Social Phobia or Social Anxiety Disorder

 

What is Social Phobia/Social Anxiety Disorder, and who does it affect?

Social Phobia, or Social Anxiety Disorder, is an anxiety disorder in which the person feels an overwhelming anxiety and excessive self-consciousness in everyday social situations. Social phobia is sometimes limited to only one type of situation, such as talking to members of the opposite gender, fear of speaking in public, eating or drinking in front of others, or in severe cases the person may experience symptoms almost anytime they are around people.

 

Social phobia affects about 15 million American adults. Women and men are equally likely to develop social anxiety disorder. Social anxiety disorder usually begins in childhood or early adolescence. According to research Social Anxiety Disorder may run in families. Social phobia is often accompanied by other anxiety disorders or depression, and substance abuse often develops when people try to self-medicate their anxiety.

 

Manifestation's of Social Phobia/Social Anxiety Disorder:

Social phobia, or social anxiety disorder, is characterized by people become overwhelmingly anxious and excessively self-conscious in everyday, or specific social situations. People with social phobia have fear of being watched and judged by others and of doing things which may embarrass them. They can worry for extended periods of time before the dreaded situation is to occur. This fear may become intense enough that it interferes with every day activities such as: work, school, and other activities. It can make it difficult to make and keep friends, much less find intimate partners. 

Making Treatment More Effective

For all anxiety disorders: Joining a self-help or support group and sharing problems and accomplishments with others is often helpful; however with social phobia it may not initially be possible and should be considered part of exposure therapy which means your professionally trained psychotherapist should help you make this leap. Self help groups can include Internet chat rooms, however advice received over the Internet should be taken with a double helping of caution; especially be leery of anyone who may have a hidden agenda such as "this brand name medication is the answer accept no substitute". Talking with trusted friends, family, or member of the clergy can also provide support, but is no substitute for care from a mental health professional.

Stress management techniques such as: meditation, progressive muscle relaxation, autogenic relaxation, guided imagery, hypnosis, and biofeedback can be very helpful. to calm and may enhance the effects of therapy. There is evidence that aerobic exercise may have a calming effect. 


The family unit can be very important in the recovery process of patients with any anxiety disorder. Ideally, family should be supportive, but not help perpetuate the symptoms. Family members should never trivialize the disorder, or expect improvement without treatment. 

About the Author:

Donald W. Ahrens Jr, PMH-NP, A.R.N.P. is a psychiatric Nurse Practitioner who provides full spectrum psychiatric service (both psychotherapy and medication therapy) to the people of Wichita and the surrounding metropolitan area.

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