“In any social situation, I felt fear. I would be anxious before I even left the house, and it would escalate as I got closer to a college class, a party, or whatever. I would feel sick in my stomach-it almost felt like I had the flu. My heart would pound, my palms would get sweaty, and I would get this feeling of being removed from myself and from everybody else.”
“When I would walk into a room full of people, I’d turn red and it would feel like everybody’s eyes were on me. I was embarrassed to standoff in a corner by myself, but I couldn’t think of anything to say to anybody. It was humiliating. I felt so clumsy, I couldn’t wait to get out.”
Social phobia, also called social anxiety disorder, is diagnosed when people become overwhelmingly anxious and excessively self-conscious in everyday social situations. People with social phobia have an intense, persistent, and chronic fear of being watched and judged by others and of doing things that will embarrass them. They can worry for days or weeks before a dreaded situation.
This fear may become so severe that it interferes with work, school, and other ordinary activities, and can make it hard to make and keep friends.
While many people with social phobia realize that their fears about being with people are excessive or unreasonable, they are unable to overcome them. Even if they manage to confront their fears and be around others, they are usually very anxious beforehand, are intensely uncomfortable throughout the encounter, and worry about how they were judged for hours afterward.
Social phobia can be limited to one situation (such as talking to people, eating or drinking, or writing on a blackboard in front of others) or maybe so broad (such as in generalized social phobia) that the person experiences anxiety around almost anyone other than the family.
Physical symptoms that often accompany social phobia include blushing, profuse sweating, trembling, nausea, and difficulty talking.
When these symptoms occur, people with social phobia feel as though all eyes are focused on them.
Social phobia affects about 15 million American adults.
Women and men are equally likely to develop the disorder, which usually begins in childhood or early adolescence. There is some evidence that genetic factors are involved. Social phobia is often accompanied by other anxiety disorders or depression, and substance abuse may develop if people try to self-medicate their anxiety.
The use of anti-anxiety drugs may be used and they can help you get through “bad patches” when anxiety becomes too much. It’s possible that these meds can help. Let your doctor guide you.
Understand that social anxiety can be successfully treated with certain kinds of psychotherapy or medications. You probably should find someone who understands what you’re dealing with. They need to be good listeners and have an encouraging voice.
Bringing in a pastor or elder must be considered.
Prayer and counsel are a must. Holding on to God’s promises is necessary and as you deal with this it can be God’s way of strengthening your walk. The Word is packed full of His promises. The Lord knows-He wants you to take up and understand what He wants to give you in this.
“Fear not, for I am with you;be not dismayed, for I am your God;I will strengthen you, I will help you,I will uphold you with my righteous right hand.”
A woman visits her dermatologist, complaining of extremely dry skin and seldom feeling clean. She showers for two hours every day.
A lawyer insists on making coffee several times each day. His colleagues do not realize that he lives in fear that the coffee will be poisoned, and he feels compelled to pour most of it down the drain. The lawyer is so obsessed with these thoughts that he spends 12 hours a day at work — four of them worrying about contaminated coffee.
A man cannot bear to throw anything away. Junk mail, old newspapers, empty milk cartons all “could contain something valuable that might be useful someday.” If he throws things away, “something terrible will happen.” He hoards so much clutter that he can no longer walk through his house. Insisting that nothing be thrown away, he moves to another house where he continues to hoard.
A 10 year old girl keeps apologizing for “disturbing” her class. She feels that she is too restless and is clearing her throat too loudly. Her teachers are puzzled and over time become annoyed at her repeated apologies since they did not notice any sounds or movements. She is also preoccupied with “being good all the time”.
These people suffer Obsessive-Compulsive Disorder (OCD). The National Institute of Mental Health estimates that more than 2 percent of the U.S. population, or nearly one out of every 40 people, will suffer from OCD at some point in their lives. The disorder is two to three times more common than schizophrenia and bipolar disorder.
What is Obsessive-Compulsive Disorder?
Obsessions are intrusive, irrational thoughts — unwanted ideas or impulses that repeatedly well up in a person’s mind. Again and again, the person experiences disturbing thoughts, such as “My hands must be contaminated; I must wash them”; “I may have left the gas stove on”; “I am going to injure my child.” On one level, the sufferer knows these obsessive thoughts are irrational. But on another level, he or she fears these thoughts might be true. Trying to avoid such thoughts creates great anxiety.
Compulsions are repetitive rituals such as handwashing, counting, checking, hoarding, or arranging. An individual repeats these actions, perhaps feeling momentary relief, but without feeling satisfaction or a sense of completion. People with OCD feel they must perform these compulsions. Heredity appears to be a strong factor. If you have OCD, there’s a 25-percent chance that one of your immediate family members will have it. It definitely seems to run in families.
Can OCD be effectively treated?
Yes, with medication and behavior therapy. Both affect brain chemistry, which in turn affects behavior. Medication can regulate serotonin, reducing obsessive thoughts and compulsive behaviors. Anafranil (clomipramine): A tricyclic antidepressant, Anafranil has been shown to be effective in treating obsessions and compulsions. The most commonly reported side effects of this medication are dry mouth, constipation, nausea, increased appetite, weight gain, sleepiness, fatigue, tremor, dizziness, nervousness, sweating, visual changes, and sexual dysfunction. There is also a risk of seizures, thought to be dose-related. People with a history of seizures should not take this medication. Anafranil should also not be taken at the same time as a monoamine oxidase inhibitor (MAOI).
