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Social anxiety review of literature
Anxiety disorder vignettes
Anxiety disorders
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In the human body, anxiety is cued as a reaction to adverse reaction due to a stressor; this is a normal part of the human process. When the induced anxiety is abnormally severe and prolonged and occurs in the absence of stress, is when anxiety becomes a disorder. Anxiety disorders include many symptoms and are often coupled with major depression. Although the majority of anxiety disorders are produced based on an individual’s genetic material, other influences exists environmentally that can contribute to an individual’s state of mental instability. Early diagnosis can help reduce the tensions and encourage a life less stressful. One common type of anxiety disorder is known as S.A.D or Social Anxiety Disorder.
Social anxiety disorder stems from the persistent fear of one or more social or performance situations. The concept of social anxiety includes a plethora of phenomena that range from shyness to more or less isolated social fears. Those with the disorder often experience anxiety and avoidance of a variety of social situations like: parties, public speaking, and dating. Most individuals who are socially anxious possess a fear of being judged negatively and/or acting in ways that would be seen as humiliating or embarrassing. The most common symptoms of social anxiety are palpitations, dizziness, numbness, abdominal distress, dry mouth, sweating, and blushing. Individuals with social anxiety are usually worried that these symptoms will be obvious to others and lead these people to think that they are extremely anxious to the exclusion of more benign possibilities. This preference for unfavorable explanations represents a general pattern of negative, catastrophic thinking. While many other anxiety disorders are known for these...
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Medications are also commonly used to treat social anxiety disorder. The first-line pharmacological treatments for social anxiety disorder are known as selective serotonin reuptake inhibitors (SSRIs) and consist of the following: paroxetine, sertraline, fluvoxamine, fluoxetine, citalopram, and escitalopram. These medications have demonstrated efficacy in placebo-controlled trials and have more favorable side-effects than other social anxiety medications. Benzodiazepines, such as clonazepam and alprazolam are another class of drugs that are commonly used in the treatment of social anxiety. The use of benzodiazepines has several drawbacks and potential rebound of anxiety after withdrawal. Benzodiazepines also have the potential of abuse and are not recommended for individuals with substance abuse history.
One of the most common anxiety disorder is social phobia, which can sometimes be interchangeable with Social Anxiety Disorder (SAD). Marc de Rosnay, and others, states that Social Anxiety Disorder is characterized by a clearly noticeable fear and avoidance of most social situations where the individual may be put under scrutiny by others, and by fear in such situations, the individual will behave in an embarrassing manner (de Rosnay). One of the most notable feature of social phobia is that it has an early onset, as early as 7-9 months in most cases. The characteristics of having social phobia, or social anxiety disorder, is that the individuals are shy when meeting new people, quiet in a large group, blush easily, and often avoids making eye contact. There are a lot of concerns/problems with having social anxiety disorder. As a group, individuals with anxiety disorders had the largest burden of role disability compared to other common mental health conditions, exceeding the burden for mood disorders and in some cases, substance abuse (Grigorenko).
In general, Social Anxiety Disorder, or Social Phobia, is defined as an anxiety disorder characterized by an overwhelming amount of anxiety and excessive self-consciousness in everyday social situations (“Social Phobia,” 2014). These individuals have trouble with basic communication and interaction, often to the point where they can physically feel the effects of their anxiety. Profuse sweating, stomach ache, and nausea are not uncommon occurrences when a person with Social Anxiety Disorder is placed in an uncomfortable situation. There are several hypothesized causes of Social Anxiety Disorder; however, one of the most
The onset of Generalized anxiety disorder begins in childhood or adolescents, and It can have a lifetime prevalence of 3-5% with a higher risk in women. One major effect of Generalized Anxiety Disorder is excessive worry or anxiety lasting up to 6 months at a time, although individuals that have Generalized Anxiety Disorder don’t identify their worrying as excessive all of the time, but they will recount subjective distress because of a constant worry, or may have difficulty with control over the worrying, or even experience social impairment. Anxiety can be associated up to 6 symptoms which include inability to sleep, fatigued, lack of concentration, easily agitated, muscle tension, and sleep disturbances. Most of which can affect everyday lifestyle and greatly effect physical health, not only can they cause personal distress but may also cause distress in those around.
Bearing in mind that an anxiety response is a result of various factors, there are different types of anxiety disorders. The most common type of anxiety disorders as described as specific phobias, social anxiety disorder (SAD), panic disorder (PD), generalized anxiety disorder (GAD), obsessive compulsive disorder (OCD) and post-traumatic stress disorder (PTSD). According to Anxiety and Depression Association of America (ADAA) (2016), specific phobias affect about 19 million adults in the U.S, while SAD affects 15 million, PD affects 6 million, GAD affects about 6.8 million, OCD affects about 2.2 million and PTSD affects 7.7 million adults respectively. Considering that anxiety disorders are the most common mental illness in the U.S, yet only about one-third of those suffering receive treatment (ADAA, 2016).
Almost everyone alive has a fear of something whether it be heights, spiders or even clowns. Some people however have more serious issues with their fears, fears that follow them almost everywhere they go, these fears are called phobias. It is estimated that 4 to 5 percent of Americans have some type of phobia, which is an irrational fear of situations and certain objects. There are over 500 known phobias; a very common phobia is social phobia.
