Social Anxiety and Avoidant Behaviors

 
Fear of Social Situations
Catastrophic Thinking
Physiological Reactions to Social stress
Avoidance
 
Specific or Generalized
Fear of public speaking
Fear of socializing
Anticipates criticism or rejection
Expects embarrassment or humiliation
 
Fear of social or performance situations
Exposure 
always provokes fear
The person knows its excessive
Avoids
 or endures with anxiety
Functional impairment
Duration at least 6 months in kids
Not illness or drugs
Unrelated to another disorder
 
Fear of Most Social situations
Fear of Social Scrutiny
Interferes with functioning
Recognized as excessive
 
Social Embarrassment
Eating in public
Writing in public
 
Performance Anxiety
Public Speaking
Musical Performance
 
Shyness
 
vs.
Social Phobia
 
vs.
 Avoidant Personality Disorder
 
Social inhibition
Feelings of inadequacy
Sensitive to criticism from others
 
Avoids work requiring contact with others
Fears criticism
Fears disapproval
Fears rejection
 
Avoids others unless certain that he or she
will be liked
 
Holds back emotions
Shows restraint
Fear of criticism
Fear of embarrassment
 
Is overly preoccupied with fear of criticism
Fears rejection by others in social situations
Hates being the center of attention
 
Feels inadequate around others
Acts show or inhibited
Thinks he or she is less worthy than others
 
Sees self as socially inept
Feels unattractive or unappealing
Feels inferior to others
Behavior is withdrawn, avoids eye contact
 
Reluctant to take risks
Doesn’t want to embarrass self
 
 
 
 
Avoidance
 
Self-Criticism
reinforces low
confidence
 
 
 
 
Avoidance
 
Self-Criticism
reinforces low
confidence
 
 
 
 
Rational Thinking &
Exposure
 
&
 
Develop Social Skills
Stop Catastrophic Thinking
Reduce Anxiety
Stop Avoidance
 
 
Thoughts
 
Feelings
 
Actions
 
Fear
Terror
Embarrassment
 
Obsession
Worry
Catastrophizing
 
Ritual or
Avoidance
 
Social Skills Training
Logical Analysis of Automatic Thoughts
Differential Relaxation
Graded In-vivo Exposure
Coping Skills Training
 
Explain how avoidance is a way of coping
Explain the negative reinforcement paradigm
Avoidance helps you escape discomfort
Avoidance lowers anxiety
Because it works, it increases the chance that you
will use it again as a way of coping
Evaluate the pros and cons of using
avoidance as a way of coping
Ask the patient if he or she would like to
learn a new way to cope
 
Instructions
How to say hello
Getting a date
Making conversation
Behavioral Rehearsal w/Feedback
Practice with Safe Targets
Self-Monitoring
Graded Exposure
 
Learn the cognitive model
Monitor negative thoughts
Recognize catastrophizing and
mind-reading
Analysis of negative thoughts
Rational responses
 
Identify sequence of catastrophic thoughts
People will look at me
I will do something to embarrass myself
They will laugh at me
The humiliation with be unbearable
Assess the likelihood that this sequence will
occur
Evaluate the Evidence (reevaluate likelihood)
Risk Management (reevaluate likelihood)
Plans for coping (reevaluate likelihood)
 
Learn standard relaxation induction
Practice maintaining relaxed state while
involved in tasks
Normalize breathing
Muscle relaxation
Practice in non-threatening situations
Practice with graded in-vivo exposure
 
Desensitization hierarchy developed
Start with the easiest item
Cognitive Rehearsal
Practice differential relaxation and
decatastrophizing at each step
 
Construct desensitization hierarchy
Choose an easy starting place
Plan coping strategy
Troubleshoot
Assign as Homework
Follow-up and Repeat
 
I can’t tolerate rejection
Embarrassment is horrible
I’m inadequate
I have to be liked
I’m unworthy
I’m inferior to others
I can’t handle negative feedback
 
Historical analysis
Evaluate evidence
Advantages and disadvantages of the schema
“as if” exercises
Role play the alternative schema
Identify alternatives
Slide Note
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Social anxiety involves intense fear and avoidance of social situations, leading to catastrophic thinking and physiological reactions like performance anxiety. Individuals may anticipate criticism, rejection, or embarrassment, which can interfere with their functioning. This condition can manifest as specific fears like public speaking or generalized fears across various social interactions. It may result in social inhibition, feelings of inadequacy, and avoidance of situations that require contact with others. Overcoming these challenges involves addressing fear of criticism, rejection, and social scrutiny, and learning to manage emotions effectively.

