Treatments and drugsBy Mayo Clinic staff
If you have schizoid personality disorder, you may prefer to go your own way and avoid interacting with others, including doctors. You may be so used to a life without emotional closeness that you're not sure you want to change — or that you can.
You might agree to start treatment only at the urging of a family member who is concerned about you. But professional help from a therapist who's experienced in treating schizoid personality disorder can have a major positive impact. Treatment options include:
- Medications. Although there's no specific drug to treat schizoid personality disorder, certain drugs can help with symptoms. For example, if you have symptoms of anxiety or depression, you doctor may prescribe a selective serotonin reuptake inhibitor (SSRI). Or while antipsychotics are not a routine part of treatment, they may be used to help with flattened emotions and social problems.
- Talk therapy (psychotherapy). If you feel that you would like to have closer relationships, a modified form of cognitive behavioral therapy may help you change the beliefs and behaviors that are problems for you. A therapist with experience treating schizoid personality disorder is likely to understand your need for personal space and how difficult it is for you to open up about your inner life. He or she can continue reaching out to you without pushing too hard.
- Group therapy. A goal of individual treatment may be a group setting in which you can interact with others who are also practicing new interpersonal skills. In time, group therapy may also provide a support structure and increase your social motivation.
With appropriate treatment and a skilled therapist, you can make significant progress and improve your quality of life.
- Hales RE, et al. The American Psychiatric Publishing Textbook of Psychiatry. 5th ed. Washington, D.C.: American Psychiatric Publishing; 2008. http://www.psychiatryonline.com/resourceToc.aspx?resourceID=5. Accessed April 29, 2013.
- Personality disorders. In: Diagnostic and Statistical Manual of Mental Disorders DSM-5. 5th ed. Arlington, Va.: American Psychiatric Association; 2013. http://dsm.psychiatryonline.org/content.aspx?bookid=556§ionid=41101784#10344200. Accessed June 18, 2013.
- Ebert MH, et al. Current Diagnosis & Treatment: Psychiatry. 2nd ed. New York, N.Y.: The McGraw-Hill Companies; 2008. http://www.accessmedicine.com/resourceTOC.aspx?resourceID=10. Accessed April 29, 2013.
- Skodol A, et al. Approaches to the therapeutic relationship in patients with personality disorders. http://www.uptodate.com/home. Accessed April 27, 2013.
- Stern TA, et al. Massachusetts General Hospital Comprehensive Clinical Psychiatry. Philadelphia, Pa.: Mosby Elsevier; 2008. http://www.mdconsult.com/books/page.do?eid=4-u1.0-B978-0-323-04743-2..50041-X--cesec5&isbn=978-0-323-04743-2&sid=1451253590&uniqId=414361381-3#4-u1.0-B978-0-323-04743-2..50041-X--cesec8. Accessed April 27, 2013.
- Gabbard GO. Gabbard's Treatments of Psychiatric Disorders. 4th ed. Arlington, Va.: American Psychiatric Publishing; 2007. http://psychiatryonline.org/content.aspx?bookid=4§ionid=1341864. Accessed April 29, 2013.
- Triebwasser J, et al. Schizoid personality disorder. Journal of Personality Disorders. 2012;26:919.
- Feldman MD, et al. Behavioral Medicine: A Guide for Clinical Practice. 3rd ed. New York, N.Y.: The McGraw-Hill Companies; 2008. http://www.accessmedicine.com/content.aspx?aid=6441825. Accessed April 29, 2013.
- Palmer BA (expert opinion). Mayo Clinic, Rochester, Minn. June 17, 2013.