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Social Anxiety Disorder: Problems
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Social anxiety disorder may co-occur with other anxiety disorders as well as depression. Additionally, people with social anxiety may develop problems with substance abuse or dependence when they use drinking or drugs to "self-medicate" their symptoms.
Social anxiety disorder can ... lead to other health problems, such as substance abuse or excessive drinking in an attempt to cope. And it can also increase your risk of depression and suicide.
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Some people with social anxiety disorder turn to alcohol or drugs to help them relax. This can lead to addiction problems. They may ... have depression. It is important to treat these issues too.
Alcohol or Drug Abuse – About one-fourth of all people with social anxiety disorder abuse alcohol. If you experience severe anxiety, you might turn to alcohol or drugs to alleviate your pain, although eventually the substance abuse becomes another problem in your life and makes treatment and healing increasingly difficult.
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Some argue that inherent problems with society such as a competitive culture, power imbalances, lack of care and poor social education in families cause social anxiety. And consequently the diagnostic boundaries have been stretched too far and that clinical and media work is promoting the idea that any problems with shyness or social worries are a pathological medical condition requiring medical treatment. Some see this as being driven by pharmaceutical companies, either by direct advertising to the public or their financial influence on psychiatry.[65] This view can be associated with, but is not exclusive to, anti-psychiatry.
The DSM continues to stipulate that social anxiety disorder (SAD) must be "impairing" for a diagnosis to occur. The problem, Lane argues, is that DSM-defined symptoms of impairment in 1980 included fear of eating alone in restaurants, concern about hand trembling while writing checks, fear of public speaking and avoidance of public restrooms.
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