December 2008
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December 2008
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Of Like Minds is now Mood! Over 175 articles on: Help support Mood --
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Home alone What you can do to relieve social anxiety |
Summary Joe is afraid to meet his girlfriend’s friends. He’s afraid his nervousness will show and he’ll make a bad impression. He so dreads the encounter that he’s thinking of an excuse not to go.
Like 13 million other Americans, Joe has social anxiety, or social phobia. He’s so uncomfortable in social situations, that he has physical reactions, like a pounding heart and shortness of breath, and goes out of this way to avoid them. He assumes the worst about what people think of him. Many people are shy or uncomfortable in some situations, but social phobia involves severe anxiety that interferes with one’s functioning, and happens more often and more intensely than it does for other people. Medications are used to treat social phobia, but cognitive behavior therapy (CBT), which is about changing beliefs and behaviors, has been found to be the most effective treatment. Steps you can take on your own include: Have
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Jane wants me to meet her friends, thinks Joe. But I won’t be able to think of anything to say, my hands will shake, and I’ll feel like I’m choking. They’ll think I’m boring and strange. I’ll make up an excuse not to go. Joe has social anxiety. People who have social anxiety disorder, or the current term, social phobia, worry that other people will judge and reject them and they imagine the worst. And, because they isolate themselves, they’re often lonely. You may have social phobia if your fear interferes with your functioning; is more intense, more frequent and occurs in a wider range of situations than for other people; and is accompanied by physical symptoms. But it can be reduced or eliminated with treatment. You can feel more comfortable in feared situations, enjoy life more and have the confidence to take on new challenges. What is social phobia? Physical symptoms (how you’re feeling) may include pounding heart, trouble breathing, blushing, sweating or shaking, trouble concentrating. Mental symptoms (what you’re thinking) include sadness, anxiety or anger. You may make inaccurate or exaggerated assumptions about what other people are thinking about you and predictions about what’s going to happen. You may think: “If I don’t present myself well at this meeting, my boss is going to fire me.” Behavior symptoms (what you’re doing) You may avoid eye contact and speak softly, stick close to someone familiar or even stay home social activities. But avoidance behaviors can actually make things worse. By skipping the party, the meeting, the job interview, you reinforce your negative self image. How is it treated? 1. Cognitive behavior therapy (CBT) has been shown to be more effective than other psychological treatments. With the help of a qualified therapist, you will learn to change your beliefs and behaviors. 2. Exposure therapy teaches you to confront the situations you’re afraid of, gradually and repeatedly, until they no longer make you afraid. 3. Medications. Paxil, Zoloft and Effexor are FDA-approved for treating the disorder. But a number of drugs, used “off-label,” have been found to be effective, including some antidepressants, such as citalopram, and anti-anxiety drugs. Medications are often combined with therapy.
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Medications can have side effects, and symptoms are likely to return if the medications are stopped. Learning strategies for coping with anxiety is a longer-lasting solution. The most effective methods for recovery require working with professionals, but there are self-help approaches you can take, at least initially, or in combination with therapy.
Sources Monica Ramirez Basco, assistant professor of psychology, University of Texas at Arlington, founding fellow of the Academy of Cognitive Therapy. Wright, Jesse and Monica Ramirez Basco, (2002) Getting your Life Back-The Complete Guide to Recovery from Depression Somjee, Lubna PhD, clinical psychologist, Media Ambassador, New York State Psychological Association, columnist, Poughkeepsie Journal Antony, Martin M. Ph.D., Swinson, Richard P. M.D (2000) Shyness and Social Anxiety Workbook, New Harbinger Publications, Inc. Hilliard, Erika B. MSW, RSW, (2005) Living Fully with Shyness and Social Anxiety, Marlowe and Company Markway, Barbara G., PhD and Gregory P. Markway, PhD, (2001) Painfully Shy: How to Overcome Social Anxiety and Reclaim Your Life, Thomas Dunne |
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