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Anxiety - Julia Michaels ft. Selena Gomez 

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Anxiety - Julia Michaels ft. Selena Gomez 

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There are several lyrics, in the song, that reference having social phobia/anxiety that many people who are shy can relate to as well. People with social phobia have similar level of anxiety with people who are shy. One part of the lyrics line that are relatable are,
"Oh, I try my best just to be social
I make all these plans with friends and hope they call and cancel
Then I overthink about the things I'm missing
Now I'm wishing I was with 'em" (Michaels & Gomez, 2019).

Reference:
Michaels, J., & Gomez, S. (2019, January 31). Julia Michaels - Anxiety (Lyric Video)
ft. Selena Gomez [Video]. https://www.youtube.com/watch?
v=8kCIVzdHciY

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Anxiety (feat. Selena Gomez) (Clean Radio Edit) (Audio) - Julia Michaels

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Shyness vs. Social Phobia/Anxiety (Class: Anxiety disorder)

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Shyness vs. Social Phobia/Anxiety (Class: Anxiety disorder)

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Terminology Differences:
1.) Shyness - A daily word that is used to describe a person’s characteristics or personality trait, usually to describe in a positive way.
2.) Social Phobia - "Marked fear or anxiety about one or more social situations in which the individual is exposed to possible scrutiny by others" (DSM-5, 1994).

References:

(Image) Lenna, & Francisco, A. (2014, April 24). Taijin Kyofusho - A very
"Japanese"  Social anxiety. Tofugu.
https://www.tofugu.com/japan/taijin- kyofusho/

Substance Abuse and Mental Health Services Administration. DSM-5 Changes:
Implications for Child Serious Emotional Disturbance [Internet].
Rockville (MD): Substance Abuse and Mental Health Serviceon.
Available from:
https://www.ncbi.nlm.nih.gov/books/NBK519712/table/ch3.t12/

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Shyness vs. Social Phobia/Anxiety Different Characteristics

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Shyness vs. Social Phobia/Anxiety Different Characteristics

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The different characteristics of both terms are based on the behavior and cognitive process that the individual is experiencing. Shyness is misdiagnosed as social phobia as an increase of shyness; resulting, in social phobia. The video gives a great example and understanding of a social situation that a shy or social phobic/anxiety person will go through.

Reference:
Addesi, N. [@evolveandbloom]. (2020, May 22). Shyness vs social anxiety. ????
#foryoupage #foryou #fyp #mentalhealthawareness #tiktokwellness
#therapy. TikTok.
https://www.tiktok.com/@evolveandbloom/video/6829826790626725126?
lang=en&is_copy_url=0&is_from_webapp=v1&sender_device=pc&sender_web_id=6971500644553377286

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Common Symptoms that can Lead to Misdiagnoses of Shyness as Social Phobia/Anxiety

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Common Symptoms that can Lead to Misdiagnoses of Shyness as Social Phobia/Anxiety

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For a patient to be deemed shy or social phobic, there are differences in amount of social fears, somatic symptoms, and negativity that must be accounted to be clinically diagnosed as social phobic.
- Somatic symptoms (e.g., trembling, sweating, blushing) (Heiser et al., 2008).
-Social phobia group =100% experiencing racing heart, sweating, stomach
upset, blushing and trembling.
-  Shy group = 65.4% experiencing somatic symptoms of racing heart,
blushing, sweating, and stomach upset.

- Cognitive symptoms (e.g., fear of negative evaluation) (Heiser et al., 2008)
- Social phobia group= has the highest level with 75.7% having negative                                                            evaluation.
- Shy group = had 62.5% having negative evaluation.

- Behavioral symptoms (e.g., avoidance of social situations) (Heiser et al., 2008)
- Social phobia group = 96.0% had social fear, and wanted to avoid social                                                           situations they feared.
- Shy group = 65.4% reported having social fear, and 50.0% of the group                                            avoided social situations they feared.

References:
Heiser, N. A., Turner, S. M., Beidel, D. C., & Roberson-Nay, R. (2009). Differentiating
social phobia from shyness. Journal of anxiety disorders, 23(4), 469–
476.F      https://doi.org/10.1016/j.janxdis.2008.10.002

GIPHY. (2017, September 15). Kyoto animation no GIF - Find & share on GIPHY.
https://giphy.com/gifs/no-japan-xT1R9OjKLmy4RAgqac

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A Silent Voice is an animated movie that is based on two protagonist, and one of them is this gentle men in this video. Throughout the movie he is suffering through social anxiety/phobia and many other difficulties. The movie also shows a diversity of people that goes through many different aspects of life and challenges. This movie can be watched on Netflix before it leaves.

