They may overlap. Social phobia simply refers to people who do not like to be in large crowds; those with it typically function fine in cosier settings and are worried mostly about being overwhelmed. With apd, concerns are about being criticized or embarrassed, so the size of the crowd is not as important as the potential for being judged and found wanting.
There is similarity. Research has found few differences between the kinds of symptoms that people with sad and apd have. Because of the similarities between sad and apd, people are often diagnosed as having both disorders. Like sad, the central fear of people with apd is rejection, ridicule and humiliation by others. However, people with apd tend to have a broader range of symptoms, and the symptoms tend to be more se.
Type of social anx. Good question. Depends on whether the social phobia/anxiety is generalized or non-generalized (e.g., specific social situations such as public speaking). Most people have "non-generalized" type social phobia. Those with generalized type (have more of an embarrassment response rather than fear as in "non-generalized" type) also are considered for the additional apd diagnosis. So, general vs. Spec.
How can I start having more trust with my therapist having social phobia and avoidant personality disorder? Don't want to change therapist.
Work with your. Therapist to uncover the roots of your distrust from any difficult relationships from childhood on. It is only by exploring these in interpersonal therapy or psychoanalytic therapy that you will eventually gain an understanding of why you feel the way that you do and hopefully gradually learn how to trust. Best wishes.
There is overlap. Avoidant issues are present when there is a social phobia, and in working with a therapist you will be able to deal with these issues. Focus on treatment rather than the label for the best outcome.
Get evaluation. If concerned about having phobias or personality disorders, it's best to consult an experienced mental health professional such as a psychologist or psychiatrist. They can evaluate you, share likely diagnoses, and recommend any treatments needed.
What would you do to decide if you have avoidant personality disorder or a severe case of social phobia?
Severity. These two conditions are close together and they are along a continuum. Avoidant pd is likely very long-term and starting in early adulthood and spanning for decades. Social phobia might be more situation or age specific. Group therapy is good for both of them.
Both dx. My colleague is correct here. I would simply add that many people with a more generalized social phobia (fear of most social situations) have more of an embarrassment response to social situations whereas the majority of people diagnosed with social phobia to specific situations, say public speaking, experience more fear. Generalized social phobia and apd usually diagnosed together.
Different condiions. One is a personality problem and need long term therapy. The other two are anxiety conditions and are easily treatable with medication/counselling.
Anxiety versus moods. It is avoidant personality disorder that is characterized by excessive interpersonal anxiety. It is similar to a type of social phobia that is insinuated in the personality of a person so much that the person actually starts to believe it to be an unavoidable part of a hostile world. Borderline personality disorder is typified by the capacity for frequent mood swings and clinginess. Stay safe!
Phobias are neurotic. Personality disorders are not. Neurotic disorders bother the people who have them, they want to change even if they do not know how and fear changing. People with personality disorders are happy the way they are, with avoidant personality disorder, the person is happy being reclusive and staying away from social contacts. Agoraphobics are fearful but don't like being unable to get out and live.
Agoraphobia is fear. Open spaces, crowds, etc. It is a type of irrational fear. Avoidant Personality Disorder is more rooted in feelings of inferiority, fears that one may be rejected, humiliated, etc. In either case, a clinical psychologist can be helpful to you. Peace and good health.