When I was in elementary school, I never put my hand up in class. I was terrified of giving the wrong answer and being embarrassed and ridiculed by others. I remember all through elementary, sitting paralyzed when the teacher would ask a question in case he or she picked me for the answer. Even when I thought I knew the answer I wouldn't put my hand up. If the teacher did call on me to answer the question and I was forced to give an answer, I would put my hand in front of my face and cry silently into my hand out of sheer embarrassment. I knew all the kids could see that I was crying but I couldn't control it. I remember my grade 6 teacher, a man I admired greatly, would get impatient with me and make me stand in the hall until I could compose myself. Kids would often ask me why I cried and I didn't know why. All these years later I finally get it.
Avoidant personality disorder is a clinical diagnosis based on history combined with direct behavioral observation and mental status examination. According to the DSM-IV-TR, criteria for diagnosis of avoidant personality disorder in adults are met when a patient exhibits 4 or more of the behaviors below. No formal modification has been made for children.
Avoids occupational activities that involve significant interpersonal contact because of fears of criticism, disapproval, or rejection (For children, theDSM-IV-TR reference to occupational activities can apply to school. Children with avoidant personality disorder often have marked difficulty, especially with new classes, presentations in front of the class, and less-structured times such as recess or lunch.)...read more
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