An Interpretation Of Two Behavior Therapy Methods For Patients With Social Phobia

The purpose of this paper is to take the case of Adrian from a DSM-IV perspective and further analyze it from a more current DSM-5 perspective. Adrian is a 39-year-old Caucasian mother of two children, a son, age 12 and a daughter, age 7. The DSM-IV case study format has given Adrian a principle diagnosis of generalized anxiety disorder and secondary diagnosis of social phobia. In the following paragraphs, this diagnosis will be discussed using the most recent DSM-5 criteria, other conditions to consider will be explored, the WHODAS and culture formulation interview will be utilized and examined and, lastly, a new DSM-5 diagnosis will be given.

“Anxiety is the signal of danger which mobilizes the human organism’s resources at all levels of functioning in the interests of conservation, defense, and self- preservation.” (Anxiety 1) If a person suffers from anxiety there is a major loss of control and then an attempt to regain that control because of a fear that they have. Anxiety disorders are one of the most frequently occurring mental disorders in the United States. However, anxiety disorders are not only found in the United States. They are found throughout the world. They just happen to be most predominating in the United States. In this paper, I will be discussing the generalized anxiety disorder and how if effects society today.

Social anxiety is “a fear of humiliation or of being judged by others, and an avoidance of social situations where attention centers on the individual” (Martis). According to the Social Anxiety Institute, social anxiety has become the third largest psychological disorder, following depression and alcoholism (Richards). Commonly, victims of this social phobia have problems pursuing social environments, interactions, and relationships (“Social Anxiety Disorder”). The failure to fulfill daily requirements in jobs, social settings, and relationships often leaves them feeling “powerless, alone, or even ashamed” (“Social Anxiety Disorder”). Today in America,“15 million [people] suffer[from] the disorder” (“Social Anxiety Disorder”). Of the 15 million American adults affected, women and men are equally prone to develop the phobia (“Social Phobia (Social Anxiety Disorder)”). Currently, the prevalence rate for acquiring social anxiety disorder is “13-14% of all Americans” and continues to rise (Richards). As the number of people affected by social anxiety continues to rise, the understanding of social anxiety’s causes, effects, and treatments is crucial.

A couple of researchers at the Anxiety Disorders Research Center in the Department of Psychology at the University of California, Los Angeles (UCLA) examined weaknesses of CBT (Craske et al., 2014). Although CBT has been known for the most effective treatment for social phobia, not all patients show improvements after the treatment. Patients easily drop out during, or at the early stage of the treatment. Even patients who successfully finished the entire session tend to have a hard time continuing to use methods they learned and to maintain low level of anxiety, so the likelihood of reoccurrence exists. Therefore, alternative ways to solve these weaknesses are needed in order to develop the treatment itself and to provide the most matchable treatment method for each patient, according to the article by Craske et al. (2014).

(Simon et al. 2009) The SCARED version used in the Hale et al. study contains 38 items and is designed to screen for generalized anxiety disorder, panic disorder, separation anxiety disorder, social anxiety disorder and school anxiety. The Dutch version of the SCARED was used in the Simon et al. study and is a 71 item screening measure with subscales designed to indicate generalized anxiety disorder, panic disorder, separation anxiety disorder, obsessive-compulsive disorder, specific phobia, social phobia and post-traumatic stress disorder. According to Hale III et al, repeated administration of the SCARED has the potential to yield more true positives, making it more cost effective and less time consuming when compared to a diagnostic interview given by a health professional. (Hale et al. 2014) In this study, 923 adolescents between the ages of 10 and 15, completed the SCARED once a year for five consecutive years. The results of the study indicated that the sensitivity and specificity increased with each administration of the SCARED. While this data supports the author’s hypothesis, Hale III et al. suggests that one of the limitations of the study is that the adolescents who were screened, only came from the general population who had not been previously diagnosed with an anxiety

With anxiety disorders being one of the most commonly diagnosed disorders in the United States continued research is critical. The pervasiveness of these disorders including panic disorder, social anxiety disorder, agoraphobia, generalized anxiety disorder and specific disorders comes at a high cost both socially and economically (Beidel et

