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Fears social anxiety disorder

Pharmacotherapy of social anxiety disorder should lead to improvement in physiologic symptoms of anxiety and fear, functionality, and overall well-being. [Pg.605]

There is something distinctly human about social anxiety. Mark Twain once remarked, Man is the only animal that blushes—or needs to. Although there are other mammalian species with complex social pecking orders, we, as humans, are particularly sensitive to how we are perceived by others. This sensitivity, when marked by a fear of evaluation by others, can become maladaptive. If that fear is transient and leads to little or no avoidance of social interactions, then it is considered normal shyness. However, when the social consequences of that fear become more pronounced, then the diagnosis of social phobia, now more commonly referred to as social anxiety disorder, is warranted. [Pg.159]

DSM-IV defines social anxiety disorder as an excessive fear of scrutiny by others in social situations. Refer to Table 5.9 for the diagnostic criteria for social anxiety... [Pg.159]

Sonntag H, Wittchen EIU, Hofler M, Kessler RC, Stein MB (2000) Are social fears and DSM-IV social anxiety disorder associated with smoking and nicotine dependence in adolescents and young adults. Fur Psychiatry 15 67-74... [Pg.431]

The terms social phobia or social anxiety disorder refer to a pattern of recurrent fear and apprehension in social situations or scenarios where an individual may be scrutinized. Before modifications in the Diagnostic and Statistical Manual of Mental Disorders, 4th ed. (DSM-IV), identification of social phobia in childhood was limited by having the condition closely aligned to both... [Pg.138]

The word phobia comes from the Greek word for fear phobos, and refers to an inappropriately intense and irrational fear toward some object or situation. Most adults who experience phobias recognize that the fear is irrational. Most phobias fall into the category of specific (sometimes called simple ) phobias. The more complex social phobia (also called social anxiety disorder ) will be discussed later. [Pg.18]

Social anxiety disorder (also called social phobia ) stems from the fear of doing something wrong and being embarrassed in... [Pg.28]

In 1965, the beta-blocker propranolol began to be used to treat some fear or anxiety symptoms. These drugs are particularly useful for treating panic symptoms associated with social anxiety disorder. [Pg.94]

Beta-blocker—Drug that suppresses the autonomic stress response that causes fear-like symptoms brought on by social anxiety disorder. [Pg.112]

The Liebowitz Social Anxiety Scale (LSAS) measures fear, anxiety and avoidant behavior in 24 commonly feared social situations and performances. There are 13 performance-related items and 11 items that rate the social situations (Heimberg et al, 1999). The LSAS is the standard established outcome measure in most of the pivotal trials for social anxiety. Cut-offs of 30 for social anxiety disorder and 60 for its generalized subtype on the LSAS total scores represent a balance of specificity and sensitivity. There are two valid versions of the LSAS a clinician-administered version and a self-rating version (Fresco et al.. 2001). [Pg.200]

The Fear Questionnaire (FQ) is a 24-item self-rated scale used mainly for assessments in phobias. One component of the scale evaluates phobic behavior associated with a number of situations, whereas another component assesses symptoms of anxiety, depression and general distress caused by phobia (Marks and Mathews, 1979). The social phobia, strongly related to social anxiety, and most of the subscales are significantly related to neuroticism. The FQ has been utilized in several trials of social anxiety disorder. [Pg.200]

Phobia is fear, and there are several disorders that are classified as phobias. Here we will briefly discuss agoraphobia, specific phobias, and social phobia, also known as social anxiety disorder. [Pg.358]

Social phobia (SP) or social anxiety disorder (SAD) (8-10) is characterized by a significant and persistent fear of social situations from which embarrassment may result (e.g., public speaking), or of situations where one is being observed or scrutinized by others (e.g.,... [Pg.526]

TABLE 69—5. Presentation of Social Anxiety Disorder Fears... [Pg.1289]

Often occurs in context of other anxiety disorders. The feared social or performance situation can be limited to a specific social interaction (e.g., public speaking) or generalized to most any social interaction. Differs from specific phobia, in which the fear and anxiety are limited to a particular object or situation (e.g., insects, heights, public transportation). [Pg.609]

Among the many self-report instruments that exist, some, such as the Multidimensional Anxiety Scale for Children (MASC March et ah, 1997) and the Screen for Anxiety-Related Emotional Disorders (SCARED Birmaher et ah, 1997 1999), assess a broad range of anxiety symptoms, while others assess one specific disorder or domain of anxiety (e.g., obsessive and compulsive behaviors, social anxiety, worry, fears, etc.). [Pg.499]

GAD differs from other types of anxiety disorders because, although the anxiety is present most of the time, GAD patients do not fear specific events such as social situations or having a panic attack (as in social anxiety or panic disorder). GAD is distinguished from normal worry or anxiety because of its long-term duration. GAD is frequently the underlying cause of many symptoms, including irritability, insomnia, headache, and muscle tension. This can often make it very hard to diagnose. A person with GAD will often go to his or her family physician and complain of nerves. ... [Pg.43]

The DSM-IV classifies anxiety disorders in children into four categories, namely social anxiety, over-anxious disorder, phobias and separation anxiety. Only separation anxiety, a fear of losing a loved one or a close attachment, has been reasonably well studied from the point of view of drug treatment. School phobia is perhaps the most severe form of separation anxiety and there are several trials to show that imipramine, in daily doses of up to 5mg/kg, is effective. Many patients require drug treatment for at least 6 to 8 weeks before an optimal response is achieved. Frequently, children remain symptom free after a 3M month course of treatment. In addition to the usual anticholinergic effects of imipramine, it should be noted that children are often susceptible to withdrawal symptoms such as nausea and gastrointestinal spasm. This may be reduced if the drug is slowly withdrawn over a 2-week period. [Pg.423]

Psychiatric comorbidity is common, as up to 75% of patients have a primary mood disorder. A link between AN and anxiety disorders, especially social phobia (fear of eating in public) and obsessive-compulsive disorder, has been noted. The lifetime prevalence of obsessive-compulsive disorder in patients with AN is reported to be as high as 25%, much higher than the lifetime prevalence in the general population (2.5%). Personality disorders are also more common among people with AN, especially the avoidant and obsessive-compulsive types, than in the general population. ... [Pg.1149]

Differentiating SAD from other anxiety disorders can be difficult. Panic attacks occur in both SAD and panic disorder, but the distinction between the two is the rationale behind fear fear of anxiety symptoms is characteristic of panic disorder, while fear of embarrassment from social interaction typifies SAD. GAD is hkely the diagnosis if anxiety regarding social situations are part of a pattern of worries about multiple fife areas or numerous potential negative outcomes. A majority of SAD patients have a comorbid mood, anxiety, or substance abuse disorder. The SAD typically precedes the development of comorbid disorders, which is associated with increased suicidal ideation. ... [Pg.1289]

Anxiety (refusal to go to school, phobias, separation or social fears, generalized anxiety, or post-traumatic stress disorders)—if it keeps the youngster from normal daily activities. [Pg.109]


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See also in sourсe #XX -- [ Pg.737 ]

See also in sourсe #XX -- [ Pg.737 ]




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