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Transcript of Social Anxiety
1. Alcohol and Substance Abuse
People who suffer from SAD are at high risk for alcohol dependency
1. Family and Relationships
Social Anxiety in Young Adults
By: Ana Garza Castano, Lauren King, Caitlyn McFadden & Laurel Kukafka
What causes Sandra's social anxiety?
What are some of Sandra's symptoms?
What does Sandra do to cope with her social anxiety? Is it detrimental to her health?
What can people do to help their social anxiety?
Counseling and Psych Services
CAPS is located on the third floor of Campus Health
Dr. Mike Strangstalien
Fear of interaction with other people; brings on self-consciousness, feelings of being negatively judged and evaluated. This fear can be so strong that it gets in the way of going to work/school or doing other everyday things.
Meeting new people
Talking to co-workers or friends
Inviting others to do things
Talking on the phone
Working in a group
working on a project with other co-workers
Ordering food at a restaurant
Returning something at a store
Having a job interview
What is a Social Situation?
presenting at a meeting
Participating in a meeting/class
asking or answering questions
Eating in front of others
Using public washrooms
Writing in front of others
filling out a form/check
Performing in public
singing /acting on stage
playing a sport
Entering a room where everyone is already seated
Person feels quite nervous/uncomfortable in social situations; very concerned that they will do something embarrassing/ humiliating, or that others will think badly of them.
These individuals are very self-conscious and constantly feel "on stage."
Situations where people feel they are being watched by others.
Situations where people are interacting with others and developing closer relationships.
A social situation includes any situation in which you and at least one other person are present.
Two main categories:
Performance and Interpersonal Interactions
Social phobia affects about 15 million American adults. Women and men are equally likely to develop the disorder, which usually begins in childhood or early adolescence.
( What you feel)
-People with social anxiety worry about their visible signs of anxiety
-Many people tend to abuse substances as a way to release these physical symptoms
(What you think)
What do you think some negativie
Examples of negative thoughts
- "I'm going to say something stupid"
- "I feel super anxious, I wonder if other people are noticing."
-"They won't like me"
-"I'm going to go, but nobody is going to talk to me."
Avoidance in social situations
-Typically avoid eye contact while engaging in a conversation
-In some cases drinking in social situations tends to give a sense of comfort and confidence.
-If one goes into a social situation they tend to do things to feel less anxious to protect themselves from being negatively evaluated or embarrassed by who they are.
Ex: "I don't want to say anything stupid, so I just won't talk"
- Just like many other diseases, Social Anxiety Disorder may be inhered from someone in ones family
- We do not know how much of this anxiety is inherited from a persons genes, or whether it was learned due to the way that people around that person behaved.
-The Amygdala also has the ability to play a role in social anxiety because it controls fear.
-Some people have very active Amydala making their fear responses more prominant. Causing higher anxiety in social situations
-Being in a social environment can increase anxiety due to the anxiety of others surrounding this individual
- There are also many associations between controlling family environments and social anxiety disorder.
- This controlling environment and lack of social freedom in previous years may increase the prevalence of anxiety as a young adult.
3. Safety Behaviors
Reliance on alcohol to relax and boost confidence in social situations
Up to 20% of people who suffer from SAD also have an alcohol dependency
"What is Social Anxiety Disorder?" Anxiety BC. nd,2007. Web. 28 Sept. 2014. <http://anxietybc.com/resources/social.php>.
SAD = Social Anxiety Disorder
Substance abuse is also common among SAD sufferers
Marijuana, club drugs, heroin, cocaine, methamphetamine
Isolation is a common coping method for SAD sufferers
Eliminates or limits stressful and fear-inducing situations
May provide some initial relief
Long-term health consequences of isolation
Peer-reviewed article published in 2009 reported a correlation between prolonged social isolation and increased morbidity and mortality rates, increased rates of depression and even a cognitive decline
(Cornwell, et al. , 2)
Actions taken to manage anxiety and limit or control the experience of social or performance situations
Reading a speech word for word
Averting eye contact so as not to be noticed
Sitting in the back of the room
Drinking alcohol or using illicit substances to feel less anxious
Wearing neutral clothing to avoid drawing attention to oneself
2. School and Work
SAD not only has a profound effect on the sufferer's well-being, but the health of their family members as well
Isolation of the victim often results in isolation of the family too
Relationships are difficult to maintain or establish
Many "safety behaviors" are interpreted as poor manners or disinterest (i.e. constant cancellation of plans)
Extreme prolonged isolation as a result of SAD can lead to deterioration of relationships of all kinds
i.e. Declining a promotion at work that would require giving weekly presentations
Missed opportunities due to fear of increased responsibilities
Quality of work hindered by social anxiety
i.e. Being too afraid to ask for help with homework and accepting a lower grade as a result
In extreme cases work or school may become too stressful, resulting in avoidance of one or both activities completely
i.e. Homeschooling, working from home
Constant anxiety = constant stress
Lowers strength of immune system, elevated blood pressure and heart rate, sleep and eating disorders, decreased cerebral cortex activity
Cerebral cortex activity decreases by 20-60% when Fight or Flight response is activated
Coping methods can result in poor physical health
- increased rates of morbidity and mortality
Alcohol and drug use
- liver cirrhosis, deviated nasal septum, irreversible serotonin depletion, meth teeth, IV infections, etc.
Cornwall, EY et al. "Social Disconnectedness, perceived isolation, and health among older adults." US National Library of Medicine National Institutes of Health, 2009. Web. <http://www.ncbi.nlm.nih.gov/pubmed/19413133>
Cuncic, A. "What Are Safety Behaviours?" Social Anxiety Disorder, 2014. Web. http://socialanxietydisorder.info/what-are-safety-behaviors/
Strangstalein, Mike. Guest Lecture. 09/10/14. In-class notes.