Schizoid Personality Disorder (Treatments)

Treatment can be difficult because of initial reduced capacity or desire to form a relationship with a health professional. A non-intrusive support group can alleviate feelings of solitude, and fears of social interactions and close relationships. Individual therapy, in most cases, has proven relatively ineffective and often temporarily addresses immediate conditions instead of seeking to terminate the disorder entirely.

Medications

Medications are not usually recommended for schizoid personality disorder. However, they are sometimes used for short-term treatment of extreme anxiety states associated with the disorder. The presence of anxiety--usually caused by fear of other people--may mean that a diagnosis of the related Schizotypal Personality Disorder is more appropriate. 

Psychotherapy

Individual therapy that successfully attains a long-term level of trust may be useful in certain cases of schizoid personality disorder by giving patients an outlet to transform their false perceptions of friendships into authentic relationships. As a therapist-client relationship develops, a patient can start to reveal imaginary friendships and terrors of dependency. Individual psychotherapy can gradually affect the formation of a true relationship between the patient and therapist.

Group therapy is another potentially effective form of treatment. Although patients may initially withdraw from the therapy group, they often grow participatory as the level of comfort is gradually established. Protected by the therapist, who must safeguard schizoids from criticism by others in the group, patients have the chance to conquer fears of intimacy by making social contact in a supportive environment.

Social consequences of serious mental disorders—family disruption, loss of employment, and housing—are sometimes calamitous. Comprehensive treatment, including services existing beyond the formal treatment system, is crucial to ameliorate symptoms, assist recovery, and redress stigma. Self-help programs, family self-help, advocacy and services for housing and vocational assistance complement and supplement the formal treatment system.

Schizoid Personality Disorder. Last reviewed 09/15/2006

Sources:

  • Diagnostic and Statistical Manual of Mental Disorders
  • Center for Substance Abuse Treatment
  • Psychology Network-UK

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