Avoidant Personality Disorder Symptoms, Causes & Treatment

Avoidant Personality Disorder (AvPD) is a complex psychological condition that significantly impacts an individual’s ability to engage in social interactions and form meaningful relationships. In this article, we explore the symptoms, causes, and available treatment options for Avoidant Personality Disorder, offering insights into understanding and managing this challenging disorder.

What Is Avoidant Personality Disorder?

Avoidant Personality Disorder (AvPD) is a psychiatric condition characterized by a pervasive pattern of social inhibition, feelings of inadequacy, and hypersensitivity to criticism or rejection. Individuals with AvPD often experience intense anxiety and fear in social situations, leading them to avoid social interactions and isolate themselves.

This disorder affects various aspects of their lives, including work, school, and relationships, and can significantly impair their overall quality of life. Understanding the nature of Avoidant Personality Disorder is crucial for recognizing its symptoms, seeking appropriate help, and working toward effective management and recovery.

Avoidant Personality Disorder Symptoms

Individuals with Avoidant Personality Disorder (AvPD) exhibit various symptoms that revolve around social interactions and a deep-seated fear of rejection or criticism. Some common symptoms of AvPD include:

  • Persistent avoidance of social situations: People with AvPD often go to great lengths to avoid social interaction, such as parties, gatherings, or casual conversations. This avoidance stems from their intense fear of being judged, embarrassed, or rejected.
  • Fear of criticism and rejection: Individuals with AvPD are highly sensitive to criticism and have an overwhelming fear of rejection. They may constantly worry about being disliked, ridiculed, or humiliated by others, which leads them to avoid any situation that might expose them to these possibilities.
  • Self-perception of inadequacy: Those with AvPD believe they are inherently inferior or socially inept. They often feel chronically inadequate, unworthy of attention or affection, and may perceive themselves as fundamentally flawed or unlikable.
  • Reluctance to form close relationships: Establishing and maintaining close relationships can be challenging for individuals with AvPD. They may hesitate to open up emotionally, fear intimacy, and struggle with trust. They may also feel uncomfortable or anxious when they perceive themselves as the center of attention.
  • Avoidance of occupational or academic activities: AvPD can impact an individual’s ability to perform in work or academic settings. Fear of criticism or negative evaluation may lead to avoidance of tasks, projects, or responsibilities that involve potential judgment or exposure to others’ opinions.
  • Emotional sensitivity and social isolation: People with AvPD often experience heightened emotional sensitivity, making them easily feel hurt or rejected. This can contribute to a tendency to isolate themselves, withdraw from social interactions, and maintain a limited social support network.

These symptoms can vary in intensity and overlap with other mental health conditions. If you or someone you know exhibits these symptoms, seeking professional help for an accurate diagnosis and appropriate treatment is advisable.

Avoidant Personality Disorder Causes

The exact causes of Avoidant Personality Disorder (AvPD) are not fully understood. However, several factors are believed to contribute to the development of this disorder. These potential causes include:

  • Genetics and Family History: There may be a genetic predisposition to AvPD, as it tends to run in families. Individuals with a family history of anxiety disorders or AvPD may be at a higher risk of developing the disorder themselves.
  • Childhood Environment: Adverse experiences during childhood, such as neglect, rejection, or emotional or physical abuse, can contribute to the development of AvPD. Growing up in an environment where one’s needs for love, acceptance, and validation are consistently unmet can shape a person’s beliefs and behaviors, leading to avoidance and social inhibition.
  • Social and Peer Factors: Negative social experiences, particularly during childhood or adolescence, such as bullying, teasing, or social rejection, can contribute to the development of AvPD. These experiences can reinforce feelings of inadequacy, fear of judgment, and the desire to avoid social interactions.
  • Temperamental Factors: Certain personality traits, such as shyness, introversion, or high sensitivity, may increase the risk of developing AvPD. Individuals naturally more anxious or cautious in social situations may be more prone to developing avoidant behaviors.
  • Neurobiological Factors: There is evidence to suggest that abnormalities in brain structure and function, particularly in areas associated with fear, anxiety, and social cognition, may play a role in AvPD. Imbalances in neurotransmitters, such as serotonin, have also been implicated.

