Which of the following has the highest risk of metabolic syndrome?

A. Believes thoughts are being transmitted to others. This describes thought broadcasting, where individuals believe that their thoughts are being sent to others or that people can hear them without speaking. This is a distinct delusion seen in psychotic disorders like schizophrenia.

B. Believes thoughts are being controlled. This aligns with delusions of control, where a person believes that an external force is controlling their thoughts, feelings, or actions. This is different from thought withdrawal, which specifically involves thoughts being stolen.

C. Believes thoughts are taken out of someone's mind. Thought withdrawal delusions occur when a person believes that an outside force is removing thoughts from their mind. This delusion is common in schizophrenia and other psychotic disorders, often associated with paranoid themes and cognitive disorganization.

D. Believes aliens are inserting thoughts in someone's brain. This describes thought insertion, where individuals believe that outside entities (e.g., aliens, the government) are implanting thoughts into their mind. While related, this differs from thought withdrawal, which involves the removal of thoughts rather than their insertion.

A. Eccentric. Individuals with schizotypal personality disorder (STPD) exhibit odd or eccentric behaviors, speech, and thought patterns. They may dress unusually, speak in vague or metaphorical ways, or hold bizarre beliefs that are not delusional but are far outside societal norms.

B. Mood swings. Frequent mood swings are not a characteristic feature of schizotypal personality disorder. Instead, they are more commonly seen in borderline personality disorder (BPD) or bipolar disorder. While individuals with STPD may experience transient emotional disturbances, their symptoms are more related to social detachment and cognitive distortions than rapid mood fluctuations.

C. Social anxiety. People with STPD experience intense social anxiety, often due to paranoia and distrust of others rather than fear of judgment (as seen in social anxiety disorder). Their discomfort in social situations does not improve with familiarity, leading to persistent isolation.

D. Paranoid. Paranoia is a core symptom of schizotypal personality disorder. Individuals with STPD often have suspiciousness and odd beliefs, such as thinking others are plotting against them or misinterpreting benign events as having hidden meanings. This paranoid thinking contributes to their social withdrawal and difficulty forming close relationships.