My client Leon has exhibited characteristics that are associated with the diagnostic criteria of social anxiety disorder (SAD). The DSM-5 states, “The essential feature of social anxiety disorder is a marked, or intense, fear or anxiety of social situations in which the individual may be scrutinized by others. In children the fear or anxiety must occur in peer settings and not just…with adults (American Psychiatric Association., 2013).” Leon has reported he never has felt comfortable in social situations. He felt awkward as a child reporting that if he was forced into a social situation he would become withdrawn and would not speak. Leon did well in school, but was not comfortable when it came to oral presentations. He lacked the confidence to complete them, which cause his grades to suffer. Leon has been employed in the same postal job for the last 24 years. Although he should be in a managerial position now, his SAD caused him to pass on promotions because he was uncomfortable with the social pressures associated with them. He does supervise several employees, but experiences distress in having to give instruction, redirection and feedback to them. 2. If you completed an assessment with this client, what Biological, family, and cultural considerations of their background would you need to see to justify the …show more content…
Successful types of medications prescribed for SAD include SSRIs, SNRIs, MAOIs and benzodiazepines. As therapists, we need to examine the needs of the patient to determine what the best course of medication therapy would be. Knowing the client’s substance abuse history is important when recommending medication. Benzodiazepines has shown to be highly addictive and widely abused, so they should be the last course of action for the patient, especially in a patient that has addictive
From a sociocultural viewpoint would suggest that maybe his race, as well as his country, and social environment could play a role in his schizophrenia also people labeling him as not normal could have played a role in a self fulfilling prophecy. Sociocultural views may also suggest that family stresses may have been a contribution to his schizophrenia.
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.
The most common techniques used and discussed are exposure to a feared social situation, cognitive restructuring, relaxation training, social and skills training (Hambrick, Weeks, Harb, & Heimberg, 2003). These techniques all show positive results when used on patients. Pharmacotherapy as a treatment used for SAD showed faster results in studies, but a greater chance of relapse.
The DSM-5 (The Diagnostic and Statistical Manual of Mental Disorders) defines social anxiety as, “A persistent fear of one or more social or performance situations in which the person is exposed to unfamiliar people or to possible scrutiny by
In this week’s readings chapter twelve is about schizophrenia. Schizophrenia is a psychotic disorder in which personal, social, and occupational functioning deteriorate as a result of strange perceptions, unusual emotions, and motor abnormalities. This disorder is very interesting, but also kind of scary to me. They literally end up in their own world, losing contact with reality. With that, they also experience hallucinations or delusions, which can cause them to do abnormal, possibly dangerous actions. These symptoms must last six months or more before the person can be diagnosed with schizophrenia. It will affect 1 out of 100 people in the world during ones lifetime. This disorder, unlike many others, is just as common among men and women,
1. Diagnosis: My diagnosis of Lona is that she is suffering from persistent depressive disorder (PDD), previously known as dysthymic disorder. “Persistent Depressive Disorder, formerly known as Dysthymic Disorder (also known as dysthymia), has been recently renamed in the updated DSM-5 (2013)” (Grohol). I did not find any significant symptoms to diagnose her with a personality disorder at this time.
Psychotic Disorder Case Study: Harry Harry is a client diagnosed with schizophrenia who currently lives alone. He has been on several antipsychotic drug treatments with short term lasting results. However, acute psychosis triggers Harry, with breakthrough symptoms of hearing voices in present regiment of care.
Instructions: Read the following case study about a woman, Allison, who is suffering from anxiety. After you have read the case study, diagnose Allison and present some methods of treatment by answering the questions.
Hanna was referred by her GP, because she has been experiencing some anxiety difficulties. Client reports that she began to have anxiety five or six years ago. Reportedly, she recently moved out of her parents’ home and this may have caused the anxiety to escalate. This is the first time client has moved away from her parents.
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 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.
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.
(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)
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