While these factors may contribute to the development of AvPD, not everyone with these risk factors will develop the disorder. The interplay of genetic, environmental, and psychological factors likely plays a complex role in the onset and progression of AvPD.

Avoidant Personality Disorder (AvPD) is a psychiatric condition characterized by a pervasive pattern of social inhibition, feelings of inadequacy, and hypersensitivity to criticism or rejection.
Avoidant Personality Disorder (AvPD) is a psychiatric condition characterized by a pervasive pattern of social inhibition, feelings of inadequacy, and hypersensitivity to criticism or rejection.

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Avoidant Personality Disorder Facts


Avoidant Personality Disorder (AvPD) is a mental health condition characterized by a pervasive pattern of social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation. Individuals with AvPD often experience extreme anxiety and fear in social situations, leading to avoidance of interpersonal interactions. The disorder can significantly impact various areas of life, including relationships, work, and self-esteem.

Symptoms of Avoidant Personality Disorder

  • Persistent avoidance of social interactions and activities that involve interpersonal contact
  • Excessive sensitivity to criticism and fear of negative evaluation
  • Reluctance to engage in intimate relationships or friendships
  • Fear of rejection and humiliation
  • Self-imposed isolation and social withdrawal
  • Low self-confidence and negative self-image
  • Avoidance of risks and new experiences
  • Preoccupation with negative evaluation and assumptions of being disliked or ridiculed


A diagnosis of Avoidant Personality Disorder is made by a qualified mental health professional based on a thorough evaluation, including a comprehensive assessment of symptoms, personal history, and the impact on daily functioning. Diagnostic criteria outlined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) are used to determine the presence of AvPD.

Treatment Options

  • Psychotherapy: Individual therapy, such as cognitive-behavioral therapy (CBT) and psychodynamic therapy, can effectively address the underlying beliefs, fears, and avoidance patterns associated with AvPD.
  • Medication: In some cases, medications such as selective serotonin reuptake inhibitors (SSRIs) may be prescribed to alleviate symptoms of anxiety and depression that commonly coexist with AvPD.
  • Group Therapy: Participating in group therapy or support groups can provide a supportive environment for individuals with AvPD to practice social skills, receive feedback, and connect with others facing similar challenges.

Avoidant Personality Disorder Statistics

Around 2-5% of the population is affected by Avoidant Personality Disorder (AVPD), with both genders equally impacted. While it typically emerges during adolescence, AVPD can persist into adulthood. Diagnosing and treating AVPD can be challenging due to its high co-occurrence with other mental health disorders. The consequences of AVPD can be severe, affecting personal relationships, professional life, and overall well-being.

Many individuals with AVPD may hesitate to seek treatment due to their avoidance tendencies and fear of judgment. However, significant improvements in symptoms and quality of life are possible with appropriate support and intervention. Expert assistance is crucial for an accurate diagnosis and individualized treatment plans.


General population affected by Avoidant Personality Disorder

Source: NIMH

Childhood to Teen

Age of Onset

Source: NIMH


AVPD often co-occurs with other mental health disorders, such as social anxiety disorder, major depressive disorder, and other personality disorders.

Source: NIMH

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High Functioning Avoidant Personality Disorder

High-functioning AvPD individuals may display various coping mechanisms and adaptive strategies to navigate social situations and meet basic life responsibilities.
High-functioning AvPD individuals may display various coping mechanisms and adaptive strategies to navigate social situations and meet basic life responsibilities.

High Functioning Avoidant Personality Disorder refers to a subtype of Avoidant Personality Disorder (AvPD) where individuals with AvPD exhibit a relatively higher level of functionality in their daily lives than those with more severe forms of the disorder.

While AvPD is typically associated with significant impairment in various areas of life, including work, relationships, and social interactions, high-functioning individuals with AvPD may maintain a certain level of functionality despite their underlying challenges.

High-functioning AvPD individuals may display various coping mechanisms and adaptive strategies to navigate social situations and meet basic life responsibilities. They may appear outwardly successful, capable, and even hold positions of authority or responsibility. However, internally, they struggle with social inadequacy, fear of rejection, and a pervasive sense of self-doubt.

