TYPES OF SOCIAL ANXIETY DISORDER
SIGN AND SYMPTOMS
BY SIDRAAND MOHSIN
IMPACT ON SOCIETY
Social anxiety disorder, also known as social phobia,
involves intense fear of certain social situations—
especially situations that are unfamiliar or in which
you feel you’ll be watched or evaluated by others.
Public speech fear
Meeting with new people
Early as 400 B.C. During this time, Hippocrates
described the overly shy person as someone
who "loves darkness as life"
and "thinks every man observes him."
Early 1900s: In the early part of the 20th century,
psychiatrists used terms such as social phobia and
social neurosis to refer to extremely shy patients
1950s: South African psychiatrist Joseph Wolpe
paved the way for later advances in
behavioral therapy for
phobias through his work.
Developing systematic desensitization
1960s: British psychiatrist Isaac Marks
proposed that social phobias be
considered a distinct category
Separate from other simple
1968: In the second edition of the Diagnostic and
Statistical Manual of Mental Disorders (DSM-II),
published by the American Psychiatric
Association, social fears were
described as a specific phobia
of social situations or an excessive
fear of being observed.
1980: In the third edition of the DSM (DSM-III),
social phobia was included as an official
psychiatric diagnosis. In this edition, social
phobia was described as a fear of performance
situations, and did not include fears of less formal
situations such as casual conversations. People
with such broad fears were more likely to be
diagnosed with avoidant personality disorder.
1985: Psychiatrist Michael Liebowitz
and clinical psychologist Richard Heimberg
initiated a call to action for
research on social phobia.
1987:DSM-III leads to diagnostic criteria.,
symptoms Finally, the term "generalized social
anxiety disorder," was introduced.
1994: The DSM-IV is published and the term social
anxiety disorder (SAD) replaces social phobia.
1995 to present: research attention has focused on.
Cognitive-behavioral therapy techniques and
A panic attack is a sudden surge of overwhelming fear
that comes without warning and without any obvious
Terror that is almost paralyzing
Trembling, sweating, shaking
Choking, chest pains
Hot flashes, or sudden chills
Fear that you're going to go crazy or are
about to die
Obsessive-compulsive disorder (OCD) is
uncontrollable, unwanted thoughts and repetitive,
ritualized behaviors you feel compelled to perform.
Involuntary, seemingly uncontrollable thoughts,
images, or impulses that occur over and over again in
Behaviors or rituals that you feel driven to act out again
and again. Usually, compulsions are performed in an
attempt to make obsessions go away.
Washers afraid of contamination. They usually
have hand-washing compulsions.
Checkers repeatedly check things.
Doubters and sinners afraid that if everything
isn’t perfect just right something terrible will
Counters and arrangers obsessed with order
Hoarders fear that something bad will happen
if they throw anything away. use.
Post-traumatic stress disorder, is an anxiety problem
that develops in some people after extremely
traumatic events, such as combat, crime, an accident
or natural disaster.
Phobia is an irrational and excessive fear of an object
or situation. In most cases, the phobia involves a
sense of endangerment or a fear of harm.
SOCIAL PHOBIAS—fear of social situations.
AGORAPHOBIA —fear of being trapped in an
inescapable place or situation.
SPECIFIC PHOBIAS—fear of a specific object
(such as snakes).
A marked, persistent fear of a clearly discern able,
circumscribed object or situation. Adult sufferers
recognize that the fear is out of proportion to reality.
THE NATURAL ENVIRONMENT—fear of
lightening, water, storms, etc.
ANIMAL—fear of snakes, rodents, spiders, etc.
MEDICAL—fear of seeing blood, receiving
injections, visiting a doctor, etc.
SITUATIONAL—fear of bridges, leaving the
home, driving, etc.
Worrying intensely about social situations.
Worrying about embarrassing yourself in a social
Worrying that other people will notice you
are stressed or nervous.
Needing a drink to face a social situation.
Missing school or work because of anxiety.
Fear of situations in which you may be judged
Fear that others will notice that you look anxious
Avoiding doing things or speaking to people out of
fear of embarrassment
Avoiding situations where you might be the center of
Difficulty making eye contact
Genetic causes are run in family.
According to The American Psychiatric Association:
"anxiety disorders run in families.
For example, if one identical twin has an anxiety
disorder, the second twin is likely to have an anxiety
disorder as well, which suggests that genetics-
possibly in combination with life experiences-makes
some people more susceptible to these illnesses"
Jerome Kagan, Ph.D. has researched the genetic causes
of SAD at Harvard. He study children infancy to the
He discovered that 10 to 15% child are shy fearful in
their infancy they have much higher rate of social
anxiety disorder in their adolescence.
This negative causes of social anxiety disorder are
related to the past experience.
This causes are more related to the children.
Negative experience are:
DOPAMINE: The level of dopamine are lower in
those in people who have social anxiety disorder.
SEROTONIN : There is some evident that people with
social anxiety disorder have reduce serotonin
Serotonin is a neurotransmitter that helps regulate
mood and emotions, among other things. People with
social anxiety disorder may be extra-sensitive to the
effects of serotonin.
