s******t
发帖数: 579 | 1 A 19-year-old ballet dancer presents because of extreme anxiety on stage.
She reports that she fell 3 months ago at a national ballet competition and
since then suffers extreme anxiety, trembling, diaphoresis and
breathlessness when she has to go on stage. She denies any problems with
ballet practice and has no other medical problems. Which of the following is
the most likely diagnosis?
A Panic disorder
B Social phobia
C specific phobia
I think it is phobia, but the answer to the question is panic disorder. What
do you think please? Thanks | V*****G
发帖数: 337 | 2 I think this is social phobia.
and
is
What
【在 s******t 的大作中提到】
: A 19-year-old ballet dancer presents because of extreme anxiety on stage.
: She reports that she fell 3 months ago at a national ballet competition and
: since then suffers extreme anxiety, trembling, diaphoresis and
: breathlessness when she has to go on stage. She denies any problems with
: ballet practice and has no other medical problems. Which of the following is
: the most likely diagnosis?
: A Panic disorder
: B Social phobia
: C specific phobia
: I think it is phobia, but the answer to the question is panic disorder. What
| V*****G
发帖数: 337 | 3 http://www.anxietynetwork.com/diff.html
People with panic believe very strongly that the "attack" they experienced
means that something is physically wrong with them.
People can be checked, rechecked, and use the hospital emergency rooms
repeatedly before it ever begins to get clear to them that what they are
legitimately suffering from is anxiety, and not a physical, medical
condition.
The central point is that people with panic fear that they have a physical,
medical disease. Otherwise, what else could explain the suddenness and
awfulness of that first panic attack? How could the mind have something to
do with the horrible swirling emotions and feelings that overload the person
during this traumatic and emotional attack?
A great many people who experience their first panic attack find their way
to the hospital emergency room or go directly to their physician's office.
They feel their life is in danger and they legitimately want a diagnosis to
explain it. When doctors report that they can find nothing wrong with the
person medically, it only heightens the person's anxiety. After all,
something MUST BE WRONG or else how do you explain the horrific sensations
and emotions they went through during the panic attack? Unfortunately, many
people are never told that they are experiencing anxiety, and that a panic
attack could be the culprit.
People with social anxiety disorder do not believe that their anxiety is
related to a medical or physical illness or disease. This type of anxiety
occurs in most social situations, especially when the person feels on
display or is the center of attention.
The socially-anxious person has extremely high anxiety when they're put into
a position to make small talk to a stranger or interact in a group. The
anxiety becomes worse when the person fears that they are going to be
singled out, ridiculed, criticized, embarrassed, or belittled. People with
social anxiety find it to be a terrifying experience to interact with
unfamiliar people, give any type of public presentation, or even be publicly
noticed. For example, the office may be planning a birthday party for the
socially-anxious person -- and instead of this being a pleasant and happy
experience -- it will cause great anticipatory fear and dread -- because
they will be on display.....in front of all those people.....and then they
fear they will do something to make a fool of themselves......
The person with social anxiety is sometimes viewed as "quiet", "shy", "
introverted", or "backward". They are continually concerned that other
people will notice their anxiety and they will be humiliated and embarrassed
as a result. Most people with social anxiety disorder hold down jobs that
are well beneath their capabilities and capacities because they fear job
interviews, working in a position where there is too much public contact,
and being promoted to a position where they would have to supervise other
people. When socially-anxious people isolate themselves as much as possible
and are somehow enabled to stay at home and not work, their social contact
can drift down to the immediate family or to absolutely no one at all.
Once a person avoids almost all social and public interactions we say the
person has an extreme case of social anxiety disorder, more commonly called
avoidant personality disorder. As you would expect, people with social
anxiety disorder have an elevated rate of relationship difficulties, and
substance abuse.
To escape the constant anxiety, many people with anxiety (both panic and
social anxiety people) turn to the age-old, damaging anxiety reducers:
alcohol and substance/drug abuse.
【在 V*****G 的大作中提到】
: I think this is social phobia.
:
: and
: is
: What
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