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Diagnosis information
Core diagnostic criteria, specifiers, differential considerations, and documentation support in one open, scan-friendly view.
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Core criterion A
Pervasive pattern of social/interpersonal deficits with acute discomfort in close relationships, cognitive/perceptual distortions, and eccentricities of behaviour, beginning by early adulthood; ≥5 of 9: ideas of reference; odd beliefs/magical thinking; unusual perceptual experiences; odd thinking/speech; suspiciousness/paranoid ideation; inappropriate/constricted affect; odd/eccentric behaviour/appearance; lacks close friends; excessive social anxiety
Consistent with [Schizotypal Personality Disorder] [specifier(s)]. Since early adulthood, there has been a pervasive and stable pattern of social and interpersonal deficits including marked discomfort in close relationships; reduced capacity for close relationships; social anxiety linked to paranoid fears; alongside cognitive-perceptual disturbances such as ideas of reference; odd beliefs or magical thinking; unusual perceptual experiences; suspiciousness or paranoid ideation; and eccentric behaviours including odd thinking and speech; odd, eccentric, or peculiar behaviour or appearance; inappropriate or constricted affect; lack of close friends or confidants; excessive social anxiety. These features have been present across multiple contexts, remain stable over time, and are not confined to discrete mood or psychotic episodes. The pattern has led to significant interpersonal, social, and functional impairment, and is not better explained by schizophrenia, bipolar or depressive disorders with psychotic features, autism spectrum disorder, substance use, or a medical condition.
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