Is "social fear" be saved?

"They will think I am not good enough."

"Even if I only make a small mistake, people will exclude me."

Social anxiety affects all aspects of a person's life -relationship, school life, work -it can lead to other forms of anxiety, as well as material dependence and depression.

We all want to be liked and accepted.

This desire guides us to seek and maintain interpersonal relationships, and also allows us to fully develop ourselves in our lives.

But for people with social anxiety (SAD), the ability to fully participate in life may be a very difficult process.

Social anxiety -also called social phobia -it will cause some people to become anxious when doing things most people think for granted, such as being watched, seeing strangers or speaking in front of people during eating. Such people are afraid of negative evaluations Essence

Almost any kind of social situation will cause such thoughts: "They will think I don't have enough", "Even if I only make a small mistake, people will exclude me."

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Of course, evading fear is instinct, or even protective. But when fear is not proportional to actual threats, such as working with colleagues for dinner, avoiding can only make our fear greater.

If we hide from them, we cannot overcome these excessive fear. People with social anxiety avoid social opportunities and any situation of "escape or fighting" reactions that may make them uncomfortable.

But the situation they are avoiding is the best opportunity for them to build social skills. These social skills help them to make them more at ease.

Social anxiety affects all aspects of a person's life -relationship, school life, work, it can lead to other forms of anxiety, as well as material dependence and depression.

I have seen patients who treat them many times because of anxiety or depression. Taking Ryan, 26, as an example, he had symptoms of depression when he received treatment, which made it difficult for him to complete university courses or find a job. He was isolated and helpless, and he felt worthwhile.

But when we talk, it is clear that his core problem is not depression, but serious social anxiety.

Ryan's anxiety caused him to stay at home to play video games or watch TV. If he is required to make oral reports, teamwork, or if the class participation will be included in the results, he will skip class. He was frustrated because his life was disappearing.

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01

Self -enhancement of negative evaluation

Social anxiety people will internalize the negative evaluation of others they imagine, thinking that they are not as good as others. Unfortunately, when someone thinks that they are unwell, the people around them will notice this, so this sentence becomes a prophecy of self -realization.

When you encounter new friends, people who are anxious are often difficult to leave a positive impression. This will strengthen the vicious circle, reduce the sense of self -esteem, make people feel desperate, and cause depression.

They are also inclined to explain their beliefs in detail, and by creating a story, telling how they messed up, and how people don't like them.

This may cause them to explain events and information in a way to confirm this story, which makes it actually of the fact that the neutral social signal is mistaken for the actual threat, thereby further intensifying anxiety. All of this will have the effect of snowball.

02

Avoiding anxiety spread

In Ryan's case, when he was a child, he would have stomach pain and uncomfortable when he was going to school. His parents took him to many experts. In a few years, Ryan removed the appendix and took out the gallbladder, but the stomach pain continued, and he finally chose to study at home.

Ryan's parents think that let him stay at home to protect him, and they have never considered family treatment. Inadvertently, his parents assisted him to learn the emotions of difficulties through avoidance.

Ryan did not complete high school studies. His life is becoming more and more limited, because anxiety spreads to more things -he failed to learn to drive, and his ability to find relationships was further affected.

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03

Social anxiety treatment method

Fortunately, social anxiety disorder has effective treatment. The most effective method includes:

1. Cognitive behavior therapy (CBT) and relatively newer CBT-R, combined with CBT and relational therapy, helping patients with social anxiety in the reducing avoidance/security behavior and challenging negative self-belief.

2. Hierarchical exposure and relaxation training therapy (GEAR) can help visit different social scenarios that cause anxiety to establish an individualized hierarchical structure; then learn the corresponding relaxation skills for each type of fearful situations.

3. Project based on mindfulness, such as Mind -based Cognitive Treatment (MBCT) and new Emoticons based on Mind -based Emotional Emotions (MBEB) to help emotional regulation. These techniques help people learn to accommodate difficulty and uncomfortable feelings, so as to better respond.

In addition to the above -mentioned non -drug therapy, some doctors also recommend antidepressants -to talk to your psychological counselor to see what is most effective for you.

Ryan was at a loss when he was just in charge, but at the end of our consultation, he entered community universities and worked part -time in a local coffee shop. We have adopted the method of exposure therapy, cognition and emotional balance therapy based on righteous thoughts, and the combination of group guidance to understand and change the avoidance behavior. Moreover, thanks to the online ride, he can walk around and hope to solve his anxiety about driving.

(Note: If you are a parent of a child with signs of social anxiety, early treatment is important. Please ask for help from the psychological counselor.)

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This article compiles, the original link: htps://blogs.webmd.com/mental-health/20180830/social-anxiety-disorder-when- specifics-to-isOleption

Author: Susan J. O'Graady, PHD

Translator: Simple Psychology Harry

Responsible editor: yy, yiming

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