Social Anxiety Disorder: Causes and Treatment Essay Example
Social Anxiety Disorder: Causes and Treatment Essay Example

Social Anxiety Disorder: Causes and Treatment Essay Example

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  • Pages: 6 (1425 words)
  • Published: October 14, 2021
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Introduction

Social anxiety disorder, which is also called Social phobia, refers to an anxiety disorder where a person experiences excessive and often unreasonable fear when it comes to social situations (Bogels et al 170). Self-consciousness and intense nervousness arise from the fear of being judged, watched, and or criticized by others.

Someone suffering from social anxiety disorder fears that they will make mistakes or errors, look bad or weird, and be humiliated or embarrassed in front of other people. This fear could be made worse by the lack of exposure to social situations, lack of social skills or having no experience in social functions. Social anxiety disorder leads to ‘anticipatory anxiety’ which means the intense fear of a situation way before it happens or when it is just about to happen. In most cases, the anxious person is vividly aware that the fear is unreasonable but despite that

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, it is difficult to have it under control (Heimberg et al 395).

People suffering from this disorder also often have distorted thinking which include false beliefs and negative opinions of others about social situations (Bogels et al 173). Without therapy, this disorder can ruin a person’s normal daily activities like school, social activities and events, work and even relationships.

Social anxiety disorder, moreover, may lead to fear of specific activities like speaking in public. However, people suffering from this disorder usually fear more than just one situation. Some other situations which usually provoke anxiety are:

  1. Working or writing in front of others
  2. Being the center of attraction
  3. Using public toilets
  4. Talking on the telephone
  5. Eating and drinking with others or in front of them
  6. Giving reports, asking or answering questions in
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a group set-up

  • Interacting with others such as partying or dating
  • Other mental illnesses may exacerbate social anxiety disorder. These are like obsessive-compulsive disorder (OCD), depression and panic disorders. In fact, these are the reasons most people visit the clinic about, not because of the social anxiety disorder symptoms (Heimberg et al 399).

    The symptoms of Social anxiety disorder

    • Avoidance of social events or functions
    • Intense nervousness or anxiety in social situations
    • Physical symptoms such as: palpitations and tachycardia, hyperhidrosis, tremors, muscle tension and rigidity, confusion, dyspepsia, flushing, blushing, tachypnea and hyperventilation, and even diarrhea.

    Children may express their anxiety by throwing a tantrum, crying, or clinging to their mother or someone they know.

    Prevalence

    Social anxiety disorder is actually the 2nd most common kind of anxiety disorder, specific phobias leading, and 3rd most common mental disorder in the United states after alcohol dependence and depression (Bogels et al 179). Almost 19.2 million people in the U.S have this disorder. It is most common in adolescences and early adulthood. However, it can occur at any age. Women are more predisposed than men and it occurs more frequently in the females tan the males.

    Causes

    No single cause is attributed to social anxiety disorder. There is interplay of psychological, biological and environmental factors.

    • Biological factors: currently it is thought that abnormal brain function could cause social anxiety disorder, especially the neural circuits regulating emotion and sympathetic response. Genetics also play a role since this disorder can be familial (Heimberg et al 401). Research shows that a first degree relative to the affected person most probably also has the disorder (parent, child or sibling).
    • Psychological factors: humiliating or embossing social experiences in the past

    may provoke or initiate social anxiety disorder. This includes like having been neglected or bullied by others.

  • Environmental factors: observing the behavior of other people or seeing what others have gone through like being laughed at or being made fun of can trigger social anxiety disorder. In addition, those children who grow up having been overprotected by their parents often lack social skills and could develop social anxiety.
  • Diagnosis

    When symptoms are present, a detailed medical history and physical examination are key in diagnosing social anxiety disorder (Bogels et al 182). Laboratory tests of other physical illnesses such as cardiomyopathies and respiratory and gastrointestinal tract infections could be done to rule out these diseases as the cause of the symptoms. When no physical illness is found, the patient is referred to a psychiatrist, mental health professional or psychologist. After evaluation, the doctor will determine if the degree of dysfunction and symptoms indicate a social anxiety disorder.

