Anxious personality disorder: causes, symptoms and treatment

Anxious personality disorder: causes, symptoms and treatment

Many people do not even realize that they suffer from anxious disorder of personality, because this disorder is well “masked” under the character traits. Therefore, official data on the distribution of pathology is not. Informal statistics show that it is more often a violation of women, and in a rather young age – from 20 to 29 years. At the same time, the disease is also peculiar to other age groups, many people live with him for decades. In this article we will tell you how the anxious personality disorder is caused, how to identify it and treat.

What it is?

Man created by a social being. This means that a healthy person needs communication, positive emotions from this communication. Suffering a disturbing personality disorder is experiencing a deep sense of own inferiority, he does not like himself, hesitates himself, painfully perceives even the slightest criticism and tries to avoid social contacts. Therefore, anxious personality disorder is often called persistent avoiding or evading disorder.

Such a person believes that his actions can not be approved by someone. And often afraid to do something only because of the prospects to be ridiculous. He himself sincerely believes that his closure goes from inability to communicate. Most often he is in anxious depressive mood. Such a disorder is usually developing in youth and persists throughout life.

Previously, it was not considered separate ailment and described only as a symptom in some mental disorders.

Not so long ago, anxiety disorder of personality was allocated in a separate pathology.

In the classification of psychotic, created in the middle of the last century by the German scientist Karl Leongard, suffering from such disorder belong to pathological psychotypes. According to Leongard, such people relate to anxious type and often suffer from compulsively-disturbing syndrome, psycho-seated (neurotic state). Doubting psychostenic quite often does not just feel difficulties in relations with people, but also suffers from real phobic disorders – fear of society and t. D.

Psychiatrists, psychotherapists and clinical psychologists are engaged in the treatment of anxiety disorder of personality. In the international classification of diseases (ICD-10), the corresponding number is enshrined behind the pathology – F 60.6.

Causes of occurrence

Why such a disorder is developing, it is definitely difficult to answer. Despite all the efforts and efforts of physicians and scientists, to establish where this pathology comes from, until it was possible. It is believed that a combination of adverse social, psychological factors can influence the psyche of a person during the junior period. At the same time, not the last place is given to the genetically determined development mechanisms.

Very often the appearance of disorder is associated with a human temperament, and he is always congenital. Melancholic, which in childhood demonstrate excessive shyness, bugness and closure in behavior, especially in situations, when a child or teenager falls into a new situation, to which still have to get used to and adapt to.

Not the last place is given to the style of upbringing – If in childhood, a child with a melancholic type of temperament often hears criticism from adults, if his actions are rarely approved if adults and peers sharply criticize him as a person, then the person gradually forms a “cocoon”, in which criticism comes from him. And such a “cocoon” is an alarming disorder.

Such families usually characterize very durable, to pathological pain, merger between parents and children.

At the same time, the shy and grazing child does not necessarily get sick, moreover, at a certain age, some alertness in social contacts is completely normal and naturally, it is only a stage of development of children’s psyche, and manifestations of shyness and insecurity gradually pass as a teenager becomes adult.

The one who suffers an alarming disorder of personality is most “splits” between strong feelings – on the one hand, he needs communication, he has the need for him, but on the other – he is afraid of critics, and therefore it tries to distance themselves, stay away from people.


Do not consider people with anxious personality disorder by sociophobia. Social anxiety, which is peculiar to such a violation, makes them more closely monitor its internal sensations, when the need to contact someone appears, while the sociophoba does not lure even sharp necessity.

Sociophobes are not interested in people, and people with anxious disorder, on the contrary, are very closely relating to the reactions of others. At the same time, they are incredibly tense, they are very much afraid to cause criticism or do something wrong. At the physical level, such a tension is accompanied by either a configuration of speech or a laxity and non-cultivation. The deeper the man at the time of communication with someone immersed in his own feelings, the hardest he is given a fluid free speech.

Anxiety disorder is very often combined with other fears. Almost half of people with such a violation are afraid of spiders and prone to panic, each third has signs of sociophobia.

In childhood, with a developing anxious personality disorder, the child is very afraid to go to the board, speak in front of a group of people. He tries to avoid situations in which it may be suddenly in the center of attention of others, as well as fear of all new situations that are not previously familiar. When the child grows, progresses and disorder. So, teenagers with anxious disorder do not want to participate in competitions, refuse to take part in the holidays at school, diligently avoid communicating with peers. Often they have no friends at all, they try to spend their free time alone, for book or listening to music.

They fantasize a lot, possess a very developed imagination.

If such a person turns out to be in the team, he tries to physically take such a position in which his other people share a solid distance. People with such a violation, elevated criminality is characteristic of such a violation – even the usual words of others who do not contain offensive or critical attacks, they often perceive to their account, begin “self-confidence” and search for the reasons for fictional discontent.

They have a need for communicating, and she is pretty high. But they can only communicate where they are completely confident that they love them and accept. If something in the usual atmosphere went wrong, they “closes” and refuse to communicate. It is difficult for them to find “their person”, to create a family, and therefore such people very often remain in life lonely. But if still manage to marry or marry, then all communication for those who suffer an alarming disorder is concentrated only with his second half. Foreign in this family, the entrance will be prohibited. If over time the partner goes or dies, then until the end of his days a person with anxious disorder is usually one. No one can compensate for him anymore.

From people with alarming disorder look ridiculous, clumsy, they often do not understand and reject truly. Then suffering a violation begins to crumble in front of people, which causes even greater rejection.

