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social anxiety disorder - Coggle Diagram
social anxiety disorder
diagnostic information
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symptoms
behavioural - avoidance, safety behaviours
physical - sweating, shaking
cognitive - fear of negative evaluation, negative spontaneous mental imagery, self-focused attention
fear of social situations in which they may be exposed to negative evaluation of others, fear is disproportionate to actual threat level, causes high levels of distress and interruption of normal functioning
treatment outcomes
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potential reasons for poor outcomes - poor therapist alliance, exposure is more complex so harder to do correctly, heavily underpinned by trait inhibition and avoidant style
models of social anxiety
Rapee and Heimberg
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begins with desire to be viewed positively but having the belief that most people are inherently critical
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focus on external indicators of negative evaluation - interpret behaviour of others as indicating how they feel about you
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Clark and Wells
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negative self-imagery - belief yourself to look anxious to others e.g. sweaty, red, shaky
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treatment
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specific treatments for SAD, not generic transdiagnostic CBT
emphasis on social skills, attention training, in vivo exposure, dropping safety behaviours, video feedback and reduction in rumination
developing treatments that focus more on different specific factors e.g. targeting negative mental imagery
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evidence from RCTs that recovery rates are higher for specific treatments than generic treatments, but not always
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