Reference
Karalang. (2019, February 3). social anxiety [Video]. YouTube.
https://www.youtube.com/watch?v=HiwPrjNWxs0

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Social Anxiety or Shyness Quiz: What do you score? Take the quiz if you wonder what range you are between being shy or having social anxiety/phobia.

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Social Anxiety or Shyness Quiz: What do you score? Take the quiz if you wonder what range you are between being shy or having social anxiety/phobia.

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A mini quiz which asks social situation questions that is based on a strongly disagree to strongly agree range answer choices. The questions and answers given will determine a person's range of social anxiety or shyness they are experiencing, but remember a quiz is not a professional approved diagnoses.

Reference:
The Emotion Machine. (2021, April 13). Social anxiety or shyness quiz: What do
you score? https://www.theemotionmachine.com/social-anxiety-
shyness-quiz/

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Social Anxiety or Shyness Quiz: What Do You Score?

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Do you have social anxiety or shyness? Take this quick 25 question quiz to find out what your level of social anxiety is.

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This is a little girl talking about the power of shyness and the different types of people. "You dont need to be loud to make noise." (Nicole Fotoohi, 2018)

Reference:
YouTube. (2018). The Power of Shyness | Nicole Fotoohi | TEDxYouth@FortWorth. YouTube. https://www.youtube.com/watch?v=BKmjhn_DNmQ.

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The Power of Shyness | Nicole Fotoohi | TEDxYouth@FortWorth

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There are several ways to treat or over come shyness and those ways are to talk to someone such as a mental health specialist, get some form of medicine, to go to a support group, or psychotherapy. Some types medications that could be given to people who have this disorder would be anti anxiety meds, antidepressants, and beta blockers. The type of psychotherapy they use would be a cognitive behavioral therapy that will help by teaching you different ways of thinking, and different ways of how to live with social anxiety. Support groups could be helpful to let the person know they are not alone and they can help learn from each other's experiences.
In the video: this girl talks about how she over came shyness

Referenece:
YouTube. (2018). Overcoming Social Anxiety | Marielle Cornes | TEDxYouth@Mbjh. YouTube. https://www.youtube.com/watch?v=YqM-17Iw_2k.
U.S. Department of Health and Human Services. (n.d.). NIMH " Home. National Institute of Mental Health. https://www.nimh.nih.gov/.

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Overcoming Social Anxiety | Marielle Cornes | TEDxYouth@MBJH

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The types of therapy are Cognitive behavioral therapy, interpersonal therapy, psychodynamic therapy, family therapy.

By going to therapy to treat social anxiety on average the person will need at least 3 months of therapy depending on the severity. The goal for therapy is to gain trust, learn skills to deal with the circumstances that scare the patient the most. Therapy also gives you the tools to deal with everyday shyness.

Reference:
Palmer, S. T. (2021, April 29). Feel Better Mental Health GIF by Sarah The Palmer - Find & Share on GIPHY. GIPHY. https://giphy.com/gifs/mental-health-its-ok-heysp-co5ts6fbbuVcaZThVN.

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Things People With Social Anxiety Want You To Know

Have you ever been so uneasy in some situations that you feel as if the world is closing in on you and you have no idea what's going on?

Welcome to the world of someone who suffers from social anxiety.

A few things that individuals with social anxiety want others to know about their condition are listed  below.

Reference:
Holmes,L. (2015, July 13). 16 Things People With Social Anxiety Want You To Know
https://www.huffpost.com/entry/things-people-with-social-anxiety-want-you-to-know_n_559e888fe4b01c2162a5ee9e?_gl=1*81qsou*_ga*M01LdklaUi1ZbUtBclhyQXgzcFo3cGtxOGhycDh5T3BYenp1SmFrcDlIb0c1Z09Dbm5taU5YN1l0SGhJUGFqSQ..

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Imagine feeling so uncomfortable in certain situations -- sometimes at random -- that you can't breathe or even process what's going on around you.

Welcome to the life of someone dealing with social anxiety.

For those who may not know, social anxiety is usually classified as an intense discomfort during social interactions or a fear of judgment by others. But the 15 million American men and women who experience the disorder know all too well that the struggle of the condition goes beyond just feeling awkward in social settings.

We asked our Facebook communities to share some of their pet peeves about the disorder. Below are just a few things people with social anxiety want others to know about their condition.

