schizoid personality disorder
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Clinical manifestations
- features must be present since young adulthood to meet criteria for personality disorder[1]
- disinterest in social relationships
- social isolation & occasionally odd behaviors
- elderly: poor, strained or absent relationship with caregivers
Management
- assess for & treat comorbid psychosis
- do not force social interactions
- offer support & problem-solving assistance
- do no challenge paranoid ideation
- solicit & empathize with emotions, turmoil, fear