Like all personality disorders, psychotherapy is chosen to treat schizotypal personality disorder. However, persons diagnosed with this disorder rarely present themselves for treatment.
The clinician must be caring to the client and not directly criticize the client's inappropriate thoughts. Creating a warm, supportive, understanding and client-centered environment is very important to the therapy. The client feels not fitting in and avoids social interactions. Social skills training and other behavioral approaches that emphasize the learning of the basics of social relationships and social interactions may be beneficial to the client.
Medication can be used for treatment of this disorder's more acute phases of psychosis. These phases are likely to manifest themselves during times of extreme stress or life events with which they cannot adequately cope. Psychosis is usually transitory, though, and should effectively resolve with the prescription of an appropriate anti-psychotic.Self-help
It is unlikely for self-help groups to be of much effect on a person with this disorder because he/she is likely to be mistrustful and suspicious of others and their motivations. Making group help might even be harmful to the patient.