Avoidant Personality Disorder in Older adults / Seniors

Key things to know What the evidence shows
How common is it? ~1.4%, U.S. adults 55+
Is it more common among older adults / seniors? Lower prevalence than younger adulthood, but disorder can persist
Are older adults / seniors at higher risk? Lower prevalence but under-recognition possible
How much higher is the risk? ~1.4% age 55+
How often can it be missed? Very High
Does it show up differently among older adults / seniors? Yes / Somewhat
How might it look different? Social isolation may be attributed to ageing, bereavement or physical limitations rather than longstanding personality pattern
What commonly occurs alongside it? Depression; anxiety
What can it be confused with? Depression; social anxiety; schizoid PD; cognitive/medical causes of isolation
Common screening tool SAPAS — Standardised Assessment of Personality–Abbreviated Scale → clinical evaluation
Separate screening tool for older adults / seniors None
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