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How Distressing is Social Phobia?


I remember a friend in college who would blush, sweat, and tremble when required by a teacher to speak in class. A few weeks before the presentation, he'd be anxious, agitated, and couldn't sleep. Because I was still a student then, I didn't have any clue what he was going through. But I knew that something was terribly wrong.

A few years ago while in the airport, I noticed a man who'd wait for everyone to leave the washroom before he'd use the urinal. He wasn't comfortable that someone would see him urinate.

In retrospect, I can say (now that I'm a psychiatrist) that those two individuals might have suffered from Social Phobia or Social Anxiety Disorder (SAD). I just hope that they are doing well now but the symptoms that they manifested at the time were consistent with this devastating illness.

How bad is Social Phobia or SAD?

Social Phobia or SAD is a type of anxiety disorder characterized by extreme fear, anxiety, or distress when exposed to a social gathering or when doing something before a group of people.

Public speaking is the most common situation that exposes the individual's social fears. An individual suffering from this disorder develops significant anxiety symptoms such as sweating, fast heart beat, tremulousness, and restlessness when making a presentation or giving a minor talk. Even small corporate or committee meetings can cause grave distress.

Urinating in public washrooms, eating in fast food restaurants, writing in front of people or signing documents in a bank can also trigger feelings of fear and discomfort. Individuals with this illness are preoccupied with being embarrassed or criticized by others. Some patients feel that people are so focused on them and are only waiting for blunders to happen.

So Social Phobia can be devastating to a lot of patients and their families. Because of their difficulties in a social milieu, some of them have eventually lost their jobs, friends, and spouses. It is an illness that has wrought havoc to many. It is therefore vital that Social Phobia should be recognized and treated without delay.

Is there any treatment for this illness?

Fortunately, some newer antidepressants such as paroxetine and venlafaxine are known to work and have caused significant relief to a lot of individuals. However, these medications don't work right away. They need to be taken daily for a few weeks to see any benefit. Moreover, the medications' maximum effect may occur within 6-8 weeks or longer. To maintain stability after feeling "normal," patients may have to take the medication for several months to a few years.

In addition to medications, cognitive-behavioral intervention also works well. By restructuring the person's cognition, patients eventually learn to face social situations without fear and uncertainty.

Dr. Michael G. Rayel - author (First Aid to Mental Illness-Finalist, Reader's Preference Choice Award 2002) psychiatrist, and inventor of Oikos Game: A Personal Development and Emotional Skills Game. For more information, please visit www.oikosgame.com.

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MORE RESOURCES:

Critics say yoga at NY high school tries to spread Hinduism
USA Today - 20 hours ago
MASSENA, NY (AP) — A group of parents and religious leaders in upstate New York want yoga classes out of public schools, saying the instruction violates ...


Yoga controversy gaining attention
WatertownDailyTimes.com,  United States - 7 hours ago
By LORI SHULL MASSENA — Debate over the high school's suspended classroom yoga program is putting the town on the map. The story has gained attention across ...


What yoga can do for you
Inquirer.net, Philippines - 23 hours ago
And where there are millions of people whose lives have been transformed, or at the very least, improved by the practice of yoga, then you know that ...


Yoga Clinic for Runners
KBCI CBS 2, ID - 50 minutes ago
By Tara Mussulman Topic: Come find out how cross training with yoga can enhance your running and keep you running for life. Bio: Shannon Wells-Femenia, CMT, ...


OneNewsNow

NY parents raise issues re: yoga in schools
OneNewsNow, MS - 2 hours ago
A group of concerned parents are expressing concern over yoga classes being taught in the classroom. According to an Associated Press report, ...


Times Colonist

Petrescu on fashion: Smarter than the average yoga pants
Times Colonist, Canada - 7 hours ago
Gillian Reiss crouches to the ground and extends her legs in a "test drive" of the buzz-worthy Yoga Jeans at Mango's boutique on Johnson Street. ...


Yoga can build a better runner
The Post-Standard - Syracuse.com, NY - 5 hours ago
If you have still not signed on to the benefits of yoga as a runner, here are some reminders as to why you should jump on the wagon. ...


Marcia Cross favours yoga
Totally Fitness Health and Fitness news, UK - 4 hours ago
Desperate Housewives star Marica Cross revealed that she is regularly practices yoga to keep her trim figure. The actress who plays Bree in the show said ...


Yoga in class ties some in knots
Chicago Tribune, United States - Oct 6, 2008
Parents and religious leaders in upstate New York are up in arms over a public school district offering yoga instruction to students, claiming it violates ...


Yoga for Golfers classes offered
Chattanooga Times Free Press, TN - 12 hours ago
Some golfers today are turning to yoga for both an edge in their game and for some relief from soreness the next day. ClearSpring Yoga on North Market ...

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