A avoidant personality disorder is characterized by the avoidance of social situations or interactions that involve the risk of rejection, criticism or humiliation. Diagnosis is based on clinical criteria. The treatment consists of psychotherapy, anxiolytic and antidepressants.
(See also personality disorders overview.)
A avoidant personality disorder is characterized by the avoidance of social situations or interactions that involve the risk of rejection, criticism or humiliation. Diagnosis is based on clinical criteria. The treatment consists of psychotherapy, anxiolytic and antidepressants. (See also personality disorders at a glance.) People with avoidant personality disorder have intense feelings of inadequacy and overcome these maladaptive by avoiding all situations where they could be penalized. It is estimated that 1 to 5.2% of the population have an avoidant personality disorder; it is more common in women than in men. Comorbidities are common. Patients often also suffer from depression, dysthymia, obsessive-compulsive disorder or anxiety disorder (for example, 15, panic disorder, social phobia particular [social anxiety disorder]). You can also have a different personality disorder have (for example, dependent, borderline). Patients with social phobia and avoidant personality disorder have more severe symptoms and disability than those in which any disturbance occurs individually. Etiology The research suggests that experiences of rejection and exclusion in childhood and innate characteristic of social anxiety and avoidance to an avoidant personality disorder can help. Avoiding social situations have been detected in the age of 2 years. with avoidant personality disorder avoid symptoms and discomfort patients social interaction, including those at work, because they fear that they will be criticized or rejected, or that the people they disapprove of, as in the following situations: You can deny a promotion because they fear that employees criticize. You can avoid meetings. They avoid to enter into new friendships until they are sure to be liked. These patients keep people for critical and disapproving until that strict tests prove otherwise. Therefore require patients with this condition before they join a group or a close relationship build the repeated assurances of support and uncritical acceptance. Patients with avoidant personality disorder crave social interaction, but are afraid to put their well-being in the hands of others. Since these patients limit their interactions with people, they tend to be relatively isolated and do not have a social network that could help them when they need it. These patients are very sensitive to anything that is somewhat critical, disapproving, or mocking, because they think constantly about whether they will be criticized or rejected by others. You are vigilant for signs of adverse reaction to them. Their tense, anxious phenomenon may ridicule or teasing provoke what seems to confirm their self-doubt. Low self-esteem and a sense of inadequacy inhibit these patients in social situations, particularly in new. Interactions with new people will be prevented because the patients think of themselves that they are socially incompetent, unattractive, and worse than others. They tend to be quiet and anxious and try to disappear because they think tend to be that when they say something, others will say that it is wrong. They talk reluctantly about themselves, so they are not humiliated or ridiculed. They worry that they blush or cry when they are criticized. Patients with avoidant personality disorder are very reluctant, for similar reasons, when it comes to take personal risks or to participate in new activities. In such cases, they tend to exaggerate the dangers and use minimal symptoms or other problems to explain why they do not participate. You can have a limited life preferred because of their need for security and certainty. Diagnosis Clinical criteria (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition [DSM-5]) found. For a diagnosis of avoidant personality disorder patients need to avoid a prolonged sMuster social contacts, the feeling of being inadequate and overly sensitive to criticism and rejection, as shown by ? 4 of the following: prevention of work-related activities that involve human contact because they fear that they will be criticized or rejected, or that people disapprove Unwillingness to engage with other people, if they are not sure they are liked keeping close relations back because they fear ridicule or humiliation, criticized the preoccupation with it or being rejected in social situations inhibition in new social situations because they feel inadequate even considering oneself as socially incompetent, unattractive or worse than other Unl ust to take personal risks or to take part in a new activity, because it could be embarrassing for them Moreover, symptoms must have begun in early adulthood. Differential Diagnosis A avoidant personality disorder must be distinguished from the following two errors: Social phobia: The differences between de social phobia and avoidant personality disorder are subtle. The avoidant personality disorder involves more pervasive fear and avoidance as social phobia, which is often specific to situations which (to speak for. Example, publicly perform on stage) in the public embarrassment can lead. However, social phobia can include a wider avoidance pattern and thus hard to be different. The two disorders frequently occur together. Schizoid personality disorder: Both diseases are characterized by social isolation. But patients with schizoid personality disorder are separated because they have no interest in others, while those with avoidant personality disorder isolated because they are hypersensitive to possible rejection or criticism from others. Other personality disorders may be similar in some ways, the avoidant personality disorder, but (z. B. to be cared for by the need for the dependent personality disorder vs avoid rejection and criticism in the avoidant personality disorder) are distinguished by characteristic patterns therapy Cognitive therapy focuses on social skills. Supportive psychotherapy psychodynamic psychotherapy anxiolytics and antidepressants The general treatment of avoidant personality disorder is similar for all personality disorders. A patient with avoidant personality disorder often avoids Therapy Effective therapies for patients with both social phobia and avoidant personality disorder include cognitive behavioral therapy, which focuses on the acquisition of social skills, Other conducted group therapy in groups if the group consists of people with the same difficulties patients with avoidant personality disorder benefit from individual therapies against the hypersensitivity of the patient towards others supportive and sensitive are Psychodynamic psychotherapy that focuses on underlying conflicts can be helpful. An effective drug therapy includes monoamine oxidase inhibitors (MAOIs), SSRIs and anxiolytics, which help to reduce the fear enough so that it is possible patients expose themselves to new social situations.