Social anxiety

Introduction Social phobia, also known as social anxiety disorder, is a mental illness that is strongly fearful or anxious about any social or public situation. Patients have a significant and lasting fear of social or performance situations in front of strangers or who may be carefully observed by others, fearing that their actions or nervous performance can cause humiliation or embarrassment. Some patients find it difficult to attend a party, make a phone call, go shopping at a store, or ask an authority. Psychologically diagnosed as social anxiety disorder (SAD).

Cause

1. Physiological reasons: In 2000, a seminar on social phobia was held in Shanghai. The famous American professor of psychiatry, Mr. David West, said that the incidence of social phobia is caused by a kind of serotonin in the human body. Caused by a chemical imbalance. This substance is responsible for transmitting information to the brain's nerve cells. Too much or too little of this substance can cause fear.

2. Psychological reasons: Patients with social phobia generally have higher self-esteem, fear of being rejected by others, or have no confidence in their appearance.

3. Family reasons: Being depressed from a small personality, or parents have not taught them to socialize skills, or family relocation is too frequent.

4. Social reasons: The social environment in which it is located is relatively harsh, and the setbacks suffered when interacting with people are mostly.

5. Way of thinking: Personality is actually an external manifestation of the way people think. The incorrect way of thinking creates social phobia. For example, an excessively perfectionist is over-introduced by the blow, and every social phobia should have a full understanding of "self" (self, self, super-e...).

an examination

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There may be social phobia if:

1 Worried about ugliness in social situations and fear of performing certain actions in public;

2 Try to avoid social or performance situations, if you are not going to go, you will be extremely nervous, or fear will occur;

3 Greatly affected my life because I avoided social situations.

Differential diagnosis

Differential diagnosis of social fear :

(1) Most people have normal social anxiety or avoidance experiences, such as fear of speaking in public places. Such fears should not be diagnosed as social phobia if they do not interfere with their social or professional functions.

(2) Avoidance personality disorder, usually with social anxiety and avoidance. The difference between this disorder and social phobia may be quite difficult. The two obstacles may overlap each other. For details of avoidant personality disorder, please refer to the personality problem. Chapter.

(3) Square phobia can have an avoidance of social situations, but this avoidance often occurs in fear of panic attacks in public places. This is not a fear of the social situation itself, but a fear that if a panic attack occurs in such a situation, it cannot escape or get help.

(4) A specific phobia refers to the fear of a particular stimulus, but this stimuli is usually not a social occasion, but an insect or an animal. It is usually fearful of the stimulus itself rather than fear of embarrassment or shame in public places.

(5) Schizophrenia may have the delusion of being noticed or examined by others, but a careful diagnosis can be made by careful medical history and mental examination. Social phobia has no typical symptoms of schizophrenia such as mental retardation, apathy or hallucinations.

(6) Some social fear beliefs may be very firm, such as thinking that their body odor or part of the body's deformation or ugliness may cause others to look at or negatively evaluate. If there is such a delusion (ie, false beliefs are firm regardless of the opposite and objective facts), then the diagnosis of delusional disorder can be attached.

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