So a while ago the psychiatrist was trying to claim I have avoidant personality disorder, so in this post, I am going to go through this diagnosis, which I don’t particularly think fits me. There are lots of reasons that I disagree, but the main reason is that people close to me disagree and think it’s a joke. Also, although I might display some symptoms, they tend to be very situation dependent. You can claim the professional knows best, however, said professional could barely remember the medications they prescribed me, hence my lake of faith in their abilities.
The essential features of a personality disorder are impairments in personality (self and interpersonal) functioning and the presence of pathological personality traits. To diagnose avoidant personality disorder, the following criteria must be met:
1.Impairments in self functioning (a or b):
A) identity: Low self-esteem associated with self-appraisal socially inept, personally unappealing, or inferior; excessive feelings of shame or inadequacy.
I would agree with low self-esteem, however so would the majority of people with depression, and relating to socially inept, personally unappealing, or inferior. I would say no, lots of people think I’m great. I can be very socially awkward in some situations, but I’m not that bad. Sometimes I feel socially inept and inferior, however only if some dickhead points out some social weakness and is an asshole about it. As for excessive feelings of shame or inadequacy, if I do something wrong, in new situations, it tends to go away as I get used to environments unless that environment is toxic.
B)Self-direction: Unrealistic standards for behavior associated with reluctance to pursue goals, take personal risks, or engage in new activities involving interpersonal contact.
Yes, I don’t set goals, purely because I don’t find them useful. I think it’s important to have direction, but you don’t need goals for that. The other two, I was very close to taking quite a big personal risk and would have followed through if the situation had allowed. The last point no.
2.Impairments in interpersonal functioning (a or b):
a. Empathy: Preoccupation with, and sensitivity to, criticism or rejection, associated with distorted inference of others‟
perspectives as negative.
In general, I don’t give a fuck what people think. I tend to get complimented on that a lot. However, I can be sensitive in work environments where critasism and rejection really aren’t ideal. I would have agreed with the distorted perspectives part if it wasn’t for the fact that I recently found out that it turns out I was correct in thinking that. It was actually probably worse than I thought.
B. Intimacy: Reluctance to get involved with people unless being certain of being liked; diminished mutuality within intimate relationships because of fear of being shamed or ridiculed.
I need the definition of involved, friendships no. A romantic relationship, I don’t have to be certain, but it would be stupid to waste energy on someone who I didn’t think probably liked me. Intimate relationships issue is not from a fear of being shamed or ridiculed.
Pathological personality traits in the following domains:
1. Detachment, characterized by:
a. Withdrawal: Reticence in social situations; avoidance of social contacts and activity; lack of initiation of social contact.
I have said this a lot. I don’t like people, they suck. The few people I like I am perfectly happy to interact with. Just the majority of people aren’t worth my time.
b. Intimacy avoidance: Avoidance of close or romantic relationships, interpersonal attachments, and intimate sexual relationships.
I don’t avoid them, I don’t really engage in them unless I think they are worth my energy. Majority of people as too interested in sex. Also, this interest is affected by the bellow . . .
c. Anhedonia: Lack of enjoyment from, engagement in, or energy for life‟s experiences; deficits in the capacity to feel pleasure or take interest in things.
This can be explained by depression.
Also, I don’t feel detached socially…
2. Negative Affectivity, characterized by:
a. Anxiousness: Intense feelings of nervousness, tenseness,
or panic, often in reaction to social situations; worry about the negative effects of past unpleasant experiences and future negative possibilities; feeling fearful, apprehensive, or threatened by uncertainty; fears of embarrassment.
Yes I some. Only if logically the unpleasant experience could cause negative effects. Haha, I am the most relaxed person in terms of uncertainty. Fears of embarrassment depend on the day and who I am with.
So, in general, I’m borderline on a lot individually. if you don’t look at the other aspects such as, I work with people, the majority of social situations I’m fine, and the fact that recent other people’s actions have affected intimacy and I think it is a normal reaction.
But the main problem comes from the to have the personality disorder, The impairments in personality functioning and the individual‟s personality trait expression are relatively stable across time and consistent across situations.
Why not just stick with the more simple diagnosis of social anxiety?