    Treatment

    Cognitive behavioral therapy, which is abbreviated as CBT, is currently the most efficient treatment available. Chemotherapy may also be used to relieve the symptoms and augment CBT. Drugs may however, be used alone.

    • Cognitive Behavioral therapy: the aim is to guide the patient’s thoughts to a more rational direction and assist him or her to stop avoiding situations that caused anxiety previously. It helps teach people to react in a different way to situations which make them anxious. Systemic desensitization or an actual real life exposure to the feared situation. Systemic desensitization is where the person imagines the frightful situation but works through his or her fears in a relaxed and safe environment like the office of the therapist (Heimberg et al

    410).

  • Chemotherapy: various drugs can be used such as selective serotonin reuptake inhibitors (SSRI’s) e.g. Zoloft or Prozac;, anxiolytics like benzodiazepines e.g. Ativan and Klonopin; Beta-adrenergic receptor blocking drugs like propranolol useful in relieving symptoms like tachycardia.
  • Counseling to better self-esteem and social skills and relaxation techniques like deep inhalation could go a long way in helping someone overcome social anxiety disorder. Overall, social anxiety disorder is real and affects many people and we have a role to play in combating it.
    This kind of disorder in an individual makes someone be very afraid of being judged or scrutinized by the other members of his or her society. Even in times when this kind of person is performing a particular role in representation of a larger group, they are afraid that perhaps the members that are represented may not appreciate them, or even they might criticize them. This in one way or another reduces their performance. The individuals who suffer from social anxiety disorder usually or most of the times have disrupted their day to day lives, or again they might live a life of shyness which is actually a very weak way of doing things.

    The individuals with social anxiety disorder normally will have challenges relating with other people. They tend to have a lonely social life. They do not advance so much in romantic relationships. They also tend to shy away from corporate responsibilities which place a direct responsibility on them. They rarely arise to high positions of power or leadership, since they are afraid that none will have faith or rather confidence in them, to an extent of shying away from competition such as political

    arena. Many of such characteristics end up being school drop outs, and many end up being jobless. Social phobia is therefore a serious issue that in a way has the ability to interfere with the performance of the nation as a whole. It should be handled with the due seriousness it deserves in order to check the progress of the individual early enough before they reach childhood. Such people should be appreciated for the little things that they do, and in case of a mistake, it should be covered with wisdom and love.

    Annotated bibliography

    Bögels, Susan M., et al. "Social anxiety disorder: questions and answers for the DSM? V." Depression and anxiety 27.2 (2010): 168-189
    In this article, the author discusses the major issues that arise from various people concerning social anxiety disorder. The questions are laid clearly and the answers outlined very well for the clarity of understanding. The author also talks about the depression that most of the times is associated with this disorder.

    Heimberg, Richard G., Faith A. Brozovich, and Ronald M. Rapee. "A cognitive-behavioral model of social anxiety disorder: Update and extension." Social anxiety: Clinical, developmental, and social perspectives 2 (2010): 395-422.

    In this article, Heimberg and the other authors discuss in depth the signs of an individual who is a victim of social anxiety disorder. The characteristics that distinguish an individual who is suffering from the same sometimes are seen so vividly. This is basically what it talks about, outlining the various ways of knowing the true clinical, social and developmental perspectives of social anxiety disorder.

    References

    1. Bögels, Susan M., et al. "Social anxiety disorder: questions and answers for the DSM?V." Depression and anxiety 27.2

    (2010): 168-189

  • Heimberg, Richard G., Faith A. Brozovich, and Ronald M. Rapee. "A cognitive-behavioral model of social anxiety disorder: Update and extension." Social anxiety: Clinical, developmental, and social perspectives 2 (2010): 395-422.
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