It is important to note that high functioning does not mean the individual is immune to the distress and limitations associated with AvPD. They may still experience significant emotional distress, social anxiety, and difficulties forming close relationships. The term “high functioning” primarily refers to their ability to fulfill certain societal expectations and responsibilities despite their internal struggles.

Seeking professional help and support is still crucial for high-functioning individuals with AvPD, as therapy can help them address and manage their underlying fears and maladaptive thinking and behavior patterns. With proper intervention and support, high-functioning individuals with AvPD can work towards improving their overall well-being and developing healthier coping strategies in their daily lives.

Avoidant Personality Disorder Test

Welcome to the Avoidant Personality Disorder Test! This AvPD quiz is designed to provide you with insights into your personality traits and behaviors that are associated with Avoidant Personality Disorder (AvPD). Please note that this test is not a substitute for a proper medical diagnosis. It is crucial to consult a qualified healthcare professional for an accurate evaluation and diagnosis of any mental health condition, including AvPD. The purpose of this Avoidant Personality Disorder quiz is to offer you general information and should not replace professional advice or treatment.

*By taking this free quiz, you may obtain your results online and in your email box. You’ll have the opportunity to opt-in to learn more about your symptoms, talk to a mental health consultant and join our newsletter. Rest assured your information is private and confidential. Results, consultations and assessment are provided without any cost to you and without any obligation. If you do not wish to provide your contact information, you may omit it during your quiz. Thank you for opting in and participating. To you best of health.

1. Name:

2. Phone:

3. Others probably think I’m awkward, ugly, and/or stupid.
4. People often tell me I’m way too harsh on myself.
5. I wish I had more friends, but I find the thought of opening myself up to new people very frightening.
6. I withdraw when someone is clearly romantically interested in me, even though on the inside, it is what I really long for.
7. It’s always difficult for me to try out new things or take risks, because I might embarrass myself yet again.
8. I try to avoid public spaces or social gatherings out of fear that someone might criticize me.
9. I am often intensely upset by critical remarks that just don’t seem to bother most people.
10. I find it hard to talk about my feelings because the other person might make fun of them.
11. One of my very worst fears is being shamed or ridiculed in front of others.
12. In a group, I’m afraid to speak up about my ideas or complaints, because other people might ridicule, ignore, or criticize them.


Avoidant Personality Disorder Vs Social Anxiety

Avoidant Personality Disorder (AvPD) and Social Anxiety Disorder (SAD), also known as Social Phobia, share some similarities but are distinct mental health conditions. Here are some key differences between the two:

  • Scope of Symptoms: AvPD encompasses a broader range of symptoms beyond social anxiety alone. It involves pervasive patterns of social inhibition, feelings of inadequacy, and a strong desire to avoid social interactions due to fear of negative evaluation. On the other hand, SAD primarily revolves around intense anxiety and fear related to social situations.
  • Duration and Severity: AvPD is a chronic condition that affects various areas of an individual’s life, including work, relationships, and self-image. The symptoms are persistent and not limited to specific social situations. SAD can also be chronic, but it may vary in severity and be more specific to certain social contexts.
  • Core Beliefs and Self-Image: AvPD is characterized by deep-seated beliefs of being inherently flawed, socially inept, or unworthy of others’ attention or affection. These beliefs often shape the individual’s self-image and contribute to avoidance behaviors. Intense fear of embarrassment, humiliation, or negative evaluation in social situations primarily characterizes SAD.
  • Comorbidity: While social anxiety is a hallmark feature of both AvPD and SAD, AvPD is often associated with a higher likelihood of comorbid conditions, such as depression, other anxiety disorders, or personality disorders. SAD can coexist with other conditions but may have a closer relationship with specific phobias or panic disorders.
  • Impact on Functioning: AvPD tends to have a more pervasive impact on an individual’s functioning, affecting not only social interactions but also work, school, and personal relationships. SAD primarily affects social functioning but may impact other areas of lifelessness.

