(Main lecture): Social anxiety disorder (SAD)

60 important questions on (Main lecture): Social anxiety disorder (SAD)

What is the distribution of social anxiety levels according to the provided information?

- NORMALLY DISTRIBUTED
- Varying levels of social anxiety
- Not a binary condition

What personality disorder is characterized by a tendency to avoid social contact in general?

- AVOIDANT PERSONALITY DISORDER
- Tendency to avoid social situations
- Might not be solely anxiety-based

Which personality disorder involves a tendency to not care about others' opinions, potentially using aggression as a coping mechanism?

- ANTISOCIAL PERSONALITY DISORDER
- Doesn't care about others' opinions
- Aggression as coping mechanism for some
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What is the minimum duration for which fear, anxiety, or avoidance must persist for a diagnosis of social anxiety disorder?

- Typically lasting for 6 months or more
- Duration requirement for diagnosis
- Chronic nature of social anxiety disorder

According to DSM-V criteria, what should be the impact of fear, anxiety, or avoidance related to social situations?

- Significantly causes DISTRESS OR IMPAIRMENT
- Affects social, occupational functioning
- Important criterion for diagnosis

What age group typically experiences the onset of social anxiety disorder?

- 8 to 15 years of age
- Impacted severity linked to early onset
- Generalized SAD often diagnosed early

In Western cultures, what is the estimated lifetime prevalence of social anxiety disorder?

- Between 7 to 13 percent
- Prevalence in Western cultures
- Approximate range of affected individuals

What is an example of a specific fear or anxiety related to social situations that could indicate social anxiety disorder?

- Anxiety when observed eating or writing
- Fear of negative evaluation
- Specific performance anxieties

What psychological descriptor is associated with those who fear social scrutiny and possible negative evaluation?

- Marked fear or anxiety in social situations
- Fear of being scrutinized by others
- Core psychological trait linked to social anxiety

In the context of social anxiety, what could provoke fear or anxiety in affected individuals?

- Social situations or interactions
- Being observed or performing in public
- Common triggers for anxiety

What is a key element of a social anxiety diagnosis regarding the fear and anxiety exhibited by individuals?

- Out of proportion to actual threat
- Disproportionate fear or anxiety
- Criterion for social anxiety diagnosis

What aspect of fear or anxiety related to social situations differentiates social anxiety disorder from general anxiety?

- Fear or anxiety OUT OF PROPORTION
- Disproportionate to real threat
- Key feature of social anxiety disorder

What is the term used to describe the fear or anxiety being experienced in anticipation of a social situation, rather than during it?

- Fear stems from EXPECTANCY
- Anxiety related to anticipation
- Root cause in the expectation of events

In what way does avoidant personality disorder differ from social anxiety disorder, based on the provided information?

- Avoiding social contact is common
- Unclear whether avoidance is anxiety-based
- NATURE of avoiding social situations

How is antisocial personality disorder distinct from social anxiety disorder in terms of social interactions?

- Tendency to DISREGARD others' opinions
- Some may use aggression as coping
- Different reaction to social evaluation

According to the information provided, what type of psychological disorder may exhibit a tendency to not care about social judgments?

- ANTISOCIAL PERSONALITY DISORDER
- Lacks sensitivity to others' views
- May exhibit aggressive coping mechanisms

What is the gender proportion in clinical population regarding social anxiety disorder?

- More men than women have SAD
- As many women as men

What percentage of individuals with social anxiety disorder seek treatment?

- Between 50–66 percent seek treatment
- Only 33 percent receives SAD-specific treatment

Can social anxiety disorder become chronic if left untreated?

- Social anxiety disorder can become chronic if untreated

What are the etiological factors associated with social anxiety disorder?

- Biology (overreactive cortisol system, hyperactive amygdala)
- Temperament (more drawn back than others)
- Culture, parenting, learning

What are some disorders that overlap with social anxiety disorder in terms of differential diagnosis?

- Major depression
- Shyness
- Agoraphobia
- Panic disorder
- Selective mutism
- Separation anxiety disorder
- Body dysmorphic disorder
- Fear of missing out

How do people with agoraphobia and social anxiety disorder differ in their fears?

- People with agoraphobia fear fainting in public and receiving no help
- People with SAD fear fainting in public because others could think negatively

What distinguishes panic disorder from social anxiety disorder regarding panic attacks?

- People with panic disorder misinterpret bodily sensations and get panic attacks
- People with SAD get panic attacks due to fear in social situations

How do individuals with separation anxiety disorder and social anxiety disorder differ in their fears?

- People with separation anxiety fear when separated from attached caregiver
- People with SAD are afraid in any social situation

What is a challenging aspect in distinguishing body dysmorphic disorder from social anxiety disorder?

- People with body dysmorphic disorder avoid things due to observable bodily features
- It is tricky to distinguish these disorders

What sources contribute to the etiological factors of social anxiety disorder?

- Biology, temperament, culture, parenting, learning play roles in SAD development

How does the fear of missing out differ from social anxiety disorder (SAD)?

