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i had this problem for 4 years and i don't know what should i do about it and most of the time i spend at home i got also panic attacks around people please help me to find the solution

2007-03-31 20:08:12 · 7 answers · asked by abuquta_abuquta 1 in Health Mental Health

7 answers

Cognitive behavioral therapy (CBT) and exposure therapy are both very effective in the treatment of social anxiety disorder. Certain medications can also be helpful for social anxiety disorder. Sometimes, CBT or other behavior therapies are combined with medication. But regardless of the treatment approach, you will need a qualified therapist to oversee the process.

Cognitive Behavioral Therapy
The most frequently used form of psychotherapy for the treatment of social anxiety disorder, or social phobia, is cognitive behavioral therapy (CBT). This type of therapy is based on the premise that your own thoughts — not other people or situations — determine how you behave or react. Even if an unwanted situation doesn’t change — you still have to make that presentation at work; your sister still expects you at her wedding — you can change the way you think and behave in a positive way. CBT teaches you how to quell the anxiety you feel in social situations so you can face such situations, rather than avoiding them.

In CBT for social phobia, a therapist will first help you identify the automatic negative thoughts that underlie your fear of social situations. These negative assumptions might include thoughts such as “I don’t have anything interesting to say” or “I’m going to look stupid.” Once you’ve identified these negative thoughts, you and your therapist will analyze and challenge them. For example, you may ask yourself questions about the negative thoughts: “Do I know for sure that I won’t think of anything interesting to say?” or “Even if I’m nervous, will people necessarily think I look stupid?” Through this logical evaluation of your negative thoughts, you can gradually change them into more realistic and positive ways of perceiving anxiety-triggering situations. Other CBT techniques for social anxiety disorder might include role-playing and social skills training. As you act out and prepare for situations you are afraid of, you will become more and more comfortable and confident in your social abilities.

The organization Shyness and Social Anxiety Treatment Australia offers a description of the kinds of thoughts and symptoms CBT counters and how it works, while Cognitive Behavioral Therapy (University of Houston) describes several treatment approaches and provides referrals.

Exposure Therapy
In exposure therapy for social anxiety disorder, you are exposed in a safe and controlled way to the social situation you fear. Just as it is used in the treatment of other types of phobias, exposure therapy for social phobia involves gradual, repeated encounters with the situation you fear. If you’re uncomfortable in large social gatherings, your therapist may first have you imagine being at a large party. Using relaxation techniques, you will imagine this anxiety-producing party until the fear begins to subside. Once you are able to imagine going to a party without fear, you may expose yourself to a party in real life. With each successful exposure experience, you feel an increasing sense of control over your social phobia and you become desensitized to your fear. For more information on this type of therapy, see Systematic Desensitization.

Medication
Three types of medication are sometimes used in the treatment of social anxiety disorder. However, because social anxiety disorder is typically a chronic condition, relapse rates are high when drug treatment is stopped. The advantage of CBT and exposure therapy is that improvement lasts once treatment is stopped.

Antidepressants – Antidepressants are considered to be the most effective medications for full-blown social anxiety disorder. Three specific antidepressants—Paxil, Effexor, and Zoloft—have been approved by the U.S. Food and Drug Administration for the treatment of social phobia, although others are used off-label.
Benzodiazepines – The class of anti-anxiety medications called benzodiazepines (including Valium, Xanax, and Ativan), can also be prescribed to reduce anxiety. However, because benzodiazepines are habit-forming, they are less often prescribed and then only for short-term use.
Beta blockers – For specific social phobias such as performance anxiety, beta blockers such as Inderal can be effective. Beta blockers work by blocking the flow of adrenaline that often occurs during a stressful event. While they don’t affect emotional symptoms of anxiety such as nervousness, beta blockers control physical symptoms such as sweating, rapid heart rate, and shaking hands or voice

Just learning about social anxiety disorder and knowing that it is highly treatable can relieve some of your pain and discomfort. There are also a number of coping techniques that you can use to relieve anxiety when you find yourself in a social situation.

For example, one doctor suggests that when you think “Everyone is watching me,” you look around the room or the street and take an actual count of the people who truly are watching you (You’ll find that few will even be looking in your direction.). He also suggests that rather than leave a social situation, you wait 15 minutes and see if your anxiety symptoms lessen. If they get even a little bit better, wait 15 minutes more.

Other coping techniques include:

Slow, shallow breathing.

Consciously trying to heighten or exaggerate your anxiety or symptoms. Paradoxically, this usually has the effect of decreasing anxiety or its symptoms.

Positive self-talk can reduce anxiety. It includes telling yourself that your symptoms and anxiety will diminish if you wait them out, and that other people in the room are probably anxious too.

Breaking some of the tension by verbalizing your feelings in a humorous way (“Boy, I sure am a nervous wreck.”).

Carrying supportive statements, such as “I’ve handled this before, and I can handle it now,” on index cards and looking at them when necessary

2007-03-31 20:55:09 · answer #1 · answered by msjerge 7 · 0 0

First of all, medication is meant to treat panic and anxiety disorders not something given out automatically like candy.

You should definately talk with a therapist and do some Cognitive Behavioral Therapy to help you overcome your fears and be more confident.

The longer you stay in and don't get help the worse it will get. You will pick up the phone and make an appointment to get help when you get sick and tired of being sick and tired.

People can give you endless advice but the first step is obvious. You have to make and keep that therapy appointment. That's your only hope of creating a better life for yourself.

2007-03-31 20:43:00 · answer #2 · answered by Anonymous · 0 0

Benzodiazepine: Xanax or Klonopin, its the only ting that has help me and some many others. Forget gabitril, buspar, alcohol, illegal drugs, paxil, nefazadone, exposure therapy, cog-behavioral therapy, etc. You need a benzo to retract some of that semi-dellusional belief system (created both eniviornmental and genetically) into a managable state before augmenting the aformentioned treatments with realistic hopes they will ameliorate the dibilitating symptoms of social phobia, also see treatments on avoidant personality disorder as Social Phobia seems to just be a shade on the AV personality Dis continumn.

2007-03-31 20:37:38 · answer #3 · answered by Anonymous · 0 1

I rarely get the panic attacks. ... BUT I can tell you one thing.. the more people I meet the less I like them..

Maybe its not really a phobia?

2007-03-31 20:24:06 · answer #4 · answered by darchangel_3 5 · 1 0

Talk to a counselor and a psychiatrist and see if you can take medication, there is many medications out there that can significantly help with social anxiety.

2007-03-31 20:21:32 · answer #5 · answered by exaltedchick 2 · 0 1

take a public speaking class at the local community college, then go to japan because its so crowded

2007-03-31 20:27:26 · answer #6 · answered by loujitsu1978 3 · 0 1

You might have social anxiety disorder. Ricky WIlliams had that and he consulted the cannabis.

2007-03-31 20:10:55 · answer #7 · answered by alwaysmoose 7 · 0 2

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