Full transcript
0:01Hello, welcome back. Thank you for being
0:03here with me. So, um last session we
0:06were talking a little bit about your
0:08symptoms. We did a um a few assessments
0:12to explore more about them and see if
0:15there's something else we're not seeing.
0:18And um finally, we have the results and
0:21I would like to share them with you. If
0:22you're off to it, you can interrupt me
0:24at any time and ask me um anything about
0:28them. um or or or
0:32to set any you can say anything to me um
0:36at any time so feel free.
0:38So uh in effect the assessments u reveal
0:41what appears to be a social anxiety
0:43disorder. I would like to know if you
0:45have heard about it at any moment or if
0:49you know anything about social anxiety
0:52disorder.
0:54Well um this is a common type of anxiety
0:57disorder. In fact of the World Health
0:59Organization said that 470 million of
1:03people are affect by it u worldwide. Um
1:07this can start with the fear of possibly
1:10being scrutinized, evaluated or judged
1:13by others in different scenarios as you
1:15have shared with me that is it happens
1:18to you and even doing everyday things.
1:23Concerns about being humiliated,
1:24rejected or judged can come to mind.
1:28From what you have told me, several of
1:30these concerns and fears apply to you.
1:33And I imagine that um it must you must
1:36feel horrible and
1:39and and
1:41scared um every time these feelings
1:45arise and and and
1:49it must feel very uncomfortable um to to
1:52have to function and and keep
1:54functioning when these feelings take
1:56place. So, um I want to say thank you
2:00for being here for for
2:02look for a solution and I want you to
2:06know that there are tools that we can
2:08use and strategies to overcome it.
2:12So, um I congrat for for doing this, for
2:16being here in therapy and and and
2:20not stay in your house um
2:24avoiding everything. That's very
2:26important for you to know and for you to
2:28recognize.
2:30So um in addition to this test, we also
2:32use a ZSM 5TR and there are some
2:35criterias that we use as a guide in
2:38relation to the examples you provide and
2:41their context. So um
2:45you uh meet all the criteria in effect.
2:49Um but I want you to know that this is
2:52not a good or bad thing. It's not about
2:54that. It's uh about knowing what's
2:57happening, about um knowing what's
3:00missing and to be able to help you
3:02better and seek solutions together. I
3:05wanted you to tell me how you feel about
3:07all this information and if you
3:09understand if it if it's if it means
3:12something to you.
3:14I know this is a lot to process now and
3:17that what you feel is real and painful.
3:20That's why I want to be with you guiding
3:22you through it step by step at your own
3:24pace
3:26and I would like to help you understand
3:28this diagnosis a little bit more with a
3:30visual representation. So in our brain
3:32we have something that is called amydala
3:34and there is it's responsible for our
3:37survival protecting us from dangers and
3:40alarming events. But sometimes the
3:42amydala can um misinterpret
3:45an event and it can perceive a situation
3:48as alarming and a genuine threat when it
3:51is not. So when avoidance behaviors kick
3:56in like sweating, moving away um um
4:00racing heart
4:02triggering the same physical reactions
4:04you were experienced as if a bear is
4:06chasing you. Well, um, this is something
4:09that can happen. And our goal here is
4:12not to eliminate the survival system,
4:15but to train it to recognize and
4:18distinguish between a real danger, life
4:21or death situations and um uncomfortable
4:24scenarios like public speaking so that
4:27intense fear symptoms you frequently
4:29experience are not triggered. So, how
4:32does knowing this make you feel?
4:36um the some treatment recommendations
4:38it's um it depends on what are your
4:41thoughts when you're feeling anxious. So
4:43um I would like for you to write in a
4:45diary about them and or make a detailed
4:49record record whenever you feel anxious.
4:51It will be very helpful if you specify
4:54the feeling um the physical symptoms
4:57your thought at that moment and your
4:59actions. It will be great if you could
5:01start it this week. So uh you can bring
5:04bring that um to our next meeting so we
5:08can discuss that and talk a little bit
5:10more about that. That bring us to the
5:12end of our session. I hope the
5:14explanation regard diagnosis have been
5:17helpful and again please don't hesitate
5:20to let me know if you have any
5:22questions.