Social phobia

Introduction to social phobia Social phobia is a subtype of phobia, formerly known as phobic neurosis, which is a type of neurosis. Excessive and unreasonable fear of an external objective or situation as the main manifestation, the patient knows that this fear reaction is excessive or unreasonable, but it still appears repeatedly and is difficult to control. Fear attacks are often accompanied by obvious anxiety and autonomic symptoms. The patient tries to avoid the objective things or situations that cause fear, or endure with fear, thus affecting their normal activities. Common phobia subtypes include square fear, social fear, and special phobia. basic knowledge The proportion of illness: 0.005%-0.007% Susceptible people: no special people Mode of infection: non-infectious Complications: phobias, horrible anxiety disorders

Cause of social phobia

Genetic factors (35%):

Phobia has a family genetic predisposition, especially affecting female relatives. The results of the twin study also suggest that the fear of the square may be related to heredity and is related to the panic disorder. Certain phobias have obvious genetic predispositions, such as blood and injection fear. About two-thirds of the proband's biological relatives have the same disease, and the response of these patients to terrorist stimuli is also associated with general fear. Patients with different symptoms, they show bradycardia rather than tachycardia, prone to syncope.

Endocrine factors (15%):

Studies have found that patients with social phobia have elevated levels of norepinephrine in the presence of fear symptoms, positive thyroxine-releasing hormone test, and slow response to growth hormone induced by clonidine challenge.

Psychosocial factors (35%):

At the beginning of the 19th century, American psychologists used conditioned reflex theory to explain the mechanism of phobia. It is believed that the expansion and persistence of phobia is due to the recurrence of symptoms, which makes the anxiety conditional, while the avoidance behavior hinders the regression of conditionalization.

Social phobia prevention

The first is to eliminate the conditional connection between the object of fear and anxiety and fear, and the second is to resist the avoidance response.

The first stage is to carry out relaxation training. In the second phase, ask the patient to list the contexts that trigger social fears in order, and then start with the situation that causes the weakest fear response, let the patient be in it one by one, or imagine it. In these situations. At each step, the patient is adapted, feels completely relaxed, and then proceeds to the next more stressful situation until the strongest situation does not cause fear.

Social phobia complications Complications phobia phobia anxiety disorder

Phobia, horrible anxiety disorder.

Symptoms of social phobia Common symptoms Expression phobia Depression Tension Hand urgency Urgency Nausea

Social phobia (social phobia), also known as social anxiety disorder (SAD), occurs mostly between the ages of 17 and 30. The incidence rate of men and women is almost the same. There is often no obvious cause of sudden onset. The central symptoms surround the fear of being small. People in the group are examined. Once they find that others are not natural, they dont dare to look up, they dont dare to look at them, they even feel uncomfortable, they dont dare to speak in public, they dont dare to sit in front, so they avoid socializing. In this case, social isolation can result.

Common fears are heterosexual, severe bosses and fiancé (wife) parents, or acquaintances. Can be accompanied by low self-evaluation and fear of criticism, may have blushing, hand shaking, nausea or urgency and other symptoms, the symptoms can develop to the extent of panic attacks.

Clinical manifestations can be isolated in isolation from public consumption, public speaking, or encountering the opposite sex, and can be generalized to almost all scenarios involving the family. Some patients may often be accompanied by prominent phobia fear and depression; some patients may ameliorate anxiety through substance abuse and eventually lead to substance dependence, especially alcohol dependence.

Social phobia check

The social phobia examination project is mainly psychological examination:

1. Check the ability of the culture to adapt to the outside world.

2. Check the psychological aspects.

3. Pay attention to the form of social. See if the patient communicates with a stranger with the following symptoms: blushing, nervousness, hand tremors, nausea, urgency, panic attacks, depression.

Social phobia diagnosis and identification

1. The fear of normal people: Normal people also have certain tension and anxiety in social activities. The key is to see the rationality of this fear, the frequency of occurrence, the degree of fear, whether it is accompanied by autonomic symptoms, and whether it is obviously affected. Social function, whether there are avoidance behaviors, etc. to consider.

2. Identification with other neurotic disorders: Both phobia and anxiety are characterized by anxiety, but the anxiety of social phobia is caused by specific subjects or situations, and it is situational and episodic, while anxiety of anxiety disorders is often absent. Clear objects often persist. The compulsive fear of obsessive-compulsive disorder stems from some thoughts or concepts in the heart, fearing that it loses self-control and is not afraid of external things. Patients with suspected illness may show fear of disease due to excessive attention to their condition, and such patients believe their suspicions and concerns are reasonable.

3. Depressive Disorders: Some depressive disorders are accompanied by short-lived fears. Some people with social phobias are also accompanied by depression. Congestion and depression can increase fear. The diagnosis is based on whether each of the obstacles at the time meets the diagnostic criteria. The diagnosis of depressive disorder should be prioritized if the symptoms of depressive disorder have been met before the onset of fear symptoms.

4. temporal lobe epilepsy: can be expressed as paroxysmal fear, but its fear has no specific target, the disturbance of consciousness, EEG changes and signs of nervous system can be identified.

The material in this site is intended to be of general informational use and is not intended to constitute medical advice, probable diagnosis, or recommended treatments.