Doctor insights on:
Is There A Difference Between Social Anxiety Disorder And Selective Mutism
Social Anxiety: Yes, there are many differences. Selective mutism is most often seen in children, while social anxiety disorder is typically seen from adolescence through adulthood. Social anxiety is related to fear (and sometimes avoidance) of interpersonal interaction in social situations, while selective mutism is a refusal or unwillingness to speak in some or most situations. ...Read more
An anxiety disorder in which a person is preoccupied and self conscious of his or her behaviour in public and during social interactions. He or she often feels the center of judgement and that he or she is not fit enough, so quite often avoids parites, meetings, eating in public, or even asking questions all because of fear of being judged negatively. Treatment includes both medications and CBT, ...Read more
Social anxiety: Excellent question. Most times it is not easy to differentiate the two, however, in selective mutism the anxiety is in situations where strangers are present & the patient is shy, but he/she has no problem communicating with people at home. In social anxiety, there is intense irrational fear of being watched, evaluated or scrutinized by others, and here the avoidance is extreme. ...Read more
Seek Help: It is important to make sure you are involed with therapy to help provide support in coping with anxiety. In addition you need to strongly consider medication treatment if you are not already taking medication. Some of the antidepressants have been shown to be helpful for social anxiety. It is likely that your selective mutism is connected to anxiety, and medication may help for that as well. ...Read more
Too scared to talk: Social anxiety involves a fear of being judged negatively by others or being seen as inferior 2 them in some way. This leads 2 dreading social situations & social interactions, & thus 2 avoiding them. Selective mutism is tied 2 social anxiety: At times, people w/social anxiety find themselves so fearful in social situations that it's difficult 2 speak. Some simply don't speak in these situations. ...Read more
Why is the key.:
Selective mutism is a Dx based upon behaviors. Social phobia involves motivations and fears (internal processes) often w/ behavioral avoidance.
Over time, the selectively mute individual may come to understand the reason for their failure to speak in certain situations (e.g. trauma, social anxiety), or not. ...Read more
Functioning: Severity is often a function of subjective distress (how much it is distressing or bothersome), how many situations or circumstances it impacts, and how much disruption or interferences it causes. For more on social anxiety disorder see: http://cpancf. Com/articles_files/socialanxietydisorderwhatis. Asp. ...Read more
Face your fears.: I don't know anyone who initially feels comfortable with the idea of having a mental health condition or with seeing a mental health provider. If you want to move past this - you need to move through it first. Seek help from a psychiatrist ;/or psychologist. Good luck. ...Read more
What is a good medication for severe social anxiety disorder and generalized anxiety disorder (gad)?
Monitoring is key: Probably the best are the ones that are prescribed and monitored by a physician. These medications that are the best in some cases can be the worst if they are taken incorrectly. There are pro's and con's to all of them. If you are considering anxiety medication your doctor will take into account your personal history and needs and try to find the one that is best for you. ...Read more
Therapy +/- meds: Many individuals respond to congitive-behavioral therapy, individually or in groups. Some people benefit from medicaiton, and some combination therapy. A former resident and I put together a web-page: http://cpancf. Com/articles_files/overcomingsocialanxietydisorder. Asp. ...Read more
It often is: Although it's first intended use is for major depression, it (like many or most psychotropic drugs) is used off-label for other conditions. My bias, particularly in this case - social anxiety disorder - is at least to include if not primarily use talk therapy. Learning how to manage the problem provides lifetime benefits w/out side effects. A pill only works when you take it. You're the same. ...Read more
Have you considered: Seeing a psychologist for cognitive behavioral therapy. ...Read more
Talk to: A psychologist or counselor who treats anxiety. The most effective treatments are relaxation training (sometimes with the aid of biofeedback) plus cognitive therapy that includes gradual exposure to anxiety-producing situations in imagination and real life. Therapy is sometimes augmented with medication and is quite successful. ...Read more
Cognitive Behavioral: Therapy would be a good option. Psychiatric medication are sometimes indicated as well. ...Read more
Nothing: Please forgive my frankness. Social anxiety disorder is highly treatable in almost all cases by talking and wise guidance. You owe it to yourself and others to re-learn social skills that may have been twisted in a confusing early envrionment. You can learn to be brave & to behave effectively, to like and to be liked by others. Choose a guide wisely. You must be brave -- no pill can supply thay. ...Read more
Evaluation: The only way to really be sure is to have the person evaluated by a psychiatrist who has experience in this area. ...Read more
Therapy: Due to the complex interplay between genetics, biology, psychological and environmental factors (such as learning experiences, emotional conditioning), therapy such as cognitive behavioral therapy (cbt) would teach you the tools/skills to combat thoughts pertaining to social anxiety while changing avoidance behaviors. Best "home remedy" available and takes place in and out of office. ...Read more
What can I do if my boyfriend has borderline personality and social anxiety disorder, what do I do?
Talk, Reflect Togethr: Life is messy & all relationships come w/ challenges. I wonder what it will take for the two of you to create the kind of relationship you each long to have... Presumably one in which you both feel prized and deeply understood. I wonder what obstacles you see as standing in your way of enjoying that kind of life together & what you are each prepared to do to overcome them. ...Read more
The major difference: Is that with social anxiety disorder, the person is uncomfortable with the fact that they have difficulty in social situations and want the overcome the disorder. Someone with an avoidant personality disorder does not want to change or be around people. They are happy being a hermit. ...Read more
Treatment 4 soc anx: Ssri as prozac, paxil, (paroxetine) zoloft, xelexa... Can be used a single agent or combined with one or more other meds depending on gravity of anxiety. Ideally, psychotherapy should always be done along with meds. The cause of anxiety must be dealt with, if found, to treat to the root of the cause to allow resolution of the problem. Need perseverance and good motivation to be successful. ...Read more
Yes: If it's working, sure, keep taking it. However, there are nonmedical methods that help too, & may eventually allow you to cope without meds. Besides, therapy plus meds works better than meds alone in almost all cases, with psychiatric problems. Consider discussing with Psychiatrist or psychologist on Healthtap Concierge, where virtual consults can be done with a doc to give ongoing treatment. ...Read more
And am now a sophomore in college. Is there something clinically wrong with me such as social anxiety disorder or adhd? How can I tell?
Psychiatrists can: The best next step is to obtain an appointment with a psychiatrist who will evaluate your symptoms, establish diagnosis and make treatment recommendations. Good luck. ...Read more
ADHD and Anxiety: Anxious behaviors may be caused by ADHD, as one of the key issues with ADHD is a problem with "executive function", essentially a problem with seeing the big picture and planning ahead appropriately. Likewise, anxiety disorders are often misdiagnosed as ADHD, as individuals may act impulsively in situations that are perceived as threatening or uncomfortable. ...Read more
Anxiety is a general term for several disorders that cause nervousness, fear, apprehension, and worrying. These disorders affect how we feel and behave, and they can manifest real physical symptoms. Mild anxiety is vague and unsettling, while severe anxiety can be extremely debilitating, having a serious ...Read more
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