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Areas of Specialization - Children and Adolescents

Overcoming Social Anxiety and Shyness


Jenny is a 13 year old girl who recently moved to a new city and began middle school. Jenny's parents feel she has had difficulty making new friends as she has always been shy and had a tough time maintaining friendships. Jenny has little self-confidence and worries considerably about what other people think of her. In her old hometown she had only one friend and was always described as nervous and sensitive. In her new school, Jenny's teachers are concerned because she never raises her hand and has extreme difficulty talking in front of the class or giving an oral report. Her parents have noted a pattern of her complaining of not feeling well on school days when she is expected to take a test or participate in current events debates. Although Jenny is very talkative at home with her family, she does not talk in front of her parents friends when they come over for dinner and she refuses to order her own food in a restaurant. Jenny has tremendous difficulty being assertive as she will let other cut her on line or cheat off her on exams at school. Jenny's parents have always encouraged her to join a sports team or become involved in after-school clubs. She has avoided any extracurricular activities despite her guidance counselor informing her that her good grades will not be sufficient for admission into the more competitive colleges. Jenny prefers to spend her free time at home watching television or playing on the internet. Occasionally Jenny will remark that she feels lonely or sad and she demands her parents spend time with her to keep her company and cheer her up.

Children and adolescents with social anxiety disorder have a persistent fear of being embarrassed, humiliated or laughed at by others. These children are commonly described as shy and their central fear is that other people will think poorly of them. Thus socially anxious children frequently avoid situations that involve interacting with others, including meeting new people, joining teams or clubs, talking in front of the class, initiating plans, talking on the telephone, dating, gym class, eating in front of others, and talking with unfamiliar adults. Children and adolescents with social anxiety experience intense distress while in these situations or they avoid the feared social situations, and they may cry, tantrum, freeze, or cower from social situations with unfamiliar adults or peers.

Cognitive Behavioral Treatment in Children and Adolescents - Social Anxiety Disorder>>