Many people experience butterflies in their stomach, sweaty palms, pounding of the heart or a combination of all three in intimidating social situations. But for many, over 15 million American adults, “this anxiety causes extreme self-consciousness in everyday social or performance situations” (SAD Brochure, pg. 2). For these individuals, their anxiety occurs during simple tasks like ordering food or making a phone call. This brochure attempts to inform their audience about what Social Anxiety Disorder is, how this disorder affects these individuals, and how to get treatment for it. The ADAA has created this Social Anxiety Disorder brochure, that incorporates many “adapting strategies” (Penrose and Katz 2010, pg. 205), appeals

This essay will discuss the mental disorder known as Social Phobia. The major symptoms of this disorder will be identified before critically considering the difficulties regarding the diagnosis of Social Phobia. Biological and psychosocial explanations will be explored and evaluated appropriately in order to gain a better understanding of this disorder. Furthermore, the treatments in terms of medication and behavioural therapies will be scrutinised and appraised suitably.

For those suffering from anxiety and depression, life can be very lonely. Finding help for them become a necessity to living a normal and healthy life again. Help can come in many ways; it can be ways to relieve stress, ways to relieve anxiety, and information on how to get rid of social anxiety disorder. Strategies for reduction are very important to obtain and refine, but all of this requires a little help from specialists who know what a sufferer is going through.

The Diagnostic and Statistical Manual of Mental Disorders (DSM-5, American Psychiatric Association [APA], 2013), describes social anxiety disorder (SAD) is a disorder that is expressed by a constant fear of receiving negative evaluation by others within a social situation. A social situation is one that can be defined as a scenario where the individual believes there is an audience present (Heimberg, Brozovich, & Rapee, 2014) and is often the beginning of the disorder. Many years of research have been undergone to establish models that describe the etiology of SAD, however, the Cognitive Behavioural Model is the most well known and most referred to. As this model is extensive, this essay will not have the capacity to encompass all aspect of

Social Phobia, also called social anxiety disorder (SAD), is one of the most common, but misconstrued mental health problems in society. According to the Anxiety and Depression Association of America (ADAA), over 15 million adults suffer from the disorder. First appearing in the DSM-III as Social Phobia, and later in the DSM-IV as Social Anxiety Disorder, this newly established disorder denotes afflicting stress and anxiety associated with social situations (Zakri 677). According to James W. Jefferson, two forms of Social phobia exist: specific and generalized. Specific social phobia indicates anxiety limited to few performance situations, while generalized indicates anxiety in all social situations (Jefferson). Many people often interchangeably link this disorder to shyness––a personality trait. However, although they have striking similarities, the two are divergent. To begin with, SAD has an extensive etiology ranging from multiple factors. Furthermore, symptoms of various aspects accompany SAD. Moreover, SAD has detrimental impacts affecting quality of life. Lastly, SAD has numerous methods of treatment. Social Phobia is prevalent in both women and men beginning at the onset of puberty (ADAA).

     Social anxiety disorder or social phobia is a much more common problem then psychologists originally thought. Millions of people al over the world

This literature review is conducted to explore the social anxiety disorder, its Etiology, prevalence and finally putting focus on the need of a special treatment for adolescent with social anxiety disorder. Anxiety problems are the most common and widespread mental issues and are an area of interest for the medical as well as psychology researchers. These disorders are related to excess fear and anxiety and associated behavioural problems, where an

Social Anxiety Disorder or social phobia, is the third largest mental health care problem in the world. (Stein, 2010) National statistical surveys carried out in 2002 in the United Kingdom suggest that the prevalence rates for social phobias among young people in the UK were around 4%. (National Statistics, 2002)

Social anxiety disorder (social phobia) can be described as an extreme, persistent fear of being scrutinized or judged by others in social situations. This fear may lead to feelings of embarrassment, humiliation and self-consciousness. People who suffer from this condition may “feel powerless against their anxiety” (ADAA). These emotions often interfere with daily activities, such as school, work and personal relationships. The person might begin to withdraw socially or avoid situations in which he or she is afraid. Millions of Americans endure this devastating condition every day of their lives. There are several causes, symptoms and treatments.