What is Social Phobia社交恐惧症英文介绍

What is Social Phobia (Social Anxiety Disorder)

Social phobia is a strong fear of being judged by others and of being embarrassed.

This fear can be so strong that it gets in the way of going to work or school or doing

other everyday things.

Everyone has felt anxious or embarrassed at one time or another. For example,

meeting new people or giving a public speech can make anyone nervous. But people

with social phobia worry about these and other things for weeks before they happen.

People with social phobia are afraid of doing common things in front of other people.

For example, they might be afraid to sign a check in front of a cashier at the grocery

store, or they might be afraid to eat or drink in front of other people, or use a public

restroom. Most people who have social phobia know that they shouldn't be as afraid

as they are, but they can't control their fear. Sometimes, they end up staying away

from places or events where they think they might have to do something that will

embarrass them. For some people, social phobia is a problem only in certain situations,

while others have symptoms in almost any social situation.

Causes

Social phobia sometimes runs in families, but no one knows for sure why some

people have it while others don't. Researchers have found that several parts of the

brain are involved in fear and anxiety. By learning more about fear and anxiety in the

brain, scientists may be able to create better treatments. Researchers are also looking

for ways in which stress and environmental factors may play a role.

Signs & Symptoms

People with social phobia tend to:

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Be very anxious about being with other people and have a hard time talking to them, even

though they wish they could

Be very self-conscious in front of other people and feel embarrassed

Be very afraid that other people will judge them

Worry for days or weeks before an event where other people will be

Stay away from places where there are other people

Have a hard time making friends and keeping friends

Blush, sweat, or tremble around other people

Feel nauseous or sick to their stomach when with other people.

Who Is At Risk?

Social phobia affects about 15 million American adults. Women and men are equally

likely to develop the disorder, which usually begins in childhood or early adolescence.

There is some evidence that genetic factors are involved. Social phobia is often

accompanied by other anxiety disorders or depression. Substance abuse may develop

if people try to self-medicate their anxiety.

Diagnosis

Social phobia usually starts during youth. A doctor can tell that a person has social

phobia if the person has had symptoms for at least 6 months. Without treatment,

social phobia can last for many years or a lifetime.

Social phobia can be limited to one situation (such as talking to people, eating or

drinking, or writing on a blackboard in front of others) or may be so broad (such as in

generalized social phobia) that the person experiences anxiety around almost anyone

other than the family.

First, talk to your doctor about your symptoms. Your doctor should do an exam to

make sure that another physical problem isn't causing the symptoms. The doctor may

refer you to a mental health specialist.

Treatments

Social phobia is generally treated with psychotherapy, medication, or both.

Psychotherapy. A type of psychotherapy called Cognitive behavior therapy (cbt) is

especially useful for treating social phobia. It teaches a person different ways of

thinking, behaving, and reacting to situations that help him or her feel less anxious

and fearful. It can also help people learn and practice social skills.

Medication. Doctors also may prescribe medication to help treat social phobia. The

most commonly prescribed medications for social phobia are anti-anxiety medications

and antidepressants. Anti-anxiety medications are powerful and there are different

types. Many types begin working right away, but they generally should not be taken

for long periods.

Antidepressants are used to treat depression, but they are also helpful for social

phobia. They are probably more commonly prescribed for social phobia than

anti-anxiety medications. Antidepressants may take several weeks to start working.

Some may cause side effects such as headache, nausea, or difficulty sleeping. These

side effects are usually not a problem for most people, especially if the dose starts off

low and is increased slowly over time. Talk to your doctor about any side effects you

may have.

A type of antidepressant called monoamine oxidase inhibitors (MAOIs) are especially

effective in treating social phobia. However, they are rarely used as a first line of

treatment because when MAOIs are combined with certain foods or other medicines,

dangerous side effects can occur.

It's important to know that although antidepressants can be safe and effective for

many people, they may be risky for some, especially children, teens, and young adults.

A "black box"—the most serious type of warning that a prescription drug can

have—has been added to the labels of antidepressant medications. These labels warn

people that antidepressants may cause some people to have suicidal thoughts or make

suicide attempts.

Anyone taking antidepressants should be monitored closely, especially when they first

start treatment with medications.

Another type of medication called beta-blockers can help control some of the physical

symptoms of social phobia such as excessive sweating, shaking, or a racing heart.

They are most commonly prescribed when the symptoms of social phobia occur in

specific situations, such as "stage fright."

Some people do better with cognitive behavior therapy, while others do better with

medication. Still others do best with a combination of the two. Talk with your doctor

about the best treatment for you.

Living With

"In school I was always afraid of being called on, even when I knew the answers.

When I got a job, I hated to meet with my boss. I couldn't eat lunch with my

co-workers. I worried about being stared at or judged, and worried that I would make

a fool of myself. My heart would pound and I would start to sweat when I thought

about meetings. The feelings got worse as the time of the event got closer. Sometimes

I couldn't sleep or eat for days before a staff meeting.”

“In any social situation, I felt fear. I would be anxious before I even left the house,

and it would escalate as I got closer to a college class, a party, or whatever. I would

feel sick in my stomach—it almost felt like I had the flu. My heart would pound, my

palms would get sweaty, and I would get this feeling of being removed from myself

and from everybody else.”

“When I would walk into a room full of people, I’d turn red and it would feel like

everybody’s eyes were on me. I was embarrassed to stand off in a corner by myself,

but I couldn’t think of anything to say to anybody. It was humiliating. I felt so clumsy,

I couldn’t wait to get out.”

Clinical Trials

NIMH supports research studies on mental health and disorders. See also: A

Participant's Guide to Mental Health Clinical Research.

Participate, refer a patient or learn about results of studies , the

NIH/National Library of Medicine's registry of federally and privately funded clinical

trials for all disease.

Find NIH-funded studies currently recruiting participants with social phobia.