Are schizoids depressed

Psychological consequences of schizoid personality disorder

A schizoid personality disorder can lead to other mental disorders such as B. Depression or Anxiety Disorder.

Schizoid personality disorder is so stressful that it often triggers severe secondary problems in the medium term. On the one hand, the symptoms lead to psychosocial consequences in coping with everyday life, in professional life, in partnerships and in creating friendships. I have presented each of these in a separate text. On the other hand, the symptoms often trigger the additional mental disorders described in this text.


The level of suffering that results from the disorder and its consequences in everyday life can, in the medium term, lead to deep psychological depression, i.e. to depression: Consciousness different to be, the extensive social isolation, problems at work, conflicts in the partnership (if any) lead to strong self-doubt, fear of the future and feelings of guilt. The depression can become so severe that the energy for an active lifestyle is lost that there is even an acute risk of suicide.

In such a development, a curative treatment, typically with psychotherapy and / or a drug (antidepressant), often indispensable.

Fears / anxiety disorder

In addition to depression, many schizoid people also develop anxiety disorders. Fear is actually a helpful feeling that it helps us to recognize and cope with threatening situations. In the case of an anxiety disorder, however, even harmless threatening situations trigger inappropriately intense fear reactions, and the ability to shape one's life can then be considerably restricted. In extreme cases, the fear becomes so great that the person concerned can no longer leave his apartment.

The following anxiety disorders are typical for schizoid people:

  • The most common is probably that social phobia: The fear of being the center of attention in social situations, of behaving in an embarrassing or shameful manner. One of the reasons for this is the tendency of schizoid people to avoid social situations, which in the medium term leads to poor experience and skills in such situations. Those affected gain negative experiences, develop fear of failure and feelings of shame. The tendency to avoid social situations increases, a vicious circle develops.
  • Agoraphobia: The fear of crowds, large squares, travel, etc., whereby in comparison to social phobia the focus is less on the feeling of shame and more on the worry of not reacting quickly enough in a threatening situation safe to be able to bring.
  • With so-called Panic attacks do people react to little or no threat with extreme anxiety symptoms, such as B. palpitations, shortness of breath, tremors, worry To go crazy or to die. Panic attacks are a very unpleasant experience that those affected do not want to repeat if possible. This can lead to a "fear of fear", which can then trigger further panic attacks. Here, too, a vicious circle arises.
  • In the generalized anxiety disorder fear does not revolve around one worry, but around again and again, often without a specific reason. These fears change z. B. between health, finances, job and relationships, can become an almost constant companion for weeks or months.

Even with an anxiety disorder, curative treatment, typically with psychotherapy and / or an anxiety-relieving drug, is often indispensable.

Derealization and depersonalization

The constant burden of the schizoid personality disorder as well as its various consequences, in particular the more or less extensive social isolation, can lead to so-called Experiences of alienation to lead. A distinction is made between two variants:

  • In the Derealization the person affected perceives their environment as strange and unreal. Other people and objects can e.g. B. appear robotic, artificial, too small or too big, colorless or lifeless.
  • In the Depersonalization on the other hand, feelings of strangeness and unreality relate to oneself. This phenomenon can extend to the body, feelings and thoughts, they can be experienced as changed, not belonging to oneself, lifeless or unreal.

Both variants have in common the insight of those affected that the environment or themselves have not been changed by external influences, but that the changes are only present in the subjective perception. The experience of alienation is a symptom of the stresses resulting from the schizoid personality disorder and only rarely becomes a core topic of therapeutic treatment. Although they often only appear briefly (a few seconds / minutes), they can make the person concerned very afraid of it, well to lose your mind.

Continue with coping with everyday life with schizoid personality disorder »