Social Phobia (Social Anxiety Disorder)

a.Experience marked fear and anxiety when being observed in one or more social situations in which the person may be evaluated by others (e.g., conversation, encountering unfamiliar people) (e.g., eating or drinking) and performing an action in front of others (e.g., giving a speech) .

Note:Anxiety in children should occur in peer-to-peer settings and not only during interactions with parents.

b. The person fears behaving in a way that will be evaluated negatively or showing signs of anxiety. (In a way that is humiliating or embarrassing; ostracized or offended by others). Ex: afraid of stuttering.

C.These social situations almost always generate fear or anxiety.

Note:Fear or anxiety in children can be manifested by crying, yelling, stabbing, freezing, clinging, cringing, or not being able to speak in social situations.

D.The social situation in question is avoided or endured with intense fear or anxiety.

TO.The fear or anxiety felt is disproportionate to the situation to be feared in the social environment and in the socio-cultural context.

f.Fear, anxiety, or avoidance is persistent, lasting 6 months or longer.

(American Psychiatric Association, Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), from the Diagnostic Criteria Book, trans, Köroğlu E, Hekimler Publication Association, Ankara, 2014)

Social phobia is a disorder studied by many therapy systems. However, I would like to talk to you about 2 therapy methods that have proven to be effective. First cognitive behavioral therapy, the second is an improved, extended form influenced by other schools of therapy. Schema is therapy. In the treatment program of cognitive behavioral therapy; psychoeducation, skills training (social skills, cognitive restructuring, problem solving) and behavioral exposure methods. The schema therapy method, on the other hand, uses cognitive behavioral techniques and works with root schemas that cause problems. Cognitive, behavioral and emotional methods are used in the study with schemas. At the root of social phobia imperfection, social isolation and failureschemes were found to be more effective.

Individuals with social phobia think that other people think they are socially inept, incompetent, and impulsive. And because of this, they feel intense shame. This feeling is a fairly familiar one that has been with him from the past. It shows up immediately when they need to demonstrate any skill in a social setting.

One of the biggest concerns of these individuals, who think that they are socially incompetent, incompetent and even repulsive, is that people think that they will not want to meet with them for such reasons. The belief that people will not love them causes them to be upset. These individuals, who have low self-confidence, show behaviors such as escaping from social environments or taking precautions.

For example, when a person with social phobia has to make a presentation in the classroom, they have an extreme fear of being disgraced in their presentation, not being able to control their excitement, and what people think of them if these situations occur. The person who perceives extreme fear as excitement in his body is afraid that it will be perceived by others. His hands start to tremble and what he actually fears happens to him. This is called ‘self-fulfilling prophecy’ in psychology. Social phobia is a disorder that can be treated with psychotherapy.

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