(Social anxiety disorder)

Social phobia is the fear and the fear of being confronted with certain social situations or performances. These situations are either avoided or endured only with considerable anxiety.

From social phobia suffer during a one-year period, about 9% of women and 7% of men, the lifetime prevalence may be at least 13%. Men are more likely than women from the most severe form of social anxiety, the fearful avoidant personality disorder (Änglstlich Avoidant personality disorder (ÄVPS)) affected.

Social phobia is the fear and the fear of being confronted with certain social situations or performances. These situations are either avoided or endured only with considerable anxiety. From social phobia suffer during a one-year period, about 9% of women and 7% of men, the lifetime prevalence may be at least 13%. Men are more likely than women from the most severe form of social anxiety, the fearful avoidant personality disorder (Änglstlich Avoidant personality disorder (ÄVPS)) affected. Fears and anxieties of people with social phobia are often concentrated on making a fool of themselves or be humiliated if they can not meet ambitious expectations. They often worry about their anxiety caused by sweating, flushing, vomiting or tremor (sometimes in the form of a shaky voice) is obvious or that their thoughts flow stops or they can not express themselves properly. If the same activity carried out against it alone, it does not trigger fears. Situations where social phobia peak occurs are: Public speaking, occurrence in a play or music to an audience. Other possible situations are eating together with others, to meet new people to have a conversation, to sign a document before witnesses or the use of public toilets. In a more generalized form of social phobia occurs in many social situations to anxiety symptoms. Most people know that their fear is unfounded and exaggerated. Diagnosis Clinical criteria The diagnosis is made clinically based on the criteria in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). To meet the DSM-5 criteria for diagnosis, patients must anxiety or fear, are planning one or more social situations where they can be checked by others a significant, sustained (6 months ?). The fear has a negative evaluation by others include (z. B. that patients be humiliated, embarrassed or rejected or insulted by others.). Moreover, it should be present all the following: The same social situations almost always solve fear or anxiety from. Patients avoid the situation actively. The fear or anxiety is out of proportion to the actual threat (taking into account socio-cultural norms). The fear, anxiety, and / or avoiding causing significant distress or impair significantly the social or occupational functioning. The fear and anxiety can not be properly characterized as another mental disorder (eg. As agoraphobia, panic disorder, body dysmorphic disorder). Therapy Cognitive Therapy Sometimes an SSRI A social phobia is almost always chronic and needs treatment. Cognitive behavioral therapy is effective in social phobia. In cognitive behavioral therapy, patients learn to recognize their distorted thought patterns and false beliefs and control, and they are to exposure treatment (controlled exposure to the fear-inducing Situation- specific phobic disorders: Exposure treatment) prepared. SSRIs and benzodiazepines are effective in social phobia, however, are probably in most cases SSRI preferable because they, unlike benzodiazepines, are less likely to interfere with cognitive behavioral therapy. ?-blockers can be used to reduce an increased heart rate and trembling and sweating in patients who are confused by appearing in public, but these drugs do not reduce the fear.

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