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1. Most
people, even professional organizations, have a difficult time understanding the
definition of "social phobia".
For
example, the largest anxiety association in the world many times misuses the
term. When it tries to give a case study or tell a story about a person
with "social phobia", the story invariably turns into a story about a
person with agoraphobia, an entirely different anxiety disorder.
2. The
people, organizations, and sites that lump "the phobias" together
are doing a real disservice not only to this problem (which, by itself is
the largest anxiety disorder), but to the "true" phobias, such as
specific phobias (i.e., fear of snakes, blood, insects, etc.)
3.
Social anxiety permeates a person's entire life. It is all-encompassing.
People
with social anxiety fear social situations and events, they do not fear
having panic attacks. They fear the high amount of anxiety, judgment, and the negative
self-appraisal experienced before, during, and after a social event.
4. Social
anxiety and agoraphobia are not remotely similar in terms of operational
definitions.
Social
anxiety is a fear of social activities, events, and the people associated
with them, which leads to high levels of anxiety, and, therefore, motivates the
socially-anxious person to avoid them.
Agoraphobia
results as a reaction to panic attacks that occur frequently and in many places,
thus making people with agoraphobia feel unsafe when leaving their "zone of
safety". The fear is of having a panic attack, not a fear of social
situations and other people.
5. When
an organization or group lists social anxiety as
a part of "the phobias" it is a strong clue that
they probably do not understand social anxiety, its
complications, and its distinctiveness from the other anxiety disorders.
This
is particularly unfortunate, given the large numbers of people who live daily with social
anxiety.
6. The
word "phobia" is inappropriate to this condition. It is
better applied to specific things.
7. Why
should the largest anxiety disorder, one that affects 7-8% of the population at
any given time, be lumped together indiscriminately with other anxiety
disorders, thus diluting its already misunderstood status?
This
lack of diagnostic precision is a direct hindrance to people who are in great
need of help for a specific, clearly definable, anxiety disorder.
8. In
sum, the
term "social anxiety" (social anxiety disorder) is more precise,
clear, and understandable than "social phobia".
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