Prognosis of Schizoid Personality Disorder typically includes which of the following?

• A. Onset in early childhood; may not last entire life; may develop schizophrenia
• B. Complete resolution by adolescence
• C. Onset in late adulthood with no risk of psychosis
• D. Prognosis is always chronic with no remission

Answer: (A)

Schizoid personality disorder often follows a variable, non-linear course rather than a fixed, uniform trajectory. Some individuals show signs early in life and may experience changes in expression or severity over time, rather than a guaranteed lifelong, unchanging pattern. In some cases, there can be progression toward broader psychotic-spectrum issues such as schizophrenia, reflecting underlying vulnerability rather than a simple, isolated personality pattern. The other options imply a uniformly favorable outcome (complete resolution by adolescence), a late-onset pattern with no risk of psychosis, or an always-chronic course with no remission, which don’t fit the real-world variability seen with this disorder. Therefore, the option that notes early onset with potential fluctuation and possible progression to schizophrenia best reflects the prognostic range.