Social anxiety disorder is the third largest psychological problem in the United States. It affects approximately 15 million Americans every year. It is a widely misunderstood disorder, where nearly 90% of people with social anxiety disorder are misdiagnosed. They are often misdiagnosed with schizophrenia, manic-depression, clinical depression, panic disorder, and or personality disorder (Richards 1-3). Misdiagnosis and undertreatment of anxiety disorders, according to "The Economic Burden of Anxiety Disorders," a study commissioned by the ADAA, costs the United States more than $42 billion a year and more than $22.84 billion is linked to the repeated use of healthcare services for symptoms that mimic physical illness. In addition, people with anxiety disorder are three-to-five times more likely to go to the doctor and six times more likely to be hospitalized for psychiatric disorders when compared to those who do not suffer from anxiety disorders ("Brief Overview of Anxiety Disorders" 2) (3).
Having anxiety is common and a part of everyday life however; there is a huge difference between a fear and a social phobia or anxiety disorder. The difference and important distinction psychoanalysts make between a fear and a phobia is “a true phobia must be inconsistent with the conscious learning experience of the individual” (Karon 1). Patients with true phobias “do not respond to cognitive therapy but do respond well to psychoanalysis and psychoanalytic therapy” (Karon 2). Social phobia is a serious anxiety disorder that should not be taken lightly or mistaken as a fear you will simply grow out of the older you get. Social phobia has the power to destroy lives and can prevent people from living and enjoying their life to the fullest. Social phobia is a disabling condition that often starts between the ages of early childhood and late adolescence. The origins of social phobia can be linked to “traumatic social experiences and social isolation” (Hudson118-120). Social phobia is treatable however; research and statics show that not many seek help.
Social anxiety is a prevalent and common disorder amongst society. Social anxiety disorder is expressed as a fear in public and social situations for an individual (Kashdan, Farmer, Adams, Mcknight, Ferssizidis, Nezelf 2013). A person with social anxiety fears that a social appearance, outcome, or situation will lead a to negative response to their surrounding audience (Kashdan, Farmer, Adams, Mcknight, Ferssizidis, Nezelf 2013). However there are numerous treatments for social anxiety. Cognitive behavioral therapy is one of the most efficacious treatments that a patient may receive (Hambrick, Weeks, Harb, & Heimberg, 2003. Cognitive behavioral therapy has numerous techniques that can be used on patients. The result of using cognitive behavioral therapy on patients shows that it has long-term and short-term effectiveness (Hambrick, Weeks, Harb, & Heimberg, 2003. In conclusion a patient with social anxiety disorder should have the opportunity to try cognitive behavioral therapy.
According to DSM V, Social Anxiety Disorder (SAD), is defined as a persistent fear of one or more social or performance situations in which the person is exposed to unfamiliar people or to possible scrutiny by others. The individual fears that he or she will act in a way (or show anxiety symptoms) that will be embarrassing and humiliating (DSM V, 2014).
There are many different perceptions about people with social anxiety. People who do have it are often seen by others as just being shy, aloof, constrained, unfriendly, uneasy, quiet, indifferent, or diffident. The people who are afflicted with social anxiety may be clouded by these perceptions as well, so they may fail to seek treatment. Because the problem is generally unheard of, they may think that they are the only ones who suffer from it. People who do seek treatment are misdiagnosed 90% of the time, often labeled as "personality disorder", "manic depressive", or "schizophrenic", among other things. This is because social anxiety is not well understood by the general public, or medical or health care professionals. They are not even sure of the real cause of it or what it stems from.
Everything suddenly becomes unfamiliar and I’m no longer comfortable in my own skin. I’m absolutely terrified and unable to collect thoughts properly. Tormenting-thoughts shoot left and right through my brain and after each hit I find my heart beating faster by the second. My chest becomes tight and it is hard to breathe. I’m paralyzed with fear; it is impossible to find the right words to say, and I have a sudden aura of loneliness. I am having a panic attack.
All of us at one point in our life have had a fear of something, whether it’s public speaking, trying something new for the first time, or even presenting just like we're all going to be doing. I'm sure most of us will be nervous and we try our best to get rid of that feeling. Some people have Social anxiety which is known as social phobia. It is the fear of social interaction with other people and of being judged and looked down upon. It can also be a fear of embarrassment. This leads to feelings of inadequacy, self-consciousness, and depression. Social anxiety is an issue that affects many individuals as it should be taken more seriously and should not be considered as a weakness. Moreover, individuals with social anxiety should not be judged
Stein MB, Fuetsch M, Müller N, Höfler M, Lieb R, Wittchen H. Social Anxiety Disorder and the
Social anxiety is a common personality disorder, it is caused by excessive and unreasonable fear of social situations. This type of anxiety is triggered by the fear of being judged by others, based off of who they are or how they behave. People who suffer from social anxiety tend to experience distorted thinking, leading to fake accusations about the outcome
Anxiety is a normal reaction to stress. Every person experiences some form of anxiety in his or her lifetime. Anxiety helps us deal with tense situations like using our flight or fight reaction, study harder for an exam, or keep focus on important deadlines. Anxiety can be useful until it gets to the point of interfering with everyday life. Some people explain it as not being able to shut the anxiety off. When anxiety becomes an excessive, irrational dread of everyday situations, it becomes a disabling disorder (National Institute of Mental Health, 2009). Each year, anxiety disorders affect about 40 million American adults age 18 years and older (National Institute of Mental Health, 2009). There are five major Anxiety Disorders they include Generalized Anxiety Disorder (GAD), Obsessive-Compulsive Disorder (OCD), Panic Disorder, Post-Traumatic Stress Disorder (PTSD), and Phobias.