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AVPD(Avoidant Personality Disorder) and diagnosis.

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Peter10

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If you have been diagnosed with avoidant personality disorder, it means that your perceptions of low self worth and feelings that people are criticising you are false. I have a close friend with the same diagnosis and it's frustrating to see him live his life believing all that "shit" about himself. Is it possible to tell yourself that these feelings you're having are based on false perceptions?
 
Sanjuro

Sanjuro

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Why are false,i know that some of them are true,that's why it's painfull to accept them.
 
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Keesha

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Why are false,i know that some of them are true,that's why it's painfull to accept them.
I can completely relate to you. It’s one thing to be excessively paranoid. It’s another to have traits, disorders etc., that are most noticeable and constantly criticized. Totally get it.
 
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Keesha

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Hi Sanjuro, I read something in quora that might be helpful somehow. Maybe it's not helpful, but I thought about you while reading it, as many of the symptoms you mention are very similar to C-PTSD. Sorry for the long post.

"How does PTSD/C-PTSD cause one to become lazy and unmotivated?"

Depending on what stage of the healing process from C-PTSD you are in, the feeling of being unmotivated and “lazy” can be part of the process.

Let’s start by reframing what lazy and unmotivated is, in clinical terms.

One, it means depression; two, it means your system is in the polyvagal state, which is an immobilized state; and three, you are depleted from being in chronic fight for flight, and most likely have adrenal gland fatigue.

Let’s get into each one of these.

Depression after abuse or trauma is extremely common. In fact, it always occurs—even if you don’t recognize it.

The sense of having low energy, little desire for usually pleasurable activities, anxiety, low motivation, dissociation, low self-worth, low sex drive, irritability/agitation, and many other symptoms, can be associated with depression.

Usually, this is the first place to start with feelings of being lazy and unmotivated.

Depression can take over like cancer, and a loss of pleasure for life takes over, all on its own.

Going through a trauma changes your perspective, makes you question your worth, sanity, validity, and feelings of safety. It can feel like the whole world is unsafe and there is no where to run to. That is a hopeless feeling which is a hallmark sign of depression.

C-PTSD crumbles down on your worth and hope for life. It takes away your sanity and feelings of being safe. That would lead anyone to feel depressed. Same with PTSD.

Perspective changes happen with PTSD and people usually feel weak, vulnerable, not strong enough, and hopeless—that they can’t control their feelings and behaviors, which leads to depression.

Polyvagal Theory: AKA Emotional Shutdown.

It is a state of trying to stay alive.

Being in a state of fight or flight leads to our sympathetic system being chronically activated, which activates an old part of the vagus nerve, to survive.

Think of this as a deer running from a predator.

He runs (sympathetic system) until he has a feeling of no escape. The deer goes into an immobilized state (parasympathetic dorsal vagal system) of “deer in headlights”, where they are frozen and in complete shutdown.

The deer, being caught, will lay down and become immobilized, as if he were already dead, and there would be nothing left for the lion to chase or eat. It’s for survival.

The sympathetic system has a connection to almost every organ in our body, when it is activated it affects us entirely.

Here, people can faint, feel nauseous, dizzy, feeling of no pain, body curls into a ball, eyes fixed and gazed; and, you guessed it, become fatigued.

This is very much controlled by a person’s feeling of being unsafe, even if they actually are in that moment.

Their memories create a vicious cycle of fight or flight, being trigged by new events that remind them of old events, activating that polyvagal nerve and going into immobilization. This makes it hard to get close to people, thus losing the opportunity to reestablish safety with one’s self with others.

And the cycle continues.

This person would look extremely shut down, disinterested in much of anything, fatigued. Not tired—fatigued.

Fatigued is more of a heavy weight on your physical body, immobilizing you from being active.

This could happen throughout the day:

Parasympathetic connection mode (peaceful gazing), to sympathetic system (fight or flight), to parasympathetic (shut down mode).

In fact, most people with trauma unknowingly do this, throughout the day. Sometimes we can get stuck in shut down for hours or days, or weeks; possibly even months!

Loud noises for PTSD, yelling for C-PTSD. Though, many experiences can set this activating system off, after trauma.

Therapy, and connection with another safe person, is a way to come out of this system. Social engagement is the key.

Adrenal Gland Fatigue

Cortisol is a stress hormone that is flooded and released during times of trauma. It is a state of chronic fight or flight. Too much stress over produces cortisol, which eventually leads to the adrenal glands giving out.

Once this happens, the sympatric nervous system is activated. In fact, around 80% of those with PTSD/C-PTSD suffer from adrenal gland fatigue.

Exhaustion is the main word that I would use to describe adrenal gland fatigue. No matter how much you rest or sleep, your body has over produced cortisol and overused its adrenal glands to the point of burn out, where they no longer can be used to regulate energy.

Symptoms include:

Low morning startability, insomnia, craving for salty foods, tendency to need sunglasses, bright lights at night bothering eyes, tendency to be keyed up/or having trouble calming down, becoming dizzy when standing up suddenly, experiencing “hangry” hunger, and/or angry if meals are missed (hypoglycemia), and a burst of energy around 8pm at night.

