5 Things You Need to Know About Avoidant Personality Disorder

1. More Than a Wallflower

Avoidant personality disorder is a personality disorder as classified by the Diagnostic Statistical Manual of Mental Disorders (4th edition). It is categorized by the individual's pervasive need to avoid interpersonal relationships for fear of rejection or ostracization. People with avoidant personality disorder have an extreme reaction to rejection and would rather choose loneliness rather than risk experiencing the intense fear of being rejected. This marked decrease in socializing and fear of rejection far surpasses the "shy" individual's apprehension about interaction and is a chronic and pervasive state of being.

2. Shy Little Boys and Girls

Men and women tend to be equally as likely to develop avoidant personality disorder. However women seem more prone to developing issues surrounding social shame and fear of rejection more than men. Women in Western cultures are typically taught to be less vocal and aggressive than men. They are often scrutinized for outrageous or boisterous behavior, which could contribute to the development of personality disorder in some women. Conversely, some men who are naturally more introverted may find this quality is rejected and thus develop shame around their quiet nature.

3. Social Phobia vs. Avoidant Personality

Social phobia and avoidant personality disorder have many overlapping qualities. However, social phobia tends to have more persistent and chronic anxiety type symptoms that tend to manifest more on a physical level; such as shortness of breath, heart palpitations, nausea, sweating, etc. Avoidant personality disorder tends to have less physical anxiety about their fear of being seen or being rejected. The distinction can be confusing but it can often be made by a knowledgeable mental health professional. Social phobias are typically more easily treatable than personality disorders due to the nature of the disorders.

4. I Want to Belong

The notion that people with avoidant personality disorder do not want to be part of society is incorrect. Often people with the syndrome tend to feel a strong need to be accepted and understood, but the fear surrounding risking that inclusion makes them afraid to make new relationships. Understanding this disorder entails a sense of empathy and gathering of accurate information for patients. Personality disorders are typically considered chronic and while they can be treated they are often not cured.

5. Avoidant Personality Disorder Is Treatable

APD is a treatable mental health condition, and while it is not usually curable and typically takes considerable time to work on the issues, people with it can often find a healthy medium in which to live their lives. A mixture of anti-anxiety and antidepressant drug therapy, cognitive behavioral counseling, interpersonal therapy and spiritual practice can all be used to treat APD. Locating a therapist that understands the struggles of the disorder and has the willingness to stick with treatment for a long period of time is integral to beginning the road to recovery.

Last updated on: Nov 18, 2009

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