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V. 3. Rapidly shifting and shallow expression of emotions are present. 4. The patient consistently uses physical appearance to attract attention. 5. Speech is excessively impressionistic and lacking in detail. 6. Dramatic, theatrical, and exaggerated expression of emotion is used. 7. The patient is easily influenced by others or by circumstances. 8. Relationships are considered to be more intimate than they are in reality. Clinical Features of Histrionic Personality Disorder A. The patient is bored with routine and dislikes delays in gratification.
B. Patients with schizotypal personality disorder may develop schizophrenia. C. The prevalence is approximately 3% in the general population. Differential Diagnosis of Schizotypal Personality Disorder A. Schizoid and Avoidant Personality Disorder. Schizoid and avoidant patients will not display the oddities of behavior, perception, and communication of schizotypal patients. B. Schizophrenia. No formal thought disorder is present in personality disorders. When psychosis is present in schizotypal patients, it is of brief duration.
Benzodiazepines can be useful when anxiety symptoms are prominent. Hypochondriasis I. DSM-IV Criteria for Hypochondriasis A. Preoccupation with fear of having a serious disease, based on misinterpretation of symptoms. B. The patient is not reassured by a negative medical evaluation. C. Symptoms are not related to delusions or restricted to specific concern about appearance. D. The disorder results in significant functional impairment. E. Duration is greater than six months. F. Symptoms are not accounted for by another mental disorder.