Social anxiety


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Social anxiety

  1. 1. SOCIAL ANXIETY Samrah
  2. 2. What is it?  Social anxiety (also known as social phobia):  Social anxiety is the fear of social situations and the interaction with other people that can automatically bring on feelings of selfconsciousness, judgment, evaluation, and inferiority.  About 15 million of adult Americans in any given year are suffer from social anxiety (Anonymous, 2010).
  3. 3. For example
  4. 4. The Third Largest Mental Health Care Problem  In the United States, epidemiological studies have recently pegged social anxiety disorder as the third largest psychological problem in the country, after depression and alcoholism.  It is estimated that 7-8% of the population suffers from some form of social anxiety at the present time. The lifetime prevalence rate for developing social anxiety disorder is 13-14%.
  5. 5. Types of social anxiety
  6. 6. Specific anxiety  A specific social anxiety would be the fear of speaking in front of groups (only).
  7. 7. Generalized anxiety whereas people with generalized social anxiety are anxious, nervous, and uncomfortable in almost all social situations.
  8. 8. Triggering Symptoms  People with social anxiety usually experience significant distress in the following situations.
  9. 9. Being introduced to other people
  10. 10. Being teased
  11. 11. Being the centre of attention
  12. 12. Being watched while doing something
  13. 13. Meeting people in authority
  14. 14. Emotional Symptoms  high levels of fear  nervousness  racing heart  blushing  excessive sweating  dry throat  Trembling  muscle twitches.
  16. 16. Personality approaches to social anxiety
  17. 17. .  Psychoanalytical approach  Trait approach  Biological approach  Humanistic approach  Cognitive –behavioural &social learning approach (CBT)
  18. 18. Psychoanalitic Approach  Classical psychoanalytic theory: mental health problems arise as a result of repressed unconscious desires from childhood
  19. 19.  Psychoanalysts treat social anxiety . disorders by helping the individual understand what is making them anxious.
  20. 20. .  Individuals talk freely about themselves and attempt to overcome inner conflicts.
  21. 21. Trait Theory  Various traits combine = a personality that is unique to     each individual. Focused on identifying and measuring these individual personality characteristics People with characteristics that fall at an extreme on the chart are likely to have a psychological abnormality associated with that trait. They are then likely to select their environment in such a way that this trait is brought out. To keep this from happening, psychologists teach their patients to come to terms with the flawed trait, allowing the patient to break the cycle
  22. 22. Biological Approach  S.A.D sufferers:  show increased activity in the amygdala (i.e., a structure deep inside the brain that generally shows more activity in response to threatening or fearful events)  show decreased activity in cortical areas (i.e., the outer portion of the brain that is involved in planning and the complex interpretation of events).  People who are very sociable tend to have increased levels of dopamine.
  23. 23. Biological Approach
  24. 24. Biological Treatment  There are a number of medications that have proven useful for treating social anxiety disorder. These medications include: Antidepressants, Antianxiety, Gabapentin (Neurontin),
  25. 25. Humanistic Approach  Mission:  point the individual in the direction of inbuilt potentials and resources  Hopeful Result:  help them to build a stronger personality and self-concept  Therapist is considered a “guide”  Mindfulness and acceptance techniques + traditional behavior therapy (humanistic approach) = effective treatment (George, 2008)
  26. 26. Cognitive-Behavioral & Social Learning Approach (CBT)  Helps patients:  uncover the underlying causes of your worries and fears;  learn how to relax;  look at situations in new, less frightening ways;  develop better coping and problem-solving skills  give patients the tools to overcome anxiety and teach them how to use them.
  27. 27. Medical University of South Carolina Study:  CBT was superior to biological treatments (medication) in the long run  CBT had more successes than the other four approaches (Würz, et al., 2009).
  28. 28. Conclusion: Best Approach  Cognitive-Behavioral Therapy: Why? 1. 2. 3. 4. 5. Past higher success rates Positive study results More advantages compared to other approaches fewer disadvantages compared to advantages No judgment, just programs geared towards patient progress.
  29. 29. Therapy (Treatment)
  30. 30. Does your therapist say, "Face your fears and they’ll go away?" Sorry, but this therapist does not understand the dynamics of social anxiety. But this can be stopped, quenched, and killed in a relatively short period of time – by finding a cognitive-behavioural therapist who understands and specializes in the treatment of social anxiety.
  31. 31. The most important elements in overcoming social anxiety are followings:
  32. 32. 1. An understanding and awareness of the problem .
  33. 33. 2. A commitment to carry through with cognitive behaviour therapy even when it is seems difficult.
  34. 34. 3. Practice, practice, practice to get that information (i.e., cognitive methods, strategies, and concepts) deep down into your brain - so that these cognitive methods become habitual and automatic.
  35. 35. 4. Participation in a social anxiety therapy group in which you can slowly and gradually work on problems that cause you anxiety in the real world.
  36. 36. Medication  For social anxiety, research indicates use of the anti-anxiety agents, and (perhaps) certain antidepressants in conjunction with CBT have proven most beneficial .  Medication without the use of active, structured cognitive- behavioural therapy has no long-term benefits.  Only CBT can change the neural pathway associations in the brain permanently.
  37. 37. GROUPS  Therapy groups for social anxiety should always be encouraging, positive, and supportive.  If the right atmosphere is set, people can make (and continue to make) progress up their "hierarchy" of social anxieties.
  38. 38. Compliance with Cognitivebehavioural Therapy  Cognitive- behavioural (rational) therapy is not difficult to do, and has not been seen this way by participants.  The first factor in not complying with the therapy is that "I can't remember to do it every day" and "I have a hard time committing to something in which I don't see immediate results".  The psychologist or group leader should have time-tested solutions to these irrational arguments.
  39. 39. Prognosis  Prognosis is markedly good. People completing CBT training report a high success rate, compared to control groups.  In the National Institute of Mental Health longitudinal studies, people continued to report progress after CBT behavioural group therapy was over.  Studies repeatedly indicate that treatment compatibility (i.e., did the person carry out the prescribed therapy?) is the key element in success.
  40. 40. A Big Problem  Lack of professional and knowledgeable therapists is the biggest and most relevant problem to overcoming social anxiety. While it can be done, and a vast amount of clinical and research evidence supports this, overcoming social anxiety is difficult because of the scarcity of treatment facilities for people with this persistent anxiety disorder.