Schizoid personality disorders

Schizoid personality disorders
A schizoid personality disorder is categorized in the group of eccentric personality disorder. People suffering from this disorder often appear peculiar. They are usually detached, distant and indifferent to social relationships (Bates, 2015). They prefer to spend most of their time alone and hardly express their emotions. People with this disorder are able to function well despite that they prefer taking jobs which they spend most of their time alone such as night security officers. Usually, this disorder begins in late adolescence or early adulthood. People with this disorder also have poor coping skills.

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It is difficult to assess the predominance of schizoid personality disorder because the patients hardly search out for treatment. However, the schizoid disorder is more common in men than in women. It is even more common in people having close relatives with schizophrenia (Bates, 2015). A schizoid personality disorder can be caused by the environment whereby emotions and warmth were absent in the childhood or caused by genetic thus being inherited. The common symptom of this disorder is that the patients avoid contact with other people to an extent of continuing to live with their parents even after there are adults and even avoiding marrying. Other symptoms are that they daydream, have no close friends, have happiness in few activities such as sex, find it difficult to relate with others, often show little emotions and choose jobs that they will hardly interact with other people (Bates, 2015). A schizoid personality disorder can result in some complications such as mood disorders, anxiety disorders and lack of social interaction which is the most common complication associated with this disorder (Bates, 2015).

Mostly, treatment for this disorder is usually short-term and the patient is more likely to terminate the treatment after the problem at hand is solved. One of the treatment methods is psychotherapy. During this treatment, the clinician should create a therapeutic relationship and develop a rapport; this is usually gradual and may not ever result in a typical therapeutic relationship. The clinician should ensure that the patient feels secure during the therapeutic relationship as they tend to create a social distance with people close to them. The clinician should also exercise cognitive restructuring to help solve the irrational thoughts that may be affecting the patient’s behavior negatively (Freeman et al., 2015).

The clinician should also provide support and stability to the patient. The patient can then be introduced to group therapy (Mulay & Cain, 2017). However, this can lead to premature termination of the treatment as they hardly value social interactions. During the group discussions, the patient should not be pushed to participate more in the group discussions until he\ she is ready to start participating (Karterud et al., 2015). The group leaders should ensure that the patient is protected from critics and isolation from other members for not participating (Freeman et al., 2015). Eventually, the patient may start participating more and more though it is a gradual process. The patient can also join a self-help group which will help reduce the feeling of isolation and help them overcome fear. These groups help the patient develop healthier social relationships (Karterud et al., 2015). schizoid personality disorders can also be treated through medication (Cloninger & Svrakic, 2016). However, medication should be done in case the patient is suffering from a concurrent acute psychiatric problem. Mostly, this treatment is usually antidepressant medication, Long-term treatment should be avoided as they may interfere with the effectiveness of psychotherapy (Cloninger & Svrakic, 2016). There is no known way of preventing schizoid personality disorder, however, the above will help in treating the disorder.

References


1. American psychiatric association. (2013). diagnostic and statistical manual of mental disorders (5th ed.). washington, dc: author. wheeler, k. (ed.). (2014). psychotherapy for the advanced practice psychiatric nurse: a how-to guide for evidence-based practice (2nd ed.). new york, ny: springer publishing company
2. Beck, A. T., Davis, D. D., and Freeman, A. (Eds.). (2015). Cognitive therapy of personality disorders. Guilford Publications.
3. Cloninger, C. R., and Svrakic, D. M. (2016). Personality disorders. In The medical basis of psychiatry (pp. 537-550). Springer, New York, NY.
4. Hummelen, B., Pedersen, G., Wilberg, T., and Karterud, S. (2015). Poor validity of the DSM-IV schizoid personality disorder construct as a diagnostic category. Journal of personality disorders, 29(3), 334-346.
5. Mulay, A. L., and Cain, N. M. (2017). Schizoid Personality Disorder. In Encyclopedia of Personality and Individual Differences (pp. 1-9). Springer International Publishing.
6. Bates, C. (2015). Schizoid Personality Disorder.

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