What Is Agoraphobia?

Hi, I hope you dont mind me asking you, but do you know anything about agoraphobia caused by avpd? Bc I have avpd and am increasingly becoming more and more scared to leave the house, I cant go to school and yet I have to. Im not sure what to do

Hi there! Sure, I’ll share what I’ve figured out.

What is agoraphobia?

This word is often used for “anyone who doesn’t leave their house.” But it’s actually connected to panic disorder. It’s about avoiding panic attacks, or places it’s hard to escape from – where panicking would be especially rough.

People with agoraphobia feel unable to deal with (or cope with, or ride out) their panic and anxiety. Which is why instead, they try to prevent the attacks by avoiding triggers – staying at home.

So here’s how agoraphobia and Avoidant Personality Disorder are linked.

1. They both rely on avoidance, to the exclusion of any other coping mechanism.

Uncomfortable emotions – fear for agoraphobia, shame for AvPD – get the same solution every time: Avoidance. Anytime we feel bad, we avoid more.

If this goes unchecked, all other coping mechanisms gradually fall away and are forgotten. At first, avoidance seems like the only choice that works; later it seems like the only choice that exists.

This is how people get stuck.

2. They both involve anxiety reinforcement due to avoidance.

In short: The more you avoid something, the more you’ll fear it.

This is a huge part of basically all anxiety issues; it’s why anxiety tends to get worse and worse. Here’s a link (TW for eating disorder mention).

If you avoid something for long enough, doing it feels scary, even if it wouldn’t have been scary otherwise. (Ask me how I know!)

This anxiety builds fast, as soon as you start avoiding something. But luckily, when you start doing the thing again, it decreases quickly too.

3. They both result in withdrawing from the outside world.

There’s a definite tendency to stay at home – for AvPD, too. Why?

I think people feel more able to cope with things, when they’re at home:

There’s no extra embarrassment, no need to hide how upset you feel.

Access to most or all of your best coping resources (like distractions).

(for agoraphobia) Fewer adrenaline triggers – the arousal of your nervous system, which is interpreted/experienced as panic.

(for AvPD) Fewer situations where someone will try to connect with you, risking visibility and rejection.

So when you leave home, you have fewer coping resources to use, and you get more stressors to deal with.

4. They’re both about protecting yourself from an uncontrollable emotional experience.

With both disorders, there’s this terror of being defenseless to your emotions.

People with agoraphobia feel helpless to control their anxiety and panic.

People with AvPD feel helpless to control their shame when criticized.

There’s no way to buffer or shield yourself from what you’re experiencing.

You’re at the mercy of your emotions – they seem out of control.

Being unable to trust your emotions is actually traumatic. That’s why in therapy, one of the things people learn is how to cope with and tolerate their feelings. (DBT specializes in this! Here are some basic lessons.)

Components to think about:

Reliance on just avoidance, rather than a flexible variety of coping skills

Neglect of other coping skills, and other areas of your life/identity

Inertia due to anxiety reinforcement (more avoidance = more fear)

Stuff that seems to help:

Learn how to deal with your feelings. If you can, find someone who will teach you DBT, or study it on your own.

In particular, learn to cope with anxiety. For instance:

breath and relaxation practices,

“worst result, best result, most likely result” reasoning,

planning and preparing for likely outcomes,

reframes: “Today I am practicing. No matter what happens, I’m going to learn something from it. So even showing up is a win.”

Find and try lots of different coping techniques. Experiment!

But – you don’t have to choose the perfect method. Often, what helps you get clarity is the act of stopping to do some self-care.

Identify what your big stressors are.

Look for any adjustments or tools to make it more bearable.

Set aside time, before and after, for self-care.

Start observing yourself.

Don’t judge, just take notes about your reactions to things. There’s no good or bad data – it’s all just useful.

This is especially hard but especially helpful during a crisis. It gives you something to do & focus on – so you don’t feel as helpless.

Getting out of the house is so, so difficult when it’s something you haven’t done in a while. I’m in the same boat, and I’m still figuring it out myself.

Hopefully this gives you some clues about what you’re facing & what you need!

Much love <3

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9 years ago

This is definitely something I experience, and I identify with AvPD very strongly.

