1. Social Anxiety: Six Different Treatment Options Natalee Embry

3. Symptoms

4. How would the six approaches to personality define and treat social Anxiety

6. What normal social anxietyis: Increases arousal & attention to social interactions Inhibits aggressive/inappropriate social behavior Helps motivate preparation for social performance ** Social Anxiety Disorder is more severe, persistent, pervasive, impairing**

7. Psychoanalytical Approach Behavior is determined by Irrational forces Unconscious motivations Biological and instinctual drives as they evolve through the six psychosexual stages of life Ego-defense mechanisms: Are normal behaviors which operate on an unconscious level and tend to deny or distort reality Help the individual cope with anxiety and prevent the ego from being overwhelmed Tx (Treatment) Release from the unconscious the source of the anxiety into the conscious. Many Hours a week, several years working closely with a therapsit Balance out the relationship between the Id, Ego and Super Ego Free up psychic energy to help with everyday living by removing neurotic energy drains

8. Trait Approach Evaluation Apprehension Appear physically anxious: Sweating, Shacking Not Introverts, want to be social but lack self confidence High Affect Intensity Low Expressiveness Low end of the Emotional Affectivity Scale Tx Build Self Confidence Build Social Skills Work on Expressing themselves

9. Biological Approach Inheritable Medical Anxiety is a result of evolution, helped to protect the species from danger Tx Drug therapy Benzodiazepines (Xanax, Klonopin. . .) Serotonin Reuptake Inhibitors (SSRIs)

10. Humanistic Approach Lack of responsibility towards life and actions Not living in the here and now Dwelling on the negatives of life Skewed self concept Tx Teaches patient to take control of their life Focus on the positive aspects of life Self Concept is shaped by you not what you perceive others think it is Take responsibility for Self: Actions, emotions Live in the here and now

11. Behavioral and Social Learning Approach Actions are determined by experiences 3 types of conditioning Operant conditioning (learned reward for behaviors) Classical Conditioning (two events fused together in the mind) Modeling (Observed) Tx Systematic desensitization Exposure treatments Replace problem behaviors with new appropriate behaviors Social skill building Role-play therapy Assertiveness training

12. Cognitive Approach Negative Inner Self Talk Negative Self Concept Illogical Thinking Process Maladaptive Assumptions Tx Change inner Self Talk to positive Self Talk (change the recording you hear in your head) Change Self Concept Change the negative thinking process Fix errors in logic when making assumptions This approach is about the thought process and how we think defines our personalities, both good and bad

13. Of all the six approaches that we have seen not one alone can effectively treat social anxiety. The Cognitive approach is the more successful but even it is usually paired with Behavioral. A combination of three would seem to work the best Example: Cognitive to change the negative self talk and negative self concept Behavioral to build social skills and changed negative behaviors Biological to treat the anxiety with medications so the other two forms of therapy can be effective

14. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (Revised 4th ed.). Washington, DC: Author. Anonymous (2010). Treating social anxiety disorder. Harvard Mental Health Letter, 26(9), 1-3. Retrieved from Academic Search Complete database. Bandura, A. (1999). A social cognitive theory of personality.Handbook of personality, (2nd ed., pp. 154- 196 New York: Guilford Publications.(Reprinted in D. Cervone & Y. Shoda [Eds.], Craske, M., Rose, R., Lang, A., Welch, S., Campbell-Sills, L., Sullivan, G., et al. (2009). Computer- assisted delivery of cognitive behavioral therapy for anxiety disorders in primary-care settings. Depression & Anxiety (1091-4269), 26(3), 235-242. doi:10.1002/da.20542. Edwards, S., & Edwards, D. (2010). Sigmund Freud: Pioneer in Energy Healing. Journal of Alternative & Complementary Medicine, 16(2), 219-222. doi:10.1089/acm.2009.0094. Kugelmann, R. (2005). An encounter between psychology and religion: Humanistic psychology and the Immaculate Heart of Mary nuns. Journal of the History of the Behavioral Sciences, 41(4), 347-365. doi:10.1002/jhbs20115. Sellars, R. (2004). free association revisited. Angelaki: Journal of the Theoretical Humanities, 9(1), 203-212. doi:10.1080/0969725042000232504. Stopa, L. (2009). Why is the Self Important in Understanding and Treating Social Phobia?.Cognitive Behaviour Therapy, 38(S1), 48-54. doi:10.1080/16506070902980737 White, M. (2009). Medication Dosing in Anxiety Disorders: What the Evidence Shows. Primary Psychiatry, 16(10), 21-28. Retrieved from Academic Search Complete database .

15. Wilson, K., Sandoz, E., Kitchens, J., & Roberts, M. (2010). THE VALUED LIVING QUESTIONNAIRE: DEFINING AND MEASURING VALUED ACTION WITHIN A BEHAVIORAL FRAMEWORK. Psychological Record, 60(2), 249-272. Retrieved from Academic Search Complete database. Zinbarg, R., Uliaszek, A., & Adler, J. (2008). The Role of Personality in Psychotherapy for Anxiety and Depression. Journal of Personality, 76(6), 1649-1688. doi:10.1111/j.1467-6494.2008.00534.x.