What is Avoidant Personality Disorder

Understanding Avoidant Personality Disorder

Avoidant Personality Disorder, or AVPD, is characterized by extreme sensitivity to criticism and shyness. This disorder appears in about 2% of the general US population, affecting men and women equally. Learning about this disorder is crucial to seek appropriate treatment and avoiding its risks. Keep reading to learn more. 

What is Avoidant Personality Disorder

Avoidant personality disorder, or AVPD, is one condition that falls under Cluster C personality disorder. Generally, this disorder keeps individuals away from their peers due to a feeling of fear and nervousness. 

The disorder is usually associated with social anxiety disorder. That’s why those affected have a high level of sensitivity and feelings of inadequacy. Which also makes them sensitive to being judged by others.  

Please note AVPD is underrecognized and poorly studied. Many people regard it as a distinctive diagnostic category. However, it’s a social anxiety disorder due to factors like attachment styles, cognitive processing, and temperament. 

What are the Symptoms of AVPD?

Symptoms associated with AVPD can be noticed in childhood but become more apparent in adolescence and early adulthood. That’s why it’s not usually diagnosed in people below 18 years, like most personality disorders. Therapists can only decide on this disorder when there’s an apparent pattern of behaviors that don’t fade with time. 

Some of the symptoms associated with this disorder are as follows: 

  • Avoidance of social events or situations
  • Extreme self-consciousness 
  • Being easily hurt when disapproved or criticized 
  • Being fearful 
  • Feeling of inadequacy 
  • Low self-esteem 
  • Lack of a social network or close friends 
  • Self-isolation 
  • Lack of trust in others 
  • Viewing themselves as inferior or socially inept 
  • Being vigilant of instances of rejection or disapproval 
  • Social inhibition 

Causes of Avoidant Personality Disorder

There’s no specific cause of AVPD. It may result from genetic, social, environmental, and psychological factors. Apart from genetics, the following risk factors are considered the cause of AVPD: 

  • Having an associated mental health condition like anxiety and depression 
  • Childhood abuse, neglect, and trauma 
  • Trauma-related to extreme incidences of rejection and ridicule in childhood 
  • Going through experiences that altered their appearance beyond societal norms

Diagnosis of Avoidant Personality Disorder

Most AVPD diagnoses are made after a referral to mental health professionals by family physicians. Once a person has been referred to a psychiatrist, they will ask questions to determine whether they have this disorder. However, as noted earlier, its diagnosis should not begin any later than early adulthood. 

A mental health professional should look out for at least four of the following characteristics to determine whether someone has AVPD: 

  • Avoiding any engagement in work activities that require contact with others. This may result from fear of rejection, disapproval, and criticism.
  • Avoiding other people until they’re confident they like them. 
  • Holding back in a relationship since they’re afraid of humiliation or being ridiculed 
  • Fear of being criticized or rejected in social situations dominate their thoughts 
  • Avoiding or holding back from situations since they feel inadequate 
  • Failure to participate in new activities or take personal risks since they’re afraid of being embarrassed

Treatment for Avoidant Personality Disorder

Many people with an avoidant personality disorder do not seek treatment for it. They seek treatment for associated problems that they may be facing, such as anxiety and depression. They also discontinue treatment once their issue has been resolved. 

This makes it hard to treat like other personality disorders since it involves an enduring pattern of behavior that is difficult to recognize unless someone seeks therapeutic help. 

However, seeking treatment may reduce the symptoms associated with this disorder and improve their coping strategies to manage their anxiety. They may still be shy at some point, but avoidance thoughts won’t dominate them. 

Psychotherapy is the best treatment for AVPD. A therapist may use a mixture of psychodynamic or cognitive behavioral therapy depending on a person’s symptoms. 

These treatment processes aim to help people understand their unconscious beliefs and how they perceive others. These approaches also help them function better at work and socially. Here are the most common therapies used to treat AVPD. 

Talk Therapy

Talk therapy may include cognitive behavioral therapy, schema therapy, or psychodynamic therapy. It may also include social skills training and group therapy. 

In cognitive behavioral therapy, the therapist will help the person with AVPD learn how to change unhelpful thinking patterns. With the psychodynamic approach, therapists help patients become aware of their past pain. As well as, experiences, and conflicts that could have contributed to their current symptoms. 

Schema therapy is built on cognitive behavioral therapy and other techniques that a therapist may use. It focuses on building a therapeutic relationship between a client and the therapist to improve their daily functioning. It also helps them learn how to change based on their understanding and reframing of their past experiences. 

