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Jenilee Brown, best known for Social Anxiety Disorders and Social Phobias not being a morning person in English 2010 any way, shape, or form. So why Dixie State College would I take a 7 A.M. English class? Well, I got Jenilee Brown accepted into the Social Work Program and found out I needed to complete English 2010 prior to starting the program in the fall. I was highly recommended to take this class with Professor Abstract Social anxiety disorder, otherwise Combs, so I looked deep down inside myself and known as social phobia, is a phobia which came to the conclusion that I can do anything, even many people suffer from. People who live a 7A.M. class. This research essay was the first with this disorder experience many symptoms APA style paper I have ever written, and it was both psychologically and physically. There are hard to transition myself from writing MLA to six different risk factors that are associated APA. I learned about Social Phobias in Psychology class, and I really thought I suffered from it, and with the development or the cause of social that is what led me to want to fully understand phobia. Treatment for the condition is varied everything about the disorder. I’m glad I picked this based off how effected the person is by the topic because I realize there’s so much more to it than I thought, and I learned I don’t suffer from it. phobia and also how it may affect them psychologically. There are two major types of Although it was a shorter and earlier class than I’m used to, I’m so glad I took it. Throughout the entire semester we worked on them rather than cramming treatment; which are, medication and psychosocial. The types of medication it in the last few weeks of the semester. I also found provided are anti-depressants and anti- I enjoying writing APA better than MLA now. I anxiety. The types of psychosocial treatments also found myself waking up naturally really early are psycho and behavioral therapy. in the morning on the weekends. I’m likeawhole new person. Social Anxiety Disorders and Social Phobias What is Social Phobia Disorder? “Social anxiety disorder is the third largest mental health care problem in the world today” (Social Phobia/Social Anxiety Matthew skipped class today. It’s the first day of the new semester, and he’s afraid that the professor will go around the class and have the students introduce themselves. He knows it shouldn’t be a big deal, but it really stresses him out. Whenever he has to speak in front of more than just a few people, his voice starts shaking and his face gets red. He always feels so humiliated afterwards. Since public speaking is Matthew’s worst nightmare, he’s been avoiding a speech class he has to take in order to graduate. He’s also dreading his brother’s wedding, even though it’s over six months away. As the best man, he’ll have to give a toast at the reception and he’s already nervous about it (Smith and Jaffe-Gill, 2010). This was a case study done by Melinda Smith, M.D. and Ellen Jaffe-Gill, M.D. Matthew was just one of many case they study to further their understands of the different underlying factors associated with social phobias. Association, 2008). Social phobia is also known as social anxiety disorder. It involves having an extreme fear of social situations, or even just thinking about being put in a social situation. Like Matthew, many people with social phobia get so frightened and anxious, that they go to any length to avoid being put into these situations. Many times the phobia is a lot more intense when the situation is unfamiliar, or if the person struggling with it feels as if they are going to be evaluated and watched by others. Like Matthew’s situation, the feelings of being scrutinized, judged, or embarrassed is the underlying factor of social phobia. Having social phobias can be more serious than some people may think. Some people come to the point to where they need to take medication for it. After doing research and learning the underlying factors involved with it, many people may be relieved to find that they do not suffer from the phobia. Gaining an understanding about social suffering from the phobia, psychological and phobias can help tell someone whether or not physical symptoms. they suffer from it, and how they can treat it. Psychological symptoms have many There are two types of social phobias. side effects to them. In this state, someone Generalized social anxiety disorder is when who suffers from the disorder has intense fear anxiety is experienced in most social and for days, weeks, or months prior to an performance situation. Such as, performing in upcoming event. Whether or not they are in a front of a big or small audience, or having to situation where they know someone or not, speak in public. The other type of social they are always worried about being judged, phobia is when anxiety occurs in more specific embarrassed, or humiliated, so they are very situations. These specific situations are linked self-conscious in any social situation. to meeting and having to talk to strangers, Depression and a low self-esteem is also a eating at restaurants, and going to parties or major factor with psychological symptoms. any other social event with unfamiliar people They are extra sensitive when being criticized (Smith and Jaffe-Gill, 2010). and have problems being assertive. While Symptoms going through these symptoms, they may also Although people may get nervous get anxiety just from the thought of people before giving a speech or performing in front realizing they are nervous or uncomfortable in of an audience, it does not