Focusing on Relationships Helps People With Social Phobia
WebMD News Archive
Nov. 19, 1999 (Cleveland) -- Focusing on improving interpersonal
relationships, such as those with relatives and friends, could improve symptoms
of social phobia, according to early results from a small study published in
the November issue of the American Journal of Psychiatry.
Social phobia is characterized by avoidance of social situations due to the
anxiety of being embarrassed or humiliated in public. Everyday activities, such
as using public bathrooms or eating in public, may lead to anxiety. The onset
may occur in adolescence and may be associated with overly protective parents
or limited social opportunity. Males and females are equally likely to be
affected with this disorder.
Interpersonal psychotherapy has been long studied and known to help people
with depression. This study, albeit small, is the first to examine its use as
treatment for social phobia.
"With interpersonal psychotherapy, you focus on real-life problems and
challenges in primary relationships and how those might impact on the person's
level of social anxiety," says lead author Joshua D. Lipsitz, PhD.
"This is the kind of psychotherapy that is really more akin to [what] ...
many old-fashioned psychotherapists do. It pays attention to issues and the
person's broader life context and their primary relationships. We find that if
we pay attention to that and work with the patient with improving specific
parts of their primary relationships, as a result, their social phobia symptoms
improve," Lipsitz tells WebMD.
He and colleagues studied interpersonal psychotherapy in nine people with
social phobia who were aged 25-49. During the first three sessions, the
therapist and patient discussed the patient's social phobia symptoms and
decided which were the most treatable. They also agreed on one main
interpersonal problem area to focus on. Role transition -- adapting to new
demands and giving up old familiar roles, such as moving away from home, making
a job change, or making new friends -- was listed as the most important
interpersonal area that these patients wanted to focus on. After 14 weeks of
therapy with a psychologist, 78% of these people reported that their symptoms
of social phobia had been much or very much improved, and almost all of their
clinicians agreed that the symptoms had significantly approved.
Lipsitz, who is a psychologist at the Anxiety Disorders Clinic at the New
York State Psychiatric Institute in New York City, says that it's important to
note that these results are very preliminary, and they are currently conducting
a larger study to better determine the what the best duration and focus of
interpersonal psychotherapy is for people with social phobia.