1.Introduction explanations for nervous feelings in definite situations. But


“We are disturbed not
by what happens to us, but by our thoughts about what happens”(Epictetus). It
is normal for anyone suffering with anxiety
alongside other mental health problems such as depression or even suicidal
feelings. For instance, you may feel
nervous when confront a difficult situation in life, before taking an
examination or before making a significant decision. However, what happen if
people who have worry and fear are continuous and overwhelming, and can be
incapacitated especially about every social affairs. It may be the indication
of Social Anxiety Disorder (SAD), also called Social Phobia, one of three
typical types of mental health problem with complicated patterns. In addition,
Social anxiety disorder happens when we feel exceedingly worried about being embarrassed and judged by others (NIH,
2014). According to a survey conducted
by ADAA, Social anxiety disorder made a tremendous impact on nearly 15 million
American adults and millons of people all over the world suffered from this
psychological disorder. Therefore, scientists and psychologists have made great
efforts to discover the effective treatments to help patients overcome this
serious illness. This paper is for the purpose of raising awareness about SAD, as
well as discussing its symptoms, causes, effects and treatments.

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of findings

The symptoms of SAD

As reported by
Richards (cited in Social Anxiety Association, n.d.), those who undergo social anxiety
disorder get into a powerful panic of being negatively judged and scrutinized
by other people or even fear interacting with strange individuals in a social
setting. Critically, most of the people suffering from social phobia realize
that they should not be as anxious as they are, but ther panic is actually out
of control. As a matter of fact, they are afraid of talking, presenting in
meetings or in groups, having dialogues with people, while others are concerned
about and avoid a variety of social states.


Entering into
details, social anxiety disorder is recognized by two main types of symptoms: emotional
symptoms and physiological symptoms. As reviewed by Goldberg (cited in WebMD,
2017), all socially anxious people have diverse explanations for nervous
feelings in definite situations. But in general, people usually encounter
substantial emotional distress in the following social affairs: being
introduced to strange people or when confronted with new people, being
witnessed or stalked while doing something, being the centre of concentration, having
to perform in a formal, public situation, annoying somebody by chance. Along
with emotional symptoms, the physiological expressions which are associated
with social anxiety disorder may consist of strong apprehension, rapid
heartbeat, self-consciousness, dry throat and mouth, extreme sweating, shake, hard
swallow, unsettled stomach or other intestinal pain, breathlessness, faintness,
convulsion and eye contact issues. Constant, severe fear that does not go away
is the most typical symptom. (Richards, cited in SAA. n.d.).


The causes of SAD

There are no obvious
reasons why social anxiety disorder happens. However, there are some pieces of
information that are ascertained to have caused this type of disorder
(Goldberg, cited in Webmb. n.d). First of all, genetics may be the first reason
leading to this mental problem. Individuals who have a family member suffering
with social phobia will be easily influenced or hypnotized than others.
Secondly, it can also be related to having an overactive amygdala, one of the structures
in the brain controlling the fear reaction.


According to Mayo Clinic
Staff (2017), the main cause of SAD seems to be severe, extended, negative
experience in early childhood. Victims have to tolerate frequent occurrences of
horrendous physical or sexual abuse in childhood but primarily early
mid-childhood, a momentous course of development. Additionally, children who
experience practical jokes, torment, denunciation, mockery or disgrace may be
more susceptible to social phobia. A lot of discouraging events in life, such
as family dispute, fail or trauma are also accompanied with social anxiety
disorder. In some people, beauty treatment or shudder because of Parkinson’s
complaint can multiply the feelings of embarrassment and may trigger social
anxiety disorder attack.


As Jefferson (2001)
reported, behavioural inhibition can be a principal predisposition to
increasing the risk of having social anxiety as well as other mental problems.
Many different features impact on individuals during the period of growth and
are probable to interrelate in complicated ways to elevate or avoid the
beginning of social anxiety disorder.


In general, the
derivations of social phobia are assorted and complicated. Childhood maltreatment
and harsh conditions are probably hazard elements for this serious disorder.
Wang et al. (2016) also asserted that there is an
involvement among parenting styles, family functioning and social phobia. And
assured genetic trains can lead to socially anxious condition. However, it is
vital not to dwell too powerfully on the fundamental causes of social anxiety
disorder. Moderately, the emphasis should be for the purpose of the awkward
thoughtful patterns which are
preserving it.


