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While schizophrenia and schizotypal personality disorder share some symptoms, they are distinctly different disorders. Schizophrenia is characterized by hallucinations and delusions, while schizotypal personality disorder does not typically involve these symptoms. Instead, people with STPD may experience symptoms such as paranoia, odd speech patterns, and unusual behaviors. 

Both illnesses involve a break with reality, but the episodes experienced by people with schizotypal personality disorder are not as frequent, prolonged, or intense as those experienced by people with schizophrenia. People with schizotypal personality disorder may also have odd beliefs or magical thinking, and they may be paranoid or suspicious of others.

While the symptoms of the two disorders may overlap, the key difference lies in the severity and frequency of the episodes.


Schizophrenia is a severe thought disorder that affects how one thinks and feels. Often, people suffering from this disorder will hear voices or see things that aren’t there. Their thoughts can become so disordered that they engage in suspiciousness and paranoia toward others.

Schizophrenia symptoms may include a range of cognition (thinking), behavior, and emotional problems. Under the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), a person may be diagnosed with schizophrenia if they show two or more of the following symptoms for a significant portion of a month:

  • Delusions
  • Hallucinations
  • Disorganized speech (frequent derailment from the topic or incoherence)
  • Disorganized and catatonic behavior (inability to move normally)
  • Below-average performance in areas like work, school, interpersonal relationships, or self-care
  • Lack of motivation
  • Difficulty processing information
  • Odd or atypical behavior

According to the American Psychological Association (APA), schizophrenia affects about one in a hundred Americans. Although there is no single cause of schizophrenia, some experts believe genetic and environmental factors can play a role. 

While the disorder can be debilitating, it is essential to remember that schizophrenia is treatable. With treatment, many people with schizophrenia can lead productive and fulfilling lives. 

Treatment for Schizophrenia

Schizophrenia treatment usually involves a combination of medication, therapy, and support. Medication can help to reduce the symptoms of schizophrenia. Therapy can help people with schizophrenia to manage their symptoms and live independently. Treatment should be tailored to the needs of each individual. Often, a schizophrenia treatment center is indicated to aid in diagnosis, therapy, and treatment.

The treatment goals are to reduce symptoms and improve functioning. Treatment typically begins with medication to control symptoms. Once the person’s symptoms are under control, they can begin therapy to address the underlying issues that contribute to their illness. Family and friends play an important role in schizophrenia treatment by providing support.

Schizotypal Personality Disorder

Schizotypal personality disorder is a mental disorder that is characterized by odd behaviors, speech patterns, thoughts, and perceptions. People with schizotypal personality disorder often dress, speak, or act in ways outside of societal norms and do not fully understand how relationships are formed or the impact of their actions on others.

[mk_mini_callout title=”Symptoms of schizotypal personality disorder can include:”]
  • Odd or eccentric thinking
  • Suspiciousness or paranoid ideation
  • Strange beliefs or magical thinking
  • Odd perceptual experiences
  • Odd speech patterns
  • Inappropriate or intense emotions
  • Avoidance of social interactions and relationships
  • Lack of eye contact

The above symptoms tend to cause individuals with schizotypal personality disorder to be described as odd and eccentric.

The symptoms of schizotypal personality disorder can interfere with everyday life, making it difficult to work or go to school. Symptoms can also make it hard to form and maintain close relationships. Some people with the disorder may turn to alcohol or drugs to try to cope with their symptoms.

Alcohol and drug use make symptoms worse over time and can lead to addiction. If you have schizotypal personality disorder and you are abusing alcohol or drugs, it is important to get help from a treatment program that specializes in treating both disorders.

There is no known cause of schizotypal personality disorder, but it is believed to be associated with genetic and environmental factors. While there is no cure for schizotypal personality disorder, treatment can help manage symptoms. Treatment for schizotypal personality disorder typically includes medication and therapy.

Treatment for Schizotypal Personality Disorder

People with schizotypal personality disorder often avoid initiating treatment for their specific condition but they do seek treatment for their depressive symptoms. While antipsychotic medications may help some individuals, therapy is generally preferable. 

Because the core characteristics of this disorder are fixed, psychotherapy is often focused on helping individuals establish a satisfying existence. Talk therapy and family therapy are two types of treatment that may help schizotypal patients manage their disorders.

Behavioral modification techniques may also help patients learn new coping skills and break harmful patterns of thought and behavior. Ultimately, with proper treatment, many people with schizotypal personality disorder can lead fulfilling and productive lives.

Residential Treatment at the Phoenix

As similar as they may seem, you’ll find that there are a lot of differences when comparing schizotypal personality disorder and schizophrenia. The main difference between the two is that schizotypal is a personality disorder while schizophrenia is a psychotic disorder. Personality disorders involve unhealthy thought and behavioral patterns that impact everyday life, while psychotic disorders are characterized by psychosis, which may result from schizophrenia, a health condition, medications, or drug use. Treatment for the two conditions typically involves medication, talk therapy, and cognitive-behavioral therapy. While the treatments for both are similar, there are some key differences. In many cases, individuals with schizophrenia require residential treatment to stabilize their condition.

[mk_blockquote style=”line-style” font_family=”none”] If you or someone you love is exhibiting signs of a thought or personality disorder, contact The Phoenix Recovery Center today. You are not alone and help is available. Call us at (801) 438-3185.[/mk_blockquote]

The Phoenix Recovery Center
489 W. South Jordan Pkwy
Suite 400
South Jordan, UT