ridiculed, or shamed (Criterion 3).
Because individuals with this  disorder are preoccupied with being criticized or re-
jected in social situations, they may have a markedly low threshold for detecting such re-
actions (Criterion 4). If someone is even s lightly disapproving or critical, they may feel
extremely hurt. They tend to be shy, quiet, inhibited, and “invisible” because of the fear
that any attention would be degrading or reject ing. They expect that no matter what they
say, others will see it as “wrong,” and so th ey may say nothing at all. They react strongly
to subtle cues that are suggest ive of mockery or derision. Despite their longing to be active
participants in social life, they fear placing their welfare in the hands of others. Individuals
with avoidant personality disorder are inhibi ted in new interpersonal situations because
they feel inadequate and have low self-esteem (Criterion 5). Doubts concerning social
competence and personal appeal become especially manifest in settings involving inter-
actions with strangers. These individuals believe themselves to be socially inept, person-
ally unappealing, or inferior to others (Cri terion 6). They are unusually reluctant to take
personal risks or to engage in any new activities because these may prove embarrassing
(Criterion 7). They are prone to exaggerate the potential dangers of ordinary situations,
and a restricted lifestyle may result from their need for certainty and security. Someone
with this disorder may cancel a job interview for fear of being embarrassed by not dressing
appropriately. Marginal somatic symptoms or  other problems may become the reason for
avoiding new activities.
Associated Features Supporting Diagnosis
Individuals with avoidant personality disorder often vigilantly appr aise the movements
and expressions of those with whom they come  into contact. Their fearful and tense de-