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Social Anxiety Disorder: More Than Just Shyness	Trong cu&#7897;c s&#7889;ng h&agrave;ng ng&agrave;y, ch&uacute;ng ta th&#432;&#7901;ng ph&#7843;i &#273;&#7889;i di&#7879;n v&#7899;i nhi&#7873;u v&#7845;n &#273;&#7873; kh&aacute;c nhau v&agrave; v&igrave; v&#7853;y, con ng&#432;&#7901;i th&#432;&#7901;ng r&#417;i v&agrave;o t&igrave;nh tr&#7841;ng lo l&#7855;ng, s&#7907; h&atilde;i. Tuy v&#7853;y, lo &acirc;u, l&agrave; m&#7897;t trong nh&#7919;ng tr&#7841;ng th&aacute;i t&acirc;m l&yacute; r&#7845;t ph&#7893; bi&#7871;n &#7903; t&#7845;t c&#7843; m&#7885;i ng&#432;&#7901;i. Trong nh&#7919;ng &#273;i&#7873;u ki&#7879;n b&igrave;nh th&#432;&#7901;ng, &#273;&acirc;y l&agrave; m&#7897;t ph&#7847;n ph&#7843;n &#7913;ng t&acirc;m l&yacute; th&#7875; hi&#7879;n &yacute; th&#7913;c, tr&aacute;ch nhi&#7879;m v&agrave; m&#7889;i quan t&acirc;m c&#7911;a c&aacute; nh&acirc;n trong cu&#7897;c s&#7889;ng c&#7911;a ri&ecirc;ng m&igrave;nh. V&#7853;y khi n&agrave;o lo &acirc;u th&agrave;nh b&#7879;nh?	Lo &acirc;u tr&#7903; th&agrave;nh b&#7879;nh khi nh&#7919;ng c&#7843;m gi&aacute;c lo l&#7855;ng b&#7895;ng xu&#7845;t hi&#7879;n m&agrave; kh&ocirc;ng h&#7873; c&oacute; nguy&ecirc;n nh&acirc;n ch&iacute;nh &#273;&aacute;ng g&igrave;, s&#7921; s&#7907; h&atilde;i &#7845;y t&aacute;i &#273;i t&aacute;i l&#7841;i, b&#7873;n v&#7919;ng, k&eacute;o d&agrave;i th&#7853;m ch&iacute; v&#432;&#7907;t ngo&agrave;i t&#7847;m kh&#7889;ng ch&#7871; c&#7911;a c&aacute; nh&acirc;n, g&acirc;y &#7843;nh h&#432;&#7903;ng nghi&ecirc;m tr&#7885;ng &#273;&#7871;n &#273;&#7901;i s&#7889;ng c&#7911;a ng&#432;&#7901;i m&#7855;c ph&#7843;i, c&#7843; v&#7873; th&#7875; ch&#7845;t l&#7851;n tinh th&#7847;n, g&acirc;y x&aacute;o tr&#7897;n sinh ho&#7841;t th&#432;&#7901;ng ng&agrave;y c&#7911;a ng&#432;&#7901;i b&#7879;nh.	Nh&#7919;ng ng&#432;&#7901;i b&#7883; m&#7855;c ch&#7913;ng R&#7889;i lo&#7841;n lo &acirc;u th&#432;&#7901;ng s&#7869; c&oacute; nh&#7919;ng bi&#7875;u hi&#7879;n nh&#432;: lu&ocirc;n lo &acirc;u, ho&#7843;ng h&#7889;t, s&#7907; h&atilde;i t&#7899;i m&#7913;c &#273;&#7897; b&#7883; &aacute;m &#7843;nh v&agrave; th&#7853;m ch&iacute; s&#7869; l&agrave;m b&#7857;ng m&#7885;i gi&aacute; &#273;&#7875; tr&#7889;n tr&aacute;nh ngu&#7891;n, t&aacute;c nh&acirc;n khi&#7871;n ng&#432;&#7901;i &#7845;y c&#7843;m th&#7845;y &aacute;m &#7843;nh, lo &acirc;u, ho&#7843;ng h&#7889;t.	Ch&#7913;ng &aacute;m &#7843;nh s&#7907; x&atilde; h&#7897;i/ R&#7889;i lo&#7841;n lo &acirc;u x&atilde; h&#7897;i (Social phobia/ Social anxiety disorder) l&agrave; g&igrave;?	