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Social Anxiety Disorder: Social Situations
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In cognitive models of Social Anxiety Disorder, social phobics experience dread over how they will be presented to others. They may be overly self-conscious, pay high self-attention after the activity, or have high performance standards for themselves. According to the social psychology theory of self-presentation, a sufferer attempts to create a well-mannered impression on others but believes he or she is unable to do so. Many times, prior to the potentially anxiety-provoking social situation, sufferers may deliberate over what could go wrong and how to deal with each unexpected case. After the event, they may have the perception they performed unsatisfactorily. Consequently, they will review anything that may have possibly been abnormal or embarrassing. These thoughts do not just terminate soon after the encounter, but may extend for weeks or longer.[8] Those with social phobia tend to interpret neutral or ambiguous conversations with a negative outlook and although still inconclusive, some studies suggest that socially anxious individuals remember more negative memories than those less distressed.[9] An example of an instance may be that of an employee presenting to his co-workers.
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In cognitive models of social anxiety disorder, social phobics experience dread over how they will be presented to others. They may be overly self-conscious, pay high self-attention after the activity, or have high performance standards for themselves. According to the social psychology theory of self-presentation, a sufferer attempts to create a well-mannered impression on others but believes he or she is unable to do so. Many times, prior to the potentially anxiety-provoking social situation, sufferers may deliberate over what could go wrong and how to deal with each unexpected case. After the event, they may have the perception they performed unsatisfactorily. Consequently, they will review anything that may have possibly been abnormal or embarrassing. These thoughts do not just terminate soon after the encounter, but may extend for weeks or longer.
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Group therapy often works particularly well for social anxiety disorder, since people with SAD are usually uncomfortable in groups and being exposed to other people. "They see that other people are like them, and they're doing better now, so there's some hope for them too. And as they start to feel more comfortable in a therapeutic group setting, they can transfer that to other social situations."
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When patients with social anxiety disorder are in situations that provoke anxiety, they may experience symptoms such as blushing, profuse sweating, trembling, rapid heartbeats, muscle tension, nausea, diarrhea and difficulty talking. In some cases, this may progress to a full-blown panic attack. Patients who manage to get through anxiety-provoking social situations may feel lingering unpleasant feelings afterward and may worry about how others have judged them.
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The end result is that people that face social anxiety disorder will likely pull themselves out of social situations. You may avoid social outings, or stop doing things that put this type of pressure on you such as speeches and holding meetings. Many will do this type of avoidance anytime they feel that a social anxiety attack is imminent. Additionally, some people will endure them, but will be under a huge amount of stress during an attack.
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Social anxiety disorder is ... associated with increased risk of substance abuse (e.g. alcoholism). Many people with social anxiety disorder abuse substances in a misdirected attempt to self-medicate their symptoms (e.g. using alcohol to feel less inhibited in social situations).
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