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Avoidant Personality Disorder

46 replies

Aerodiabetes · 30/01/2026 17:51

Has anyone been diagnosed with this?
I’ve had it for decades but never come across anyone else with it.

OP posts:
Seriestwo · 01/02/2026 22:40

I think a lot of people et labelled as narcissist too

Aerodiabetes · 01/02/2026 22:44

Seriestwo · 01/02/2026 22:40

I think a lot of people et labelled as narcissist too

Not by MH professionals?

OP posts:
winterbluess · 02/02/2026 00:06

Aerodiabetes · 01/02/2026 14:20

It is incredibly debilitating and has ruined my whole life. I don’t have a single friend in the world and am totally terrified of and avoid any social interaction. I was diagnosed by an NHS clinical psychologist in the 1990s after being sectioned and spending over a year in a psychiatric hospital.

Here is some information about the symptoms

Symptoms
According to the DSM-5, common signs of avoidant personality disorder include:

Easily hurt by criticism or disapproval
No close friends
Reluctance to become involved with people
Avoidance of activities or occupations that involve contact with others
Shyness in social situations out of fear of doing something wrong
Exaggeration of potential difficulties
Showing excessive restraint in intimate relationships
Feeling socially inept, inferior, or unappealing to other people
Unwilling to take risks or try new things because they may prove embarrassing

Wow that list is pretty much me 😮

Aerodiabetes · 02/02/2026 00:11

winterbluess · 02/02/2026 00:06

Wow that list is pretty much me 😮

Sorry to hear that @winterbluess. How does it impact your life?

OP posts:
winterbluess · 02/02/2026 00:16

Aerodiabetes · 02/02/2026 00:11

Sorry to hear that @winterbluess. How does it impact your life?

I honestly just though I was a shy person! Or a bit anti social.. wasn't great at school only really having friends from primary when others all made new friends etc, and don't really have any now tbh. I am married though so that changes things, I'm happy to just be at home and be with family.. I guess I'm an introvert, but that list was really like WOW to me

winterbluess · 02/02/2026 00:18

"Exageration of potential difficulties"
I totally catastrophise, I drive my brain mad with it. I'm also majorly emetophobic so it's usually along the lines of that

Flapjak · 02/02/2026 07:45

In females autism becomes unmasked in teens due to increased social demands, going from a small primary to large high school, being more conscious of trying to fit in with peers and not quite getting it. Up until last few years most of these girls would be having a personality disorder especially if distress was expressed through self harming behaviours, but this is changing now we have more understanding of female traits of autism

kerstina · 02/02/2026 08:20

I feel like my unmasking happened during menopause. I can’t hide it anymore

GhostMutt · 03/02/2026 16:02

I was under a psychiatric team in my teens to mid twenties. The two consultants were in disagreement about my diagnosis. One thought I had a Cluster C Personality Disorder but the other said I didn’t meet the criteria. They went back and forth on it. I accessed my medical notes a couple of years ago and it was the first I’d heard of it. It didn’t say which Cluster C specifically but when I looked them up, avoidant seems to fit best.

OP, what kind of treatment did you get (if any) for APD? Do you feel like you benefited in any way from getting diagnosed?

Aerodiabetes · 03/02/2026 17:09

GhostMutt · 03/02/2026 16:02

I was under a psychiatric team in my teens to mid twenties. The two consultants were in disagreement about my diagnosis. One thought I had a Cluster C Personality Disorder but the other said I didn’t meet the criteria. They went back and forth on it. I accessed my medical notes a couple of years ago and it was the first I’d heard of it. It didn’t say which Cluster C specifically but when I looked them up, avoidant seems to fit best.

OP, what kind of treatment did you get (if any) for APD? Do you feel like you benefited in any way from getting diagnosed?

I don’t think I ever had any treatment specifically for the PD. I actually forgot I had been diagnosed with it until recently.
I guess the only benefit of the diagnosis is that it gives a reason for my whole life being such a massive struggle. I’m not “just” shy or socially anxious, it goes deeper than that.

OP posts:
narcASD · 04/02/2026 17:12

My daughter has this I believe. She's autistic too, with this avoidance syndrome and it's debilitating.

How are you finding dealing with things as an adult @Aerodiabetes

i worry so much for my daughter it's good that you started this thread as it's been really helpful for me.

MisiSam · 04/02/2026 17:13

Yes I've recently been diagnosed at 38 with ADHD and avoidant personality disorder it makes a lot of sense now!

Aerodiabetes · 04/02/2026 17:39

narcASD · 04/02/2026 17:12

My daughter has this I believe. She's autistic too, with this avoidance syndrome and it's debilitating.

How are you finding dealing with things as an adult @Aerodiabetes

i worry so much for my daughter it's good that you started this thread as it's been really helpful for me.

I’ve had one burnout after another at school/university/work since the age of 13 although I’ve only realised that fairly recently. I’ve been sectioned and spent a lot of time in psychiatric hospitals and taken lots of time off sick from my career. I have no friends and no social life. Sorry I can’t be more positive.
I really hope your DD gets help so she doesn’t waste her life like I have done mine.

