Our expert says:
While this has been desscribed as a feature of some psych disorders, its also often a cultural pattern - for instance, when I worked in Canada, I'd be asked by worried teachers about a young American Indian child who did not make eye contact - within their culture, it's a matter of ordinary and routine respect, not to make eye contact with elders and more senior people, and was entirely normal and good behaviour.
It can also reflect low self-esteem, feeling unworthy or fearing you'll annoy others by lookig directly at them. I'm surprised that it sounds as though you haven't discussed this with your therapist, which is where you would be likely to be able to solve this problem.
From your self-description, it sounds as though there could also be elements of bipolar disorder among your problems, which could benefit greatly from the right combination of medications, so also discuss this with your psychologist, with a view to seeing a psychiatrist for review and a discussion of medication options
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