2. They know it is hard for friends and family to understand it. "We know it's irrational. We just need what we need to get through it." --Elise Dickey via Facebook

3. They can't just stop having social anxiety.
"Being told 'get over it' is the worst ever. You wouldn't tell someone with a cold to get over it." --Jackie Alvarez via Facebook

"I wish people understood that social anxiety can come and go ... and hit us out of nowhere too. Just because we have been known to be 'the life of the party' sometimes, does not mean that we don't experience and struggle with social anxiety on a regular basis." 6. It's unpredictable.
--Desiree Herron Perry via Facebook

14. It can be managed.
"It's really not so bad if you learn healthy coping techniques. Things like deep breathing, positive thoughts, simply walking away in a tense situation or knowing what relaxes you. What works for me is a hot bubble bath or a good book." --Crystal Renee Stasik via Facebook

15. It's hard to meet new people.
"I have massive difficulty with meeting new people at an organized gathering. ... Most people think I am super out going, but I overanalyze every conversation I have for hours. It is exhausting!" --Shannon Rodefer Lopez via Facebook

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16 Things People With Social Anxiety Want You To Know

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Imagine feeling so uncomfortable in certain situations -- sometimes at random -- that you can't breathe or even process what's going on around you. Welcome to the life of someone dealing with social anxiety. For those who may not know, social anxiety is usually classified as an intense discomfort during social interactions or a fear of judgment by others.

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This is a video of a woman named Jordan Raskopoulos talking about dealing with anxiety and how it affects her everyday life. Overcoming and comprehending the triggers that cause anxiety.

“I don’t get stage fright , I get life fright.” (Jordan Raskopoulos,2017)

Reference:
Youtube. (2017). Living With High Functioning Anxiety | Jordan Raskopoulos | TEDxYouth@Mbjh. Youtube.
https://youtu.be/JUedQ0_EGCQ

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Living With High Functioning Anxiety | Jordan Raskopoulos | TEDxSydney

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Reference - YouTube. (2017, October 18). Social Anxiety Disorder - causes, symptoms, diagnosis, treatment, pathology. YouTube. https://www.youtube.com/watch?v=QLjPrNe63kk.

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Social Anxiety Disorder - causes, symptoms, diagnosis, treatment, pathology

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Cuncic, A. (2020, July 18). The Best Treatments for Social Anxiety Disorder. Verywell Mind. https://www.verywellmind.com/treatments-for-social-anxiety-disorder-3024949.

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Treatments for social anxiety disorder (SAD) depend on the severity of your emotional and physical symptoms and how well you function daily. The length of treatment also varies. Some people may respond well to initial treatment and not require anything further, while others may require some form of support throughout their lives.

Both medication and therapy have been shown effective in treating social anxiety disorder. Social anxiety that occurs in all situations responds best to a combination of medication and therapy, while therapy alone is often sufficient for people with anxiety specific to one type of performance or social situation.﻿﻿ ﻿﻿ So, if you've been diagnosed or think you may have SAD, know that it's possible to overcome it.

Prescription Medications

Several different types of medications are prescribed to treat SAD. Each has its advantages and disadvantages depending on your particular situation.

Selective Serotonin Reuptake Inhibitors (SSRIs)

SSRIs are considered the first-line pharmacotherapy treatment due to their tolerable side effects and ease of administration. However, due to the potential for withdrawal effects, SSRIs should always be tapered when ending treatment.﻿﻿ Options include:

Serotonin-Norepinephrine Reuptake Inhibitors (SNRIs)

SNRIs are a class of antidepressants used in anxiety treatment that act on the neurotransmitters serotonin and norepinephrine. Options include:

Effexor XR (venlafaxine)

Cymbalta (duloxetine)

Pristiq (desvenlafaxine)

Monoamine Oxidase Inhibitors (MAOIs)

MAOIs were once considered the most useful treatment for social anxiety disorder; however, these medications carry with them the risk of serious side effects if dietary and medication guidelines are not followed. Options included:

Nardil (phenelzine)

Parnate (tranylcypromine)

Marplan (isocarboxazid)

Beta Blockers

Beta blockers are usually taken orally prior to an anxiety-inducing event such as a performance to reduce symptoms of anxiety such as rapid heart rate, hand tremors, and the "butterflies in the stomach" feeling. Options include:

Inderal (propranolol)

Tenormin (atenolol)

Benzodiazepines

Benzodiazepines are mild tranquilizers that alleviate the symptoms of anxiety by slowing down the central nervous system. Although fast-acting and well-tolerated, benzodiazepines have the potential to be habit-forming and should not be prescribed for someone with a substance abuse disorder. Options include:

Other Anxiety Medications

There are several other medication options doctors may consider, including:

Psychological Therapies

Psychotherapy can be used alone or together with prescription medications. The various options are psychological methods geared towards helping someone change their behavior to something desirable. There is a common stigma associated with going to a psychotherapist or psychiatrist, but millions of people go and benefit from it. There is nothing to be embarrassed or ashamed of.

