The term "social anxiety" is a general term that is applied to feelings of apprehension and fear in social situations. A person with this mental disorder may have a certain amount of uneasiness around others, be it strangers or those familiar to them. A certain amount of it is a normal part of a child psychosocial development.
Social anxiety can take many different forms. Examples of it include being afraid of public speaking, performance anxiety, shyness, stage fright. Given these examples, it seems some level of social phobia exists in each of us. The anxiety most certainly exists on a continuum for every one...ranging from small amounts of timidity to debilitating clinical phobias.
Social anxiety that continues and worsens during adolescence and early adulthood may be a sign of Social Anxiety Disorder, or also known as Social Phobia. It is specifically difficult to diagnose given the generality of normal anxieties in most everyone. The credibility of it being a "disorder" has even been challenged by some professionals. The American Psychological Association has, however, included it in their Diagnostic and Statistical Manual of Mental Disorders since the 1980 version. Although some argue about the relevancy and specificity of the diagnostic criteria, it is generally agreed that the descriptive definition and criteria are improving with each revision of the highly revered and noted publication.
Diagnostic criteria for social anxiety in children require that the symptoms of the disorder be present for a minimum of six months time. For adult, it does not have to be present that long to be clinically diagnosed, but a differential diagnosis will be made from patient reports of intense fear of being in social situations, fear of being judged, worry about being humiliated, fear that others will see that you are anxious, panic attacks, and developing avoidance of situations where one will have to speak to people or be the center of attention.
Clinical levels of this disorder can be reclassified into one of two sub categories, General Social Phobia and Specific Social Phobias. The more general the symptoms and triggers, the more likely that the disorder will fit in the former category. Just as one can have a wide sweeping array of general social phobias, one can exhibit extreme social phobias about specific instances-riding in elevators, speaking on the telephone, or being in a crowded shopping mall are all examples of specific social phobias.
There are numerous treatments for those with extreme levels of social anxiety disorder. These include cognitive behavioral therapy, medication, talk therapy, and behavioral therapy. These types of treatments can be used successfully alone or as a repertoire of therapeutic treatments. Whatever the case, it is important that one recognizes the anxiety and seeks help before the phobias begin to take over your life. Untreated it can be a debilitating and troublesome condition for adolescents and adults. Seeking treatment is the first step towards successful rehabilitation and the ability to face your fears head on.
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