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Does anyone have avoidant personality disorder?

39 replies

FuckedUpBig · 16/12/2019 19:33

Since I can remember I've been afraid of social interactions. I find it difficult to make friends, develop friendships. I just sit there at work in silence doing my workand am pretty sure I make everyone uncomfortable. I loathe myself and have low self esteem and low self confidence. I am socially inept, I guess I never really had the chance to develop them at s young age.

I always thought I had social anxiety or maybe cptsdbut am beginning to think it may be more than that. I may be wrong. Should I go to a private psychiatrist to give me a diagnosis?

Does anyone else have this?

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Sinittasdancers · 16/12/2019 20:23

I could have written this. I don't have a solution but you're not the only one.

Groundfloor · 16/12/2019 20:30

Yep - I was diagnosed under secondary psychiatric care with anxious, obsessive and avoidant personality disorder.

I feel like the odd one out, the misfit, the awkward one, the last one to be picked for the team, the one nobody wants to share a room with, the one next to the empty seat etc...

I was convinced I had some kind of ASD, but tests showed I was nowhere near and had a high level of self awareness, emotional intelligence and strong communications skills - all by faking it.

My problem is I know how I should behave and act, but to do so is completely false for me and pushes me way out of my comfort zone.I completely mask who the real me is, day in, day out.

My entire life outside of our home is me just role-playing being normal, pretending to be like everyone else. It's utterly exhausting.

I dread social events, avoid parties (not that I ever get invited) leave events early or avoid them whenever possible and always feel like I never know what do or say. I then doubt myself, question myself, then obsess and over think events, making myself feel worse than I really need to.

Here's the funny part - I hold a fairly high management position and frequently have to make presentations to large audiences and lead a team. I pretend I can do it, but it kills me, every single day. I'm just drained and want to curl up in a ball and hide most days.

When I'm home I can't even answer the phone.

LizzieSiddal · 16/12/2019 20:38

I can relate to all of you.

I have been to a private psychologist and it has been life changing. Mine all stems from my relationship with my mother. Talking about my childhood experiences made me see where my anxiety and very low self esteem comes from.

TDMN · 16/12/2019 21:50

@Groundfloor I relate to your post so much.
I have suspected for some time that I am not entirely normal but i dont seem to fit the ASD traits, even those specifically for women. Off now to look into what you have mentioned.

cpjoli · 16/12/2019 21:53

I am similar to this....I have bpd, anxiety and PTSD. It's hard hard work. Exhausting acting normal.

FAQs · 16/12/2019 21:56

They’ll be someone feeling very similar in every work situation, office, school, retail etc, I don’t go to my works Christmas do for example as I feel very out of place. You just become more comfortable with what is your normal when you care less about what you or you perceive others think.

OverByYer · 16/12/2019 21:59

Gosh I can relate to this. But I thought this was normal. That everyone else felt the same.

Thepeabody · 16/12/2019 22:02

@LizzieSiddal what was it about your relationship with your mum/ experiences with your mum that affected you, in broad brush strokes if you don’t mind me asking.

FuckedUpBig · 16/12/2019 22:11

Groundfloor I can't imagine getting a management role as I hate interviews. I freeze up and forget to say half the stuff I prepared. It's the reason I have always only ever had low paid jobs but I would really crave more intellectually challenging jobs with responsibility but I can't get past interview stage so it'll never happen.

I went to university and did the HCP degree. I just needed to do a years training and some more exams to have qualified but was too overwhelmed with interviews and the prospect of working face to face with patients that I quit after my degree.

Like a lot of you I too thought I maybe was asd but reading online I don't think I am.

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FuckedUpBig · 16/12/2019 22:14

Ground floor can I ask how it is you got diagnosed. I know if I go to my gp she will refer me to the local therapy clinic which just deals with social anxiety / anxiety disorders etc and no psychiatrists work there. They wouldn't be able to diagnose me. How did uo you get to see a psychiatrist if you don't mind me asking.

