Yêu cầu can thiệp y tế chuyên sâu hơn. Các ranh giới giữa hình thức rối loạn ám ảnh và tính cách xã hội Sau avoidant IS mờ. Nó là quan trọng Phân biệt the''normal''anxiety NHẤT kinh nghiệm của cá nhân trong các tình huống xã hội và hiệu suất và lo lắng | SOCIAL PHOBIA 139 requires more intensive medical intervention. The boundary between this latter form of social phobia and avoidant personality disorder is blurred. It is important to distinguish the normal anxiety experienced by most individuals in social and performance situations and the exceptional anxiety experienced by the individual with social phobia. The first one usually reaches a peak at the beginning with adaptive advantage greater efficacy and it attenuates over the course of any given performance or social encounter while the intense social phobics anxiety increases during the course of the social event or performance and this can result in impediment of functional ability. The clinical symptoms of SP can present at physical cognitive and behavioural level and play a role in vicious circles that may contribute maintaining the disorder. Blushing is the principal physical symptom and with tachycardia sweating and trembling suggests heightened autonomic arousal. Muscle tension dry throat and gastrointestinal distress such as nausea or diarrhoea are other common symptoms. SP patients have an exaggerated awareness of minimal somatic symptoms associated with a tendency to overreact with great anxiety to them and with an exaggerated fear that others may notice that they are anxious distressed or unfit. Then these physical indicators of anxiety may become part of a vicious circle as social phobics anticipate or face feared social encounters they experience an increase of somatic discomfort which alerts them that they have become more anxious. This event leads to distraction feelings of embarrassment or humiliation these latter lead to further symptoms and then to more distraction perception of impaired performance and so on. The resulting negative experience fuels further anticipatory anxiety when faced with future social situations. Compared with agoraphobics social phobics have significantly more cardiovascular symptoms sweating and tremor and fewer .
