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The Gift of Introversion

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late childhood and early adolescence result in repeated social anxiety. Adolescents<br />

have identified their most common anxieties as focused on relationships with peers to<br />

whom they are attracted, peer rejection, public speaking, blushing, selfconsciousness,<br />

freaking out, and past behavior. Most adolescents progress through<br />

their fears and meet the developmental demands placed on them. More and more<br />

children are being diagnosed with social anxiety, and this can lead to problems with<br />

education if not closely monitored. Part <strong>of</strong> social anxiety is fear <strong>of</strong> being criticized by<br />

others, and in children, social anxiety causes extreme distress over everyday activities<br />

such as playing with other kids, reading in class, or speaking to adults. On the other<br />

hand, some children with social anxiety will act out because <strong>of</strong> their fear. <strong>The</strong> problem<br />

with identifying social anxiety disorder in children is that it can be difficult to determine<br />

the difference between social anxiety and basic shyness.<br />

Adults<br />

It can be easier to identify social anxiety within adults because they tend to shy away<br />

from any social situation and keep to themselves. Common adult forms <strong>of</strong> social anxiety<br />

include performance anxiety, public speaking anxiety, stage fright, and timidness. All <strong>of</strong><br />

these may also assume clinical forms, i.e., become anxiety disorders (see below).<br />

Criteria that distinguish between clinical and nonclinical forms <strong>of</strong> social anxiety include<br />

the intensity and level <strong>of</strong> behavioral and psychosomatic disruption (discomfort) in<br />

addition to the anticipatory nature <strong>of</strong> the fear. Social anxieties may also be classified<br />

according to the broadness <strong>of</strong> triggering social situations. For example, fear <strong>of</strong> eating in<br />

public has a very narrow situational scope (eating in public), while shyness may have a<br />

wide scope (a person may be shy <strong>of</strong> doing many things in various circumstances). <strong>The</strong><br />

clinical (disorder) forms are also divided into general social phobia (i.e., social anxiety<br />

disorder) and specific social phobia.<br />

Disorder<br />

Social anxiety disorder (SAD), also known as social phobia, is an anxiety<br />

disorder characterized by a significant amount <strong>of</strong> fear in one or more social situations<br />

causing considerable distress and impaired ability to function in at least some parts <strong>of</strong><br />

daily life. <strong>The</strong>se fears can be triggered by perceived or actual scrutiny from others.<br />

Physical symptoms <strong>of</strong>ten include excessive blushing, excess<br />

sweating, trembling, palpitations, and nausea. Stammering may be present, along with<br />

rapid speech. Panic attacks can also occur under intense fear and discomfort. Some<br />

sufferers may use alcohol or other drugs to reduce fears and inhibitions at social events.<br />

It is common for sufferers <strong>of</strong> social phobia to self-medicate in this fashion, especially if<br />

they are undiagnosed, untreated, or both; this can lead to alcoholism, eating<br />

disorders or other kinds <strong>of</strong> substance abuse. SAD is sometimes referred to as an<br />

"illness <strong>of</strong> lost opportunities" where "individuals make major life choices to<br />

accommodate their illness". According to ICD-10 guidelines, the main diagnostic criteria<br />

<strong>of</strong> social anxiety disorder are fear <strong>of</strong> being the focus <strong>of</strong> attention, or fear <strong>of</strong> behaving in a<br />

Page 94 <strong>of</strong> 160

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