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Psychiatry & Psychology--General/How would anti social personality disorder and avoidant personality disorder combine?

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Question
What would somebody be like who has anti-social personality disorder and avoidant personality disorder?

Answer
In everyday terms, someone might be considered as having anti-social personality disorder if s/he were at least 18 years of age AND were extraordinarily manipulative, dishonest, and scheming in a way that gains things for the person but hurts others. People with ASPD seem to lack conscience or empathy and therefore have no thought to the people that are affected by their behaviors. Often there is an accompanying inflated ego such that the person has grandiose ideas of him/herself and can be quite self-righteous. Men are 3 times as likely to suffer from this disorder than women. One important feature in making an accurate diagnosis is that the person also must have been diagnosed with Conduct Disorder BEFORE the age of 15.

Avoidant Personality Disorder: The title describes the person well. The individual avoids social contact out of fear of criticism, rejection, or disapproval.They have a very strong and often unyielding belief in their own inadequacies and carry great shame due to their beliefs in their being thoroughly unlikable or unlovable. This is very different from ASPD in that the person avoids social contact out of fear that they will be hurt. ASPD do not avoid social contact...they engage others as an avenue for their own gain with total disregard to the rights or well-being of others.

Psychiatry & Psychology--General

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Jacquelynn Cunliffe

Expertise

I would like to answer under the category of Psychiatry and Psychology. However, I would like to see a separate category for Psychotherapy/Psychoanalysis. I do not answer questions about medications as I do not prescribe. My expertise is in psychotherapeutic treatment.

Experience

I am a psychotherapist and psychoanalyst who specializes in the treatment of mental health issues caused by childhood trauma, domestic abuse, eating disorders, relationship difficulties, and a wide variety of psychological disorders. The kind of therapy I do is often referred to as deep therapy, talk therapy, or psychoanalytic therapy. Please note that I am not against medications and when managed well, medication can be an adjunct to psychotherapy intervention. I think it is important for the public to realize that psychodynamic or psychoanalytic psychotherapy DOESmake changes not only in people's minds but those changes can also be detected in their brain structure. Psychotherapy and psychoanalysis are powerful interventions to help people change their lives from the inside out.

Organizations
American Psychoanalytic Association American Psychiatric Nurse Association Member of Psychoanalytic Center of Philadelphia Member of National Eating Disorder Association

Education/Credentials
Ph.D.-University of Pennsylvania, Psychology and Education, Division of Human Development M.S.N. and R.N.-B.C. Board Certified Nurse in Psychiatric and Mental Health Nursing. 2-Year Adult Psychotherapy Program graduate 2-Year Child Psychotherapy Graduate Current: Candidate in Psychoanalytic Training at the Psychoanalytic Center of Philadelphia

Past/Present Clients
I have worked with clients who have experienced significant childhood traumas. These patients come with a variety of mental health issues, including anxiety, depression, suicidal ideations, relationship difficulties and diagnoses such as Personality Disorders, Adjustment Disorders, and, though rarely, Dissociative Identity Disorder (formerly multiple Personality Disorder)

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