It is difficult for them to achieve success in school, in the profession, since training, and work, one way or another, are associated with social contacts. They never become leaders, teachers, politicians, artists, consciously avoiding professions that imply public speeches. Most often, anxious asthenics remain “performers of the roles of the second plan”, preferring a quiet place, individual work, in which there is no place to collectively perform any task. It is difficult for them to quit, they are afraid to stay without work at all. If there is a need to go to another place, this transition for a person will always be a big personal misfortune, and he will survive it always very hard.

Relax in communication These people can not even with a very close person, because they constantly follow the reaction – whether they say what they say, whether the interlocutor approves. Therefore, psychologists are very difficult to work with people who suffer from anxious personality disorder.

At any time, such a patient can block and stop talking and contacting, even if he just seems that the specialist doubted or does not approve of them.

Suffering from anxious disorder are afraid of rumors, gossip, ridicule, they are very dependent on public opinion, From what they say or can say about them. Unfortunately, there are a lot of alcoholics among adults with such a violation of the psyche, since alcohol initially helps them remove the emotional tension in communication, and then sooner or later leads to serious dependence.

Diagnosis and treatment

Psychiatrists and psychotherapists are engaged in diagnosis. It is very important not to confuse anxious disorder with an antisocial personality disorder, which is also called sociopathy. Sociopath denies society not only in itself, but all social norms, principles and moral foundations. Doctor It is important to distinguish anxious violation and schizoida. Schizoide types in principle do not want to communicate with anyone, while the alarming want, but they are afraid, and therefore they are tense.

There is also a dependent personality disorder, in which people are painfully afraid of separation, they cling to the object of communication or love.

To understand all these nuances should a specialist. Self-diagnosis and attempts to “make a diagnosis” in this case are unacceptable. In psychotherapy and psychiatry there is a test system for identifying alarming disorder. It is from them that begins diagnostics in the office of a specialist. At the same time, the doctor talks, observes, notes changes in the characteristics of the patient’s speech skills.

Important diagnostic signs according to the results of primary surveys are constant tension, insecurity in their forces and abilities, in itself, the obsessive depreciation of his own personality compared to others (“they are yes, they can, but for me where …”), reluctance Begin communication, if guarantees will not be received, which will not follow critics, painful reaction to critical comments, fear of disapproval. If a specialist tests confirms at least four signs, he can talk about the presence of an alarming disorder.

Treat such patients most often not in the hospital, where the situation is new for them, and therefore potentially provoking new attacks, but at home, where everything is well acquainted and understandable. There are special programs in which behavioral psychotherapy in combination with psychoanalysis.

These programs at the initial stage help a person understand and recognize the presence of internal “clamps” and conflict, and then understand their deep reasons.

A very effective method is the revaluation of the living experience. Together with a specialist, the patient disassembles situations from childhood, youth, recent events. Doctor’s task – to help the patient form a new look at the old events, on parents and former classmates, on colleagues and neighbors, on acquaintances and strangers.

All this is from the field of psychoanalysis. With regard to behavioral therapy, it includes methods for creating new mental installations, patterns, as well as training to free communication in special groups.

It is very important that the person receives not only individual household treatment, but also visited group trainings and classes. It is there that he will be able to try, apply, to improve new installations that psychoanalyst helps to form, it is there that new techniques are fixed in communications with other people. Those who refuse group classes usually do not receive any pronounced effect on treatment. Based on one psychoanalysis, pathology is not corrected.

At the final stage of treatment, the obtained installations and skills of a person begins to apply in its daily life. Here, the main thing, do not break and do not go back to the “cocoon”, because certain failures and misses happen to all. Gradually, from new installations and patterns, a persistent habit is formed to communicate normally and adequately react to others.

Forecasts with such a violation are usually very and very favorable, but only on the condition that a person still agrees on therapy. Alone disorder does not pass. If the disorder is accompanied by other mental disorders, the treatment is more difficult, long, and it does not always give the desired effect.

Sometimes in combination with psychotherapeutic programs, the patient is recommended to receive medicines. Of course, there is no “magic tablet” from disorder, and separately drug treatment does not give any pronounced effect. But as part of the medical program, medicines can be found, especially if we are talking about a serious disorder. In this case, it is recommended to receive tranquilizers and antidepressants. Medicines will help reduce voltage, reduce the symptoms of the depressive state. Such drugs refer to the group of prescription and pharmacies are sold exclusively by a doctor’s prescription. From non-consistency funds recommended sedatives, sedatives (“New-Passit” and T. D.).

Neuroleptics preparations are used only when a person has an alarming disorder is accompanied by crazy states.

How to change forever?

Since it is difficult to do it yourself, it is necessary to decide to appeal to a specialist. It will be the beginning of the path to changes that will benefit everyone, and first of all, the person himself. Performing a program recommended by the doctor, it must be remembered that at any moment you may need to support and help a close person or psychologist. Do not be shy to apply if something seems wrong, something does not correspond to the ideas about life.

A person who firmly intends to defeat an alarming disorder of personality, must be remembered what to do to contribute to effective cure. First of all, the mode of the day is important, you need to go to bed on time, not allowing insomnia or work at night. Night rest should be sufficient over time.

It will be useful to master some relaxation techniques, meditation, respiratory gymnastics in order to learn to relax. If you visit the group of yoga while it is difficult because of the existing problem, it is worth practicing independent classes.

A person in the fight against anxious personality disorder need to learn not to pay too much attention to any one, Calculate on something – it is harmful and dangerous in this situation. But the activity in which you can arbitrarily switch attention from one object to another will benefit.

No matter how much you wanted to relax with alcohol, we should eliminate the taking of alcoholic beverages, especially in order to become more liberated in communication with someone in natural state.

Additionally about an alarming disorder of personality, see the following video.

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