Skip to main content
Tag

social anxiety disorder Archives - Suzanne Wallach

Postpartum Anxiety Is Invisible, But Common And Treatable

Postpartum anxiety

Anxiety is defined as “a feeling of worry, nervousness, or unease, typically about an imminent event or something with an uncertain outcome.” It is the body’s natural response to stress and will manifest differently in everyone. Experiencing feelings of worry, fear, sadness, overwhelm, etc. after becoming a parent is to be expected, but when these symptoms persist and become debilitating it could be indicative of postpartum anxiety. Research findings indicate that anxiety disorders in pregnancy and the postpartum period are more prevalent than previously thought, with about 20.7% of women meeting diagnostic criteria for at least 1 anxiety disorder and 5.5% meeting criteria for at least 2 anxiety disorders. Therefore, it should come as no surprise that postpartum anxiety is reported to affect about 1 in 5 new or new again mothers, making it highly common. 

Signs and Symptoms

The timeframe for postpartum anxiety is longer than many assume, as it can occur at any time within the first 12 months following childbirth. The Cleveland Clinic provide examples of common signs and symptoms of postpartum anxiety some of which include:

  • Physical symptoms:
  • Disrupted sleep.
  • Increased heart rate or heart palpitations.
  • Nausea or stomach aches.
  • Being unable to breathe or feeling short of breath.
  • Loss of appetite.
  • Trouble sitting still.
  • Muscle tension.
  • Emotional symptoms:
  • Inability to relax or keep calm.
  • Racing thoughts, especially about worse-case scenarios.
  • Obsessing over irrational fears or things that are unlikely to happen.
  • Difficulty focusing or forgetfulness.
  • Irritability.
  • Feeling on edge or fearful.
  • Behavioral symptoms:
  • Avoiding certain activities, people, or places.
  • Being overly cautious about situations that are not dangerous.
  • Checking things repeatedly.
  • Being controlling.

Postpartum anxiety may interfere with a person’s ability to bond with their baby, which can negatively impact a baby’s mental and physical development. If left untreated, postpartum anxiety may lead to severe consequences such as infant neglect and, in extreme cases, infant death.

Treatment

The treatment options for postpartum anxiety reflect those used for other types of anxiety disorders. Medical News Today explains that the two main treatments for anxiety disorders include psychotherapy and medication. Further, it is becoming increasingly common to integrate traditional psychotherapeutic methods, such as cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), psychodynamic psychotherapy, interpersonal therapy (IPT), and more, along with holistic treatment modalities (e.g., meditation, aromatherapy, etc.) into postpartum mental health recovery plans. For some, integrating a combination of psychotherapy and medication may be recommended. The different types of medications prescribed for anxiety disorders include selective serotonin reuptake inhibitors (SSRIs), serotonin and norepinephrine reuptake inhibitors (SNRIs) and norepinephrine and dopamine reuptake inhibitors (NDRIs). However, medication is not always needed, and for those breastfeeding it is prescribed with caution as medication can cross over from the bloodstream into breast milk and potentially harm a child who is breastfed. Anyone struggling with postpartum anxiety will require a nuanced treatment plan that carefully incorporates the best possible treatment methods specifically geared to each person’s distinct needs.

Treatment In Calabasas

Calabasas is a city in California. It is a well-known suburb of Los Angeles, located west of the San Fernando Valley and north of the Santa Monica Mountains. Over the past decade, the city of Calabasas has grown in its reputation for luxury as well as for privacy which makes it a hidden gem for residential living for society’s elite, and one of the most desirable destinations in Los Angeles County. It is also home to a plethora of highly qualified mental health clinicians providing an array of therapeutic services and treatment options. 

The information above is provided for the use of informational purposes only. The above content is not to be substituted for professional advice, diagnosis, or treatment, as in no way is it intended as an attempt to practice medicine, give specific medical advice, including, without limitation, advice concerning the topic of mental health. As such, please do not use any material provided above to disregard professional advice or delay seeking treatment.

Diagnosing Social Anxiety Disorder

woman with social anxiety disorder

The American Psychiatric Association (APA) explains that, “anxiety refers to anticipation of a future concern and is more associated with muscle tension and avoidance behavior.” Anxiety disorders involve excessive feelings of nervousness, anxiousness, fear and anxiety. Social anxiety disorder (SAD), also known as social phobia, is listed in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) as a chronic mental health condition. According to the National Institute of Mental Health (NIH), social anxiety disorder “is characterized by persistent fear of one or more social or performance situations in which the person is exposed to unfamiliar people or to possible scrutiny by others.” An individual with SAD will avoid social situations due to a fear of being negatively evaluated (e.g., embarrassed or judged) by other people. Individuals with social anxiety disorder will experience a stronger and more intense sense of anxiety surrounding uncomfortable social situations than that of an individual without SAD.

Signs and Symptoms

Every individual is unique and will have his or her own set of challenges in regards to social anxiety. There are certain common signs and symptoms an individual struggling with SAD could exhibit. These include the following examples, provided by Healthline:

  • Muscle tension
  • Agitation 
  • Excessive worry and or fear
  • Sweating
  • Irritability
  • Shaking
  • Poor eye contact with others
  • Low self-esteem/ low self-worth
  • Sadness
  • Crying
  • Refusing to attend school and or social engagements
  • Anger

In addition to the above, an individual with social anxiety disorder may have frequent self-deprecating thoughts and thoughts of inadequacy. In order to secure the most effective treatment, it is essential to obtain a proper diagnosis from a qualified mental health professional.  

