Schizotypal Personality Disorder

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During the seventh session after building rapport with Caleb, he divulged important information and stated he had not told anyone before. Caleb shared his fears of getting to know people because he believes he might harm him/her because he thinks he has special powers. Whenever he gets angry with people, bad things happen to him or her. After the new information, the diagnoses I considered were Obsessive-Compulsive Disorder (OCD), Schizotypal Personality Disorder, and Substance Abuse Disorder. I thought OCD because Caleb meets the presence of obsessions and compulsions. The obsession is Caleb trying to ignore and suppress thoughts of anger and emotions and suppressing them by not making eye contact and keeping his feelings “in a cage” being …show more content…
Caleb has several pervasive patterns of social and interpersonal deficits marked by reduced capacity for close relationship with perceptual distortions. The first symptom was his ideas of reference when he explained how he discovered his powers. Caleb stated when he was younger and would get angry with his mom for any reason his father would hit her within the next couple of days and this continued for some time. One time, Caleb got mad at his dad and wished someone could punish him and days later, his father died in an accident. Therefore, this statement from Caleb helps me ruled out PTSD because Caleb symptoms started before his father accident and not as a reaction to the accident. Next symptom is Caleb has magical belief of having powers as stated before. He has unusual perceptual experiences of learning how to keep his feeling “in a cage” or not making eye contact because he can “see” his/her emotions, which helps explain his unusual behavior in school and at home. Furthermore, his odd behavior is another symptom of Schizotypal Personality Disorder as mentioned in the previous sessions of tying the sting multiple times, wearing all gray clothing, and waiting for his peer to get bored with …show more content…
My theory is Caleb developed this disorder because he was unable to cope with his dysfunctional family of witnessing the abuse his mother experienced. People who have symptoms of Schizotypal Personality Disorder have experienced family conflicts (Comer, 2013). Although, people with Schizotypal Personality Disorders are hard to treat because the disorder is ego-syntonic conditions, however, responsiveness to the treatment is modest in most case (Comer, 2013). I would suggest Caleb undergo Cognitive- Behavioral Therapy (CBT) to help him reconnect with the world and help him understand the limits of his thinking and his power, specifically if he gets mad or shows emotion no harm will come to anyone. For Caleb to recognize the limits of his power, I would set clear limits (i.e. punctuality) or by having Caleb keep a record of the time he gets mad and allowing him to see if he gets angry no harm will come to the

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