Across Israel, Meir Panim responds to the growing needs of the country’s 1.75 million impoverished residents through various food and social service programs.
Many children with severe social phobia are never identified because they masquerade as extroverts. They “have to” be the center of attention, but suffer tremendously internally. Often of above average intelligence, they overcompensate by cleverly controlling situations to mask insecurities. They are frequently among the most popular kids and highest achievers who “no one would ever know” suffers painfully with extreme feelings of embarrassment and isolation. They fall under the radar of teachers and parents, who assume popularity and a smile equals confidence.
These are red flags: Is the child NEVER alone in public? Does she have many friends in school and many extracurricular activities, but never invite a friend home. Does NO ONE dislike him? Does he have so much to say that he can’t tolerate a pause? Does she never get angry or sad? Does she do most of group projects and avoid delegating? Does he resist doing a solo task in class (hand out supplies, run in-school errands)? Can he tolerate being wrong? Is he the class clown? Is she NEVER with unpopular classmates? Or, is she ALWAYS helping less social classmates.
Exposure therapy, a special type of Cognitive Behavioral Therapy, is the only therapy endorsed by national anxiety disorder organizations for social anxiety. Exposure therapy enables sufferers to very gradually overcome their fears and let go of their avoidant and overcompensating behaviors at a pace with which they feel comfortable, so they are never overwhelmed. Results are achieved in a matter of months not years. Exposure therapy is more effective than medication, therapy and medication combined, or any other kind of therapy. Medication provides only temporary or partial relief and has side effects; symptoms just come back when you end the medication. Exposure therapy provides permanent relief, essentially eliminating excessive social anxiety forever.
Nevertheless, medication can be very beneficial if someone is in a crisis, such as possible school expulsion, job loss, or marital conflict, or if they are too overwhelmed to do the work of therapy. However, medication is used temporarily, and the therapist should work toward the goal of reducing or eliminating dependence on it. Clients should stay on medication until therapy is complete and then gradually reduce and eliminate it while continuing therapy for another several weeks or months to eliminate the residual symptoms that medication masked.
There are many medications used for social anxiety. The most popular are Paxil, Zoloft,Celexa, and Prozac, as well as short acting medications like Xanax and Clonipan, which are used only as needed. (This is not an exhaustive list.)
When considering a therapist, there are two “test” questions you must ask them before you make an appointment: (1) Is exposure therapy the main technique they use? If they don’t, forget about using them. And (2) How many people have they SUCCESSFULLY treated FOR SOCIAL ANXIETY? In major metropolitan areas, there should be no difficulty finding a specialist who has treated a few dozen clients with the same condition, the people should not longer have excessive anxiety, avoidant or overcompensating behaviors, and should not be taking medication any more, if they ever did. They should NOT say they just helped people “live with” or “manage” their anxiety better.
In light of many “unexplained” teen tragedies, schools need to cast a wider glance over the entire classroom and not settle for appearances. The good news is social phobia is extremely treatable, but only if it identified.
About the Author: Dr. Steven Brodsky is an Orthodox psychologist and therapist, recommended by major Orthodox referral agencies, and clinical director of the OCD and Panic Center of NY and NJ. He has appeared on NBC Nightly News, TheTODAY Show, New York Times, Wall Street Journal, Jewish Press, and other news and discussion media. For more information or to schedule a speaking event, visit Dr.Brodsky's web site,www.OCDhotline.com or call 212-726-2390.
If you don't see your comment after publishing it, refresh the page.
Comments are closed.
Everyone is always looking for cute yet simple and inexpensive ideas to enhance their table at special occasions. Here are some attractive ways to create that festive look. Whether you use china or plastic, your guests will surely be delighted with your charming setup.
Wouldn’t it be great if you had a chavrusa working with you, guiding and helping you in your work environment?
What made an M.I.T. scholarship student, taking time off from his doctorate in medicine, to backpack, and then decide to backtrack, chuck it all… and get a haircut? Perhaps it is easier to understand a Harvard law student becoming enamored with the logic of Gemara and settling down to struggle with the intellectual challenges of Aramaic acrobatics.
JetBlue flew an empty aircraft from Boston to JFK to assist us. The care and concern of the flight attendants was amazing. They were astounded by our group, so much so that at the end of the flight, the captain related for all to hear that he was truly impressed by the care that the HASC counselors provided for the special-needs campers – all of whom have physical, mental, or emotional disabilities. We did our best to demonstrate a true kiddush Hashem.
Q: What does twice exceptional or 2e mean?
The battle over partnership minyans is just the latest scuffle in the war over women’s roles in the Orthodox community.
Last month’s column outlined some efforts during the first half of the nineteenth century to establish Jewish agricultural colonies in America. In only one case was a colony actually established.
According to Maimonides, the great medieval Jewish scholar, “Gifts for the poor [matanot l’evyonim] deserve more attention than the seudah and mishloach manot because there is no greater, richer happiness than bringing joy to the hearts of needy people, orphans, widows and proselytes.”
Having everyone home on a snow day can be a lot of fun – the first few times it happens. Once snow day number six hits, perhaps not so much and the real creativity has to come out.
Imich was born in 1903 in Poland, where he later earned his Ph.D. in 1927, despite the best efforts of anti-Semitic professors to sabotage his thesis
Never sacrifice the people who matter for anything of lesser importance…
Hannah believed that one must learn about the evils of the past so that they aren’t repeated.
Many children with severe social phobia are never identified because they masquerade as extroverts. They “have to” be the center of attention, but suffer tremendously internally. Often of above average intelligence, they overcompensate by cleverly controlling situations to mask insecurities.
Printed from: http://www.jewishpress.com/sections/health/socially-phobic-extroverts/2013/05/25/
Scan this QR code to visit this page online:
No related posts.