- Fear of missing out is about missing experiences.
- SAD includes fear of exclusion for embarrassing oneself.

What condition is predictive of social fears later in life and is often seen in childhood?

- Selective mutism predicts social fears in later life.
- It is commonly observed in childhood.

What evolutionary benefit does social anxiety provide in group settings?

- Social anxiety helped maintain group hierarchy.
- It prevented disturbances and ensured cohesion.

What are some brain areas and functions associated with social anxiety disorder?

- Amygdala: fear conditioning, vigilance.
- Insular Cortex: emotional experience.
- Fusiform Face Area: face recognition.
- Cingulate Gyrus: emotion, learning, memory.
- Striatum: action planning, motivation.
- Prefrontal Cortex: executive functions, cognitive biases.

How do hormones relate to social anxiety disorder?

- Cortisol increases, testosterone decreases in SAD.
- Oxytocin: Helps decrease anxiety, not efficacy proven.

What does the graphic illustrate about the role of oxytocin in social anxiety disorder?

- Oxytocin heightens social perception but doesn't enhance social reward value.
- Increased oxytocin doesn't improve social anxiety disorder treatments.

What does the model for social anxiety disorder suggest about perception in social situations?

- Social situations activate assumptions.
- They trigger perceptions of social danger and self-consciousness.
- Result in safety behaviors, somatic and cognitive symptoms.

What is the Model of Clark and Wells about?

- Activated assumptions in social situations
- Perception of social danger
- Processing oneself as a social object

What symptoms are experienced according to the Model of Clark and Wells?

- Somatic symptoms like increased heartrate
- Cognitive symptoms like feeling warm face
- Seeing oneself mess up from a third-person perspective

What is the goal of attention training in therapy sessions?

- Experiment with attention shift
- Analyze attention patterns
- Practice focusing on task

What should the client experience during attention training?

- Performance changes with focus
- Analyzing attention patterns
- Focusing only on the task

Why is it important to train the client to focus only on the task during a conversation?

- Learning that self-attention is not helpful

How can a client confirm that they do not look strange during attention training?

- Recording themselves
- Different from outside image

What is the focus of Hofmann's model regarding self-perception?

- Focuses on external view of oneself.
- Based on heightened self-focused attention.
- Involves negative self-perception.

In this form of attention training, one should

- record themselves to create a third-person perspective
- watch the recording repeatedly

What does the Model Rapee and Heimberg theory suggest?

- The issue lies in noticing threatening things
- Not focused on inward perspective vs. third-person perspective

What did the attention assessment show about social anxiety disorder?

- Quick detection of angry faces
- Bias towards threatening stimuli over happy faces

Describe the cognitive distortions.

- Progress from basic assumptions to automatic thoughts via intermediate thoughts
- Leading to emotions

List some common cognitive errors among individuals with social anxiety disorder.

- Black and white thinking
- Catastrophizing, emotional reasoning, labeling
- Selective filtering, mindreading, overgeneralization
- Personalization, over or underestimation, must-thinking

How do individuals with a social anxiety disorder react to threatening stimuli?

- Quick detection of angry faces
- Difficulty in perceiving happy faces

Explain the significance of recording oneself in attention training.

- Creates a third-person perspective
- Watching the recording repeatedly helps normalize the experience

What are safety behaviors in the model of Clark and Wells?

- Actions done in anxious situations
- Give the idea of controlling fears
- Examples: makeup to cover blushing

Why is it important to pay attention to safety behaviors in therapy?

- Safety behaviors can undermine treatment
- They give the false idea of control

What are some examples of target behaviors?

- Mental rehearsal
- Avoiding eye contact
- Not drinking or eating

When should exposure be applied in social anxiety disorder treatment?

- Apply exposure when not expecting negative evaluation
- Behavioral experiment when unsure about negative evaluation

According to Hofmann, what do people with social anxiety disorder also fear besides negative evaluation?

- Overestimate social cost
- Mishaps seen as more than bad luck

What can safety behaviors give individuals struggling with anxiety?

- Illusion of controlling fears
- False sense of reassurance

Name a key focus of behavioral experiments in treating social anxiety disorder.

- Determine if fears are accurate
- Explore client's thoughts about negative judgment

What is the purpose of exposure therapy for social anxiety disorder?

- Help individuals face feared situations
- Challenge beliefs about threat

What is emphasized during exposure in vivo for social anxiety treatment?

- Client describes situation and expected outcome
- No safety behaviors or avoidance allowed

What does Hofmann propose about the perception of social mishaps in social anxiety disorder?

- Mishaps seen as catastrophic
- Interpretation of social mistakes exaggerated

Why is it vital to avoid safety behaviors during exposure therapy for anxiety disorders?

- They hinder progress in overcoming fears
- Prevents true habituation to anxiety triggers

How do behavioral experiments differ from exposure therapy in social anxiety treatment?

- For uncertain situations of negative judgment
- Testing beliefs before full exposure

According to Hofmann, what additional aspect do individuals with social anxiety often fear besides negative judgment?

- They fear the social cost
- Overestimate the impact of social mistakes

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