A structure in the brain called the amygdala (uh-MIG-
duh-luh) may play a role in controlling the fear
The amygadla is hypersensitive in people with social
anxiety disorder. This result in affected people
overestimating social threats.
Social anxiety disorders can be treated by following
Cognitive behavioral therapy
Helps people to identify cognitive
patterns or thoughts and emotions that
are linked with behavior.
Addresses negative patterns and
distortions in the way we look at the
world and ourselves.
Example of glass.
Effective for the treatment of phobias,
addictions, schizophrenia, and
I. Cognitive therapy :
o Examines how negative thoughts, or cognitions,
contribute to anxiety.
o Aims to change the way of thinking.
o identification and challenging negative thoughts
with positive thoughts.
o Examines how you behave and react in
that trigger anxiety.
o Decrease negative thoughts, cognitions and
Play vital role in the treatment of social anxiety
Advantageous for family members to be included in
Therapist spend few hours each week with patient
Exposes you to the situation or objects you
Learn how to gradually face social situations,
rather than avoiding them.
Fear of height….face the
Learning social skills and techniques to help
interact with people in social settings.
Participants in group therapy with others who
have same fear may make one feel less alone.
Avoiding caffeine : foods such as coffee,
chocolate and soda.
Getting plenty of sleep : eight hours per night.
TREATMENT OF ANXIETY DISORDER
MEDICAYION & Complementary &
A drug or other form of medicine that is used
to treat or prevent disease,
Many different types of medications are used
in the treatment of anxiety disorders,
Anti-anxiety drugs such as benzodiazepines
Medication can relieve some symptoms of anxiety,
but it also comes with side effects and safety
concerns, there is also the risk of addiction
Non-drug treatments may not relieve your anxiety as
quickly as medication, but they can produce lasting
Anti-anxiety drugs, also known as tranquilizers, are
medications that relieve anxiety by slowing down the
central nervous system.
Anti-anxiety drugs are the most widely used type of
medication for anxiety and have also side effects
Antidepressant medications for anxiety
Beta blocker medications for anxiety
Antidepressants are drugs used for the
treatment of anxiety disorders,
Obsessive compulsive disorder,
Buspirone, also known by the brand name BuSpar, is
a newer anti-anxiety drug that acts as a mild
It takes about two weeks to start working on anxiety
However, it has several advantages over the older
anti-anxiety drugs:, it doesn’t impair memory, it’s not
Beta blockers are a type of medication used to treat,
anxiety, high blood pressure and heart problems.
When you take beta blockers, the heart beats more
slowly and with less force, thereby reducing blood
The following complementary and alternative
practices are currently used to treat anxiety and
Stress and Relaxation Techniques
Relaxation techniques have also been used to relieve
anxiety for people in stressful situations
They were more effective than, no treatment for
Kava is a crop of the western Pacific.
Kava is used to calm anxiety, stress, and
restlessness, and treat sleep problems (insomnia)
It has also had a positive impact on reducing
anxiety and depression levels.
Yoga is a physical exercise, which combines
physical postures, breathing exercises,
Regular yoga practice can help you stay
calm and relaxed in daily life and can also give
you the strength to face events as they come
without getting restless.
She is an Australian swimmer and Olympic Medalist.
Susie experienced social anxiety disorder during her
career when faced with being in the spotlight.
Ricky Williams is a football player.
This football player diagnosed with social anxiety
disorder has spent time during his professional
Khalil Greene is a shortstop for the St.Lious Cardinals.
He was placed on the disabled list in 2009 because of
social anxiety disorder.
Dontrelle Willis is a professional baseball player.
He was placed on the disabled list in the early 2009
because of social anxiety disorder.
Zack Greinke is a professional baseball player.
He has battled depression and social anxiety disorder.
1-Barbra Streisand is a celebrity. She won academic
award and she is best-spelling artist on the Reading
Industry Association of America’s (RIAA) Top
Spelling Album Artist list.
2-She is suffering from social anxiety disorder.
1-He is also a celebrity.
2-He has disclosed a diagnosis of social anxiety
disorder and he has been candid about his
experiences, the treatment he has received, and how
he has coped.
social Anxiety disorders are the most common
mental illness in the U.S. Affecting 40 million
adults in the United States of age group 18
Rate of social anxiety disorder (SAD) in U.S. is 7.1
to 7.9% and in Taiwan is 0.4%. South American
countries had prevalence rates similar to the U.S.
Social anxiety disorder (SAD) rates in Korea, China
and Japan are 0.6%, 0.2% and 0.8% respectively.
Tiredness and lack of energy
Headaches and muscular tension
Loss of appetite
Feeling of fear
Loss of confidence
Poor memory and
General lack of interest in normal activities.
Adverse effect on relationships, work, and other
Panicky in social situations or in crowds.
Tongue tied during conversation.
Lack of patience and irritability with others.
Social phobia occurs in women twice as often as in men.
Anxiety disorders develop from a complex set of risk factors
Its not uncommon for someone with an anxiety
disorder to also suffer from depression. Everyone has
felt anxious or embarrassed at one time or another.
Always Be confident and never lose it.
Never attention what people said.
You can never keep happy and satisfied all
peoples of world.
Encourage those who suffer in this problem.
Don’t disheart these people.