Social phobia is actually a specific anxiety disorder, mainly a bad state in interpersonal communication. When some people enter the public places, shopping malls or squares with more people, they will have palpitations, palpitations, night sweats, even some people will feel dizzy, and some people will have flushed face, night sweats and rapid heartbeat when meeting strangers.
What is social phobia?
What we usually say about social phobia generally refers to generalized social phobia, and some people mistakenly call it "autism" (although the social phobia patients have the behavior of avoiding social contact, it is still not appropriate to call it autism officially called "autism"). The core clinical characteristics of generalized social phobia are worrying about or thinking that they are not appropriate in social situations, which leads to unreasonable and obviously excessive anxiety, as well as avoidance behaviors in corresponding social situations. When most patients are in social situation and think that they may be watched by others, they appear obvious anxiety and anxiety, and try to avoid or leave such an occasion.
The patient feels at a loss or uneasy because of the fear of being watched when facing a stranger. If patients can not leave such an occasion, they must also show obvious unnatural expression and posture, blush, heartbeat, hand and foot tremor, etc. If you have to speak in public, the patient's speech also shows corresponding anxiety, such as weak voice, tremor, incoherent words and so on. The eyes of patients in this situation are also quite characteristic, eyes wander or gaze at the ground, avoiding eye contact with each other. Most patients are most prominent in the face of strange opposite sex, especially the opposite sex of similar age, and their anxiety often reaches a very strong degree.
Patients with social phobia often take the initiative to avoid the situation that they may have to face strangers. They dare not participate in activities such as dinner parties, meetings, classes, training, etc., nor dare they speak, eat or even walk, sit or lie in public. Therefore, their social functions may be seriously damaged. Individual patients with social phobia may also show the performance similar to that of mutism, keeping silent in any situation where there are strangers. A small number of patients with social phobia have "abnormal" characteristics, that is, they are not anxious in front of strangers, but very anxious in front of familiar people.
Social phobia is a common concomitant phenomenon of generalized social phobia. Most patients still have three "no" in their illness.
In addition to the typical manifestations of social phobia described in the above textbooks, I also summarized the "three no" characteristics of patients with social phobia according to my own clinical observation and diagnosis and treatment experience, so as to guide the implementation of effective and reasonable treatment for patients.
The first "no" is "dare not", that is, the social courage is poor
Patients have excessive fear and anxiety in social situations, which is the primary symptom of social phobia. Modern psychiatry has sufficient practical experience and evidence of drug treatment, which proves that drug treatment has significant effect on the symptoms of fear and anxiety, and even can achieve the effect of complete disappearance of anxiety symptoms. This "no" is the indication of drug treatment. If the doctor has enough experience in drug treatment, the best choice for patients is to follow the doctor's advice.
The second "no" is no, that is, weak social skills
For the patients with non Asperger's syndrome, this feature is mainly secondary to the social phobia patients' long-term and relatively continuous avoidance of social situations, which results in the serious shortage or lack of learning and imitation opportunities. On the contrary, for patients with Asperger's syndrome accompanied by comorbidity of social phobia, the social skills of patients with Asperger's syndrome are not only the primary defects of Asperger's syndrome itself, but also partly due to the continuous avoidance of social situations and the subsequent functional impairment. Therefore, in either case, the deficiency of social skills requires patients to make unremitting efforts to learn, imitate and acquire social skills similar to healthy peers on the basis of realizing the causes of the problem and the severity of the harm, and with the support of drug therapy.
For patients with early onset and long course of disease, this effort is particularly important, because the defects of social skills of these patients will be more serious. It is obviously a long way to go to make up for the "Absence" of social skills learning and imitation opportunities. If we consider that these patients are in the so-called "sensitive period" of social ability learning in developmental psychology after their onset, the "make-up lesson" may be "half the result with twice the effort", and it may take a hundred times of effort to obtain a better effect.
The third "no" is not big, that is, the social circle is small, and the motivation and potential of patients to expand their social scope are obviously insufficient
For the patients with social phobia in childhood and adolescence, most of them have introversion and lack of social motivation, and have few good and stable friendship with their peers. After the illness, the lack of social motivation is more serious, can not maintain their original social circle or maintain the original partnership, and the degree of functional defect is positively related to the severity of the disease and the course of disease: the patients with severe disease and long course of disease have smaller social scope and worse social motivation. Therefore, in the process of treating social phobia, psychiatrists, psychotherapists and rehabilitation therapists should also strive to promote patients to recover social relations steadily and slowly, expand social circle and enhance social motivation.
Such efforts need the constant promotion of the therapists, as well as the perseverance of the patients, so as to achieve the goal of thousands of miles. However, the necessary condition for patients to recover their social relations, expand their social circle and enhance their social motivation is that the patients themselves have greatly improved in "dare not" and "can not", and realize that their social phobia is devastating to their lives. Only with these necessary conditions can the efforts of patients to improve their social function be sustained.
Treatment of social phobia
In the hypnotic state, psychiatrists help to analyze and excavate things deep in the heart or memory, whether they have experienced some kind of huge event, and try to find out the root cause of the disease.
2. Cognitive therapy
Doctors constantly tell patients, constantly instill the correct concept of treatment, tell patients that this fear is abnormal, to correctly understand the procedures of interpersonal communication, teach some methods of communication with people.
3. Drug therapy
It mainly aims at the imbalance of some chemical substances in the body, and uses certain drugs to adjust the balance.
It is a transcranial micro current stimulation method, which stimulates the brain through low-intensity micro current, changes the abnormal brain waves of patients' brain, and promotes the brain to secrete a series of neurotransmitters and hormones closely related to social fear, anxiety and other diseases, so as to achieve the treatment of social phobia.