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Out
of all the anxiety disorders and most of the mental
health care problems, social anxiety disorder (social
phobia) is least understood.
Social anxiety was the LAST anxiety disorder to be
"discovered", and continues to be LAST in terms
of public and professional understanding and
awareness.
What
makes this so ironic is that fully 8% of the general
population suffers from some form of social anxiety, a
severely debilitating emotional problem.
The vast
majority of people with social anxiety do not know that
they have it. They know there is something
"wrong" with them, but they do not know what it
is.
They have never been properly diagnosed,
because social anxiety is as foreign to counselors,
therapists, doctors, psychologists, and psychiatrists as
it is to most other people.
Even though an abundance of research now exists about social anxiety,
clinicians, in general, have not read it, and have not put it into
practice.
A large part of the problem is that social
anxiety is difficult to fully understand because you can't "see"
it.
The
doctor or therapist may be sitting across the desk from a perfectly
normal looking man or woman who says things like, "I feel that everyone
is looking at me. I can't be myself. I feel I'm the center
of attention and I get so nervous."
The
therapist or doctor rarely understands the person is
speaking of one of the core symptoms of social
anxiety. A few more properly asked questions and an appropriate
diagnosis could be reached.
Very
few treatment options for social anxiety exist, and the
majority of the ones that do exist, do not adequately
follow the research -- that demonstrates how people can
overcome social anxiety most successfully. New
ideas and new treatment options are currently being
tried, but the most effective ones all center around a
rational therapy commonly referred to as cognitive-behavioral
therapy (CBT).
That
is, a person's cognitions (thoughts) have to be changed
in a rational direction, and a person's behavior needs to
gradually move away from avoidance and toward engagement
and participation in life.
Comprehensive
cognitive-behavioral therapy (CCBT) can be done initially
on a one-to-one basis, but an active, behavioral therapy
group, consisting of other people with social anxiety, is
essential to overcoming this least-understood anxiety
disorder.
Audio Therapy Series: "Overcoming Social Anxiety"
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