Models Of Social Phobia
There are many different reasons for social phobia, but there are some specific behavioral models
that have been used to
describe specific phobic behaviors. With cognitive models of social
anxiety, people suffering from the disorder are afraid of how they will be viewed by others.
In addition, after encountering others in what most would view as “neutral” or even “positive” ways,
such as a brief, but “positive” social interaction, people who have social phobia nonetheless tend to obsess and ruminate over what they did
wrong, and how they “performed” badly.
They also tend to remember negative events much longer and in much more detail than truly positive
events. They tend to dismiss truly positive interactions while obsessing over negative events, either real or
imagined.
The cognitive behavioral model of social phobia is the most popular and focuses on cognitive
behavioral therapy to help control social phobias.
This includes immersion, in which sufferers are gradually confronted and then must deal with
situations that began as “mild” concentrations with their fears, and escalate to the most
severe.
In this way, patients learn that they can deal with any situation that comes up, so that their
confidence increases. As this happens, patients gradually learn to change their behavior, so that even in
stressful situations, they may not exhibits symptoms at all.
If they do exhibit symptoms, they are much less severe, and continued therapy can ultimately to
alleviate them in the most successful cases.
Even for people who still must deal with some social anxiety
after therapy, therapy still greatly decreases both their dependence on medication and increases their
functioning in life.
In fact, many can go throughout their day without much more than insignificant anxiety, so that they
can lead almost completely normal lives.
Social phobia can also be treated with medication in tandem with cognitive behavioral
therapy.
It is generally not advised to only use medication without behavioral therapy, because medication
does not provide lasting changes by itself.
However, with the introduction and the use of behavioral therapy, patients can often be completely
weaned off medication eventually.
The most popular medications to use the social will be our other benzodiazepines, with some use of
antianxiety medications, usually in tandem, as well. Patients can be given anti-anxiety medications or in
some cases, can be given beta-blockers to help further alleviate anxiety.
Some famous people who have had social phobia include
Barb Streisand, who has had stage fright so severe that it stopped her from performing live performances for
an extended period of time.
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