Potential Impact of Social Anxiety Disorder (SAD) on Loved Ones, Friends, & Caregivers

If you have a loved one or friend who suffers from SAD, it can significantly affect their lives as well as the lives of those who care about them. SAD can impact a person's ability to function at school or work, their relationship with their family and friends, and can limit their social network as well as diminish their prospects for romantic relationships.[1][2]

SAD is often underdiagnosed in primary care settings,[3] and SAD patients may not seek the help they need, possibly because they are afraid or embarrassed.[4] Family members, friends, and caregivers can make sure their loved one or friend keeps their scheduled appointments and follows the directions for any medicine or therapy that's prescribed. Importantly, caregivers need to understand that people afflicted with SAD cannot simply get over their symptoms, and should encourage their friend or loved one to see a physician and seek treatment.

Part of the treatment for SAD may involve patients gradually facing their feared situations.[5] Caregivers can help by encouraging family members or friends with SAD to take small steps back into society. For example, if they fear eating with other people, go with them to a small restaurant at a time when it's nearly empty, so they can gradually get used to dining out.

As with any other care-giving relationship, it's important that you fulfill your own responsibilities and make time for socializing and relaxation for yourself.

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References:

  1. ^ Schneier FR, et al. Functional impairment in social phobia. Journal of Clinical Psychiatry. 1994;55:322-331.
  2. ^ American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 4th ed, text revision. Washington, DC: American Psychiatric Association; 2000.
  3. ^ Weiller E, et al. Social phobia in general health care: an unrecognised undertreated disabling disorder. Br J Psychiatry. 1996;168:169-74.
  4. ^ Newman MG, et al. Self-help and minimal-contact therapies for anxiety disorders: Is human contact necessary for therapeutic efficacy? Journal of Clinical Psychiatry. 2003;59:251-74.
  5. ^ Harb GC and Heimberg RG. Social anxiety disorder. In: Fisher JE and O'Donohue WO, eds. Practitioner's guide to evidence-based psychotherapy. New York: Springer, 2006.

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