Social anxiety isn't just for adults

  Nov 17, 2022

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About half of people have social anxiety

Zhang Weihua, Deputy Chief Physician of the Department of Psychiatry of Peking University Sixth Hospital, told the reporter of Zhongqing News and Zhongqing Net that social phobia is also called social anxiety disorder, or social anxiety disorder, which is a kind of anxiety. Social phobia mainly refers to feeling strong fear, tension and worry when dealing with strangers in social occasions (such as visiting customers, interviewing, etc.) or expressing views in public places (such as meeting speeches, etc.), and therefore avoiding such occasions as far as possible. Zhang Weihua believes that the characters described in the Song of Workplace Social Terror do show anxiety. The protagonist lacks basic social skills and does not know how to express himself, so he is nervous about some social activities. The more nervous he is, the less he knows what to do. In Zhang Weihua's opinion, social anxiety is common in life. According to his clinical experience, at least half of people may have experienced symptoms of social anxiety when growing up, "Especially in adolescence, when you start to like the opposite sex, you will have an instinctive reaction to express yourself. The most common performance is that when you speak in public in class, you feel very nervous, your voice trembles, your expression is unclear, and your mind suddenly goes blank. The original ideas are all confused. This is actually an experience of social anxiety."

Zhang Weihua told the reporter that there is no need to worry about this physiological social anxiety, and individuals generally have the ability to adjust themselves - even when they are nervous, they can complete the class speech. Moreover, in the process of growth, individuals will also try to overcome this anxiety, and the anxiety symptoms will gradually reduce with the increase of people's growth and experience. Overcoming social anxiety is also a process of knowing and understanding oneself in the process of growing up,

Although many people have experienced social anxiety when growing up, few people have really developed into persistent symptoms of social anxiety. Zhang Weihua said that the core symptom of social anxiety disorder is a strong sense of tension about certain social activities or occasions. This kind of tension is not only manifested in psychological tension, fear, worry and even fear, but also in physiological reactions such as rapid heartbeat, shortness of breath, muscle tension, sweaty hand tremor. People with social anxiety disorder always try to avoid corresponding social activities or occasions, especially those with strangers. If it is unavoidable, such as having to visit a customer, or suddenly receiving a notice to talk with the leader, and cannot be pushed away, in the whole process, the social anxiety patients will feel very intense pain, which will also affect their normal communication. As soon as the meeting is over and the other person leaves, the social anxiety patients will immediately breathe a sigh of relief, and the strong sense of tension will soon reduce and return to normal. In addition, for planned social activities, patients with social anxiety disorder will start to be nervous a day or two or even longer, especially when the object of contact is a stranger, or when the planned work is important to them, such as attending an interview or meeting an important leader. Patients with social anxiety disorder will be nervous, restless, and unable to sleep well a day or two before their appointment, I can't help rehearsing the social scene in my mind, worrying about my poor performance.

For mild social anxiety symptoms, individuals can reduce and alleviate them through self training. "If the psychological pain and physical reaction felt in the process of social interaction are not too strong, although the process is difficult, the social behavior can be basically completed. In this case, self adjustment can be made through psychological training and social training." Zhang Weihua said, "First of all, we should understand the reaction of our body, realize that it is an anxious reaction, accept our own situation, and accept that we are an imperfect person. We should not imagine whether we will make a fool of ourselves, because such thoughts will aggravate anxiety." Zhang Weihua suggested that we might as well admit our nervousness publicly and ask the other party to understand. Publicly expressing your anxiety will relieve your anxiety. If you can learn to make fun of yourself and deal with your tension in a humorous way, it will also be very effective to relieve your anxiety. This effectiveness is not only immediate, but also can slowly reduce anxiety symptoms on the whole.

If the anxiety symptoms are serious, drug treatment is required. Zhang Weihua introduced that, at present, there are many kinds of drugs that have the effect of treating social anxiety disorder. These drugs can reduce the psychological reaction of anxiety patients, especially for those patients who have a long-term attack of social anxiety disorder and are accompanied by depressive experience or other fear symptoms, drug treatment will be very helpful. Zhang Weihua also stressed that these drugs are prescription drugs, which must be used under the doctor's prescription, not on your own, and should be regularly revisited according to the doctor's advice to assess the efficacy and possible adverse reactions, and adjust the plan when necessary.

Children also have anxiety reactions

Although the experience of social anxiety is not uncommon among adults, it is not the "patent" of adults. Zhang Weihua believes that children are afraid of strangers and dare not talk to strangers, which is also a manifestation of social anxiety.

Zhang Weihua told reporters that anxiety is not uncommon among children. Social anxiety and separation anxiety are common anxiety disorders among children. Zhang Weihua said that children cannot express their emotions as accurately and clearly as adults. Their emotions are often expressed through certain behaviors. When children are anxious, some will cry excessively, and some will not say a word. Those children who are usually very active, but don't say a word due to nervousness in unfamiliar occasions, have symptoms of selective mutism because of anxiety.

Zhang Weihua explained that many children have anxiety symptoms during their growth. For most people, this is a physiological reaction. At a certain age, they can adjust themselves without special treatment. "Everyone has different responses to the stimuli of the external environment. Some children are sensitive. It is normal for them to have anxiety symptoms at some stage of their growth. This symptom is conditional. As long as it does not affect their daily life, parents need not pay too much attention to it. It is better to let it go. If parents pay too much attention to their children's performance at this time, and are eager to correct their children, they should adopt the attitude of 'How big a thing, not so big' To force a child to change his or her performance may aggravate the child's symptoms. "

Zhang Weihua believes that the most appropriate way for parents is to let nature take its course, patiently encourage their children, slowly guide them to learn to understand themselves, accept themselves, and admit that they may be vulnerable at some time. At the same time, we should face life normally. We should not avoid what we should do because of anxiety symptoms. We should also not be too concerned about the symptoms. We must eliminate the symptoms before living a normal life.

"Everyone has to face pain and dissatisfaction in the process of growing up. We should first learn to accept and face the pain and dissatisfaction, and then find ways to deal with and solve them. If the problem cannot be solved, we should adjust our attitude towards the problem." Zhang Weihua reminded parents to change the idea of "not allowing children to experience any pain and suffering", which is very harmful to children's growth. At the same time, parents should also pay attention to adjusting their own emotions, and be alert to their own anxiety problems caused by their children's anxiety symptoms. The anxiety of parents can not only help children solve problems, but also bring negative effects to children, which may cause greater harm to children.


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