I also had obvious social anxiety before I even knew about AvPD. To me, it’s pretty easy to differentiate at this point, because “social anxiety” feels, you know, like anxiety, but my AvPD stuff feels like shame, and the fear of shame.

I experience it like:

social anxiety =

physical tense buzzing wariness

imagining the Bad Thing happening (messing up, being laughed at, humiliated)

catastrophizing

panicky

wanting to escape the danger.

(The danger is a thing Outside of me, which I can be safe from as long as I get out of this situation.)

AvPD moments =

a cold knot of sick shame in my stomach

feeling exposed, seen, defenseless, inexcusable

not having any shields or masks left to hide behind

wanting to flee and be alone / unseen, or

to disappear (dissociate) and be invisible.

(The danger is a thing Inside of me, which I can’t escape ever because it is Me, but which I can avoid having to face as long as I get out of this situation.)

So, the self esteem tug-of-war.

For me, it’s because although I started from a point of being totally incapacitated by AvPD symptoms/self hatred/etc, I’ve spent years rebuilding my self-esteem and creating a sense of who I am. So on good days, I believe in the thing I’ve spent so much time carefully growing – the feeling that I’m an OK person, that I’m likable, that I deserve to have a full life and to enjoy things. (Notice, when I’m in this healthy mindset, I’m not even thinking about “whether other people can see me/how they will judge me”.)

Then sometimes I will be in a lower mood, or something will trigger me into old/negative thought patterns, and I’ll find myself spiraling in “I’m so terrible,” and “any kindness/positivity from others is meaningless, for A, B, or C reasons,“ and “I will be revealed to be Horrible sooner or later, and then I’ll lose every positive relationship I have.”

So I definitely think it is possible to believe you’re worthy and unworthy at almost-the-same-time. Having this kind of push-pull struggle between feelings of adequacy and inadequacy is entirely possible, and it’s probably very normal if you’re in the process of recovering from poor self esteem.

(1) hi, i have really severe social anxiety and i've been wondering if it's possible i actually have avpd. i saw the ask about self-esteem and i kind of related but kind of not if that makes sense? i honestly don't know how i would rate my self esteem. i think i'm a person of worth who is intelligent and talented but i'm always terribly worried that i'm lying to myself and my perceived self is just an ideal i've created and i'm not actually as smart or funny or interesting as i'd like to think.

(2) i guess to rephrase, i think every life has inherent value and that logically applies to my own life, and i have a sense of identity, but i’m scared that it isn’t real. and as ridiculous as it sounds, i’m insecure that this carries into my relationships with other people as well. like with my boyfriend, i worry that i’ve fooled myself into thinking i’m interesting and maybe i’ve somehow managed to fool him, too. i guess i’m wondering if this sounds characteristic of avpd to you at all?

Hey.

It’s hard to say whether this sounds like AvPD or not because low self-esteem can exist with almost any mental illness, or even without it. It can exist with Social Anxiety Disorder (SAD) and it can exist with AvPD. I can’t give you an answer to that, unfortunately.

I would recommend you have a read through the links on our Resources page, but specifically these two links:

AvPD Criteria (in-depth). 

 AvPD or Social Anxiety Disorder (SAD)- Avoidance (forum). 

These should help give you a better understanding and should help you determine whether you have AvPD or SAD. Keep in mind though, you can have both. SAD is very common with in people with AvPD. 

I know personally, my SAD was a pre-cursor for my AvPD. 

- Jay. 


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8 years ago

AvPD theory: social dysregulation

Part of Avoidant Personality Disorder is like … a failure to regulate social experiences. Like we don’t properly integrate or process what we feel.

Interacting with someone means feeling visible, connected, and like you are a self-among-selves: you’re existing as a person, in the presence of others.

Most folks, of course, can handle that effortlessly. They even seek it out.

People need social ‘background noise’ and social stimulation.

They reach out easily and often, just because it feels good to them.

Socializing gives them a sense of comfortable connectedness. And relief from isolation – they don’t “exist in a vacuum.”

It helps smooth out their inner experiences, thoughts and feelings.

But with AvPD, I don’t think we process social input normally.

The sensations of interacting don’t feel like how most people feel them. Being visible, connected, a person – it just seems dangerous and harsh.

And we can’t put these feelings into context.

We can’t step back from them, or control how much they affect us.

We don’t have the ability to regulate what we’re experiencing.

