AccessAPN Case of the Month

Psych/Mental Health Case-of-the-Month: Social Anxiety

Jane is a 19-year-old female who recently started her first year at college. While Jane was academically successful in high school, she has struggled to form meaningful relationships with peers. Her difficulties stem primarily from an intense fear of being judged, embarrassed, or rejected by others.

Jane reports experiencing significant anxiety when speaking in front of groups, initiating conversations, or meeting new people. She describes physical symptoms such as a racing heart, sweating, trembling, and feeling nauseated in these situations. These symptoms have led her to skip social gatherings, avoid sitting near others in class, and decline invitations to join study groups.

Her avoidance has caused her to feel isolated and lonely. Jane recognizes that her behavior is problematic and wishes to build meaningful friendships and take advantage of the opportunities available to her. However, she feels trapped by her anxiety and unsure of how to change.

Questions:

1. Which physical symptom does Jane report experiencing during anxiety-provoking situations?

a) Dizziness

b) Sweating and trembling

c) Headaches

d) Muscle cramps

2. What is one of the first steps in Jane’s treatment plan?

a) Avoid all social situations

b) Immediately confront her most feared situation

c) Learn coping strategies to manage physical symptoms of anxiety

d) Focus solely on her academic performance

3. What is one goal of Jane’s treatment plan?

a) Avoid all anxiety-provoking situations.

b) Use medication as the sole treatment.

c) Focus only on academic success.

d) Build self-confidence through small, achievable goals.

Answers:

1. b) Sweating and trembling

2. c) Learn coping strategies to manage physical symptoms of anxiety

3. d) Build self-confidence through small, achievable goals.