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This video describes the difference between Avoidant Personality Disorder (AvPD) and Dependent Personality Disorder (DPD). Both Avoidant Personality Disorder and Dependent Personality Disorder are Cluster C personality disorders (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.
With dependent personality disorder, we see different symptom criteria such as trouble making decisions without reassurance from other people, needing others to assume responsibilities, difficulty expressing disagreement with other people, difficulty initiating projects because of low self-esteem, going to excessive lengths to obtain support from other people, feeling helpless when one is alone, skipping from one dependent relationship to another, and a preoccupation with fears of having to take care of oneself. The theme with dependent personality disorder is this fear of not having support and this fear of having to take care of the items of daily life by oneself.
With both avoidant and dependent personality disorders we see this feeling of inadequacy, hypersensitivity to criticism, and a need for reassurance. In terms of what differentiates the two, with avoidant personality disorder there's a real focus on rejection and embarrassment and with dependent personality disorder it's more about that loss of support. We tend to see submissive behavior with dependent personality disorder more often than we would see with avoidant personality disorder.