Social anxiety: What is it?

Posted: March 8, 2023
Category: Anxiety, Therapy

Social anxiety: What is it?

Social anxiety is a common mental health condition that affects millions of people around the world. It’s characterized by an intense fear of social situations and interactions, which can lead to avoidance behaviors and significant distress.

While it’s normal to feel nervous or anxious in certain social situations, social anxiety can be overwhelming and disruptive to daily life. Whether you’re someone who struggles with social anxiety or simply curious about this condition, this post aims to provide you with a better understanding of what social anxiety is and how it can be managed.

The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-V), refers to social anxiety as social anxiety disorder (or social phobia), which is an anxiety disorder characterized by fear of social circumstances in which one may be negatively judged by others.

While most people worry a little about how other people perceive them, those who have social anxiety disorder experience severe anguish and life-impairing symptoms as a result.

For someone to be diagnosed with severe social anxiety disorder, they must nearly always feel nervous in social situations and either avoid them or react to them with “great fear or worry.”

These symptoms must be ongoing for a diagnosis to be made (usually present for longer than six months). However, people who only experience social anxiety when performing or speaking in front of an audience may be diagnosed with social anxiety disorder, performance only.

Is it possible to treat or cure social anxiety?

While there is no “cure” for social anxiety disorder, research has shown that a number of therapies are efficient. Several drugs have been shown in research to be beneficial in treating social anxiety.

Social anxiety disorder symptoms have been observed to be significantly reduced by drugs that are often associated with treating depression, such as selective serotonin reuptake inhibitors (SSRIs) and monoamine oxidase inhibitors (MAOIs). Clonazepam and other benzodiazepines have also been shown to be effective.

Yet, research has shown that psychotherapy is sometimes even more beneficial than medicine for addressing social anxiety. The majority of evidence indicates that Cognitive Behavioral Therapy (CBT) is the most successful kind of psychotherapy for those with social anxiety disorder. Yet, more recent studies contend that people with social anxiety disorder benefit similarly from acceptance and commitment therapy.

ACT, what is it?

Acceptance and Commitment Therapy (ACT), pronounced as an one word rather than as three distinct letters, is a mental health treatment. The core idea of ACT, a form of behavioral therapy, is psychological flexibility. The capacity for psychological flexibility is the capacity for conscious, value-driven living and behavior. Six fundamental ACT processes combine to form psychological flexibility:

  1. Acceptance
  2. Remaining in the present moment
  3. Cognitive Dizziness
  4. Self-as-context
  5. Values
  6. Intentional behavior

Instead than being numbered steps in the therapeutic process, these six processes are six interconnected approaches that are applied throughout acceptance and commitment therapy. The goal of ACT is to assist clients in recognizing and acknowledging their thoughts and feelings without passing judgment. A further objective of ACT is to assist clients in becoming more present-focused.

social anxiety

People are more able to alter their conduct to better reflect their values when they are more directly connected to both their internal and external contexts. Cognitive defusion is yet another essential component of ACT. To assist people in altering how they relate to their thoughts, cognitive defusion is used. ACT likewise attempts to assist clients in seeing the self as context.

This is the notion that every person has a separate “noticing self” from their thought, feeling, and action-based selves. The primary values that are significant to clients are also intended to be identified and named by ACT. The final goal of ACT is to assist clients in taking deliberate behaviors that are consistent with these beliefs.

About signs of social anxiety you can read more in article: Recognizing and Controlling Anxiety Attacks

Is ACT an effective social anxiety treatment?

ACT has been proven to be highly successful at treating social anxiety disorder in numerous trials. According to one study, standard cognitive behavioral therapy was less successful than acceptance-based behavioral treatment (such as ACT) at reducing the symptoms of performance anxiety.

Another study discovered that even when delivered through video conferencing telehealth sessions, acceptance-based behavioral therapies like ACT were successful in lowering the symptoms of social anxiety disorder and enhancing quality of life. Moreover, research revealed that group CBT and acceptance-based behavioral treatments (ACT, for example) were equally successful at easing social anxiety symptoms.

Additionally, data indicate that ACT is particularly effective at reducing social anxiety disorder behavioral symptoms.

social anxiety

How soon can social anxiety be effectively treated with ACT?

The duration of ACT therapy for social anxiety disorder varies from case to case. In clinical trials evaluating the effectiveness of ACT treatment for social anxiety disorder, it was discovered that patients saw significant improvements as early as twelve sessions.

Yet, research indicates that up to 90% of people with social anxiety disorder also fit the diagnostic criteria for another mental illness. In these situations, the length of the treatment may be extended in order to attend to all of the client’s needs. After doing an evaluation, your therapist will decide how long your treatment should go.

Where can I find ACT therapists?

The challenge of finding a therapist might be challenging. Online is a convenient way to start your search. There are numerous therapist directories available online, where you may look for therapists depending on the main issue you need help with, the kind of therapy you want, the area, and the cost. Look for therapists who use Acceptance and Commitment Therapy as part of their practice and who have a focus on treating anxiety disorders like social anxiety when searching these websites.

Your general practitioner is a further source to use while seeking for a therapist. Several doctors have connections with nearby therapists and may be able to recommend an ACT-using professional in your region. It’s crucial to keep in mind that choosing a therapist can take time, therefore it’s crucial to choose one that is ideal for you. Many therapists provide free phone consultations so you may discuss your treatment objectives and decide whether you two are a good fit for one another.

How does ACT work?

A range of therapeutic methods, including ACT, are used by therapists in a kind and considerate manner. Before jointly developing a unique treatment plan for each client, clinicians will inform patients about the therapeutic process and present patients with a variety of therapy options.

Therapists emphasize building excellent client connections by exhibiting knowledge and empathy while treating the full individual, not just their illness (such as social anxiety).

When working with clients who are experiencing social anxiety, many therapists at will apply ACT strategies for overcoming social anxiety. Exercises in cognitive defusion, acceptance, and values clarity are some of these strategies. Metaphors are one method your therapist might help you comprehend the idea of acceptance. For instance, your therapist might instruct you to perform the “pushing aside paper” exercise. With the aid of this activity, clients will learn that ignoring unfavorable emotions and thoughts is not only counterproductive, but also potentially hazardous.

Also, your therapist could apply the ACT technique for value clarification and what cause social anxiety. Clients must first define the values that are significant to them in order to fulfill the purpose of ACT, which is to assist clients in living lives that are more consistent with their values. Your therapist could ask you to describe the life of a person you like or to write your own obituary in order to assist you figure out your values. Those who struggle with social anxiety frequently worry about what other people may be thinking about them.

Cognitive defusion strategies may be used by therapists at Inquire Talk to teach you to learn to discount these thoughts. For instance, your therapist might instruct you to write down your nervous thoughts and then “sing” or speak them aloud very slowly. These activities are intended to assist clients in recognizing and eliminating these anxious thoughts.

InquireTalk certified therapists who you can get in touch and book a therapy session with:

Gordon Wax

Jonathan Harris

Aureol Gillan

 

 

 

Inquire Talk

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