In case study #4 Louise a 69-year-old architect, has a fear of public speaking, to the point that she is even afraid to speak up at a business meeting. This is causing her problems at work because she avoids situations where she will have to speak in front of other people. She is afraid that she will appear stupid and that other people will make fun of her. Louise may be suffering from social anxiety or social phobia. Social anxiety occurs in approximately 10 to 20 percent of the population and is the third most common psychiatric disorder, after substance abuse and depression (Franks, 2015). To define social anxiety disorder, it is marked and persistent fear of social or performance situations in which the person is exposed to unfamiliar …show more content…
Not knowing Louise’s medical history and if she is currently on any other types of medications I would be leery to prescribe medication to her. Medication would be another options after I interview Louise and get a more detailed medical history (Franks, 2015). After getting Louise’s medical history I would also look at is there possibly a physical health problem that could be causing the social anxiety, since there are some conditions that will do that (NIMH, 2016). Another option that I would recommend with Louise are some stress management techniques, since she is already afraid of speaking in front of other having to speak with a therapist may cause her more anxiety (NIMH, 2016). Giving Louise options to help her relax would not only make her more comfortable with the therapist, but may also help her to be able to interact better at her job. The final treatment I would suggest is getting Louise’s family involved, without a support system she is not going to be able to face this disorder. Her family if they are available and willing would be one of the best treatment options since they are the ones that know her the best, they would be able to help her work on aspects of the treatment that need to be addressed at
Answer: Social Anxiety or Social Phobia (King, 2016); social situations are the cause of her anxiety
I believe that Nadine fits the criteria relative to Social Anxiety Disorder 300.23 (F40.10). According to the DSM-5, Social Anxiety Disorder has ten diagnostic criteria. The first diagnostic criteria, A. is “marked fear or anxiety about one or more social situations in which the individual is exposed to possible scrutiny by others. Examples include social interactions (e.g., having a conversation, meeting unfamiliar people), being observed (e.g., eating or drinking), and performing in front of others (e.g., giving a speech)” (DSM, p. 202). Nadine demonstrates this diagnostic criteria, because for example, she is afraid to go to a public park and “had become scared to even read by herself in the local park” (quoted from case study).
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.
Social anxiety is fear of communication with other individuals and it may bring feelings of self-consciousness (Kashdan, Farmer, Adams,
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).
This type of Anxiety Disorder has a direct correlation relating to social situations. A person experiencing this disorder has a chronic fear of other people’s perceptions of them. They are especially likely to avoid any situation where they are being observed by others such as giving presentations or activities that must be performed in front of an audience, large or small. In extreme circumstances where social anxiety disorder exists, a person will avoid social situations all together and will become a “hermit” in their own individual abode. This disorder is impairing to one’s normal life functioning because it often affects a person’s ability to perform the essential duties in a work environment. It also deters them from engaging in typical conversations because the fear of being embarrassed or judged is so extreme (Fleming, 2012).
(Clark & Beck,2010) There is a “marked and persistent fear of social or performance situations in which embarrassment may occur” DSM-IV-TR; APA, 2000, p.450) Social Phobics seem unable to assess friendly facial expressions. (Ballenger,2009) They have an enhanced vigilance to angry faces relative to happy and neutral faces. (Mogg,2004) This affects interpersonal functioning. (Joorman, 2006)
Social anxiety disorder, which is also called social phobia involves overwhelming worry and self-consciousness about everyday social situations. The worry often centers on a fear of being judged by others, or behaving in a way that might cause embarrassment or lead to ridicule. The fear may be made worse by a lack of social skills or experience in social situations. The anxiety can build into a panic attack. As a result of the fear, the person endures certain social situations in extreme distress or may avoid them altogether. In addition, people with social anxiety disorder often suffer anticipatory anxiety, the fear of a situation before it even happens, for days or weeks before the event. In many cases, the person is aware that the fear is unreasonable, yet is unable to overcome it. (Goldberg)
You feel your hands trembling, your heart beats rapidly and your whole body is completely soaked in sweat. Many eyes stare at you intently awaiting for you to just… speak. The mere thought is extremely terrifying for you and all you want to do is crawl into a hole where you feel the safest. Social anxiety a persistent fear of being scrutinized or judged by others in social situations. Also, known as social phobia, an anxiety disorder which a person has excessive and unreasonable fear of social situations. Approximately 5.3 million American adults ages 18 to 54, or about 3.7 percent of people in this age group in a given year, have social phobia.