always mean they their environment. have a social phobia. People who stress about In a case study done by Beth Mc it weeks ahead of time and weeks after are Hugh, she introduces a well-likable middle the ones who suffer from it. There are two aged man named Jeff. To everyone else, Jeff types of symptoms one experiences when seems like a happy but shy guy. He has a good job, everyone at work enjoys his dedication, and his boss and he has a good relationship. friends with Cameron for over three years, What no one knows is Jeff suffers from social and I spent a lot of time with his family. For as phobia. No one notices is how unhappy he is long as I knew Cameron, his father never with his relationships with other people, his spoke more than a few sentences when I was social fear, and with his life in general. around. Last summer, his father was asked to Physical symptoms are a lot more serve as the first counselor in the bishopric in involved and personal when dealing with his ward. He was asked months before he was social anxiety phobias because it is more actually asked to serve, and Cameron’s visible to those around. The most common mother told us he hasn’t spoken much since physical symptoms are getting red or blotchy he was asked. Along with not speaking, the in the face, profuse sweating, and difficulty thought of having to sit and talk in front of his making any eye contact. While talking, they ward made him lose ten pounds in one week. may experience a shaky voice, rapid Cameron’s father’s disorder clearly affected breathing, difficulty with speaking, and a dry him not only psychologically, but it also mouth. An upset stomach is also a common affected him physically. symptom as they may go through nausea and Risk Factors diarrhea. Other very common symptoms are: “Between three to thirteen percent of getting cold, clammy hands, trembling, people in western countries experience social shaking, muscle tension, and confusion that anxiety disorders at some point in their lives” may be associated with getting dizzy and in (Mayo Foundation for Medical Education some cases fainting (Mayo Foundation for Research, 1998-2010). Although social phobia Medical Education Research, 1998-2010). may start early in childhood or later in An old friend of mine, Cameron, had a father who suffered from social phobia. I was adulthood, it usually begins in the early to mid-teens. Many factors may contribute to the disorder, such as: gender, family history, social phobia. An example of a negative environment, negative experiences, experience that may trigger social phobias temperament, and new social work demands. comes from my fiancé, Tyler. Coming from a Gender is a big part of the deciding small town the annual rodeo is always an risk factors because women are more likely to event for the town to look forward to. As a be effected by social phobia and the young boy, Tyler used to perform with his symptoms that follow them. Research has also uncle in one of the events in front of what felt found that if someone whose biological like the entire town. He tripped during the parents or siblings suffered from social performance, which left him being dragged phobia, they are likely to suffer from it as well. across the arena by the horse and his pants Scientist theorizes that social phobia is a slide down to his ankles. He stood up to a learned behavior, which is developing a crowd crying from laughter. Until this day, characteristic after being exposed to it for a Tyler has an incessant fear when being in front certain amount of time. Therefore, after being of groups of people. Also, someone who is a exposed an anxious behavior by others in the victim of sexual abuse, family conflicts, or any environment, the phobia may develop. For other negative event in their lifetime has a example, parents that are more controlling, greater link to developing the disorder. With protective, and/or paranoid of their children temperament, a younger child who is more may develop the phobia in their children. shy, timid, withdrawn, and reserved is at a Negative experiences are a huge factor that higher risk of developing the phobia (Kim, W., may trigger social phobia. If a person at a et. al, 2009). Last, a new social or work younger age was a victim of bullying, teasing, environment may trigger social phobia due to rejection, ridicule, humiliation, or an extreme meeting new people, giving a speech in public, embarrassing moment may be more prone to or having to give a presentation for work all produces a sense of relaxation and muscle for the first time. tension. Anti-depressants help in controlling Treatments the panic attacks. Being able to reduce the People who go through treatments panic attacks is the central factor in recovering find a 77 percent improvement in the from the disorder. It’s a basis for resuming a psychodynamic, cognitive, humanistic, regular live. It’s important to be cautious behavioral, and social areas prior to about certain anti-depressants because some treatments (Long, M.D., 1990). Treatments for are known to have same side-effects seen in social phobias are similar for those who suffer Obsessive Compulsive Disorders. from agoraphobia and other simple phobias. Psychosocial treatments are meetings There are two main types of treatments, with professionals doing various personal and medication and psychosocial. Both take awhile involved activities. Most common form of the to complete depending on how severely psychosocial treatment is when the clinician someone is affected by the disorder, but both has the patient imagine themselves in a very also show great improvement in their lives. fearful