2.3. The impacts of SAD on

(2001) noted the massive influence of social anxiety
disorder on standard of living. For a individual with social anxiety disorder,
daily social affairs bring about so much depression, anxiety and suicidal
tendency that separation seems like a liberation. Social anxiety disorder
prevents victims from living their own lives. They will avoid the circumtances
which are considered “usual” by other people. They even face a difficult moment
being aware of how other people can manage them without remarkable efforts.


SAD patiens show a
variety of educational, professional and social incapacity. This is a confusion
of misplaced chances because individuals must spend most of their time on
fighting against their disease. For instance, learners having social anxiety
disorder tend to drop out of school in the early stages due to their
nervousness of poorly performing in their study more than their colleagues who
do not suffer from this illness. Besides, suffers of social phobia aslo have
disturbed and unreliable employment history podcast such that they are likely
to transfer from one office to another. Because they are worried about being
unsuccessful or not completing work when they carry out a assignment which does
not bring forth the good results as they expect. In some other situations, the fear of
fullfilling leading an obligation usually makes them be away from work until
they feel identically gratified that they will not be accquainted with the
similar duty.


to Stein & Walker (n.d.), the absence of confidence and motivation affected
by social anxiety disorder makes
victims become lonely and separete as they are not able to make friends or
interact with people. For example, children who have to put up with the illness
will have few friends and count upon them for all social situations. But families
change place, children move to a new school, and it may be needed for them to start
new relationships. This is actually hard for socially anxious children to adapt
to a different living condition and they may be more fearful (Wells, 1998). In
other words, the frightened feeling of failing to be admited in the new
location will strengthen social anxiety disorder.


is an alarm fact that most victims experiencing SAD try to commit suicide. The
cause behind foolish actions is because of the fear and desperate feelings when
living in the periods of privacy too persistent (Nepon, Belik, Bolton
and Sareen, 2010). After a shameful state among people, those who having social
phobia feel extremely hopeless about themselves such that they can find no
reasonable solution to their problem except trying to kill themselves.


With these serious consequences
above, it cannot be negated that social anxiety disorder brings about a large
number of difficulties, which force victims to put more effort into quite
recovered process.


2.4. Treatments for SAD

In any forms of mental health
problems, the treatments can give sufferers as well as SAD people a great
chance of getting back to their normal lives. According to SANE Australia, treatments
include all the diverse ways in which people having mental illness can reduce
the impacts of disease and raise the ability of recovery. And also, there are
many treatments for people suffering from social phobia such as psychological
therapy, medication and most importanly the supports from others.


First of all, the method
considered to be an effective cure for social anxiety disorder is psychotherapy
or cognitive-behavior therapy. As Stein &
Gorman (2001) mentioned that Cognitive-behavior treatment helps patients create
and maintain a positive attitude on contact among people as well as modify
their opinions about themselves. This kind of therapy is also suggested to
consult psychologists and advisors to help patients deal with their problems.
With the help of cognitive-behavior therapy, people suffering from this
disorder may not be fearful and anxious in interacting with other people.


social anxiety disorder is treated by medications. However, this method does
not have a prolonged effect to enhance patients’ recovery without the use of cognitive-behavioral
therapy. Medications bring patients many positive signals, but not all,
sufferers from social anxiety disorder because sometimes this treatment
may not “suitable” for human brain structure and their functions. (Richards,
n.d.). Nevertheless, patients can use some types of medications to
impermanently diminish the warning signs of the illness such as headache, shake,
breathing difficulty.


Last but not at least, the
appropriate supports from family and friend play an important role in
completing recovery process in patients having social phobia. As Albano (cited
in CFYM, 2014) mentioned family members and especially parents need to get a
accurate and cryptical understanding of this mental issue as well as help
patients develop friendships. Friendships are the fundamental factors to preserve
the social interaction and social support, which are extremely necessary for
sufferers not to stand the isolated feelings.


3. Conclusion

This research aims to prove
social anxiety disorder is not just introversion or shyness. People with this
serious illness not only lose the ability to speak in public and interact with
people but also became victims from dishonest behaviors of human such as
bullying, rape joke or discrimination, it is most urgent that we operate to
protect them from emotional and physical mistreatment. Undoubtedly, social
phobia is exceedingly subjective but the innovations in the treatment of this
mental health problem have brought hope and faith in a bright future.