Medication 

There’s no specific medication for AVPD. However, a therapist may prescribe medication for related disorders like anxiety and depression to help with a patient’s symptoms. For instance, they may use medication for depression to improve patients’ moods or decrease their anxiety levels.

Risks Associated with Failure to Treat AVPD

Those that fail to seek treatment for AVPD usually continue isolating themselves from their family and friends. This may result in other psychiatric disorders such as:

Avoidant Personality Disorder Treatment at D’ Amore Mental Health

It’s difficult to determine whether a person has avoidant personality disorder since it exhibits symptoms close to other personality disorders. However, with the intervention of a therapist, it is easier to identify and implement relevant treatment approaches. Otherwise, anyone with this disorder is at risk of depression or substance abuse. 

D’ Amore Mental Health is ready to help everyone affected by avoidant personality disorder cope with their situation. Our evidence-based treatment approach and three-to-one staff-to-patient ratio offers the best treatment for this disorder. 

Contact us today for more information about our services or to learn how you can verify your insurance.

Edited For Accuracy By:

Picture of Jennifer Carpenter

Jennifer Carpenter

Jennifer is a Certified Treatment Executive (CTE) and holds credentials in the behavioral health field to include certifications as a Qualified Mental Health Specialist and a Certified Admissions and Marketing Specialist with CCAPP.

