The concept of a replacement child is that families give birth to a new child in order to maintain the memories of the deceased child. Families try to br ing their dead ch ildren into existence in this way. The replacement child, who is expected to keep her/his dead sib- ling alive, may exper ience some d ifficulties and psycholog ical prob- lems in maintaining her/his own l ife. A few of the r isks of be ing a replacement child are inability to form an identity, low self-image, de- pression, and social anxiety. In this article, a 46-year-old male patient who was treated for depress ion and social anxiety disorder, who pre- sented with complaints of not be ing able to enter crowded env iron- ments, malaise, and reluctance, is presented. From the family history of the patient, it was learned that he was born 1 year after the death of his brother, who is 14 years older than h im, that he was named after h is older brother, that he grew up in his brother’s room and wear ing his clothes. Due to the fact that the case was a replacement child, it was ob- served that he could not develop an identity, individualization and so- cialization efforts were inconclusive. Being a replacement ch ild can play an important role in the emergence of psych iatric symptoms and disorders. In this regard, the attention and awareness of clinicians can help identify risky groups, better understand and manage patients.