01638nas a2200241   4500000000100000008004100001260001800042653003400060653001400094653001800108653001800126100002000144700002300164700002700187700002400214700002800238245011400266856007200380300001200452490000700464520091100471022001401382       2018                            d  cjulbElsevier10aAvoidant personality disorder10aTreatment10aMentalization10aMetacognition1 aFelix Inchausti1 aJavier Prado-Abril1 aSergio Sánchez-Reales1 aRaúl Vilagrá-Ruiz1 aEduardo Fonseca-Pedrero00aThe avoidant personality disorder: A proposal for specialized treatment in the Spanish National Health System  uhttps://www.sciencedirect.com/science/article/pii/S1134793718300496  a144-1530 v243 aAvoidant personality disorder is a common, heterogeneous and disabling mental health problem. Despite this, few studies have specifically focused on avoidant personality disorder treatment, and clinical guidelines have not been developed. Therefore, the main purpose of this work is to critically review the available literature on this topic, and propose a specialized treatment for patients with severe avoidant personality disorder in the Spanish National Health System. The Galatea program is an intensive and longer treatment that combines individual therapy based on Mentalization-Based Therapy and Metacognitive Interpersonal Group Therapy. In order to illustrate the treatment, a clinical case treated within the program is presented. Finally, Galatea s healthcare implications in the specialized treatment of severe avoidant personality disorder in the public mental health settings are discussed.  a1134-7937