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By Mayo Clinic staffThere are no laboratory tests for schizoid personality disorder, and diagnosis usually comes after an in-depth interview with your doctor. During this interview, the doctor will ask questions about symptoms and mental well-being, and take a medical, psychiatric and social history. A physical examination can help rule out other conditions, and a mental health professional will likely be consulted for further evaluation.
To be diagnosed with schizoid personality disorder, you must meet criteria spelled out in the Diagnostic and Statistical Manual of Mental Disorders (DSM), published by the American Psychiatric Association. Criteria for schizoid personality disorder to be diagnosed include four or more of the following characteristics:
- Neither desires nor enjoys close relationships, including being part of a family
- Almost always chooses solitary activities
- Has little, if any, interest in sexual experiences with another person
- Takes pleasure in few, if any, activities and rarely experiences strong emotions
- Lacks close friends or confidantes other than first-degree relatives
- Appears indifferent to praise or criticism
- Shows emotional coldness, detachment or flattened emotions
In addition, the symptoms must not occur exclusively during a bout of schizophrenia, a mood disorder with psychotic features, another psychotic disorder or a pervasive developmental disorder (such as autism or Asperger's syndrome). Also, a diagnosis of schizoid personality disorder may not be appropriate should symptoms be due to the direct physiological effects of a general medical condition.
Further complicating a diagnosis is that the symptoms of schizoid personality may resemble autism or Asperger's syndrome.
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