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Avery Paton
Avery Paton
18:15 25 May 23
I went here around 3 months ago at age 20 for 35 days with severe depression and anxiety, hopeless that I could ever change or get better. Now, however, I feel like it's safe to say that my brain was literally rewired. My old ways of thinking changed andtreatment started me fresh, from square one. The daily education on mental health really helped too and I feel more introspective and more myself than ever. I have new, healthy ways to cope with my anxiety. My life was literally turned around for the better. This almost feels like the beginning of my life, especially now that I see that it's worth living again. Thank you D'Amore.read more
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Maricela Marshall
17:17 13 Oct 22
I was excited for my son to be joining D'Amore Healthcare. We arrived early morning and were greeted with open arms and our son was given breakfast. After my husband and I had a brief meeting with regard to what to expect from the program and if we had any questions, we were off and also taken care of with treats to keep us on our travels back home. Thank you D'Amore for your commitment to families that are wanting the best for their loved ones.read more
Marta Brown
Marta Brown
05:29 22 Sep 22
This is a great place to go if you don’t have any gender dysphoria because they will refuse to call you by anything but your legal name. So cis people would probably find this treatment great, but trans people not so much! I wanted to rate it more like a 3.5/5 but had to round up to 4 :) I do go by my birth name now but still am a proud member of the LGBTQ community. I went here a couple years ago though so hopefully things have changed since then as far as chosen names and pronouns go!read more
Jeff Arimond
Jeff Arimond
20:12 12 Sep 22
As a Sound Bath and Yoga practitioner for D'Amore I am very impressed with the care and love our staff gives to each and every client. Having been involved with recovery programs for many years, it is a pleasure to see such a high level of involvement within this caring facility here at D'Amore.read more
Nancy Vy
Nancy Vy
03:30 02 Sep 20
My son spent about 2 months in his healing journey at D’Amore. The amazing staffs from intake to discharge gave nothing but amazing support. D’Amore was the stepping stone to his healing and coping with schizoaffective condition. He was treated with care and as a mom, I felt very comfortable throughout his time there. I am that parent who has a million questions and voice concerns. And each person I reached out to made me felt confident he was in good hands. Communication was key and D’Amore was great with responding and providing updates. My son made great progress in the short time he was there. I would recommend any one needing a little extra help, to consider them for your healing.read more
Lauri Braudrick
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16:37 11 Aug 20
My son went to D'Amore and the staff was so wonderful and compassionate. I did a lot of research prior and was happy that I picked them. They make the process very easy. Sharissa is fabulous and really helped make experience wonderful. Thank you!read more
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19:46 10 Mar 20
D'Amore provided our 18-year old son with the care and support he needed during a very difficult time. The support provided during his 6-week stay was very effective. His assigned therapist was excellent and provided the appropriate personalized care and treatment he needed. I would recommend D'Amore to others.read more
Donnette Alexander-Jeffers
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21:32 10 Jan 20
I wasn't sure what to expect when I was told that I needed assistance from a residential facility. The thought of being in a residential facility was intimidating. I am so glad I had the opportunity to go to D'Amore. The staff were caring, concerned, kind, and dedicated to helping me get better. Celebrating victories with house members and BHAs as well as working through things that looked like defeats (in individual and group therapy) was the support I truly needed to move forward.The psychiatrist, his assistant, and the nurse took great care to make sure that the medication I was receiving was actually effective and moving me in the right direction.The implementation of a schedule and the need to adhere to it were so helpful in assisting me to get back into a routine. I am beyond thankful for morning wakeup, daily activities, and lights out. My life had become so far from normal in terms of daily routine, that this was a huge help in transitioning me back into a productive and healthy lifestyle once I left D'Amore.The desire to help and care doesn't stop once you leave. The staff continues to be available for encouragement and assistance. They truly want to see you succeed beyond your stay in the facility.What looked like the worst thing in the world to me, when I was told I would have to stay in a residential facility for 6 weeks, became one of the greatest blessings in my recovery.I'm truly thankful to D'Amore for the help they provided.read more
Ann Amaral
Ann Amaral
21:41 08 Jan 20
I highly recommend these folks- they tailored a specific program to help my daughter and she loved her time with them. They are very caring professionals.read more
Courtney Nickels
Courtney Nickels
22:27 06 Jan 20
I was a patient at D’amore back in May 2019. To be honest I probably would have died if I didn’t make the leap to go in-patient somewhere. I chose D’amore because of how “home-like” it seemed and the fact that it wasn’t like a hospital number one and number two because of reviews. Once I got there I was terrified because I was leaving home, my three kids and husband. Day 2 another girl showed up and we clicked. It was nice having someone right along with me. The house was super clean and nice. Easy to follow program and great staff. Everyone is pulling for you and are there with a shoulder to cry on (which I did a lot). If you’re needing an in-patient facility to go to consider D’amore.read more
Lauren Danielle
Lauren Danielle
23:53 03 Jan 20
D'Amore was an amazing place. I was treated with kindness and compassion. I never felt like I was being ignored or was a nuisance. They took the time to care for me, especially when I couldn't care for myself. For those who need this care, there is no better place.read more
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Berkeley Bennett
01:55 17 Oct 19
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22:51 04 Oct 19
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Sarah Murrin
18:03 27 Sep 19
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15:25 13 Aug 19
After receiving treatment from many other facilities, D’Amore, by a very large margin, far exceeds what others offer and provide. The staff, clinicians and doctors are far superior and are on top of the needs of all patients at all times.In my opinion, D’Amore is the place to come for a great start at recovery. Thank you D’Amore!read more