  • Social anxiety
  • Avoidant behaviors
  • Fear of criticism
  • Performance anxiety
  • Overcoming challenges

Uploaded on Sep 09, 2024 | 3 Views


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  1. Fear of Social Situations Catastrophic Thinking Physiological Reactions to Social stress Avoidance

  2. Specific or Generalized Fear of public speaking Fear of socializing Anticipates criticism or rejection Expects embarrassment or humiliation

  3. Fear of social or performance situations Exposure always provokes fear The person knows its excessive Avoids or endures with anxiety Functional impairment Duration at least 6 months in kids Not illness or drugs Unrelated to another disorder

  4. Fear of Most Social situations Fear of Social Scrutiny Interferes with functioning Recognized as excessive

  5. Social Embarrassment Eating in public Writing in public Performance Anxiety Public Speaking Musical Performance

  6. Shyness vs. Social Phobia vs. Avoidant Personality Disorder

  7. Social inhibition Feelings of inadequacy Sensitive to criticism from others

  8. Avoids work requiring contact with others Fears criticism Fears disapproval Fears rejection

  9. Avoids others unless certain that he or she will be liked

  10. Holds back emotions Shows restraint Fear of criticism Fear of embarrassment

  11. Is overly preoccupied with fear of criticism Fears rejection by others in social situations Hates being the center of attention

  12. Feels inadequate around others Acts show or inhibited Thinks he or she is less worthy than others

  13. Sees self as socially inept Feels unattractive or unappealing Feels inferior to others Behavior is withdrawn, avoids eye contact

  14. Reluctant to take risks Doesn t want to embarrass self

  15. Social Contact Catastrophizing Self-Criticism reinforces low confidence Avoidance Anxiety Reduced

  16. Social Contact Catastrophizing Self-Criticism reinforces low confidence Avoidance Anxiety Reduced

  17. Social Contact Rational Thinking & Exposure Anxiety Reduced &

  18. Develop Social Skills Stop Catastrophic Thinking Reduce Anxiety Stop Avoidance

  19. Thoughts Obsession Worry Catastrophizing Feelings Fear Terror Embarrassment Actions Ritual or Avoidance

  20. Social Skills Training Logical Analysis of Automatic Thoughts Differential Relaxation Graded In-vivo Exposure Coping Skills Training

  21. Explain how avoidance is a way of coping Explain the negative reinforcement paradigm Avoidance helps you escape discomfort Avoidance lowers anxiety Because it works, it increases the chance that you will use it again as a way of coping Evaluate the pros and cons of using avoidance as a way of coping Ask the patient if he or she would like to learn a new way to cope

  22. Instructions How to say hello Getting a date Making conversation Behavioral Rehearsal w/Feedback Practice with Safe Targets Self-Monitoring Graded Exposure

  23. Learn the cognitive model Monitor negative thoughts Recognize catastrophizing and mind-reading Analysis of negative thoughts Rational responses

  24. Identify sequence of catastrophic thoughts People will look at me I will do something to embarrass myself They will laugh at me The humiliation with be unbearable Assess the likelihood that this sequence will occur Evaluate the Evidence (reevaluate likelihood) Risk Management (reevaluate likelihood) Plans for coping (reevaluate likelihood)

  25. Learn standard relaxation induction Practice maintaining relaxed state while involved in tasks Normalize breathing Muscle relaxation Practice in non-threatening situations Practice with graded in-vivo exposure

  26. Desensitization hierarchy developed Start with the easiest item Cognitive Rehearsal Practice differential relaxation and decatastrophizing at each step

  27. Construct desensitization hierarchy Choose an easy starting place Plan coping strategy Troubleshoot Assign as Homework Follow-up and Repeat

  28. I cant tolerate rejection Embarrassment is horrible I m inadequate I have to be liked I m unworthy I m inferior to others I can t handle negative feedback

  29. Historical analysis Evaluate evidence Advantages and disadvantages of the schema as if exercises Role play the alternative schema Identify alternatives

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