Alvin, 30, starts therapy to help achieve some personal goals. He appears to be awkward during therapy, his tone is flat. There’s a certain emotional coldness and detachment about him. He’s rarely felt or shown strong emotions like anger or joy.
Other than immediate family, he has nearly no close friends. He has no desire to make friends, want a partner, or get closer with coworkers. This includes any sexual relationships. All his hobbies are solitary, like hiking, but they don’t give him much enjoyment.
Back in grade school, Alvin didn’t participate in any extracurriculars or dates. He didn’t feel a need to socialize, despite having classmates, he preferred to read, draw, or swing by himself. He felt like an outsider. At his job, he rarely if ever participates in any group activities and usually fades into the background.
Alvin is unaffected by criticism or praise, and when given a smile or a nod out in public, he doesn’t return it. Overall, he says he just wants to be left alone. He doesn’t see anything wrong with him.
After a thorough assessment, Alvin is diagnosed with Schizoid Personality Disorder (SPD).