You can try asking your primary care physician for a referral to a therapist or mental health professional. There is also an increasing number of websites that can help match you with a professional based on your symptoms, schedule, and health insurance.

Try taking a few notes on your thoughts and feelings so you have a starting point for discussion on your first appointment. Though it may feel difficult at first, the more honest you are with your doctor, the more progress you can begin to make with managing your anxiety.

Social Anxiety Disorder Discussion Guide

Get our printable guide to help you ask the right questions at your next doctor's appointment.

Cognitive-Behavioral Therapy (CBT)

CBT is the first-line psychotherapeutic treatment for SAD. It is a form of psychotherapy designed to modify your thoughts and behaviors in order to positively influence your emotions.

3 Types of CBT Techniques

Exposure

Exposure can take place either through imagining or experiencing a specific performance or social situation in real life. If you have extremely severe social anxiety disorder, your therapist may begin with imagined exposure and eventually progress to real-life exposures.

The underlying principle of exposure therapy is that through practice and experience, you will become more comfortable in situations that you would otherwise avoid. Below are some exposure exercises that you can practice on your own.

Cognitive Restructuring

Cognitive restructuring focuses on the cognitive symptoms of SAD: Poor self-concept, fear of negative evaluation by others, and negative attribution bias (attributing positive outcomes to chance and negative outcomes to your own shortcomings).

Cognitive restructuring involves a series of exercises designed to identify negative thoughts, evaluate how true they are, and construct alternative thoughts to challenge original thoughts.

Cognitive restructuring is thought to be important for the treatment of social anxiety disorder because of the strong cognitive aspect of the disorder and how longstanding these underlying beliefs often are.

Social Skills Training

Social skills training involves various exercises such as modeling, rehearsal, and role-playing designed to help people learn appropriate behaviors and decrease anxiety in social situations.

Not everyone will require social skills training as part of their treatment. These exercises are designed specifically for people who have actual deficits in social interaction above and beyond social anxiety. Areas that might be targeted for social skills training include eye contact, conversation, assertiveness, and telephone calls.

Acceptance and Commitment Therapy

Acceptance and commitment therapy (ACT) for social anxiety disorder is a "third-wave" technique developed after CBT. It is based on Buddhist philosophy.

Through ACT, you learn how to accept negative thoughts and anxiety rather than trying to eliminate them. By detaching yourself from your social anxiety, it is expected that your symptoms will naturally lessen.

An ACT therapist uses experiential exercises, values-guided interventions, and mindfulness skills training as part of therapy.

Psychoanalysis

Psychoanalysis and psychodynamic therapy involve a therapist helping you to understand underlying issues from childhood that may have contributed to your social anxiety. It is most useful for people who have deeper unresolved conflicts contributing to their anxiety. Psychoanalysis may also be useful in some instances to explore potential resistance to change.

Complementary Treatments

Alternative treatments for social anxiety disorder include such things as dietary supplements, aromatherapy, and yoga.

Finding Treatment

The steps for finding treatment for social anxiety disorder are the same as those for any mental health issue.

1. Talk to someone, such as a family doctor or religious counselor, about the problems you are experiencing. You could even start by telling a friend or family member and asking for his or her support in finding help.

2. If a doctor is not able to refer you to a mental health professional, you may consider searching terms such as "find a social anxiety disorder therapist near me." Professionals who provide mental health therapy services typically include psychologists, social workers, and counselors. If you require medication, you will need to speak to a psychiatrist through a referral from a doctor. If you are looking for alternative treatments, seek out a physician who practices integrative medicine.

3. Call to make an appointment and inquire about the cost of services and whether they will be covered by insurance.

A Word From Verywell

Reaching out for help the first time can feel uncomfortable and anxiety-provoking in and of itself. Know that you are taking the best first step in the right direction to alleviate your social anxiety over the long term.

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The Best Treatments for Social Anxiety Disorder

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Treatments for social anxiety disorder (SAD) depend on the severity of your emotional and physical symptoms and how well you function daily. The length of treatment also varies. Some people may respond well to initial treatment and not require anything further, while others may require some form of support throughout their lives.

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Therapy for social phobias and social anxiety

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Therapy for social phobias and social anxiety

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Team, G. T. E. (n.d.). Social Anxiety / Phobia. Therapy for Social Phobias and Social Anxiety. https://www.goodtherapy.org/learn-about-therapy/issues/social-phobia.

