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"What about me", "what about me", "I guess it's me they are now discussing", "why am I said so," "I don't want to think of me badly", "we need to do in order not to offend/hurt other people" - all these are specific signs of social phobia or social anxiety disorder.

social anxiety extremely common phenomenon, the frequency of which is directly connected with a strong, oriented around education. The complexity of this condition is that such people go to therapy much less frequently than , for example, people with panic attacks and hypochondria. By analogy we can compare the ratio of social phobia and other neuroses with food addiction and alcoholism/drug addiction.The person with overweight and sociophobe much more likely to deem "normal" and to push for psychotherapy.

the Main complaints of sociophobia is:

- alarming thinking about the self in relationships with others

- obsessive thoughts about past situations (which are associated with social relations)

- the negative perception of themselves and their behavior (low self-esteem, usually combined with cognitive distortions)

- shyness, behavior, avoiding open and active social contacts.

- physiological symptoms (not as bright as other anxiety disorders) such as: sweating, hand tremor, skin rashes, watery eyes, nausea, breathing difficulties, rapid heartbeat

the Nature of occurrence.

the Mechanism of mixed. The unrealized (and often frustrated, that is exaggerated by parents in childhood) needs some social (acceptance, recognition, understanding, support, approval) is firmly attached to the internal limiting settings. Installation is focused on obeying social behavior, adherence to hierarchy, the importance of self-presentation and the propensity for conflict avoidance. Emotional restraint relates only to the level of interaction with others, in an environment of loved ones level of emotional openness can be quite high. Often it is also about the problem of keeping the borders.

Functionally are all possible manifestations of neurosis:

- fear of social evaluation (continuing)

- obsessive thoughts focused on the past (often)

- emotional discomfort, including anxiety, guilt, shame, aggression, contempt, resentment (often)

- the problem of choice (moderately often)

- a sense of powerlessness (relatively rare)

What to do.

Standard format treatment is considered to be CBT (cognitive behavioral psychotherapy). Ideally, in two formats - individual and group. The goal of this therapy is the formation of adequate reflection and self-assessment, exchange of emotions, protection against real external pressure, reading the needs and emotions of others, increase resistance to stress, ability to withstand an open negative evaluation of others. You can, of course, to connect the anti-depressants that help with background mood state and reduce the physiological symptoms.

Forecast.

In General, positive. The main thing is to be extremely attentive to the presence of concomitant disorders. So, with social anxiety disorder often associated with depression (and suicidal thoughts are very characteristic for those who suffers from social phobia), alcohol dependence, panic disorder. In these cases, it is extremely important to timely start and consistency in the treatment.

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Kuzmichev, Alexander
2018-02-04
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