What is the difference between Paranoid Personality Disorder and Avoidant Personality Disorder?
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- čas přidán 18. 04. 2018
- This video describes the difference between Paranoid Personality Disorder and Avoidant Personality Disorder.
Avoidant personality disorder is a cluster C personality disorder (anxious fearful cluster). In that same cluster there is dependent personality disorder and obsessive-compulsive personality disorder. Avoidant personality disorder, like any personality disorder, is usually thought of as long lasting and pervasive. If we look at the symptom criteria for avoidant personality disorder from the Diagnostic and Statistical Manual (DSM) we see a number of potential symptoms. The first is that an individual avoids an occupation because of a risk of rejection. The second symptom criterion is the individual does not want to get in relationships unless there's a certainty that they'll be liked. The third symptom criterion is individual has difficulty forming intimate relationships. This symptom really refers to the fact that they have difficulty oftentimes with that. It's not about a desire for intimate relationships, but rather the actual ability to form them. The next symptom criterion is a preoccupation with being criticized. Next is difficulty forming new relationships. An individual could have an inhibition when trying to form a new relationship. The next criterion is a feeling of being inept or inferior. The last symptom cried is the individual does not take risks because of fear of embarrassment. If we look at avoidant personality disorder we see that somebody would generally isolates because of a fear of criticism, rejection, and possibly because of embarrassment. When we think of this personality disorder, we think there's excessive monitoring of an individual's internal reactions. An individual with this disorder is often thinking about how other people are viewing them and thinking about how they could be being criticized, embarrassed, or rejected. This excessive monitoring leads to difficulties in forming and maintaining relationships.
Paranoid Personality Disorder is characterized by a pervasive pattern of suspiciousness and distrust of others. Individuals with Paranoid Personality Disorder will often question the loyalty of others, believe others are trying to harm them, and are reluctant to confide in people. They sometimes see demeaning aspects in benign comments and behaviors. Individuals with Paranoid Personality Disorder tend hold grudges and have difficultly forgiving perceived wrongs. Individuals with Paranoid Personality Disorder who are married tend to question the fidelity of their partners. Paranoid Personality Disorder are in Cluster A of the personality disorders in the Diagnostic and Statistical Manual (DSM) along with Schizoid Personality Disorder and Schizotypal Personality Disorder. Brief psychosis can occur with Paranoid Personality Disorder, which can make diagnosing this disorder more difficult due to association of psychosis with Schizophrenia, Major Depressive Disorder, and Bipolar Disorder. Disorders that are comorbid with Paranoid Personality Disorder include Major Depressive Disorder, Obsessive Compulsive Disorder, Substance Use Disorder, Agoraphobia, Schizoid Personality Disorder, Schizotypal Personality Disorder, Avoidant Personality Disorder, Narcissistic Personality Disorder, and Borderline Personality Disorder. The prevalence of Paranoid Personality Disorder in the population is about 2% - 4%.
Areas of overlap between these two disorders includes: having a reluctance to confide in people, having difficulty starting new relationships, having difficulty with intimate relationships, being perceived as cold, being perceived as lacking empathy, being socially isolated, and interpersonal aloofness.
![Paranoid Personality Disorder or Paranoia? [Causes, Signs, and Solutions]](http://i.ytimg.com/vi/N1AR9MWpuKM/mqdefault.jpg)
To me there is an overlap, I have both issues. I've been diagnosed with AvPD but I exhibit strong traits of PPD. I am paranoid and untrusting of everyone around me. So I avoid all relationships and social events. I feel people are constantly talking about me or thinking bad of me. I have low self esteem but sometimes it comes off as arrogant because of how cold I can be. I see both being strongly connected to each other.
I have Avoidant personality disorder, I don't have a social life because I don't trust anyone. I've been bullied my whole life and I'm terrified of it happening again. I'm in therapy but I don't open up completely.
to me it makes sense that they could be co-morbid. Avoidants have a reason for being the way that they are, and those bad experiences could very easily make them paranoid and make them worry that something similar will happen in the future
I have an adult son with what I believe is both...He has isolated himself from family ..Drives truck because he can’t be around people..This has been so very difficult to deal with..Everything I read pretty much states as an adult now it is very hard to treat...I’m sure he wouldn’t agree to any suggestions even if there was hope..I feel so terribly sad for him and as his mom only wants him to find happiness but this is not happening..I don’t hear too much about this terrible disorder but sure it’s more common then we know..
