Realistic sex dolls are increasingly explored in therapeutic contexts to address intimacy, attachment, or trauma-related challenges in controlled environments. Case studies illustrate how clients respond to embodiment, non-judgmental presence, and the opportunity to practice communication, consent, and boundary setting. Therapists emphasize the importance of clear therapeutic goals, ongoing consent discussions, and ethical boundaries to ensure the doll serves as an aid rather than a substitute for human relationships.

Insights highlight the need for safety protocols, including privacy protections and non-exploitative use. Therapists also discuss potential risks, such as dependency or avoidance of real social interactions, and stress the importance of integrating doll use with broader therapy plans. When used responsibly, realistic dolls can support confidence-building, social skills, and a measured exploration of intimacy within a clinical framework. Each case stresses collaboration between clinician, client, and ethical guidelines to maximize beneficial outcomes while safeguarding dignity and welfare.

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