Schizotypal disorder
Chapter 5:Mental, Behavioral and Neurodevelopmental disorders
ICD-10 F21 is a billable code used to indicate a diagnosis of schizotypal disorder.
Schizotypal disorder, classified under the schizophrenia spectrum and other psychotic disorders in the ICD-10, is characterized by pervasive patterns of social and interpersonal deficits, marked by acute discomfort with close relationships, cognitive or perceptual distortions, and eccentricities of behavior. Individuals with this disorder often exhibit odd beliefs or magical thinking, unusual perceptual experiences, and peculiarities in speech and behavior. These symptoms can lead to significant functional impairment in social and occupational settings. Unlike schizophrenia, individuals with schizotypal disorder do not experience full-blown psychotic episodes but may have transient psychotic symptoms. The disorder typically manifests in early adulthood and can be associated with a family history of schizophrenia or other psychotic disorders. Treatment often involves psychotherapy and may include antipsychotic medications to manage specific symptoms, although the effectiveness of pharmacotherapy can vary. A thorough functional assessment is crucial for understanding the impact of the disorder on daily living and for tailoring appropriate interventions.
Detailed patient history, symptom assessment, and treatment plans must be documented.
Initial diagnosis, ongoing management, and treatment response evaluations.
Documentation should clearly differentiate between schizotypal disorder and other psychotic disorders.
Psychological assessments, therapy notes, and progress reports are essential.
Therapeutic interventions and cognitive-behavioral therapy sessions.
Focus on behavioral observations and patient self-reports to support diagnosis.
Used for ongoing therapy sessions for patients diagnosed with F21.
Session notes must detail the therapeutic approach and patient progress.
Psychiatrists and psychologists should ensure alignment between diagnosis and treatment provided.
Primary symptoms include social anxiety, odd beliefs, unusual perceptual experiences, and eccentric behavior. These symptoms can lead to significant impairment in social and occupational functioning.
