The greatest risk for self-defeating persons is the development of depression (check Dysthymia and Major Affective Disorder). If anxiety is present, it is usually diffuse and associated with fears of loss and abandonment. Hypochondriacal strategies might be grafted on to their aggrieved style as a means of channeling anxiety and obtaining support (check Somatoform). The most frequent associated elevations are with Dependent (see section on Dependent), Borderline (see section on Borderline), Depressive (see section on Depressive), and Avoidant. When Self-Defeating and Avoidant are both elevated, it suggests that these persons have found relationships sufficiently painful that they have withdrawn to the extent of rarely interacting and becoming relatively isolated. They would like to be involved with others, but that experience has simply proven to be too painful in the past.