?resourceID=10. Accessed April 29, 2013.
- Skodol A, et al. Approaches to the therapeutic relationship in patients with personality disorders. http://www.uptodate.com/home. Accessed April 27, 2013.
- Stern TA, et al. Massachusetts General Hospital Comprehensive Clinical Psychiatry. Philadelphia, Pa.: Mosby Elsevier; 2008. http://www.mdconsult.com/books/page.do?eid=4-u1.0-B978-0-323-04743-2..50041-X--cesec5&isbn=978-0-323-04743-2&sid=1451253590&uniqId=414361381-3#4-u1.0-B978-0-323-04743-2..50041-X--cesec8. Accessed April 27, 2013.
- Gabbard GO. Gabbard's Treatments of Psychiatric Disorders. 4th ed. Arlington, Va.: American Psychiatric Publishing; 2007. http://psychiatryonline.org/content.aspx?bookid=4§ionid=1341864. Accessed April 29, 2013.
- Triebwasser J, et al. Schizoid personality disorder. Journal of Personality Disorders. 2012;26:919.
- Feldman MD, et al. Behavioral Medicine: A Guide for Clinical Practice. 3rd ed. New York, N.Y.: The McGraw-Hill Companies; 2008. http://www.accessmedicine.com/content.aspx?aid=6441825. Accessed April 29, 2013.
- Palmer BA (expert opinion). Mayo Clinic, Rochester, Minn. June 17, 2013.
You Are ... The Campaign for Mayo Clinic
Mayo Clinic is a not-for-profit organization. Make a difference today.