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:

A. paranoid personality disorder.
B. avoidant personality disorder.
C. histrionic personality disorder.
D. narcissistic personality disorder.

B. avoidant personality disorder.              

Explanation:

Avoidant personality disorder: In abnormal psychology, the term "avoidant personality disorder" is described as one of the mental conditions named "anxious personality disorder" that is being marked by an individual's feelings of fear & nervousness. An individual who is experiencing avoidant personality disorder also possesses low "self-esteem", intense fear of "rejection" and thinks of being "negatively judged" by another person.

In the question above, Elena may be experiencing "avoidant personality disorder".

the answer is d. amendments.