Clinical description of Social Anxiety: Subtype - Performance only
Anxiety only in performance situations (e.g public speaking)
How effective are psychological treatments of social anxiety?
highly effective
Cognitive Behavioral Treatment
Challenging of anxious thoughts about the consequences of social judgment
Exposure to anxiety-provoking situations
Rehearsal
Role-play
Medications
Beta blockers
Benzodiazepines
SSRI (Paxil, Zoloft, and Effexor)
D-cycloserine
Causes of Social Anxiety
Generalized psychological vulnerability
Generalized biological vulnerability
Generalized psychological vulnerability
E.g., belief that threatening events are uncontrollable
Generalized biological vulnerability
E.g., propensity toward anxiety
In Japanese culture, there’s a fear of
offending others or making them uncomfortable
In Japanese culture there’s concern about
aspects of personal appearance (e.g., stuttering, blushing, body odor)
In Japanese culture, social anxiety is more common in
males
Female : Male ratio of social anxiety
1:1
Social anxiety is more common in
people who are young (18 to 29 years), undereducated, single, and of low socioeconomic class
13.6% prevalence in
ages 18 to 29
6.6% prevalence in
ages 60+
Clinical description of Social Anxiety: Extreme/irrational concern about
being negatively evaluated by other people
Clinical description of Social Anxiety: Sometimes (not always) manifests as
shyness
Clinical description of Social Anxiety: Leads to significant
impairment and/or distress
Clinical description of Social Anxiety: Avoidance of feared situations, or
endurance with extreme distress
Clinical Description of Separation Anxiety: Characterized by
unrealistic and persistent worry that something will happen to self or loved ones when apart (e.g., kidnapping, accident) as well as anxiety about leaving loved ones
What percent of children meet the criteria for separation anxiety?
4.1%
What percent of adults meet the criteria for separation anxiety?
6.6%