Social phobia very common in America, affecting 15 million, and some people confuse this with the occasional nervousness that comes. An example to distinguish between the two would be taking a public speaking class. If a normal person is nervous, they might sweat and stutter, but someone who as a case of social anxiety would try to skip the class entirely and when they finally spoke, they would have lots of troubles speaking. Another is example is giving a speech. It’s perfectly normal to get nervous before giving a big speech, but if you have social anxiety disorder or social phobia, you might worry for days or weeks before it. The individual will do everything to do anything to get out of it, like calling in sick. Someones social anxiety is often triggered by events like meeting new people, being the center of attention (like at a birthday party), being watched while performing a task, public speaking, including speaking up, being teased, etc. People with this mental illness also suffer from negative thoughts, such as “People will think I’m dumb.”, that disable them being apart of the norm. In terms of treatment, psychoanalysis is often used. They use cognitive behavior therapy, a special kind of psychoanalysis. This kind of psychoanalysis is primarily used for
Social anxiety is the fear of social situations and the interaction with other people that can automatically bring on feelings of self-consciousness, judgement, evaluation, and inferiority. Put differently social anxiety is the fear and anxiety of being judged and evaluated negatively by other people, leading to feelings of inadequacy, embarrassment, humiliation, and depression. If a person usually becomes anxious in social situations, but seems fine when they are by them selves, then social anxiety may be the problem.
Social anxiety is “a feeling of discomfort, fear, or worry that is centered on our interactions with other people and involves a concern with being judged negatively, evaluated, or looked down upon by others” (Social Anxiety Support, 2014). Social anxiety can affect anyone. Individuals with social anxiety tend to prefer to keep to themselves because they are afraid others will judge them negatively and have a hard time interacting socially.
The Social anxiety Association classifies social anxiety as the fear of interacting with other and social situations. Social anxiety causes fear and anxiety in most if not all aspects of ones lives. Social anxiety is the fear of being negatively judge or evaluated by others. It is a chronic disease that it does not go away on its own, only direct cognitive-behavioral therapy can help people overcome their social anxiety. There are a few situations that can trigger social anxiety such as being introduced to
Among all anxiety problems, social anxiety disorder is most common anxiety issue and third most common problem in all mental complications (American Psychiatric Association, 2000; Hofmann & Bogels, 2006). SAD is a mental disorder which has a tendency to become chronic and badly disturbs normal functions of life if not diagnosed and treated in time (Beesdo-Baum, et al., 2012; Garcia-Lopez, Piqueras, Diaz-Castela, & Ingles, 2008). It is also among the most prevailing mental disorders and is described in Criterion A of DSM-V as “Marked fear or anxiety about one or more social situations in which the individual is exposed to possible scrutiny by others. Examples include social interactions (e.g., having a conversation, meeting unfamiliar people), being observed (e.g., eating or drinking), and performing in front of others (e.g., giving a speech)” (American Psychiatric Association, 2013). A specific amount of anxiety is always anticipated socially and helps an individual managing future threats (American Psychiatric Association, 2000). But having social anxiety means that anxiety is too much for normal functioning during social situations and often interferes with
Feeling anxious before giving a speech or presenting a project is normal, but when that anxiety carries over into being nervous before going to a casual party or meeting up with friends, that is when it might be more than just nerves. Social anxiety is one of the most common forms of anxiety. About fifteen million adults in America suffer from social anxiety, with the typical onset age being thirteen (Social Anxiety Disorder). Overcoming social anxiety takes tremendous efforts and can take many years. There are many different methods people have tried using to overcome their fears. Two common ones people use are learning to control their breath and cognitive-behavioral therapy. With persistence and determination, people can learn to deal with their social anxiety the healthy way, or better yet, overcome it completely.