Avoidant Personality Disorder

In today’s world, where self-worth is established according to external criteria, failure is perceived as a nightmare and every loss is perceived as a disaster, it is not difficult to understand the dynamics of MCI. Unable to question and fight the way to deal with the reality of knowing that one cannot be perfect, the way such an expectation can be a just demand, the MPD victim chooses to surrender and withdraws to the brink of life. Instead of confronting his losses and making peace with himself, he adopts an existence strategy that still needs their approval, hoping for the acceptance of others, and thus the vicious circle of the MCU is established.

Avoidant Personality Disorder Irrational Thoughts

The idea that I can be hurt is the core belief of MPD, which results in an avoidance strategy. The ideal self consists of our beliefs about how we feel, think, or behave. Some of the irrational thoughts and attitudes that feed the self-image of the CPD are:

  • I am socially inadequate and I am not wanted either in the work environment or in social relations.

  • Other people are potentially critical, irrelevant, insulting, and rejecting.

  • I can’t stand bad feelings.

  • If people bond with me closely, they’ll discover who I really am and reject me.

  • It must be unbearable to face that I am inferior and inadequate.

  • I must avoid unpleasant situations, whatever the cost.

  • When I feel or think something like this, I should erase it from my mind or distract myself by drinking something, taking a medicine, or watching TV.

  • I should avoid situations in which I would draw attention or be as inconspicuous as possible.

  • Bad emotions are infuriating and uncontrollable.

  • If someone is criticizing me, they are right.

  • It’s better to do nothing than to do something that might fail.

  • When I’m not thinking about a problem, I don’t have to do anything flat.

  • Any sign of tension in a relationship indicates that it is going bad. In that case, it is necessary to cut off that relationship as well.

  • If I don’t care about the problem, it’s over.

Causes of Avoidant Personality Disorder; The wrong upbringing of the parents, the constant criticism, punishment and rejection during the growth and development period caused insecurity in him. On the contrary, reasons such as over-protective and protective attitudes are shown. Some studies say that the shy personality has a structural-genetic basis. However, environmental experiences (rejection, mockery, exposure to bullying) can be shown as a necessary supplement for the formation of this disorder.

Avoidant Personality Disorders DSM-5 Criteria Features to the Diagnostic and Statistical Manual of Mental Illnesses

  • Avoids occupations that require personal contact because of fear of criticism and disapproval or rejection.

  • He is reluctant to bond with others unless he is sure that he will be loved.

  • Behavior in close relationships for fear of embarrassment or ridicule.

  • Preoccupied with thoughts of being criticized or excluded in social situations.

  • Due to feelings of inadequacy, he behaves shyly in environments with new people.

  • He sees himself as socially inept, personally unattractive, or inferior to others.

  • He is often reluctant to take some personal risks or engage in any new activity, as it may be embarrassing.

Avoidant Personality Disorders Differential Diagnosis

  • Avoidant personality disorder, Schizoid and dependent personality disorders are most often confused with social phobia, as well as depression disorders. There are difficulties in the relationship and differential diagnosis between social phobia and social phobia.

  • While social phobia is the most distinctive diagnostic feature between social phobia and avoidant personality disorder, social anxiety is experienced by avoidant personality disorder in all areas.

  • While social phobia is worried that they will laugh at me in front of the public, avoidant personality disorder feels powerless and inadequate in many areas of his life.

Avoidant Personality Disorder and Treatment

Schema therapy offers an alternative for the treatment of long-term problems caused by the solid characteristics seen in personality disorders. In order to create a comprehensive conceptualization and treatment plan to strengthen personality, early negative schemas and social isolation, failure, imperfection, submissiveness schemas should be studied. Now, efforts to strengthen it are started from the events that have happened, and it is provided to gradually give to himself the emotions that were not given to him in his childhood.

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