How to Care for a Friend with Avoidant Personality Disorder
First things first, try to understand their disorder. Take a few minutes to educate yourself, read the wiki page, figure out what it entails and what theyâre suffering with. Find out what their individual symptoms are, because it varies from person to person. Avoidant Personality Disorder in short is a lifelong condition in which a person is incredibly shy and always feels inadequate or not good enough, and itâs an ultrasensitivity to criticism and rejection. Things that you say to other people that would probably be just fine may hurt us because of that ultrasensitivity. Things that arenât meant as rejections and other people wouldnât see as rejections feel like rejections. We look too much into everything, body language, where you sit, what you say and what you do and often interpret (incorrectly, usually) that you donât want us around, and boom, rejection.
Some of the common symptoms are as follows:
Hypersensitivity to rejection/criticism
Self-imposed social isolation
Extreme shyness or anxiety in social situations, though the person feels a strong desire for close relationships
Avoids physical contact because it has been associated with an unpleasant or painful stimulus
Emotional distancing from others
Self-critical about their problems relating to others
Problems in occupational functioning
Lonely self-perception, although others may find the relationship with them meaningful
Feeling inferior to others
In some more extreme cases âagoraphobia
Utilizes fantasy as a form of escapism and to interrupt painful thoughts
Now, keep in mind not everyone with AvPD has all of these symptoms - for example, Iâve bolded the ones relevant to me. As you can see, itâs a good deal of them, though the severity of every symptom varies from person to person. My case isnât nearly as bad as many other people - many people canât ever leave their house to go to the supermarket, Iâm not quite that bad.
All of this is official, DSM-approved talk. You also should try to understand what a toll it takes on us, and how awful it makes us feel. We know that weâre strange, or weird, or socially inept. We know that we shouldnât be like this. We know itâs wrong, and we know that being anxious in most social situations is illogical, and we know that our avoidance is unjustified. We know all that, and it just makes us feel worse. Why canât we be normal? Why canât we be like everyone else? Why canât we just go up to someone and strike a conversation? It takes a heavy toll every day.
Now, onto the main topic of this post, and the main question Iâm answering: How to Care for and Help Someone with AvPD.
Show us that you care. Taking steps to try to understand what the disorder is, and then trying to find out how to help really means a lot in our eyes, a lot more than you could ever know, and if you do that weâll be eternally grateful.Â
Talk to us first. Start conversations with us, because we sure as hell canât. Personally when someone I care about starts a conversation with me it makes my whole day, and itâs one of the easiest ways to show you care.
Same with making plans - most of the time, we wonât do it. We may really, really want to see you, and we may be really, really lonely, but we canât simply text you and say âhey, wanna hang out?â because we feel like that would make us annoying.
If you have plans with one of us, never, never invite someone else along without talking to us about it first, even if itâs a close mutual friend, or someone you know we like, itâll cause us heaps and heaps of anxiety. I cannot count the number of times this has been done to me, and the number of anxiety attacks itâs caused and plans Iâve backed out of last minute because of it.
On the topic of the above, never surprise us with a bunch of people. Surprise parties are a big no-no, and same with inviting us somewhere when weâre under the impression itâs just gonna be you and us and then having it turn out to be a whole bunch of people. This is especially bad if itâs a situation we canât get out of.
Donât bring them into situations you know they wonât be comfortable in without giving them warning first and telling them exactly what itâs gonna be. If you do this (or really any of the above things), it feels like a betrayal of trust, even though we know you didnât mean it like that - it kinda ties into the whole ultrasensitivity to rejection thing.
Sometimes we just need a little break, or a little bit of a buffer between us and the situation - many people have many different things, I know I personally when Iâm starting to get anxious will step behind whoever Iâm with and stand relatively close to them, and that makes me feel like Iâve got a bit of a buffer, and Iâm not directly in the eye of the public.
Understand why sometimes we donât want to go out in public. Sometimes we donât want to be around people - no, not donât want to, canât be around a bunch of people, or maybe a few particular people. That doesnât mean we donât like them, but social interaction is just exhausting sometimes.
Note one of the above points - extreme shyness in social situations, but a longing for close relationships. If you form a close friendship with us, value it, and know itâs probably one of the most important things to us. Sometimes weâll form a relationship with someone thatâs so close we donât get anxiety around them anymore and can be around them anytime for however long, and thatâs one of the most valuable things in the world to us.
Know that we donât express affection very well - we may love you to death but weâll never say it or show it simply because we donât know how. We do though, we promise.
Please, respect our disorder. Donât push social situations on us. Donât guilt us into doing things that we arenât comfortable with, because it really isnât that hard. And most importantly, please, please donât try to change us into something weâre not. Thereâs a difference between trying to help us feel better about ourselves and feel better in social situations, and trying to change us completely. Donât cross that line.