michael jann
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04:04 02 Jul 19
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Benjamin Smith
00:57 06 Mar 19
I have been an employee since 2016 and want to share my experience with D'Amore Healthcare. It is a very supportive environment for employees and opportunities abound here for those who want to blaze a new path for themselves! Because of the industry we are in it is a challenging work environment at times but it's remarkably stimulating and there is all the encouragement one could possibly ask for to help in meeting and surmounting those challenges so that one can reach their goals and leave work each day feeling they had made a positive difference. I have worn several hats at this company, both working with patients and working in the office, both overnight and during the day. I have always felt supported in everything I have tried to do, from the CEO and other Administration all the way down, and anytime I have been open with them about my needs they have worked with me in a way no other employer ever has to help me thrive despite whatever challenges may develop. I will forever be grateful for the opportunities I have been given here. Learning how to meet new challenges in a career is always an ongoing process, and I still have much to learn, but I am confident that I will continue to be shown the support and help that I've always found here.read more
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Heather Saunders
01:00 01 Mar 19
D'Amore helped me in many ways it helped me build my confidence and learn skills to help me though my psychiatric problem and craving to feed my addiction I think my experience with the staff was amazing they challenged me when I was holding back and praised my accomplishments I am grateful I had the experience of getting help from this place I am still working on staying clean I have not given up I just keep going. I have a job now too I also got help from them to get treatment after I finish at D'Amore I really appreciate that because I'm doing very well right now.read more
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Heather Saunders
01:00 01 Mar 19
D'Amore helped me in many ways it helped me build my confidence and learn skills to help me though my psychiatric problem and craving to feed my addiction I think my experience with the staff was amazing they challenged me when I was holding back and praised my accomplishments I am grateful I had the experience of getting help from this place I am still working on staying clean I have not given up I just keep going. I have a job now too I also got help from them to get treatment after I finish at D'Amore I really appreciate that because I'm doing very well right now.read more
Benjamin Smith
Benjamin Smith
02:02 28 Feb 19
I have been an employee since 2016 and want to share my experience with D'Amore Healthcare. It is a very supportive environment for employees and opportunities abound here for those who want to blaze a new path for themselves! Because of the industry we are in it is a challenging work environment at times but it's remarkably stimulating and there is all the encouragement one could possibly ask for to help in meeting and surmounting those challenges so that one can reach their goals and leave work each day feeling they had made a positive difference. I have worn several hats at this company, both working with patients and working in the office, both overnight and during the day. I have always felt supported in everything I have tried to do, from the CEO and other Administration all the way down, and anytime I have been open with them about my needs they have worked with me in a way no other employer ever has to help me thrive despite whatever challenges may develop. I will forever be grateful for the opportunities I have been given here. Learning how to meet new challenges in a career is always an ongoing process, and I still have much to learn, but I am confident that I will continue to be shown the support and help that I've always found here.read more
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david demille
03:41 10 Jan 19
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19:15 09 Jan 19
As a professional in the recovery behavioral health field for over 30 years, I would absolutely recommend D’Amore Healthcare. When referring patients, I know that they will receive the best care for primary mental health treatment, as well as detoxification and dual diagnosis/substance abuse treatment. D’Amore delivers kindness, structure and hope to their patients 24 hours a day and the individualized, 1:1 attention they provide to each patient allows them to grow as empowered individuals. The treatment team is amazing and the program is dynamic while integrating today’s best practices to provide the best care to their patients.read more
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Ivy Moon
Ivy Moon
07:40 06 Jan 19
D’Amore Healthcare was an absolute blessing for our family! My husband needed mental health treatment and I came across D’Amore Healthcare. Jennifer in the office was amazing, so patient and caring for the needs of my husband (and still is!). She got him admitted right away and assured me D’Amore was the right place for him to treat his needs. The 30-day program he was in was rough on our family, but so worth the treatment he received. He came out a better person, better father, and better husband!He still struggles at times with his mental health, but the program has given him the tools to overcome it and not let it overcome him. He’s also been attending the alumni meetings which help him with additional therapy and regain confidence in himself. I know my husband thanks the program for his treatment, but I thank D’Amore for giving me my husband back!read more
KAREN JAFFE
KAREN JAFFE
20:35 18 Dec 18
D’Amore is saving my granddaughter’s life! She has mental illness problems and drug addiction. She has been to 2 addiction rehabs, 1 other co-occurring rehab and now D’Amore. The other co-occurring place did very little to help her mental illness and they ended up kicking her out. D’Amore has worked so hard on both of her problem areas and have never given up on her. The staff is exceptional and they really do care! My beautiful granddaughter has told me, “Nana, This is the first place I feel comfortable in so I have opened up and talked about bad things that have happened in my life. Stuff I have never told anyone, not even you.” I cried when she said that because I know she’s on her way to recovery. I have to thank Jennifer, Kristen, Erin, Drew and all of the staff (I can’t remember everyone’s name.) D’Amore, you are in my prayers to continue saving women and men. God Bless you all!read more
Chantal Lessard
Chantal Lessard
00:11 04 Dec 18
