SOCIAL PHOBIA, the hidden fear !!

Social phobia, also known as social anxiety disorder, is a mental health condition characterized by an intense fear of being judged or scrutinized by others in social situations. People with social phobia experience intense anxiety and embarrassment, and often avoid social situations as a result. If left untreated, social phobia can have a profound impact on a person's quality of life and ability to function in daily life.

There are a number of effective management strategies for social phobia, and the most effective approach is typically a combination of psychotherapy, medication, and self-help strategies.

Psychotherapy

Cognitive behavioral therapy (CBT) is the most commonly used form of psychotherapy for social phobia. CBT is a goal-oriented, action-focused form of therapy that aims to change the negative thoughts and behaviors that contribute to social phobia.

CBT typically involves teaching the person with social phobia to recognize and challenge their negative thoughts and beliefs about social situations. The therapist may also help the person to gradually expose themselves to feared social situations, and to practice new, more adaptive behaviors in these situations.

Exposure therapy is a form of CBT that specifically focuses on exposure to feared social situations. This type of therapy involves gradually and systematically exposing the person with social phobia to feared social situations, starting with the least anxiety-provoking situations and working up to more challenging situations.

Group therapy can also be an effective form of psychotherapy for social phobia. Group therapy allows individuals to receive support from others who have similar experiences and to practice their social skills in a supportive and non-judgmental environment.

Medication

Medication can also be an effective management strategy for social phobia. Antidepressant medications, such as selective serotonin reuptake inhibitors (SSRIs), are often used to treat social phobia. These medications work by increasing the level of serotonin in the brain, which helps to reduce anxiety and improve mood.

Anti-anxiety medications, such as benzodiazepines, can also be used to treat social phobia. However, these medications are usually only used on a short-term basis due to the risk of dependence and withdrawal symptoms.

It is important to work with a mental health professional to determine the best medication and dosage for your specific needs.

Self-Help Strategies

In addition to psychotherapy and medication, there are several self-help strategies that can be effective in managing social phobia. These strategies include:

1. Mindfulness: Mindfulness is the practice of paying attention to the present moment without judgment. Practicing mindfulness can help reduce anxiety and increase self-awareness, making it easier to recognize and manage negative thoughts and behaviors related to social phobia.
2. Relaxation techniques: Relaxation techniques, such as deep breathing and progressive muscle relaxation, can help to reduce anxiety and improve relaxation in social situations.
3. Social skills training: Social skills training involves practicing and improving social skills, such as initiating conversation and making eye contact. This type of training can help build confidence and reduce anxiety in social situations.
4. Positive self-talk: Positive self-talk is the practice of speaking to oneself in a positive and encouraging manner. Positive self-talk can help to counteract negative thoughts and beliefs related to social phobia and increase confidence in social situations.
5. Support groups: Support groups can provide a safe and supportive environment for individuals with social phobia to discuss their experiences and receive support from others who have similar experiences.

Dr.A.Arrazaghi.MD,FRCPC