The way I've always explained it is I prefer to love from afar.
I don’t class myself as avoident or any label like this, I actualy have come to realise that I don’t mix with people unless I have to because it is a defence mechanism of some sort to defend against the way society is now and the way people are socially. Most people these days have unrealistic. Materialistic and narcissistic ways about themselves. That’s is what culture of this society has become. I don’t want to become that part of what it is and so if I stay away from groups of people then I am safe.
Excellent video. I've been dealing with some heavy paranoia lately and I found this very helpful. Thank you.
You're welcome!
i always am afraid that people will hurt me, even friends. i dont seem to be able to really feel close to others i just dissociate and play an act. i do care for people and i know the hurt is in my past, but every person sets me on edge. i am constantly on the lookout if they ll hurt me. i know they wont. but it still pretty intense and real and always there. so is that paranoid ? or can sth like that also result from borderline and trauma and such ? thanks for any answers.
Your post makes me wish I could be a friend to you.
And this is way I don't smoke weed anymore lol I don't know why but I was so paranoid back in those days, now that I don't do any drugs i don't get any paranoia
Such fascinating video's Dr Grande!
Appreciative of your dedication 😘
Dr grande, I feel lost, i have been super sensitive all my life, i have lived in my head and any type of change freaks me out, but i also feel i lack empathy and am paranoid due to my intense unease, no sense of self and huge fear abandonment and over the years led to entitlement, coldness, and no friends as at all. The problem is i feel i overlap with NPD, Avoidant and elements of various personality issues such as OCD, ASPD. There is always this sense of wanting to run away but when people genuinely want to help and get close i get irritated, close up and feel like i simply cannot connect with anyone as no-one wants to be around a self centered, unemphatic person who's only hobby it seems is to wallow in their own fate with no hope in sight, when i feel safe the ego takes over, your videos are very insightful and an eye opener since becoming self aware and realizing ones many many character flaws. The confliction is one knows how others and NT's connect, give and take, empathy, and the deep seated fear that one can never develop this, it can be faked but it is not real, hence the avoidant part comes in as one knows people will leave and then you have the melancholy depressive elements of the past, because it is dead and safe, never in present and when freaking out and afraid thinking of the future. The avoidant element for me is what is killing me, how can one function in society when one is so closed off and dead inside with no sense of self since 3 and only fear, anger and entitlement, many thanks and thank you for posting great and insightful videos
Just over a year back I had a gas leak, I turned off the gas and called out an engineer who confirmed the leak and it was fixed by a third party. Yesterday my parent's carbon monoxide alarm went off and they had to have it checked out, my neighbour wanted to know why I was late back and I said what had happened and that I had just gone to check that my parents did not need any electric heaters.
My neighbour says that such behaviour is paranoid and that she does not know anyone who has ever had a gas leak. Mine was definitely a gas leak and it was fixed my parent's problem could not be traced.
I think that she has the idea that I am paranoid because I left an abusive relationship and moved miles away, cutting off all contact with people that my ex and I knew in common. My ex used to sit outside my home night after night during the time that I continued to live there. He had attacked me multiple times in the relationship and he has gone on to spend time in prison on remand for attacking wife number 2, she has since fled the country. I have told my neighbour this and that I am living in secret because I am frightened of him coming back, I have residency of our son. My neighbour says that I am paranoid and that he would not come back after 9 years. Do you think that I am paranoid or simply someone who takes reasonable precautions to minimise risk as I see it?
I love this channel! All these videos are so well spoken with His true facts 👏
You explain psychological disorders better than the professors I had in graduate school. I just thought of a case that has always puzzled me. Could you do an analysis of Elisa Lam and her death? Specifically, I have repeatedly watched the surveillance camera video of her in the hotel where her body was eventually found in the hotel's large water tank located on the roof. Arguably, her behavior as seen in the hotel's elevator (i.e., pushing all of the buttons for the floors and looking out of the elevator but not exiting the elevator) is odd. I would love your analysis of her behavior and possibly shedding some light on her death. Thank you so much.
Is there a way we can email or send you questions privately if we're uncomfortable asking them publicly. Thanks in advance.
How often is PTSD the cause of comorbidity vs other factors?