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FuckedUpBig · 16/12/2019 22:17

LizzieSiddal can I ask you how many sessions you had. My local one charges £180 for a 90 min assessment.

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FuckedUpBig · 16/12/2019 22:19

I honestly didn't think anyone would come onto this thread saying that they relate. In my world I'm the only one as weird as me!

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PurpleDaisy2114 · 16/12/2019 22:22

I can relate to a lot of this too and have recently visited GP to request referral for secondary care.

YouRemindMeOfTheBabelfish · 16/12/2019 22:31

I don't have this, but I'm being assessed formally for my autism, which the psychologist has said is so evident that they just want it formalised now.

I'm extremely avoidant and always have been. It leads to mega burnt out whether it's related to autism or avoidant personality disorder.

It's definitely worth speaking to somebody. In my experience it is such a help to be able to name what the hindrance is, when speaking to others.

FuckedUpBig · 16/12/2019 22:35

?PurpleDaisy2114 did your GP happily refer you it did they try to offer you primary care first? What did you tell your GP?

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beachcomber70 · 16/12/2019 22:45

I too could have written your post. I've tried to get help in the past, not very successfully as I appear to be coping...when I definitely do not.

Now I manage my life the best way I can. Very isolated though and can't connect to people properly at all. It stems from childhood events and experiences/relationship with mother.

Groundfloor · 16/12/2019 23:23

@FuckedUpBig

I have suffered from intense anxiety and depression all my life, from as long as I can remember and recall having my first panic attack at a 3 year old in play group.

As the odd one out I got bullied badly at school and had no self esteem or self confidence.

I too avoided interviews and stressful situations for so long, always taking the path of least resistance, which in turn led to low paid, unfulfilling jobs that I hated.

The anxiety and depression got so bad that I ended up having a nervous breakdown, which ultimately saw me going to see the Doctor, who prescribed anti-depressants.

These, to be fair made . a massive difference, but didn't help with the anxiety. I went back several times to the GP and tried different drugs and a few years later had another nervous breakdown.

After trying all the first line medications, the GP referred me for assessment under secondary care to see if there was a different drug that they could prescribe maybe off label that would help, that couldn't be prescribed by a GP without referral.

The assessment was fantastic and effectively said that the anti depressants were like repeatedly putting a plaster on sore feet - they way she put it was that what I needed instead of more plaster was a pair of shoes.... this was a revelation.

She then went on to explain that she had found I had anxious personality disorder, with avoidant and obsessive traits. When she explained how these manifested themselves, it all became so clear and obvious.

I was just about managing to cope with day to day life, but operating a 95-99% emotional capacity every day and it didn't take much to tip me over the edge. After living on the edge for so many years, eventually the brain gives up the fight and this leads to me depression.

The depression is due to the exhaustion of anxiety, rather than the principal issue. I needed to fix the anxiety in order to avoid the depression.

This then led to a a lot of therapy which whilst it hasn't cured my anxiety, has helped me identify and understand who I am, how I work and what makes me tick.

She was brutally honest and said that unless it is caught and treated early, pre-adulthood, there is seldom that can be done to reverse things as your brain is pretty hard sired by that point, therefore learning coping strategies is the best way forward.

Once I'd identified what the issue was and gone back to the most effective of the drugs I'd tried to manage the anxiety, I was able to take a deep breath, press reset on my life and 'go for it'.

I made a promise to myself to give it one shot, to try and save myself. I got my head down, worked my backside off, put myself forward and did a load of 'brave' things I'd have never tried previously which were absolute torture, but exhilarating nonetheless. This led to a promotion, which ultimately then allowed me to apply for a better job with a different company, which ultimately led to another promotion into management.

I had to endure panic attacks before interviews, pacing up and down the garden in the rain for hours trying to calm myself, not being able to eat or sleep, crying to myself, but all knowing it would be worth it to break the cycle and prove I could do it.

