An integrated approach to the treatment of schizotypal disorder in a hospital setting

Igovskaya A. S., Berezkin A. S., Akhmetova V. V., Tarasova T. P.

this article provides an overview of the psychotherapeutic management of patients with schizotypal disorder using various approaches to psychotherapy in a hospital setting. The main method of treating patients is psychopharmacological, which includes a wide range of traditional drugs - neuroleptics, tranquilizers, antidepressants, normotimics. At the heart of psychotherapeutic work with a patient is a psychotherapeutic contract, which includes a clear division and acceptance of responsibility by the psychologist / psychotherapist and the patient, about the agreed distribution of rights and responsibilities between the participants in the psychotherapeutic process. Social conditions are noted as one of the factors that improve the treatment and rehabilitation process of patients. The dynamics of the state before and after treatment is shown. The effectiveness of complex (medication and psychotherapeutic) treatment of the considered category of patients was also analyzed. A course of treatment with the use of neuroleptics, tranquilizers, antidepressants, vascular drugs and a course of psychotherapy is described. The psychotherapeutic effect is shown in patients with schizotypal disorder through polymodal psychotherapy, where transactional analysis was used as a basic, integrating approach with the inclusion in the process of individual techniques from client-centered, symbolic and cognitive-behavioral psychotherapy. The author concludes that the effective optimal treatment of patients with schizotypal disorder in a hospital setting is a combination of the use of drug and psychotherapeutic methods.

Keywords:schizotypal disorder, social adaptation, psychotherapy, therapeutic cooperation (compliance), psychopathic symptomatology.