Avoidant Personality Disorder (AvPD) is
characterized by social inhibition and extreme sensitivity of
being negatively judged, by relatives or acquaintances. A person
under the influence of this disorder has a poor self-image. The
trouble usually sets in childhood and the following symptoms are
associated with it.
* Avoiding social interaction and activities due to fear of
interpersonal contact, fear of being criticized, rejected or not
being considered.
* Unwilling to involve self with people for fear of being disliked
or unwilling to get along with people unless appreciated or liked
by them.
* Maintaining a low profile and not interacting even with intimate
relations because of a sense of shame, guilt or ridicule.
* Searching for new relationships as a feeling of inadequacy seeps
in.
* Abnormally obsessed with trying to avoid embarrassment in social
gatherings.
* Always considering self unattractive or inferior to others.
* Lacking interest in undertaking new ventures or initiatives,
again for fear of embarrassment.
It is accompanied by bouts of depression in some cases. Though,
people suffering from avoidant personality disorder may be
successful in life or have a normal routine, but it may cause
grave health concerns if not taken care of, in the long term. The
nature of this disorder is such that, it shares many symptoms with
other disorders. Therefore, before undertaking any measures to
counter it, there should be a clear identification of the disorder
and hence, a precise diagnosis of the ailment. Many people tend to
be shy or reserved personalities or panic due to a condition
called agoraphobia and hence, avoid social contact. Schizoid
Personality Disorder, Dependent Personality Disorder and Paranoid
Personality Disorder may also bear the above symptoms in varying
degrees. In addition to these, substance abuse can also consist of
the above symptoms. But, there is a difference between the various
disorders, which need to be taken into account before deciding the
existence of AvPD.
Sex
Avoidant personality disorder is estimated to be equally common in
males and females.
Age
Avoidant personality disorder is not usually diagnosed in
individuals younger than 18 years; however, most patients report
an onset in childhood or adolescence, and many report continued
social anxiety throughout their lives.
Causes
Science is yet to conclusively ascertain the cause of AvPD.
Sometimes, it is attributed to the upbringing of an individual and
his personal experiences of being ill-treated or perceived to have
been ill-treated by society. Some experts believe it is caused by
biological factors inherent in an individual. But there is almost
negligible evidence to suggest that the avoidant personality
disorder is hereditary or follows any gender pattern. It is a rare
disorder.
Treatments
Alderian therapy: It is a therapy that emphasizes a positive view
of human life and its guiding principle is that a man has control
over his fate and is in no way, a victim of it.
Behavior therapy: It encompasses the learning model by reinforcing
and imitating normal behavior. The basic assumption of behavioral
treatment is that any behavior can be learned and human nature is
a product of the surrounding environment.
Existential Therapy: A patient is persuaded in an inspiring manner
to realize his personal responsibilities, avoid tasks that cause
stress, take on challenging aspects of life with a positive
attitude and making him aware of the present.
Person-Centric Therapy: It is similar to Gestalt therapy, in which
the client is given more responsibilities to become aware of his
realities. It essentially eliminates the denial of feelings and
makes a client accept their problems and face them head on. A
patient is encouraged to express his views and feelings more
vividly and gradually make him move towards ideal behavior.
Psychotherapy: It is one of the most effective treatments of
avoidant personality disorder. It focuses on the unconscious mind
of the individuals. Suppression of certain conflicting ideas or
situations related to issues like sexual behavior and changes,
leads to a heightened level of anxiety. Psychotherapy attempts to
deal with the issues of the unconscious mind. However, the
treatment can be very sensitive, and impulsive or psychotic
patients should be treated under expert guidance only.
Global Health
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