Meds that may help.
Many of the antidepressant medications known as selective serotonin reuptake inhibitors (SSRIs) have also proven effective in treating the symptoms associated with OCD. The SSRIs most commonly prescribed for OCD are Luvox (fluvoxamine), Paxil (paroxetine), Prozac (fluoxetine), and Zoloft (sertraline). Luvox (fluvoxamine): Common side effects of this medication include dry mouth, constipation, nausea, sleepiness, insomnia, nervousness, dizziness, headache, agitation, weakness, and delayed ejaculation. Paxil (paroxetine): Side effects most associated with this medication include dry mouth, constipation, nausea, decreased appetite, sleepiness, insomnia, tremor, dizziness, nervousness, weakness, sweating, and sexual dysfunction. Prozac (fluoxetine): Dry mouth, nausea, diarrhea, sleepiness, insomnia, tremor, nervousness, headache, weakness, sweating, rash, and sexual dysfunction are among the more common side effects associated with this drug. Zoloft (sertraline): Among the side effects most commonly reported while taking Zoloft are dry mouth, nausea, diarrhea, constipation, sleepiness, insomnia, tremor, dizziness, agitation, sweating, and sexual dysfunction. Celexa (Citalopram) side effects may include dry mouth, nausea, or drowsiness . SSRIs should never be taken at the same time as MAOIs.
How long should an individual take medication before judging its effectiveness?
Some physicians make the mistake of prescribing a medication for only three or four weeks. That really isn’t long enough. Medication should be tried consistently for 10 to 12 weeks before its effectiveness can be judged.
What is behavior therapy, and can it effectively relieve symptoms of OCD?
Behavior therapy is not traditional psychotherapy. It is “exposure and response prevention,” and it is effective for many people with OCD. Consumers are deliberately exposed to a feared object or idea, either directly or by imagination, and are then discouraged or prevented from carrying out the usual compulsive response. For example, a compulsive hand-washer may be urged to touch an object he or she believes is contaminated and denied the opportunity to wash for several hours. When the treatment works well, the consumer gradually experiences less anxiety from the obsessive thoughts and becomes able to refrain from the compulsive actions for extended periods of time. Several studies suggest that medication and behavior therapy are equally effective in alleviating symptoms of OCD. About half of the consumers with this disorder improve substantially with behavior therapy; the rest improve moderately.
Will OCD symptoms go away completely with medication and behavior therapy?
Response to treatment varies from person to person. Most people treated with effective medications find their symptoms reduced by about 40 percent to 50 percent. That can often be enough to change their lives, to transform them into functioning individuals. A few consumers find that neither treatment produces significant change, and a small number of people are fortunate to go into total remission when treated with effective medication and/or behavior therapy.
Reviewed by Judith Rapoport, MD May 2003
Read about Treatments and Supports for Mental Illness Related Resources Living with Obsessive-Compulsive Disorder Welcome to NAMI’s Living with Obsessive-Compulsive Disorder community. Here you will find support, get targeted information and connect with people who understand. Find Support Learn more about the full spectrum of programs and services that NAMI provides across the country for people living with mental illnesses, and their families and loved ones.
Online Discussion Living with OCD. Find support, share knowledge, ask questions and meet people who’ve been there. Mental Illness Discussion Groups Dozens of online groups for consumers, parents, spouses, siblings, teens and more. Get connected and find support. Related Links Anxiety Disorders Association of America (ADAA).
With wheelchair users making up only 5% of disabled people it has become a poor way of acknowledging those of us with a different type of disability.
More than 1 billion people in the world are living with some sort of disability, according to a new international survey. That’s about 15 percent of the world’s population, or nearly one of every 7 people.
The numbers come from a joint effort by the World Health Organization and the World Bank. The last time anyone tried to figure out the prevalence of disabilities was back in the 1970s, when WHO figured it was about 10 percent. The current report suggests the 15 percent estimate will grow as the world’s population ages.
Like the 1970s numbers, today’s figures are at best an approximation. Many countries don’t collect numbers carefully, and definitions of disability differ from place to place. The World Bank/WHO folks sought out tabulations of people who have trouble seeing, hearing, walking, remembering, taking care of themselves or communicating. Worldwide, the most common disability in people under the age of 60 is depression, followed by hearing and visual problems.
The report includes a foreword by theoretical physicist Stephen Hawking, who can’t feed himself or get dressed or speak without assistance because of his amyotrophic lateral sclerosis, a debilitating and usually fatal disease. He says there’s a moral duty to help disabled people.
The head of WHO, Margaret Chan, offers up another reason: “Almost every one of us will be permanently or temporarily disabled at some point in life.” An editorial in the medical journal The Lancet points out that accommodations for people with disabilities, such as curb cuts, help the non-disabled as well (such as people with strollers).
Why even come up with a number? Knowing the prevalence of disabilities helps organizations set priorities and figure out what it will cost them to set up the kind of programs called for by WHO and the World Bank — programs that make it possible for people with disabilities to take care of themselves, to work and get around.
The report didn’t estimate the total cost of establishing such programs. And it offered no solutions for perhaps the biggest challenge: finding the money.
Found this recently and felt it might bless you. It is almost a Bible survey course, and as about as brief as you can go without losing any kind of comprehension at all. I so hope you like this, if just for the novelty of it. I wish I could attribute it to someone. I have no idea. I wish them the best.