Avoidant personality disorder

Avoidant Personality Disorder (AvPD) is a chronic and enduring condition characterized by severe social inhibition, feelings of inadequacy, and extreme sensitivity to perceived or actual rejection. These feelings typically manifest as self-imposed social withdrawal, which often leads to a life of extreme social isolation and restricted personal, social, and occupational opportunities.

Symptoms and Clinical Presentation

Individuals with AvPD often exhibit a range of symptoms, including:

• Avoidance of social interactions: Individuals avoid social situations due to fear of criticism, disapproval, or rejection.
• Low self-esteem: They often view themselves as socially inept, personally unappealing, or inferior to others.
• Hypersensitivity to criticism: They may have a strong adverse reaction to perceived or actual criticism or rejection.
• Self-imposed social isolation: Despite a desire for intimacy, they may choose to isolate themselves to avoid the pain of rejection.

Diagnosis

AvPD is diagnosed based on a thorough clinical interview, which may be supplemented by questionnaires or other diagnostic tools. A diagnosis is made when a patient's behavior meets certain criteria outlined in the DSM-5.

Treatment

The treatment of AvPD typically involves psychotherapy, particularly cognitive-behavioral therapy (CBT). CBT can help patients learn new ways of thinking about and reacting to anxiety-provoking situations. In some cases, medication may also be prescribed to help manage associated symptoms, such as anxiety or depression.

Prognosis

While AvPD is a chronic condition, with appropriate treatment, individuals can lead satisfying lives, though they may continue to have problems with social interactions and relationships.

See also

• Personality Disorders
• Social anxiety disorder
• Cognitive-behavioral therapy

References

Avoidant personality disorder Resources
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