Clinical Diagnostic Process

According to the Mayo Clinic, a social anxiety disorder diagnosis will be determined after conducting a thorough physical exam, a psychiatric evaluation, and will be informed by the diagnostic criteria provided in the DSM-5. It is also common for an evaluating clinician to request an individual to complete self-report questionnaires regarding one’s symptoms of social anxiety, as well as review a list of situations to see if they elicit anxiety. The diagnostic criteria for social anxiety disorder, according to the DSM-5, provided by the Mayo Clinic, include:

  • Persistent, intense fear or anxiety about specific social situations because you believe you may be judged, embarrassed or humiliated
  • Avoidance of anxiety-producing social situations or enduring them with intense fear or anxiety
  • Excessive anxiety that’s out of proportion to the situation
  • Anxiety or distress that interferes with your daily living
  • Fear or anxiety that is not better explained by a medical condition, medication or substance abuse

The exact scientific cause for developing social anxiety disorder remains unknown. Research has shown that it is likely due to a combination of contributing factors such as psychological, environmental, genetic, and developmental factors.  

Disclaimer: 

The information above is provided for the use of informational purposes only. The above content is not to be substituted for professional advice, diagnosis, or treatment, as in no way is it intended as an attempt to practice medicine, give specific medical advice, including, without limitation, advice concerning the topic of mental health.  As such, please do not use any material provided above as a means to disregard professional advice or delay seeking treatment. 

What Is Social Anxiety Disorder?

girl with social anxiety disorder

Social anxiety disorder (SAD), also known as social phobia, is listed in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) as a chronic mental health condition. The National Institute of Mental Health (NIH) explains that social anxiety disorder is “characterized by persistent fear of one or more social or performance situations in which the person is exposed to unfamiliar people or to possible scrutiny by others.” The exact cause for developing an anxiety disorder remains unknown. Research suggests that it is likely due to a combination of contributing factors such as psychological, environmental, genetic, and developmental factors. 

Signs and Symptoms

Every individual is unique and will have his or her own set of challenges with regards to social anxiety. Anxiety is a normal and healthy reaction to stress.

While fleeting anxiety is unavoidable for the vast majority of humans, an individual with social anxiety disorder will experience symptoms that interfere with his or her ability to function in his or her daily life. Common examples of signs and symptoms that an individual with SAD may exhibit could include any combination of the following, as provided by the Mayo Clinic:

  • Muscle tension
  • Agitation 
  • Fast heartbeat
  • Excessive worry and or fear
  • Sweating
  • Irritability
  • Shaking
  • Poor eye contact with others
  • Low self-esteem/ low self-worth
  • Blushing 
  • Sadness
  • Crying
  • Nausea 
  • Dizziness or lightheadedness

In addition to the above, people with social anxiety disorder may have frequent self-deprecating thoughts and/ or constant thoughts of inadequacy. It is important to note that social anxiety disorder symptoms can change over time. 

DSM-5 Diagnostic Criteria

The diagnosis process for social anxiety disorder typically includes several components such as a physical exam, reviewing one’s symptoms, completing a self-report questionnaire, and meeting the diagnostic criteria provided in the DSM-5. The diagnostic criteria outlined in the DSM-5 for social anxiety disorder include:

  • Persistent, intense fear or anxiety about specific social situations due to fear of possibly being judged, embarrassed or humiliated
  • Avoidance of anxiety-producing social situations or enduring them with intense fear or anxiety
  • Excessive anxiety that is out of proportion to the situation
  • Anxiety or distress that interferes with one’s daily living
  • Fear or anxiety that is not better explained by a medical condition, medication or substance abuse

In order to ensure proper treatment, it is imperative to be thoroughly evaluated and diagnosed by a qualified mental health professional.

Treatment

There are many treatment options for SAD. Every person is different and will require a customized treatment plan, as each will respond distinctly to various treatment options. Treatment plans for social anxiety disorder will typically consist of a variety of therapeutic approaches, such as talk therapy, cognitive behavioral therapy (CBT), expressive arts therapy and dialectical behavior therapy (DBT). It is not uncommon for medication to be incorporated in one’s treatment plan in conjunction with psychotherapy. There are several different types of SSRIs that are often prescribed for individuals with SAD. SSRIs are Selective Serotonin Reuptake Inhibitors. Some of the common SSRIs that are often prescribed for social anxiety disorder include Lexapro (escitalopram oxalate), Zoloft (sertraline), and Prozac (fluoxetine). If left untreated, social anxiety disorder can lead to a plethora of short and long-term effects.  

Disclaimer: 

The information above is provided for the use of informational purposes only. The above content is not to be substituted for professional advice, diagnosis, or treatment, as in no way is it intended as an attempt to practice medicine, give specific medical advice, including, without limitation, advice concerning the topic of mental health.  As such, please do not use any material provided above as a means to disregard professional advice or delay seeking treatment. 

Back to top