social phobia (social anxiety)

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social phobia (social anxiety)
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fear of being the focus of attention or scrutiny (the centre of attention), or of doing something that will be intensely humiliating
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what are the DSM-IV-TR criteria for social phobia?
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A) a marked and 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 humiliating or embarrassing (note: in children, there must be evidence of the capacity for age-appropriate social relationships with familiar people, and the anxiety must occur in peer settings, not only in interactions with adults) B) exposure to the feared social situation almost invariably provokes anxiety, which may take the form of a situationally bound or situationally predisposed panic attack (note: in children, the anxiety may be expressed by crying, tantrums, freezing, or shrinking from social situations with unfamiliar people C) the person recognizes that the fear is excessive or unreasonable (note: in children, this feature may be absent) D)the feared social or performance situations are avoided or else are endured with intense anxiety or distress
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how are youngsters with social phobias more likely to behave then other children?
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that are more likely to be highly emotional, socially fearful and inhibited, sad, and lonely; they are also tense, and withdrawn
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what is social phobia in regards to its comorbidity with other anxiety disorders?
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it is the most common secondary diagnosis of another anxiety disorder
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generalized social phobia
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children who develop this (sever cases) fear most social situations, are afraid to meet or talk with new people, avoid contact with anyone outside their family, and find it extremely difficult to attend school, participate in recreational activities, or socialize
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what symptoms can the anxiety associated with social phobia produce?
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stammering, sweating, upset stomach, rapid heartbeat, or a full-scale panic attack
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what is the prevalence of social phobia?
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1-3 %; affecting slightly more girls than boys
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what is the comorbidity of social phobias with other anxiety phobias?
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2/3s of children and adolescents with a social phobia have another anxiety disorder; most commonly a specific phobia or panic disorder
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what is the comorbidity of social phobias with depression?
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20% of adolescents with a social phobia suffer from major depression; they may also use alcohol and other drugs as a form of self-medication to reduce their anxiety in social situations
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what is the average age of onset of social phobia?
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rare in children under the age of 10, and generally develop after puberty (common in early- and mid-adolescence)
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what is the prevalence of social phobias?
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they appear to increase with age
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what characteristic in early adolescence has been shown to predict symptoms of social anxiety several years later?
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the youngster’s perception of not being accepted by peers
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selective mutism
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which children fail to talk in specific social situations, even though they may speak loudly and frequently at home or in other settings
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what is the relationship between selective mutism and social phobia?
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90% of young children with selective mutism meet diagnostic criteria for a social phobia in ways other than their reluctance to speak, and nearly 40% of their parents have also been diagnosed with social phobia during their lifetime
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where and when do children with selective mutism fail to talk?
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children with selective mutism fail to talk in specific social situations, even though they may speak loudly and frequently at home or in other settings

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