Schizoid Personality Disorder Case Study

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Lars is a 27-year-old male that lives alone. He suffers from tics that seem to get worse during social interaction. He is very quiet, often not responding when spoken to. He lives next door to his brother and sister in law. He keeps to himself by refusing social interaction with coworkers and family. After a coworker shows him an online site that sells sex dolls, he orders one. Then he has an elaborate delusion that the sex doll is a woman named Bianca he met online and has a relationship with. His brother and sister in-law convince him to bring “Bianca” to see a doctor for a check up. The doctor explains to his family that he is having a delusion and they should go along with it. She explains they will not be able to convince him otherwise and after trying to convince him his brother goes along with the delusion and asks the townspeople to do so as well. This continues until Lars finds the healing he was seeking and then “Bianca” gets very sick and dies. This is when Lars no longer needs her since he has been able to bond with actual people in his life.

Two diagnoses that I would consider giving Lars is Schizoid Personality Disorder or social anxiety disorder since they both explain his distress from social interaction and his tendency to avoid social interaction. I would rule out social anxiety disorder since he is not …show more content…

Lars is a very believable character, and his backstory although tragic is believable. It makes sense that he developed the way he did and I found myself rooting for him while watching. They did a great job of normalizing mental health. The doctor even comments that this (the delusion) might not be a bad thing. Mental illness is not always an illness, it can be a communication, a way to work something out. That is the story that is told too since at the end of the movie he no longer needs his delusion and begins interacting with

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