OP posts:
narcASD · 06/02/2026 00:39

@Aerodiabetes ah thank you, yes my daughter had burnout in year 7 and was out of school for almost a year.
I really appreciate you replying and being so honest, I know I'd be very proud of her if she was able to vocalise her experiences like you have, I've found this thread really helpful. Thank you

Susieblue18 · 06/02/2026 00:47

@Aerodiabetes sorry to hear you're going through this. What is the difference between avoidant personality disorder and severe social anxiety?

Aerodiabetes · 06/02/2026 01:02

narcASD · 06/02/2026 00:39

@Aerodiabetes ah thank you, yes my daughter had burnout in year 7 and was out of school for almost a year.
I really appreciate you replying and being so honest, I know I'd be very proud of her if she was able to vocalise her experiences like you have, I've found this thread really helpful. Thank you

Thank you, that’s so kind.
i wasn’t diagnosed until i was 30 so I think your daughter should do better as she is younger x

OP posts:
Aerodiabetes · 06/02/2026 01:07

Susieblue18 · 06/02/2026 00:47

@Aerodiabetes sorry to hear you're going through this. What is the difference between avoidant personality disorder and severe social anxiety?

Good question. This is what google says :

Avoidant Personality Disorder (AvPD) is a pervasive, deep-seated personality structure defined by chronic low self-esteem and fear of rejection, whereas severe Social Anxiety Disorder (SAD) is an anxiety-driven fear of negative evaluation in specific social situations
AvPD involves a broader, constant avoidance of intimacy and, at times, daily life, while SAD often allows for functionality in areas without perceived scrutiny.

Key differences between AvPD and severe social anxiety include:

  • Core Beliefs: AvPD is rooted in feelings of being fundamentally inadequate, flawed, or unappealing. SAD is driven by intense fear that one will act in an embarrassing or humiliating way, leading to social judgment.
  • Pervasiveness: AvPD is a chronic, pervasive pattern affecting all areas of life, including work and relationships. Severe social anxiety is often (though not always) more situational, specific to performance or social interactions.
  • Self-Image: People with AvPD often believe their negative self-views are absolute truths. Individuals with severe social anxiety often recognize that their fears may be irrational or exaggerated, even if they cannot control them.
  • Need for Affection: Individuals with AvPD deeply desire relationships but are too afraid to seek them out, fearing rejection. This often results in extreme social isolation, whereas people with severe social anxiety may have closer, smaller social circles.
  • Onset and Stability: AvPD is generally more ingrained and consistent, starting in early adulthood, while anxiety disorders can fluctuate in severity.

While both involve fear of rejection, AvPD is generally considered more deeply rooted in personality, while severe social anxiety is an intense anxiety disorder. They can overlap, and individuals with both often experience greater impairment.

OP posts:
Beepbeepbeepbeepbeepbeepbeep · 06/02/2026 01:41

Aerodiabetes · 01/02/2026 14:20

It is incredibly debilitating and has ruined my whole life. I don’t have a single friend in the world and am totally terrified of and avoid any social interaction. I was diagnosed by an NHS clinical psychologist in the 1990s after being sectioned and spending over a year in a psychiatric hospital.

Here is some information about the symptoms

Symptoms
According to the DSM-5, common signs of avoidant personality disorder include:

Easily hurt by criticism or disapproval
No close friends
Reluctance to become involved with people
Avoidance of activities or occupations that involve contact with others
Shyness in social situations out of fear of doing something wrong
Exaggeration of potential difficulties
Showing excessive restraint in intimate relationships
Feeling socially inept, inferior, or unappealing to other people
Unwilling to take risks or try new things because they may prove embarrassing

This sounds like RSD which comes with ND

TheToothFairy999 · 06/02/2026 01:57

savemetoo · 01/02/2026 21:47

I read your first couple posts OP and had to look up the difference between ASD and APD as I thought there was some similarity. Your burn outs do sound typical of ASD - I guess you might not have shown issues like black and white thinking, being very literal, trouble with the joining in the flow of conversations, reading facial expressions or other things that might suggest ASD to a Dr perhaps?

PD's are more common in people with ASD possibly because of the trauma they often go through as children so not impossible that you have both.

I'm guessing you probably had a very difficult childhood as well as adult life OP. I'm so sorry it's all been so very difficult for you.

Now that I’m out of my marriage and my vision has cleared I know my husband is autistic but I’d say he also has a PD. I wasn’t sure this was possible and I’d appreciate it oc you could direct me to some information regarding it.

dotdotdotdash · 15/02/2026 19:21

What is RSD? Genuine request- please give the full description then the acronym in brackets. For the initiated. Thank you

Beepbeepbeepbeepbeepbeepbeep · 15/02/2026 20:40

dotdotdotdash · 15/02/2026 19:21

What is RSD? Genuine request- please give the full description then the acronym in brackets. For the initiated. Thank you

Rejection sensitivity disorder but I’m sure the OP who is obviously invested in this would be able to google it.

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