The danger in these videos is that people will watch them and self-diagnose, as reflected by the comment section. Few of these people are qualified to supply themselves with a professional diagnosis, and they certainly lack the impartiality needed. I suspect they do it to feel unique or special kind of like a cargo-cult around psychology to fullfill the same enjoyments one gets from a Horoscope reading. I watch it for the education, and admit I want to understand other peoples behavior. I don't think even there I can really diagnose anyone, but I can conjecture.
On this subject I think any number of folks exhibit behaviors that fit the descriptions here to some degree or another, what I am wondering about is when is the line crossed when something goes from typical concerns over rejection, or worrying about what other people may be thinking of you, to a full blown disorder.
Dr Grande, can you please talk about AvPD comorbid with BPD? Thank you so much!
I was diagnosed with both one after another, I think they’re still on record somewhere but ended up with BPD. The delusions were probably more to do with my thyrotoxicosis happening at the time
Both of these describe me too well. I thought I was over it all. But lately it's starting to all surface again. I was a heroin addict for 16 years. I've been on methadone for the past 3 years and haven't done anything but my prescribed daily dose. I weened my dose from 190mg to 120mg, which I've been at for a few months. Maybe this could be contributing?
Dr.Grande, Is it possible for someone with NPD display traits of Paranoid disorder too? Specially those who are Anti-Social with NPD? I hear the term Malignant narcissist for that combination a lot, but not sure how accurate that is....Thank you!!
Yes, NPD can be comorbid with Paranoid PD. Malignant Narcissism does include paranoid traits. I will record a video on Malignant Narcissism in the near future.
What if someone with suspected PPD suspects an affair and they are correct. This seems like the opposite of what was said in another video you made (Can't remember which one off hand). You stated that a certain type of illness was dependent on the outcome of a court case. You stated in this case a diagnosis on that basis would be unwise.
Please would you explain this. Have I missed something.
Why arent these symptoms identified as an anxiety disorder? And whats the Treatment? Ssri and psychptherapy Will work?
hi, what exactly is the difference between personality disorders and all the other things that aren't called personality disorders...? is it that the disorders are developed and things like schizophrenia or adhd are also genetic? Is everything from F10 to F99 called a personality disorder or is there a difference in the terms 'mental illness' and 'personality disorders'..?
and thank you so much for your videos! :-)
personality disorders are reoccurring patterns that are leaned on so much that they become central to one's "personality". other things could be called mental illness, but they may not be that person, they could be just one aspect.
Interesting
Ha. I wish I had been suspicious of infidelity.
I have paranoia. But I don't know if I have PPD. I have AVPD. I don't know if I have PPD also
oh wow this is me. Wait a minute, but Ima stripper, can I *really* be AvPD?? I was really unhappy living isolated though and function better when I *dont* isolate myself. I WAS mostly isolated through poverty.
I have this Extensional dread that I'm going to be murdered everyone says I'm a awesome dude and nice person but I just dont feel like it makes it all the way to home plate if that makes sense idk what to do
Pfff...so complicating....Paranoid PD...Avoidant PD...Covert Narcissism...they seem to look so alike sometimes. Would love to know some real noticeable differences between these three.
Is avoidant personality disorder any different than a person with a noticeable to everyone habit of procrastination? -- Like preferring to work with figures most of the time alone in an office while taking an inordinate time in their personal life both deciding on who to date exclusively over a long period of time in their lives and then when they do never start showing any real signs of making any real commitment their whole lives? It that person is not in a human trafficking situation while that business being window dressed as a tourist spot or hotel could they be diagnosed with both if they were rich? Seeing weird looking Hollowe'en like scarecrows around their house everywhere might be a clue too.
What causes PPD?
How does Anthropophobia differ from Avoidant PD or Social Anxiety?
That's an excellent question! I will add it to the list of videos to be produced.
Anthropophobia is a phobia, not a disorder, for starters.
hmm maybe im pranoid pd???!! or just complex ptsd from childhood?
Look how everybody commenting this video identify themselves with the symptoms described : me, I, Yo, Myself, me, me me ... We all live inside our craniums and it's hard to see the world objectively. Our reality is very biased.
These shrinks live in a fantasy world. If they are to be believed you can trust everyone around you. That's straight up naive. There are evil, jealous, and sadistic people out there. Stay vigilant folks.