Teen Schizotypal Personality Disorder Treatment

Teen Schizotypal Personality Disorder can seem very similar to schizophrenia, yet is often much less severe. Symptoms of delusions, paranoia, and self-withdrawal are also easier to treat. This does not, however, make treating SPD any less important.

What Does Teen Schizotypal Personality Disorder Look Like?

  • Individuals struggling to cope with Schizotypal Personality Disorder have a paranoia that makes them suspicious of the people around them. This leads to a near-complete inability to form healthy relationships.
  • Teens suffering from SPD often have disorganized thought processes that lead them to ramble when talking with others. They may seem incoherent or confused.
  • SPD can also cause teens to seem rude, arrogant, angry, or as if they have an attitude problem. They often dress unconventionally.
  • It’s common for Schizotypal adolescents to be incredibly superstitious. They may place great faith in the supernatural, or find their own hidden meanings in things that are generally considered inconsequential.
  • Teens with Schizotypal Personality Disorder are usually too paranoid to form bonds with their peers, preferring only relationships with close, trusted family. They daydream regularly and work hard to maintain a distance from others.

Signs of Teen Schizotypal Personality Disorder

Avoidance and self-isolation

Focus on the supernatural

Extensive mood swings

Passive aggressive attitudes

Apathy, disinterest or “flat” emotions

Skepticism and cynicism

Types of Teen Schizotypal Personality Disorder

Insipid Schizotypal - Teens with this particular form of the disorder generally exhibit a passive aggressive attitude and seem to be depressed. They tend to be dependent on others, move sluggishly, and show almost no enthusiasm for, interest in, or concern for the things happening around them. Teens who are Insipid Schizotypal usually only lash out if they are having some sort of crisis, usually existential in nature.

Timorous Schizotypal - Timorous schizotypals are generally far more passive aggressive in nature and like to use avoidance tactics. They tend to exaggerate small and unimportant details and try to turn them into issues with obscure meanings. They tend to be superstitious, are drawn towards fantasy and ritual, and like to find ways to take random coincidences or events and find supernatural explanations for them. Teens with this disorder are also apathetic and will do everything possible to avoid social situations and general interaction.

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Teen Schizotypal Personality Disorder Treatment | Paradigm San Francisco

Causes of Schizotypal Personality Disorder

The causes of Schizotypal Personality Disorder  vary from person to person based on their own unique risk factors, genetics, and experiences.

Family history - teens are likely to develop schizotypal symptoms if there is a history of this disorder, or of Schizophrenia, in the family.

Childhood influences - children are malleable and their personalities are impacted by the beliefs or behavioral patterns they are exposed to from childhood through puberty. Some teens develop the disorder as a coping mechanism in response to abuse, violence, or loss.

Traumatic events  - trauma is one of the most severe forms of emotional pain and it has the capacity to do incredible damage, both psychologically and emotionally. What is considered a trauma varies from person to person based on how the individual responds to it. One teen may be able to handle a scenario in a healthy manner, while the same event is traumatic for another, causing symptoms of amnesia, memory issues, and a disinterest in discussing the past.


of people in the US struggle with Schizotypal Personality Disorder


of Schizotypal patients have Major Depressive Disorder


of Schizotypal diagnoses occur due to genetics

How Can I Help my Teen with Schizotypal Personality Disorder ?

Be Understanding – Keep in mind that your teen’s behavior patterns are largely driven by disordered thinking patterns, not by an unsavory personality flaw. Be as understanding as possible, even when the things your teen is saying don’t make sense to you, and try to reserve judgment. This will help you and your teen to establish a baseline of trust.

Communicate – Communicate regularly with your teenager. Remember that they are already having trouble identifying with those around them. They don’t trust many people and likely avoid their peers at all costs. Learning to communicate with your teen will ensure they have someone to confide in when necessary, and will also help to reduce paranoia.

Learn More – Educate yourself about teen Schizotypal Personality Disorder. Understanding this and other personality disorders will give you a better idea of what is causing your teen to act and think the way they do. It will also give you the tools necessary to help your teen recognize their own thinking patterns, especially after therapy has ended.

What Types of Teen Schizotypal Personality Disorder Treatment Are Available?

Medications and therapy sessions are the most common treatments for any personality disorder. They are key in helping your teen manage their symptoms from a biochemical perspective, especially when it comes to paranoia, anxiety, depression, and delusions. Therapy helps them to better understand harmful behavior and thought patterns.


While no medication has been designed to treat Schizotypal Personality Disorder specifically, many drugs serve as an effective short-term panache to control the symptoms. These include antidepressants and antianxiety medications to address phobias and negative thought patterns and  antipsychotic drugs that stabilize your teen’s ever changing mood.

Talk Therapy

Psychotherapy and talk therapy sessions are critical to recovery. They aid teens in understanding their own dangerous behaviors. Teens may attend therapy in one-on-one sessions with a therapist or in a group, including family sessions, to improve coping mechanisms and build stronger relationships.

Teen Schizotypal Personality Disorder Treatment at Paradigm San Francisco

Treatment at Paradigm San Francisco is holistic, and addresses each teen as an individual person. All teens receive a comprehensive assessment of their symptoms; then, we begin with talk therapy. Medications reduce symptoms while professionals work with each teen to ensure that their treatments are covering and adequately addressing all of their issues.

Because teens with Schizotypal Personality Disorder often struggle with paranoia, it can take time for your teen to establish a trusting relationship with their therapist. Paradigm San Francisco purposefully creates a comfortable new environment for teens for this specific reason.

Only after your teen feels safe and has established trust can a therapist begin working with them. Then, your teen’s therapist will help them identify maladaptive beliefs and dangerous behavioral patterns. Recognizing those beliefs is the first step your teen must make before they can work on creating healthier patterns. Over time, our therapists will continue to help teens grow their coping mechanisms so they can better deal with stress. New conflict resolution habits ensure your teen feels empowered enough to avoid slipping back to previous behaviors.

Therapy at Paradigm San Francisco also includes teaching teens to have healthier relationships attitudes with and towards other people. By the time your teen returns home, they leave with a wealth of information and a brand-new, much stronger personal foundation from which they can establish and nurture friendships and relationships. These new patterns empower them to avoid old feelings of paranoid and anxiety when around new people.

“Paradigm was truly a lifesaver for our daughter. It took some time, but giving our complete trust over to the wonderful staff was the right thing to do. The communication from the staff there was amazing. I highly recommend Paradigm to any family that is struggling to find help for their teen.

– Keri and Rob

Frequently Asked Questions about Teen Schizotypal Personality Disorder

What’s the difference between this and schizophrenia?

Both Schizotypal Personality Disorder and Schizophrenia occur on the same spectrum. However, Schizophrenia tends to be much more severe in nature and is often harder to treat. Teens with Schizotypal Personality Disorder  tend to fall closer to the center of the “spectrum” and experience comparatively mild symptoms.

Are teens with Schizotypal Personality Disorder  dangerous?

No. They are no more prone to violence than any other teen might be. Their feelings of paranoia tend to lead them to isolate themselves from others, avoiding social situations and interactions, rather than starting conflicts. They may have eccentric behaviors or feel as though they have supernatural powers, but they are definitely no more prone to seeking out a fight than any other teen might be.

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