AvPD and SAD can coexist, and individuals may experience symptoms of both disorders simultaneously. Accurate diagnosis by a mental health professional is essential for distinguishing between AvPD and SAD and determining the most appropriate treatment approach. Treatment options for both disorders often involve therapy, such as cognitive-behavioral therapy (CBT), and may include medication in some cases.

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Avoidant Personality Disorder Treatments

The treatment for Avoidant Personality Disorder (AvPD) typically involves a combination of therapy, medication, and support. Here are some commonly used approaches:

  • Avoidant Personality Disorder Therapies: Psychotherapy, particularly cognitive-behavioral therapy (CBT), is often recommended for AvPD. CBT helps individuals identify and challenge negative thought patterns and beliefs, develop healthier coping strategies, and gradually face and overcome their fears and avoidance behaviors. It may also involve social skills training to improve interpersonal interactions and build self-confidence.
  • Group Therapy: Group therapy can benefit individuals with AvPD by providing a supportive environment where they can practice social skills, receive feedback, and learn from others with similar experiences. Group therapy helps individuals develop a sense of belonging, reduce social isolation, and better understand their challenges and strengths.
Psychotherapy, particularly cognitive-behavioral therapy (CBT), is often recommended for AvPD.
Psychotherapy, particularly cognitive-behavioral therapy (CBT), is often recommended for AvPD.
  • Avoidant Personality Disorder Medication: Although no specific medications are approved for AvPD, certain medications may be prescribed to address co-occurring conditions such as depression or anxiety. Antidepressants and anti-anxiety medications may help alleviate persistent worry, social anxiety, and depression, which can often accompany AvPD. It’s important to consult a psychiatrist or healthcare provider to determine the appropriate medication and dosage.
  • Supportive Relationships: Establishing and maintaining supportive relationships with understanding family members, friends, or support groups can significantly aid the treatment process. A reliable support network can provide encouragement, validation, and a safe space to practice social skills and challenge avoidance behaviors.
  • Self-Care and Stress Management: Engaging in self-care activities, such as exercise, practicing relaxation techniques, maintaining a healthy lifestyle, and managing stress, can contribute to overall well-being and help individuals better cope with their symptoms.

Treatment for AvPD is individualized; what works for one person may not work for another. Treatment duration and effectiveness may vary, and consistency and patience are key. Seeking professional help from mental health professionals experienced in working with personality disorders is crucial for accurate diagnosis and developing an appropriate treatment plan.

Avoidant Personality Disorder Specialists

When seeking help for Avoidant Personality Disorder (AvPD), it is recommended to consult with mental health professionals who have experience and expertise in treating personality disorders. Here are some specialists who may be able to provide support and guidance:

  • Psychiatrists: Psychiatrists are medical doctors specializing in mental health. They can diagnose AvPD, prescribe necessary medication, and provide ongoing medication management.
  • Psychologists: Psychologists are trained in assessing and treating various mental health conditions, including AvPD. They can provide therapy, such as cognitive-behavioral therapy (CBT), and help individuals develop coping strategies to manage AvPD symptoms.
  • Psychotherapists: Psychotherapists, including licensed clinical social workers, professional counselors, and marriage and family therapists, can offer individual or group therapy for AvPD. They can assist individuals in exploring the underlying causes of AvPD and developing healthier patterns of thinking and behavior.
  • Personality Disorder Specialists: Some mental health professionals specialize in working with personality disorders, including AvPD. These specialists have in-depth knowledge and experience in diagnosing and treating AvPD and understanding its unique challenges and complexities.
  • Treatment Centers and Clinics: Treatment centers or clinics that focus on personality disorders may have specialized programs or therapists who are well-versed in AvPD treatment. These facilities can provide a comprehensive assessment, diagnosis, and treatment planning approach.

When searching for a specialist, consider factors such as their experience with AvPD, their therapeutic approach, and their compatibility with your needs and preferences. Establishing a trusting and supportive relationship with your chosen specialist is essential to facilitate effective treatment.