situation or fantasy that includes an There are two types of medications, anxiety-produced emotion. They encourage anti-anxiety and anti-depressants, that are them to stay at that state for as long as used for two different purposes. Minor possible before “returning” back to the tranquilizers and anxiolytics are used to help secession. This is also encouraged to be with anxiety symptoms. Tricyclic anti- repeated many times and have written depressants are used to help with the mental journals about the experience. This is effects that social phobias cause (Long, M.D., supposed to be effective in a way that will 1990). Anti-anxiety medication is important in allow them to pay close attention to cues of the treatment of the phobia because it panic and anxiety. It helps them recognize and overwhelming discomfort as a step to further control their symptoms. get past their fears. Psychotherapy is treatment of anxiety False Indications and the phobia. It implies a lot of therapist- I think the biggest misconception patient interaction with overlapping people, including me, have about social behavioral treatments. The most important phobia is the idea that everyone has it. I part of this treatment is the therapist provides thought I was one of the millions of people in a lot of interest, support, and understanding America that suffered from the disorder. for the patient as a way to make them feel Having a full understanding about the disorder important and encouraged to get past the before diagnosing someone with it is very phobia. The hardest part of the treatment is in crucial. the process symptoms and things they were In an article written by Leora R. suffering from are given-up one at a time. This Heckelman and Franklin R. Schneier, they is hard for the patient to cope with because it followed a young lady named Janet. She was has become so involved in their lives, and they an upbeat young lady who always had the now have to learn to cope without it. idea that she suffered from intense fear of Counseling is valuable in this stage of being in public situations. Similar to what I treatment. thought before writing this essay, she thought Behavioral therapy is a technique of that simply because she gets really nervous exposure to things that cause them anxiety. before speaking in front of the classroom or This is effective for them both short-term and even reading out loud, she though she is long-term to help them overcome the phobia. sufferer of the disorder. Seeking a way to This section of treatment brings them decrease these symptoms, she felt as if she was always led to a dead road. Although her doctors repeatedly told her any kind of medication wasn’t necessary, she refused to Conclusion Prior to doing research on this topic, I listen and found a way to get a hold of anti- didn’t know how many people are affected by depressant pills, called Celexa. After months this disorder. Knowing now, I see it is not only of taking the pill, Janet never felt as if she felt effective to them physically, but also mentally. a difference in her performance other than I believe it is important to know how badly it feeling even more depressed after taking the can affect someone in their daily lives, and pills. What Janet didn’t know was she really how involved it is for them in the long run. I wasn’t affected with the disorder at all. I think also thought it was a condition that everyone what people don’t understand is feeling suffers from. It is very important to know the nervous is a normal symptom that everyone underlying issues about social phobia because goes through, and just because one may feel it reacting to it without knowing these issues more than others, doesn’t necessarily mean can really hurt someone’s health as well as there is anything wrong with them. mentally and physically. Reference Carter, S. and Wu, K. (2009). Symptoms of specific and generalized social phobia: An examination of discriminate validity and structural relations with mood and anxiety symptoms. Heckelman, L. and Schneier, F., (1995). Social phobia: Diagnosis, assessment, and treatment. Retrieved fromhttp://books.google.com/books?hl=en&lr=&id=rXrekuSy2bsC&oi=fnd&pg=PA69 &dq=false+social+phobia+case+study&ots=gPeM8my1bk&sig=aHm_ypXf9BTuSSqhA P39-r4Y0wE#v=onepage&q&f=false, 18 July 2010. Kim, B. et. al. (2009). Journal of anxiety disorders: Effectiveness of a mindfulness-based cognitive therapy program as an adjunct to pharmacotherapy in patients with panic disorder, 24 (6), 590-595. Retrieved fromhttp://fp8lj8vm6d.cs.serialssolutions.com.libproxy.dixie.edu/results?SS_LibHash =FP8LJ8VM6D&dbIDList=&searchType=basic&action=start&catGroupList=default&se archBy=Category&term=social+phobia+disorder&field=keyword&catID=38424. 26 June 2010. Long, P. M.D. (1990). Social phobia: Treatment. Retrieved from http://www.mentalhealth.com/rx/p23-an03.html. 5 July 2010. Mayo Foundation for Medical Education and Research. (1998-2010). Social anxiety disorders: Social phobia. Retrieved from http://www.mayoclinic.com/health/social-anxietydisorder/DS00595/METHOD=print. 26 June 2010. Mc Hugh, B. (2006). Health-mental health: Social phobia and case studies. Retrieved from http://mental-health.families.com/blog/social-phobia-a-case-study, 18 July 2010. Smith, M. M.D. and Jaffe-Gill, E. M.A., (2010). Social anxiety disorders and social phobias: Symptoms, self-help, and treatments. Retrieved from http://helpguide.org/mental/social_anxiety_support_symptom_causes_treatment.h tm Social Phobia/Social Anxiety Association, (2008). Social phobia mission statement one. Retrieved from http://www.socialphobia.org/mission.html#mission1, 26 June 2010.