I did do it and it was hell, but it can be done. I'm now in a much better place, in that I earn reasonable money and survive day to day much better, but it is still an almighty struggle, but far better than it was.

Anxiety still gets the better of me, I still have to avoid triggers, but knowing how I function and understanding it better, give me some inner peace, as does the satisfaction that at least for a short while, I succumbed enough courage to be brave and do what was needed to force myself into a better place.

madcatladyforever · 16/12/2019 23:28

This is my default setting but I have learned how to be sociable over the years. However, I still prefer to spend the majority of my time alone.
I don't see it as a failing. It's just the way I am.
Learning to accept who you are is the first step.

Catinheat · 16/12/2019 23:32

I'm pretty sure I have this. But I dont know what to do about it or what drugs it try or anything

FuckedUpBig · 17/12/2019 02:26

Groundfloor thank you so much for sharing your story. What alot to go through before you got to the assessment. I'm so glad you're in a better place now.

She was brutally honest and said that unless it is caught and treated early, pre-adulthood, there is seldom that can be done to reverse things as your brain is pretty hard sired by that point, therefore learning coping strategies is the best way forward

Honestly this sentence scares the shit out of me. I feel like all I have is a tiny slither of hope that I can change and things will get better. Without that I'm on the edge of doing something crazy as I can't cope living like this anymore. Everyday living, just existing shouldn't be this exhausting.

There's a few of you who seem to "fake" the social interactions. But I can't seem to even do that. I feel like my brain is just preoccupied mostly with anxiety and dread of social interactions. If not being anxious it's thinking about how much i hate all this and self loathing.

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justilou1 · 17/12/2019 02:37

Me too... at the moment it is affecting my marriage. Triggers have been the deaths of my abusive parents - ironic, really..... You’d think that would be cathartic. I guess I was expecting some kind of liberation, but there was no Disney-style reconciliation or acknowledgement before they died. They didn’t mellow - in fact, they were even worse. Also buried memories of historic rape have resurfaced, and other relationship pressures, PLUS (because that’s not enough to deal with) menopause...

FuckedUpBig · 17/12/2019 03:34

justilou1 im sorry. Flowers that sounds horrendous. I don't know what to suggest.

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justilou1 · 17/12/2019 03:46

I have had (and continue to have) therapy. It helps. Just everything at once... le sigh. Am basically doing the turtle thing because it’s all too much. Avoidant personality disorders aren’t as bad as other ones. We’re difficult, but not cruel or abusive. If we are aware and committed, we can change our habits and work to change our thoughts. Mostly it works!!!

FuckedUpBig · 17/12/2019 05:54

justilou1 have you been formally diagnosed? I don't know whether to see a private psychiatrist for an assessment.

I think if I can name what the fuck is wrong with me, if I can put a label on it that will help me as right now I feel so messed up. And messed up doesn't sound good.

I've spent most of my lifes energy in this to the point of i'm not living but just existing. I've had insomnia today and have been awake googling how to obtain cyanide as one day I will need it. Not now but one day.

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ohwheniknow · 17/12/2019 06:12

It does fit what you'd see with CPTSD, though. Very, very much. And if you have trauma you'll get further approaching your difficulties from that angle than any other, as it will pick up all the interlinked issues - rather than trying to create a patchwork quilt of different disorders/diagnosed to work on separately without properly addressing the source or real process in your brain and body.

You would be better off with a clinical psychologist with trauma expertise than a psychiatrist. CPTSD isn't in the DSM/ICD yet so unless you got lucky with a psychiatrist who was good with trauma you could end up on an inappropriate pathway (like BPD).

The descriptions you've given pretty much match one of the diagnostic "tests" psychologists might use for CPTSD.

Judith Herman's book Trauma and Recovery might be a helpful read for you in making sense of things and thinking about what would be helpful to you. It's a touch more hopeful than "your brain is already wired this way so you're doomed".

Bessel van see Kolk is another you might find useful after that one.