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Mental Health  (Expert Forum)
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Schizotypal Personality Disorder
Answered by
Roger Gould, M.D. - Mental Health, Wellness
Questions posted in the Mental Health forum are being answered by Dr. Roger L. Gould, author of the Mastering Stress and Depression program and affiliated with the UCLA. Department of Psychiatry. Topics covered include anger, attention deficit disorder (ADD) , bipolar disorder , dementia , electroconvulsive therapy (ECT) , learning disabilities, memory, obsessive compulsive disorder (OCD) , panic , personality disorders, phobias , post-traumatic stress disorder (PTSD) , schizophrenia , stress , transitions, and work problems.

Schizotypal Personality Disorder

by igtbking, Jul 30, 2009 02:38PM
My 17 year old daughter has had depression since about 11 years old. Recently She had a manic episode and was hopitalized to 2 weeks and then partial hopitalization for 2 more weeks.
They did some testing and diagnosed her as having Schizotypal Personality Disorder. She is on Zyprexa and Straterra.
Although she is much better, than she was. She continues with the metaphoric speech and often it doesn't make any sence.
Here's the question....what's a Mom to do. The advice I have gotten so far is to keep her grounded when she goes off on the metaphores, be extra careful of whom and what she is exposed to and offer her opions of what others might think of you.
I have always taught my daughter to be yourself and be proud of who you are and not to worry about what others think of you. She has always as they say "beat to a different drum" but, we have celebrated her uniqueness and not tried to re-frame her thoughts.
Can you offer any other other advice? I feel pretty helpless and am having a hard time finding the line between promoting her self esteem and individuality and being over protective.

by Roger Gould, M.D., Jul 30, 2009 07:29PM
To: igtbking
You have a very difficult task, and the advice you received is very good advise.  In general you must use reality as your guide...if she does not make sense, then helping her express herself to you is an important discipline because until she does she can not be accepted outside the home for very long. Freedom to be herself is important, but at this juncture she needs a certain amount of grounding and framing to help her get safe..her symptoms indicate a massive amount of anxiety which the medications should handle in time.
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