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The least anxiety-provoking situations are ordered at the bottom of the hierarchy while the most anxiety-provoking situations are at the top. Exposure hierarchies typically consist of 10-15 items and will guide the client’s exposure practices. [1] An abbreviated example of an exposure hierarchy is pictured in Image 1.
The scale is composed of 24 items divided into 2 subscales, 13 concerning performance anxiety, and 11 pertaining to social situations. The 24 items are first rated on a Likert Scale from 0 to 3 on fear felt during the situations, and then the same items are rated regarding avoidance of the situation. [7]
Social Phobia Inventory (SPIN) is a questionnaire developed by the department of Psychiatry and Behavioral Sciences of Duke University [1] for screening and measuring severity of social anxiety disorder. This self-reported assessment scale consists of 17 items, which cover the main spectrum of social phobia such as fear, avoidance, and ...
Though related, social interaction anxiety is different from social phobia which is defined as anxiety surrounding fear of being scrutinized in a social situation. [4] The scale contains 15 items. [5] [2] [6] The client rates how much each item relates to them on a 5-point scale as follows: [2] 0 points: Not at all characteristic of me
Social anxiety is the anxiety and fear specifically linked to being in social settings (i.e., interacting with others). [1] Some categories of disorders associated with social anxiety include anxiety disorders , mood disorders , autism spectrum disorders , eating disorders , and substance use disorders . [ 1 ]
Social anxiety disorder (SAD), also known as social phobia, is an anxiety disorder characterized by sentiments of fear and anxiety in social situations, causing considerable distress and impairing ability to function in at least some aspects of daily life. [4]: 15 These fears can be triggered by perceived or actual scrutiny from others ...
Exposure therapy is a technique in behavior therapy to treat anxiety disorders. Exposure therapy involves exposing the patient to the anxiety source or its context (without the intention to cause any danger). Doing so is thought to help them overcome their anxiety or distress.
Systematic desensitization (a guided reduction in fear, anxiety, or aversion [10]) can then be achieved by gradually approaching the feared stimulus while maintaining relaxation. Desensitization works best when individuals are directly exposed to the stimuli and situations they fear, so anxiety-evoking stimuli are paired with inhibitory responses.
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