Social phobias

Social phobias are characterized by an obsessive fear of attention from the experience of others in a relatively small group of people (as opposed to the crowd), which leads to avoidance of social situations. Unlike most other phobias, social phobias are equally frequent in males and females. Social phobia can wear isolated character and be in the specific nature of fear - at public speaking, eating, encounters with the opposite sex. If phobic experiences apply to all situations outside the family circle, talking about the diffuse nature of social phobia social anxiety disorder. An important can be the fear of vomiting in public. In some cultures, particularly intimidating may be a direct clash with eye to eye. Most significantly it expressed avoidance of situations that in extreme cases can lead to almost complete social isolation.

The estimated premorbid strict upbringing in childhood, lack of encouragement from parents, forming a low level of self-esteem. The desire by all means to win the interest and acceptance of others.

Beginning in adolescence often with the fear response in the blackboard or any other valuation situations curable reflexively.

Fear of being the center of attention of others - fear of public speaking is combined with low self-esteem and fear of criticism.

Patients complain of redness of the face, a feeling of a lump in the throat, palpitations, dry mouth, weakness in the legs, inability to concentrate on the action.

Differential diagnosis. It should be distinguished from Anthropophobia with depressive episodes, in this case, take into account other criteria for depression. Secondary Anthropophobia may also be under delusion.

Frequently expressed and Agoraphobia and depressive disorders, and they can help to ensure that the patient becomes housebound. If the differentiation of social phobia and agoraphobia is difficult, agoraphobia should be coded in the first place as a primary disorder; should not make the diagnosis of depression, unless it reveals a full depressive syndrome.