Elena can't seem to establish social ties because she is afraid of being embarrassed or appearing foolish. She is easily hurt by criticism and is not willing to go into unfamiliar situations. She may be experiencing:

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Elena's fear of embarrassment and reluctance to enter new situations are characteristic of avoidant personality disorder. Paranoid personality disorder involves suspiciousness and mistrust, histrionic personality disorder involves attention-seeking and dramatic behavior, and narcissistic personality disorder involves an inflated sense of self-importance and lack of empathy.

Elena Can't Seem to Establish Social Ties Because She Is