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We Level Up Fort Lauderdale Florida Avoidant Personality Disorder Center

At We Level Up in Fort Lauderdale, Florida, a center dedicated to Avoidant Personality Disorder (AvPD), several essential services should be offered to provide comprehensive care and support to individuals with this condition. These services may include:

  • Diagnostic Assessment: Conduct thorough evaluations and assessments to diagnose Avoidant Personality Disorder in individuals seeking help accurately.
  • Individual Therapy: Providing one-on-one therapy sessions with qualified professionals trained in treating AvPD. These sessions can focus on exploring and addressing the unique challenges and symptoms associated with the disorder, such as social anxiety, fear of rejection, and low self-esteem.
  • Cognitive-Behavioral Therapy (CBT): Utilizing CBT techniques to help individuals with AvPD challenge and modify negative thought patterns and behaviors contributing to their avoidance and social anxiety. This approach can assist in developing healthier coping mechanisms, improving self-perception, and enhancing social skills.
  • Exposure Therapy: Gradually exposing individuals to feared social situations or environments in a controlled and supportive manner. This therapeutic technique can help individuals confront and overcome avoidance behaviors and reduce anxiety.
  • Group Therapy: Offering specialized group therapy sessions for individuals with AvPD. Group therapy provides a safe and supportive environment for individuals to connect with others who share similar challenges, gain insights, practice social skills, and receive feedback and validation.
  • Social Skills Training: Assisting individuals in developing and enhancing social skills and communication techniques to manage social anxiety, build self-confidence, and improve interpersonal relationships.
  • Self-Esteem Building: Focusing on building self-esteem and self-worth, individuals with AvPD often struggle with low self-confidence and feelings of inadequacy. Therapy can help individuals develop a more positive self-image and cultivate self-compassion.
  • Coping Strategies: Equipping individuals with AvPD with practical coping strategies to manage anxiety, reduce avoidance behaviors, and navigate social situations more effectively. These strategies may include relaxation techniques, assertiveness training, and problem-solving skills.
  • Supportive Environment: Creating a safe, non-judgmental, and empathetic space where individuals with AvPD feel understood and supported throughout their treatment journey.
  • Continuing Care and Follow-up: Offering ongoing support and follow-up care to ensure sustained progress and address any emerging challenges or needs that may arise.
  1. How To Love Someone With Avoidant Personality Disorder?

    Loving someone with Avoidant Personality Disorder (AvPD) can be challenging, but fostering a healthy and fulfilling relationship is possible with understanding and support. Take the time to learn about AvPD and its symptoms. Understanding your partner’s challenges can help you empathize and respond more effectively. Encourage open and honest communication with your partner. Create a safe and non-judgmental space where they feel comfortable expressing their thoughts and emotions.

  2. Is There A Close Connection Between Avoidant Personality Disorder And Lying?

    While individuals with Avoidant Personality Disorder (AvPD) may lie or withhold information to cope with their fears of rejection and negative evaluation, lying is not a defining characteristic or diagnostic criterion of AvPD. The tendency to lie can be influenced by various factors, including individual differences and co-occurring conditions, but it is not inherent to AvPD.

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Search We Level Up FL Avoidant Personality Disorder Resources
  1. National Institute of Mental Health (NIMH) – Avoidant Personality Disorder: Link: https://www.nimh.nih.gov/health/topics/avoidant-personality-disorder/index.shtml
  2. National Alliance on Mental Illness (NAMI) – Avoidant Personality Disorder: Link: https://www.nami.org/About-Mental-Illness/Mental-Health-Conditions/Avoidant-Personality-Disorder
  3. MedlinePlus – Avoidant Personality Disorder: Link: https://medlineplus.gov/ency/article/000940.htm
  4. Office of the Surgeon General – Mental Health: Link: https://www.hhs.gov/ash/oah/adolescent-development/mental-health/index.html
  5. U.S. Department of Health and Human Services (HHS) – Mental Health Information: Link: https://www.hhs.gov/answers/mental-health-and-substance-abuse/index.html
  6. National Institute on Drug Abuse (NIDA) – Co-Occurring Disorders: Link: https://www.drugabuse.gov/publications/research-reports/common-comorbidities-substance-use-disorders/co-occurring-disorders
  7. Office on Women’s Health – Mental Health: Link: https://www.womenshealth.gov/mental-health