That means nearly all social stimuli are negative to us, whether friend or foe. Being-in-contact-with-people is all it takes to distress us.

It’s overwhelming and de-stabilizing.

It provokes more big feelings, and reactions we don’t feel safe facing.

Our inner experience is turned into chaos.

We’re left feeling helpless, afraid, inexplicably ashamed.

We want positive connection. But we usually end up with painful chaos instead.

And it’s a thousand times worse if you’re having an actually negative encounter, like facing someone who’s angry or criticizing you.

Social perfectionism is about trying to escape this:

“I might be able to enjoy this thing… but only if nothing goes wrong ever.”

Perfectionism is a great misdirect. Because “every possible problem” is not the issue that needs solving.

What we need to do, is learn how to experience social input in a positive way. And un-learn all the bad habits that have grown instead.

(more here!)


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7 years ago

And as we let our own light shine, we unconsciously give other people permission to do the same. As we are liberated from our own fear, our presence automatically liberates others.

Nelson Mandela (via themindmovement)


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9 years ago

AvPD and healing self-esteem - tl;dr.

(Part of my ongoing series of posts on Avoidant Personality Disorder.)

AvPD disconnects you from others, from yourself, and from your feelings.

And that hurts. A lot.

It’s okay to try and fix it.

It’s okay to want to feel better.

And it’s okay to notice your feelings, even if they’re unpleasant.

When you feel judged on all sides, make a safe space for yourself. Find somewhere you can be totally alone and free of observation, like a private journal. Feel what it’s like to not have anyone looking over your shoulder -- maybe for the first time.

Explore your feelings. Get to know what you really think and want, when your opinion is the only one that matters.

When you can, be nice to yourself. Try giving yourself the benefit of the doubt.

Do things that feel good.

When you’re upset with yourself for messing up, consciously decide to look for things that you succeeded at instead. Make a list of wins.

Here’s how this relates to self-esteem.

When we describe what it feels like to have AvPD, it sounds like, “Everyone judges and hurts me.”

But people only have the power to decide how much we’re worth, because we aren’t taking charge of doing that ourselves.

When you reconnect with your feelings, create a judgment-free zone for yourself, and learn to treat yourself nicely, you’re giving value to yourself. You’re saying, “This matters. My feelings matter. I’m worth taking care of.”

Esteem means “favorable opinion or respect.” In the throes of AvPD, we survive on other people’s esteem for us -- it matters what they think, because that’s how we determine our self-worth. But when we shift to relying on self esteem, we can finally heal and begin to thrive.

When we give respect and value to ourselves, no one else can take it away.

And that’s why practicing self-care and self-kindness is so powerful and important.

(You can read more here, in the long version of this post.)


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7 years ago

Stay close to people who make you feel like it’s okay to be yourself. 


Tags
8 years ago

I’ll try and respond to this later, I do have Some Things! (but not enough time or spoons to spare, just now)

hey… do any of my fellow avpd-ers have advice on making yourself Do Things that you Really Need To Fucking Do (ie adult things like emails/phone calls) and, on that note, how to explain your avoidant tendencies to people esp authority figures so that you don’t sound like a lazy asshole


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5 years ago

So a few months ago I learned that when you have ADD/ADHD, in order to efficiently manage it (and thus reduce the stress that comes with it), you need to concentrate on four things:

Sleep Nutrition Activity Personal time/space

OH HEY GUYS LOOK AN ACRONYM THAT’S ACTUALLY EASY TO REMEMBER! 

SNAP

Do you feel yucky and aren’t sure why? Look at your SNAP. Figure out what you’re missing. 

Are you getting enough sleep? 

Are you eating enough, and is what you’re eating mostly made of nutritious foods? 

Are you getting enough physical activity?

Are you getting enough alone time to decompress, to reset your sensory overload, to spend time in your head, and relax?

I have found that 1) I feel so, so much better when I’m actively putting effort into my SNAP, and 2) if I feel weird, it’s way easier to narrow down what might be the problem by asking myself those questions. 

10/10 would recommend.


Tags
6 years ago

you don’t have to change your life overnight, but try to add good things to it each day.


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5 years ago

The best thing about bravery is even a little is enough.

Beau Taplin

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zella-rose - Zella Rose
Zella Rose

I write posts about AvPD. You can read them here!

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