My T has told me that besides AvPD that she believes I also have OCD. Today she recommended that I see a psychiatrist to diagnose OCD and if necessary treat with meds. Adaptive perfectionism seems to be my prob. I do however have intrusive thoughts. They can be self -loathing ,solving a problem or an argument with family ,etc. I used to self medicate (20yrs) with beer . I would prefer not taking anti-depressants. Are there other options?