D’Amore has been so incredible with helping men and women who struggle with depression, anxiety, PTSD, trauma, etc. I work in the recovery field and we have sent clients who we thought were primary substance abuse but ended up showing signs of needing a primary mental health facility and have come back to us stable and happy and ready to become productive members of society. We are so grateful that there is a safe place out there that we can trust with saving our clients lives. The staff goes above and beyond and they do amazing clinical work.read more
Michael Yamashiro
Michael Yamashiro
20:37 28 Nov 18
I am the program manager at D'Amore Healthcare and couldn't be more proud of the work we do here. Each staff member at D'Amore comes into shift with an open heart and mind. We never judge or stigmatize, instead we empathize and educate. Having co-workers that believe in this framework, ensures that patients are approached with dignity and respect. Working at a company that values human dignity and emphasizes this approach is not only refreshing, but empowering. We are making differences in peoples lives here. The work is not easy, but with dedicated and knowledgeable staff, change is possible.read more
Ailana Saria Donato
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18:58 26 Nov 18
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Michael Yamashiro
Michael Yamashiro
22:54 23 Nov 18
I am the program manager at D'Amore Healthcare and couldn't be more proud of the work we do here. Each staff member at D'Amore comes into shift with an open heart and mind. We never judge or stigmatize, instead we empathize and educate. Having co-workers that believe in this framework, ensures that patients are approached with dignity and respect. Working at a company that values human dignity and emphasizes this approach is not only refreshing, but empowering. We are making differences in peoples lives here. The work is not easy, but with dedicated and knowledgeable staff, change is possible.read more
Joshua Saurbier
Joshua Saurbier
01:21 20 Nov 18
I was here for 60 days and it was a great experience. I Learned a lot They have a really good clinical team they does groups and individual therapy. Also you get to go on outings Things like the gym,meetings the park. There is a chef that cooks really amazing food every night for dinner. The staff is all very nice they do their job and listen when you need to talk, specially Julie she was really helpful and amazing at her jobread more
Jim Gane
Jim Gane
21:59 19 Nov 18
A family member of mine wet in for mental health care. The facility, the staff, the treatment were all quite beneficial. Working with office and finance staff was quite easy and helpful as well!read more
Alexandra Stuart
Alexandra Stuart
01:40 14 Nov 18
If you're looking of short-term care, D'Amore is the place to go! The staff are kind, compassionate, and honest. They work to relate to you, and are people you can turn to. You get a chef prepared dinner every night- and the Chef is an awesome human being as well as a great human being. If structure is what you seek, this is the place for you. It can take a bit of reminding sometimes if you make a request, so your stay will provide an excellent opportunity to learn to advocate for yourself!! I felt community and belonging here. I learned to start trusting again. The staff truly cares about their clients and you can feel it. You may feel stifled and overprotected, but when you leave the world seems a bit colder. D'Amore lives up to it's name as well as it's denote 'foundling'; an abandoned infant discovered and cared for by others. You WILL find a sense of home and family here!!read more
Elizabeth Stipher
Elizabeth Stipher
20:55 24 Oct 18
As a professional in the recovery field, I wholeheartedly recommend D’Amore Healthcare as one of the top and most trusted primary mental health and dual diagnosis treatment programs in the recovery community today. D’Amore takes great pride in their Build Me Up program which fosters behavioral and cognitive change through gracious redundancy of positive reinforcement, meditative work (a program focused on recalibrating the circadian rhythm), intensive group work and interdisciplinary treatment team as well as their conservative, phased approach to medication. D’Amore offers engaging outings that challenge the patient's on a daily basis, individualized treatment plans and nutritious chef prepared meals that cater to those with special dietary needs. D'Amore is a professional yet nurturing and warm environment.read more
Donnie Moon
Donnie Moon
13:22 22 Aug 18
I was a patient at D'Amore for 30 days. Over those 30 days, I participated in the best treatment program and made lasting relationships that I'll never forget.If you suffer from mental-health, dependency or substance abuse issues, D'Amore can help. I've personally witnessed countless patients enter the program a figment of their past selves, and conclude the program a completely changed (for the better) individual. Able to re-enter the world a changed, more confident self. Myself being one of them.I owe a great deal to this program. I have found the tools and gained the knowledge to overcome my mental-health concerns while in treatment here. The staff is first-class, the activities are fun and engaging, the environment safe and clean, and group therapy really helps conquer whatever it is you're dealing with.There is zero doubt, I made the right decision to seek help at D'Amore. Thank you D'Amore, and thank you Erin, and Jennifer for your continued support! Even after treatment.read more
Renee Ritter
Renee Ritter
21:00 03 Aug 18
Everything from different types of groups to the atmosphere, to meeting with the psychiatrist made D'Amore unlike any other mental health care facility that I have ever been to. Dr El was honestly the best psychiatrist. I feel like he really listened to me as an individual rather then just another patient and that made me feel so much more comfortable every time I met with him. I love all the medical staff which were very helpful and always educated me on my medications and checked up on me to make sure I was doing well. I can't thank D'Amore enough for giving me that extra love and attention I needed to bring myself back from the dark place I was in. Thank you again so much D'Amore!!!read more
J.D. W
J.D. W
20:48 29 Jun 18
D’Amore – What a blessing! From in-take to discharge – great experience. In a time of need, they have gone above & beyond to assist our family, provide lifelong tools, answer questions, explain everything in great detail & have wonderful medical care. Each & every staff member, I have been in contact has been kind & compassionate willing to help & guide me through each situation. The staff is knowledgeable, organized, qualified professionals that show genuine concern for each patient. The facilities are clean, well-organized, great food & are a safe environment. D’Amore thank you for all of your help, we wouldn’t be where we are today, with out you all.read more
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