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Social anxiety is also known as social phobia. Simply put, it is fear of social situations. It is also described as fear of interacting with people other than close friends and family. Social anxiety can be persistent. It affects daily life for many people.

How Common Is Social Anxiety?

Social anxiety is the third largest mental health issue in the world. It affects nearly 7% of the population. Almost 13% of people will experience social anxiety at some point in their life. The condition is treatable. But it does not typically resolve without treatment. Certain situations may trigger social anxiety. These can include:

Some people also have difficulty in other situations. These could be meeting with an authority figure or reading aloud in class.

Most people feel anxiety during social interaction at some point. Nearly everyone may worry about what others think of them and whether others like them. But sometimes this anxiety is severe and persistent. When it is, social interaction can become difficult and unpleasant. People may have a hard time connecting with others. This difficulty can occur despite the person's wish to connect.

Types of Social Anxiety

There are two types of social anxiety: generalized and non-generalized.

A person with generalized social anxiety may avoid most social situations. Their fear of negative judgment can make most social interaction difficult.

Non-generalized social anxiety does not cause anxiety all of the time. Instead, a certain type of social situation triggers the anxiety. A couple triggers could include going to a party or meeting a date.

Agoraphobia is a phobia linked to anxiety. It is thought to be similar to social anxiety. But a person with agoraphobia fears large or unknown public places. They may avoid these places out of worry that a panic attack may occur. The phobia is linked to avoidance of shame and embarrassment. It is typically not a social phobia.

Signs and Symptoms of Social Anxiety

Social anxiety is often more than a fear of interacting with others. People with social anxiety tend to worry that others will judge them negatively. The condition may be mild. When severe, it can have a large negative impact on one's quality of life.

Social anxiety can cause physical symptoms. A person experiencing social anxiety may have:

Shortness of breath

Faintness

Increased heart rate

Shaking

Sweatiness

Anxious thoughts are also common. These can include thoughts like, "No one will like me," or "I don't belong." Those with social anxiety might also:

Apologize often

Seek frequent reassurance from others

Spend a lot of time preparing for social situations

Avoid entering social situations

Leave situations abruptly

People with social anxiety often want to enjoy socializing. They may wish to make friends and be included in group activities. But their anxiety can prevent them from doing so. It may make them look withdrawn or shy. People with social anxiety may seem uninterested in social activities.

People with social anxiety may put much of their energy into avoiding triggers. Some ways they do this include:

Using alcohol to cope in social situations

Finding excuses to leave the situation, like going to the bathroom

Keeping a conversation focused toward the other person

Trying not to draw attention. They may avoid smiling or eye contact.

Not contributing to a conversation or saying little

Distracting oneself by daydreaming or mentally leaving the situation

What Causes Social Anxiety?

A combination of factors are thought to cause social anxiety. Genes, the brain, and life experiences may all affect how social anxiety develops.

Brain. Studies show some parts of the brain are more active in people with social anxiety. One of these parts is the amygdala.

Life experience. Certain situations can make people feel different, inadequate, or judged. People who experience these often may be more likely to develop social anxiety.

Genes. Some people have a family history of anxiety. They may be more likely to develop social anxiety. They may also be more likely to develop another form of anxiety.

Some people experience consistent negativity in social situations. They can come to think that all social situations will happen in the same way. They may start to avoid and fear them as a result. Social anxiety can also grow out of beliefs from childhood. These beliefs may have caused feelings of incompetence, worthlessness, disempowerment, or shame.

Therapy can help with social anxiety. There are many treatments to choose from. It is important to seek help if social anxiety interferes with your life. Long-term social anxiety may cause more mental health issues. These can include loneliness and depression.

With the right treatment, people are often able to greatly reduce their social anxiety. Treatment may give people more confidence in their social skills. This can help increase their quality of life.
References:

1. Richards, T. (n.d.). Social anxiety fact sheet: What is social anxiety disorder? Symptoms, treatment, prevalence, medications, insight, prognosis. Retrieved from http://socialphobia.org/social-anxiety-disorder-definition-symptoms-treatment-therapy-medications-insight-prognosis

2. Self-help strategies for social anxiety. (n.d.). Retrieved from https://www.anxietybc.com/sites/default/files/adult_hmsocial.pdf

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Therapy for Social Phobias and Social Anxiety

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Social anxiety is also known as social phobia. Simply put, it is fear of social situations. It is also described as fear of interacting with people other than close friends and family. Social anxiety can be persistent. It affects daily life for many people. Social anxiety is the third largest mental health issue in the world.