Social anxiety Disorder (SAD)
Special focus on new and safe treatment perceptive
R. K. Singla (Psychiatrist & Psychotherapist)
Social anxiety Disorder is the third largest mental health care problem in the world
Perceived scrutiny and negative evaluation by others are key features of SAD
Stammering may be present, along with rapid speech.
Social anxiety disorder is a persistent fear of one or more situations in which others expose the person to possible scrutiny and fears that he or she may do something or act in a way that will be humiliating or embarrassing. It exceeds normal “shyness” as it leads to excessive social avoidance and substantial social or occupational impairment.
Feared activities may include almost any type of social interaction, especially small groups, dating, parties, talking to strangers, restaurants, interviews, etc.
Those who suffer from social anxiety disorder fear being judged by others in society. In particular,
individuals with social anxiety are nervous in the presence of people with authority and feel uncomfortable during physical examinations. People who suffer from this disorder may behave a certain way or say something and then feel embarrassed or humiliated after.
As a result, they often choose to isolate themselves from society to avoid such situations. They may also feel uncomfortable meeting people they do not know, and act distant when they are with large groups of people. In some cases, they may show evidence of this disorder by avoiding eye contact, or blushing when someone is talking to them
SAD is //////
Unconditional’ negative beliefs (e.g. “I am inept”) and ‘conditional’ beliefs nearer to the surface (e.g. “If I show myself, I will be rejected”)
Let us look out what’s wrong in the brain SAD
- Sociability is closely tied, to dopamineneurotransmission.
- Direct relation of social status and binding affinity of dopamine D2/3 receptors in the striatumwas found
- Studies have shown high prevalence of social anxiety in Parkinson’s disease and schizophrenia. In a recent study, social phobia was diagnosed in 50% of Parkinson’s disease
- Some evidence points to the possibility that social anxiety disorder involves reduced serotoninreceptor binding.
- The amygdala is part of the limbic systemwhich is related to fear cognition and emotional learning. Individuals with social anxiety disorder have been found to have a hypersensitive amygdala; for example in relation to social threat cues (e.g. perceived negative evaluation by another person), angry or hostile faces, and while waiting to give a speech.
- Recent research has also indicated that another area of the brain, the anterior cingulate cortex, which was already known to be involved in the experience of physical pain, also appears to be involved in the experience of ‘social pain’, for example perceiving group exclusion
Who to deal and treat Social anxiety disorders?
There are many management plans to deal and treat SAD
That includes conventional treatment of cognitive behavior therapy, SSRi medication, Benzodiazepines etc.
All have been used in SAD since more than 25 years, still there is emerging need to manage SAD more effectively.
I don’t deny importance of CBT and SSRI role in treating SAD; in fact they still are the leaders in the treatment.
Here, I want to seek your attention for new advancement in treatment of Social anxiety disorder.
One of them is VAGUS NERVE STIMULATION, earlier it was surgical procedure to do, but now we have facility of Transcutaneous Vagus nerve stimulation, (device is applied over the skin and it is easy to use and harmless management)
Vagus nerve is one of 12 cranial nerves, and is biggest cranial nerve and descent till inguinal area and intervenes with almost every organ, especially gastric system, and maintains balance of all major organs and their functioning
Vagus nerve stimulates GABA and non-epinephrine levels in neo cortex and then regulates amygdala response in deductive and effective way.
Vagus nerve stimulation devices are available in USA and getting promising results.
Vagus nerve is considered as our inner harmony boss, moreover, our ancient concept of “ seven chakra and their activation through “ Kundilini awakening is modern way of say “ Vagus nerve strengthening”
Vagus nerve has a critical role through its extensive innervations with gastric system, and fine sense of knowing and critically deducting information from body and then give important information and guidance to decide to higher brain (neo cortex) for necessary response.
Vagus nerve Anatomy
tTENS: – transcutaneous electrical nerve stimulation Device
Auricular electrode for Vagus nerve stimulation
Vagus nerve strengthening can help to heal various anxiety disorders, migraine, depression, OCD, drug addiction, epilepsy and many more.
Vagus nerve stimulation
Osho Clinic (Psychiatry & Psychology)
# 716, Sector 4, Panchkula, (HR),India