American Board of Psychiatry and Neurology (ABPN) Practice Exam 2025 - Free ABPN Practice Questions and Study Guide

Avoidant personality disorder is characterized by a pervasive pattern of social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation. Patients with this disorder often experience intense fear of criticism, rejection, or embarrassment in social situations, which leads them to avoid interactions that may lead to such experiences. This intense fear can significantly impact their ability to engage with others and form relationships, as they may isolate themselves to protect against perceived social risks.

Individuals with avoidant personality disorder generally desire social connection but feel inadequate and fearful of not being accepted. This differentiates them from other personality disorders, where the concerns regarding social situations may not stem from an intense fear of embarrassment. For instance, while borderline personality disorder may involve unstable relationships and self-image, it is not primarily motivated by fear of social situations. Narcissistic personality disorder typically involves grandiosity and a lack of empathy, rather than fear of embarrassment, and obsessive-compulsive personality disorder focuses on orderliness and rigidity without the same intense fear of social situations.

Understanding these distinctions helps underscore why avoidant personality disorder is the most consistent option for someone who experiences significant fear of social embarrassment.