So, when you ask why some people are lazy and unmotivated after trauma, we are really talking about biological workings, including hormones and depression that take over the body. It’s not about being lazy or unmotivated, it’s about being shut down, frozen without the proper hormones, and the nervous system not working optimally."
I just wanted to mention that I think your posts are excellent and even though they might not seem helpful to the O.P. please keep in mind that they can be extremely helpful to others; myself included.
 
Sanjuro

Sanjuro

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The following is a list of common symptoms associated with avoidant personality disorder:
Most of the above symptoms i am facing in daily basis,it's not a simple disorder to deal with or just symptoms of depression.:confused::unsure:
 
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Peter10

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The only way to advance is to work out what traits are objectivelt true and which ones are not. As I said before, being diagnosed with avoidant disorder means by definition that you believe you are being criticised when in fact, you are not. Can you give examples of traits that you feel lead to criticism?
 
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Keesha

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Can you give examples of traits that you feel lead to criticism?
Being born with TMAU!
Being mutated or seriously deformed
Having Tourette’s syndrome
There’s a list of valid reasons why people criticize. Having a life dealing with daily criticism leads these people to expect criticism therefore possibly hide from it or avoid people. The reasons aren’t always so obscure or imagined.
 
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Keesha

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If you have been diagnosed with avoidant personality disorder, it means that your perceptions of low self worth and feelings that people are criticising you are false. I have a close friend with the same diagnosis and it's frustrating to see him live his life believing all that "shit" about himself. Is it possible to tell yourself that these feelings you're having are based on false perceptions?
I disagree completely with you. Especially this:

quote: “If you have been diagnosed with avoidant personality disorder, it means your perceptions of low self worth and feelings like people are criticizing you are false.’

How do you know the criticisms are false?
And if someone has heard unbearable criticism every day of their life, why wouldn’t they expect more criticism?
 
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Peter10

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I see your point so I need to be clearer. If a doctor diagnoses avoidant personality disorder accordingto the DSM V, then that doctor believes one of two things or both. Specifically that the criticism either doesn't really exist or that the patient massively overreacts to some level of criticism. Without the doctor believing that, a diagnoses of avoidant personality could not be made.
 
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Peter10

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Being born with TMAU!
Being mutated or seriously deformed
Having Tourette’s syndrome
There’s a list of valid reasons why people criticize. Having a life dealing with daily criticism leads these people to expect criticism therefore possibly hide from it or avoid people. The reasons aren’t always so obscure or imagined.
For sure any of these things could lead to levels of self consciousness and shyness. The distinction I was making is somewhat theoretical. To be diagnosed with avoidant personality disorder, the doctor has to believe that that the patient's reaction is "abnormal" otherwise it wouldn't be a disorder. It is nevertheless understandable that living with certain problems could lead to the development of avoidant personality disorder. My friend with this disorder has absolutely no objective reason to have this disorder being intelligent and good looking without any traits that would lead to criticism
 
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Keesha

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I see your point so I need to be clearer. If a doctor diagnoses avoidant personality disorder accordingto the DSM V, then that doctor believes one of two things or both. Specifically that the criticism either doesn't really exist or that the patient massively overreacts to some level of criticism. Without the doctor believing that, a diagnoses of avoidant personality could not be made.
For sure any of these things could lead to levels of self consciousness and shyness. The distinction I was making is somewhat theoretical. To be diagnosed with avoidant personality disorder, the doctor has to believe that that the patient's reaction is "abnormal" otherwise it wouldn't be a disorder. It is nevertheless understandable that living with certain problems could lead to the development of avoidant personality disorder. My friend with this disorder has absolutely no objective reason to have this disorder being intelligent and good looking without any traits that would lead to criticism
Thank you. You definitely make that much clearer in your distinction and I agree with you completely. I guess the treatment for it would be same. People with this disorder must be really difficult to treat. In fact, information about how many people might be affected are possibly way off due to the aloofness these people exhibit. One would have to get significantly better just to start any type of therapeutic treatment.
 
Sanjuro

Sanjuro

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Fact is i cannot feel happiness in every area of my life.:low:
 
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Peter10

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Why AVPD cannot be cured and treat completely?
From my understanding, it is difficult to treat and it can't be "cured". Suffers are trained to better manage their symptoms and better analyse their reactions to criticism. The main therapeutic problem is that avoidant people tend to avoid doctors in the first place especially as they often don't have insight into their problem as being medical in origin.
 
Sanjuro

Sanjuro

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I'm desperate,i'm in deep down mood,i've got from 78kg to 95kg in 5 months after using seroxat 20mg,didn't improved nothing at all,then changed to velept 75mg,a little small improvement but no stability yet,i got so far due to meds that my colleagues mocking me and call me a fat dude and then laugh about me.:(

My mother bullying and cannot understand that meds get me that fat,father is not supportive too.

I tend to want isolation and dont want to talk nobody else,i cannot recover,6 months doing therapy and i still cannot overcome the symptoms of AVPD,so desperate.Too sensitive in criticism from others,i cannot afford gossip,slandering,mocking,negative comments.:(

I'm hopeless now,feeling i cant help my self,like giving up.
 
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