You're likely to start by seeing your primary care doctor. However, in some cases when you call to set up an appointment, you may be referred immediately to a psychiatrist.
Here's some information to help you prepare for your appointment.
What you can do
- List any symptoms you or your family noticed, and for how long. Ask friends or family members if they've felt concerned about your behavior and what they've noticed.
- List key personal information, including traumatic events in your past and any current, major stressors. Find out about your family's medical history, including any history of mental illness.
- Make a list of your medical information, including other physical or mental health conditions with which you've been diagnosed. Also write down the names and dosages of any medications, herbs or supplements you're taking.
- Take a family member or friend along, if possible. With your permission, someone who has known you for a long time may be able to answer questions or share information with the doctor that you don't think to bring up.
- List the questions you want to ask your doctor to make the most of your appointment.
For schizotypal personality disorder, some basic questions to ask your doctor include:
- What is likely causing my symptoms or condition?
- What are other possible causes for my symptoms or condition?
- Is my condition likely temporary or chronic?
- What treatments are most likely to be effective for me?
- How much can I expect my symptoms to improve with treatment?
- How often will I need psychotherapy, and for how long?
- Are there medications that can help?
- If you're recommending medications, what are the possible side effects?
- I have these other health conditions. How can I best manage them together?
- Is there a generic alternative to the medicine you're prescribing?
- Are there any brochures or other printed material that I can have? What websites do you recommend?
Don't hesitate to ask questions any time that you don't understand something.
What to expect from your doctor
Your doctor is likely to ask you a number of questions. Being ready to answer them may reserve time to go over points you want to spend more time on. Your doctor may ask:
- What are your symptoms?
- When did you or your family first notice these symptoms?
- How are your symptoms affecting your life?
- Do you feel comfortable in social situations? Why or why not?
- Do you have any close relationships?
- If you're not satisfied with work, school or relationships, what do you think is causing your problems?
- Have you ever thought about harming yourself or others? Have you ever actually done so?
- Have you ever felt that other people can control your thoughts or that you could influence other people and events through your thoughts?
- Have your family members or friends expressed concern about your behavior?
- Have any of your close relatives been diagnosed or treated for mental illness?
If you need immediate help
If you are concerned that you might harm yourself or someone else, go to an emergency room or call 911 or your local emergency number immediately.
April 11, 2013
- Personality disorders. In: Diagnostic and Statistical Manual of Mental Disorders DSM-IV-TR. 4th ed. Arlington, Va.: American Psychiatric Association; 2000. http://www.psychiatryonline.com. Accessed March 1, 2013.
- Sadock BJ, et al. Kaplan & Sadock's Comprehensive Textbook of Psychiatry. 9th ed. Philadelphia, Pa.: Wolters Kluwer Health Lippincott Williams & Wilkins; 2009. http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=booktext&D=books2&AN=01412563/9th_Edition/5&XPATH=/OVIDBOOK%5b1%5d/METADATA%5b1%5d/TBY%5b1%5d/EDITORS%5b1%5d. Accessed March 3, 2013.
- Silk KR. Personality disorders. http://www.uptodate.com/home. Accessed March 3, 2013.
- Skodol A, et al. Approaches to the therapeutic relationship in patients with personality disorders. http://www.uptodate.com/home. Accessed March 3, 2013.
- McClure MM, et al. Functional outcomes, functional capacity, and cognitive impairment in schizotypal personality disorder. Schizophrenia Research. 2013;144:146.
- Afifi TO, et al. Childhood adversity and personality disorder: Results from a nationally representative population-based study. Journal of Psychiatric Research. 2011;45:814.
- Alarcon RD (expert opinion). Mayo Clinic, Rochester, Minn. March 21, 2013.
- Palmer BA (expert opinion). Mayo Clinic, Rochester, Minn. April 1, 2013.
- Hall-Flavin DK (expert opinion). Mayo Clinic, Rochester, Minn. April 3, 2013.
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