phobia (from Latin socius — shared, common and Greek ????? – fear) (also known as social anxiety disorder) is a persistent irrational fear of any public action (for example, public speaking) or action, drawing attention of outsiders (the fear of being on the street, when others watching you, the inability to do anything under the supervision, etc.).
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These fears may be initiated by an imaginary or real supervision. People suffering from social phobia may realize that their fears of social interaction are superfluous or unreasoned, however, they cannot easily overcome their fears. Some people suffering from social phobia, are afraid of a wide range of social situations, while others of only certain ones, such as those in which you need to demonstrate your abilities in the best way.
In most cases, social anxiety disorder occurs at an early age. Fifty percent of suffering from the disease have discovered the symptoms before the age of eleven and eighty percent before reaching twenty years of age. As the disease begins to emerge so early, there is a high risk of accompanying disorders,, such as depression or drugs abuse. The psychological symptoms are usually aggravated by the physiological ones, such as reddening of the skin, hyperhidrosis (sweating), tremors, heart palpitations, and nausea. There is also the risk of stupor and a quick, stumbling speech. In situations involving intense stress, panic attacks are possible. Early diagnosis usually helps to minimize symptoms and avoid additional (comorbid) disorders, such as depression. Many patients suffering from social phobia use alcohol and other substances to reduce their anxiety and fear of social situations, especially if their disease is not diagnosed and there is no appropriate therapy. Social phobia is sometimes referred to as a “disease of missed opportunities.”
The basic method of treatment is behavioral therapy. The drug therapy can be applied in the case, when a patient categorically refuses the psychotherapy, but its effectiveness is very limited and focused on eliminating the symptoms: anxiety and stress. The essence of behavioral therapy implies forming in the patient new mental attitudes in assessing situations that provoke anxiety and relief from physical symptoms.
The attention to the social phobia phenomenon has grown in recent years and there are also medicinal methods:
- Selective serotonin reuptake inhibitors (SSRI).
- Serotonin reuptake inhibitor and norepinephrine.
- Monoamine oxidase Inhibitors (MAOI). (Moclobemide).
- Benzodiazepines and beta-blockers.
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