People Always Think You Gain Trust First And Then You’re Vulnerable With People. But The Truth Is,

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

Listen, all you folks out there with AvPD: you’re amazing.

Every day, against all odds, you show up on my dash.

You live in a world that has taught you to feel unwanted, defective, unseen. But you keep on existing anyway.

You’re all warriors. And you are beautifully fierce.

Don’t listen to the voices – those around you, or within you – that say you’re weak or incapable. You aren’t. Because every single day, you are here, fighting and winning. Even in the moments that feel empty and unnameable, you are learning and growing and gathering strength.

I see you collecting these little things that feed your soul. Assembling the tools you need, for the hard work of staying alive and being well.

You are astonishing, and brave, and powerful. Someday, you’ll carve out a life where you can finally become yourself.

You are real. You matter. And you’re not alone.

The way you speak to yourself matters.

Mary Oliver, from “the fourth sign of the zodiac” published in Blue Horses

It eventually gets better, without any sort of explanation; you just wake up one morning and you’re not as upset anymore.

Unknown  (via lucite)

Although don't feel bad if it's been a long time and you're still upset! This is a thing that just happens sometimes; and sometimes it happens after a lot of self work. Either is okay. <3

AvPD and how we control anxiety.

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

So in anxiety disorders, there are “safety behaviors” that are things you do to manage your anxiety.

Like when people with social anxiety are around other people, they’ll play with their phone,

or stay in the bathroom longer than necessary,

or avoid eye contact,

or only go somewhere with another person.

See also: compulsions in OCD.

It’s something you do while you are in the presence of your Feared Thing, to make it less scary/more tolerable.  It’s like a buffer.

But I’ve had a hard time figuring out what is the safety behavior in Avoidant Personality Disorder. So much of its actual presence in people’s lives (or at least in mine) seems to be: “terrified of being seen/rejected by others.” And where you have anxiety, you should also be seeing safety behaviors, right? But it’s not really talked about.

Obviously you can just AVOID people as much as possible, and not have to deal with it in the first place. (Like, clearly. I myself am a shut-in, because AvPD.) But what if you’re actually in it, facing this anxiety/threat? What do you do? How do you buffer the fear?

To lower AvPD anxiety, you de-escalate the intimacy.

I bet MOST of us have a kind of hierarchy of “how scary/how close is this type of interaction.” And if something is too scary, what do you do? Bump down the closeness a step.

You stop touching, step away, put a barrier in between you; you reduce the level of contact, from phone, to chat, to text, to email. (This is my hierarchy; yours might be different.) If you’re in a group and their scrutiny is freaking you out while you try to talk to someone, you go off and talk alone. Or if being alone with someone is too scary, you get somebody to go with you.

Online, maybe you size down the chat window or minimize it entirely between replies. You silence the notifications. You fullscreen something else over it. (Maybe you compulsively glance over to see if they’ve responded, like I do.)

If you’re trying to share something about yourself, maybe you choose to give it to them long-form all at once, so you can’t lose your nerve halfway through. Maybe you edit out select details that are Too Revealing, too unique, too you. Maybe you only share it with them when you've both agreed to discuss it immediately, so it isn’t hanging in the air between you.

It’s about this:

controlling how much access (ability to disturb) they have to you

controlling what they get to see

and monitoring how they react

The “safest” situation is one where they have very little access to you; where you only allow them to see a bare minimum of personal details about you; and where you can watch and try to mitigate how they are responding to you/what they think of you.

The most “unsafe” situation is one where

you can’t control how much access they have to you (i.e. you live with them or see them every day, you can’t get away from their influence/moods/judgments, or they have power over some aspect of your life)

you can’t control how much about you they get to see (i.e. no privacy, no boundaries)

and you can’t monitor or affect how they react (i.e. they find out a secret of yours and then abruptly leave, or they just won’t communicate their feelings with you at all, or you aren’t even aware of what they know until they confront you).

(Okay, so full disclosure, I basically just described my entire relationship with my mom. So this theory may have overlap with codependency, abusive relationships, and c-ptsd, rather than being pure AvPD.)

De-escalating intimacy = de-escalating trust.

You’re reducing their ability to hurt you -- you’re making “How much I am forced to trust you” as tiny and inert as possible.

Which is very useful in a situation where the person is actually going to (or genuinely might) hurt you.

But this eventual habit of lowering intimacy, lowering trust, also means creating distance between you and people you might actually like to form a connection with.

Once you are out of an unsafe situation, this --

controlling how much access they have to you, controlling what they get to see, and monitoring how they react

-- is no longer about managing a threat, or danger. It’s about managing anxiety.

And here is what we know: Compulsions, safety behaviors, avoidance ... anything we do to defend against anxiety, is self-reinforcing. The more you do it, the stronger the urge to do it next time.

There’s another thing:

When you avoid every single instance of interpersonal conflict, you never get the chance to learn how to handle it in a healthy way.

So, yes, when you get into a normal, not-dangerous argument with someone, or have to stand up for yourself, or defend your boundaries -- 2 things: You haven’t built up the skills to handle it in a way that feels safe, AND, you’re super sensitized to conflict because it’s rare.

Conflict is actually scary and feels out of control, times 2, on top of your pre-established fear. And that can be emotionally violent enough, that it can actually be traumatizing or re-traumatizing all on its own.

This obviously isn’t the whole story of AvPD. It’s a personality disorder, not just an anxiety disorder. But I bet for some people, including me, this is a huge chunk of it.

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. 

If you’re struggling, here’s some words from Angry Prayers for Furious Survivors 

Any advice on how to approach tough conversations with my parents without getting overwhelmed and crying?

-Keep in mind that not every discussion is a fight. It doesn’t have to turn into a fight.

-Think about what you want to say on beforehand. You can write your ideas if possible so you don’t miss any point or get lost within the conversation.

-Tell your parents that you want to talk about something important. Schedule a brief time with them in which they can give you their attention.

-Let them know why talking about that subject is important for you.

-Your emotional well being goes first. If the thing is getting ugly you can ask to pause the conversation and re take it when everybody is more calm (this particular tip has made wonders in the relationship with my mom).

-Keep your voicetone calm but steady. Don’t shout, and try to not get heated. Remember that it’s a conversation. Don’t get defensive even if they do. The outcome might not be what you wanted and that might be frustrating but try to stay calm.

-Some phrases that might help are:

“I would like to know what you think of (the subject)”

“Why do you think that way? What are your concerns?”

“I understand why you say it but I do not agree”

“From my point of view…”

“I would appreciate if you could give thought to (subject)” and negotiate a partial agreement

“I don’t agree with that but I respect your decision/ will support you”

-If things don’t go your way you can always try again when armed with resources.

And even if the outcome isn’t what you wanted I am already proud of you for speaking out. I believe you and support you.