Ti&ecirc;u ch&iacute; ch&#7849;n &#273;o&aacute;n theo ICD - 10&nbsp;	&Aacute;m &#7843;nh s&#7907; x&atilde; h&#7897;i: L&agrave; n&#7895;i s&#7907; h&atilde;i dai d&#7859;ng, &aacute;m &#7843;nh v&agrave; tr&#7847;m tr&#7885;ng v&#7873; vi&#7879;c b&#7883; quan s&aacute;t k&#7929; b&#7903;i nh&#7919;ng ng&#432;&#7901;i kh&aacute;c d&#7851;n &#273;&#7871;n vi&#7879;c tr&aacute;nh n&eacute; c&aacute;c t&igrave;nh hu&#7889;ng g&#7863;p g&#7905; x&atilde; h&#7897;i. C&aacute;c &Aacute;m &#7843;nh s&#7907; x&atilde; h&#7897;i lan t&#7887;a h&#417;n th&#432;&#7901;ng k&#7871;t h&#7907;p v&#7899;i s&#7921; t&#7921; ti v&agrave; s&#7907; b&#7883; ph&ecirc; b&igrave;nh, soi m&oacute;i, nh&#7853;n x&eacute;t, &#273;&aacute;nh gi&aacute;. Ng&#432;&#7901;i b&#7879;nh c&oacute; th&#7875; c&oacute; c&aacute;c tri&#7879;u ch&#7913;ng nh&#432; &#273;&#7887; m&#7863;t, run tay, bu&#7891;n n&ocirc;n, ho&#7863;c m&#7855;c ti&#7875;u kh&#7849;n c&#7845;p. C&aacute;c tri&#7879;u ch&#7913;ng c&oacute; th&#7875; ti&#7871;n tri&#7875;n &#273;&#7871;n c&aacute;c c&#417;n ho&#7843;ng lo&#7841;n.	Ti&ecirc;u ch&iacute; ch&#7849;n &#273;o&aacute;n theo DSM-V	1. C&oacute; s&#7921; s&#7907; h&atilde;i ho&#7863;c lo &acirc;u v&#7873; m&#7897;t hay nhi&#7873;u t&igrave;nh hu&#7889;ng t&#432;&#417;ng t&aacute;c x&atilde; h&#7897;i, (giao ti&#7871;p, g&#7863;p g&#7905; v&#7899;i nhi&#7873;u ng&#432;&#7901;i, v&#7899;i nh&#7919;ng ng&#432;&#7901;i la.&#803;..), d&#432;&#7899;i s&#7921; quan s&aacute;t, gi&aacute;m s&aacute;t c&#7911;a ng&#432;&#7901;i kh&aacute;c (ph&aacute;t bi&#7875;u &#7903; l&#7899;p h&#7885;c , thuy&#7871;t tr&igrave;nh, bi&#7875;u di&#7877;n...). &#7902; tr&#7867; em, s&#7921; lo &acirc;u, s&#7907; h&atilde;i kh&ocirc;ng ch&#7881; xu&#7845;t hi&ecirc;&#7751; khi t&#432;&#417;ng t&aacute;c v&#7899;i ng&#432;&#7901;i l&#7899;n, m&agrave; c&ograve;n xu&#7845;t hi&ecirc;&#7751; khi ch&uacute;ng t&#432;&#417;ng t&aacute;c v&#7899;i c&aacute;c ba&#7751; &#273;&#7891;ng trang l&#7913;a.	2. H&#7885; lo s&#7907; r&#7857;ng m&igrave;nh s&#7869; b&#7883; ng&#432;&#7901;i kh&aacute;c soi m&oacute;i, &#273;&aacute;nh gi&aacute; ti&ecirc;u c&#7921;c (b&#7883; s&#7881; nh&#7909;c, b&#7883; t&#7915; ch&#7889;i...) v&#7873; nh&#7919;ng g&igrave; m&igrave;nh s&#7869; th&#7921;c hi&ecirc;&#7751;, th&#7875; hi&ecirc; &#803;n ra ngo&agrave;i (nh&#7919;ng l&#7901;i n&oacute;i, h&agrave;nh vi, nh&#7919;ng bi&#7875;u hi&#7879;n tri&#7879;u ch&#7913;ng lo &acirc;u...)	3. H&#7847;u h&#7871;t c&aacute;c t&igrave;nh hu&#7889;ng t&#432;&#417;ng t&aacute;c x&atilde; h&#7897;i lu&ocirc;n g&acirc;y ra s&#7921; s&#7907; h&atilde;i ho&#7863;c lo &acirc;u cho h&#7885;. &#7902; tr&#7867;, n&#7895;i s&#7907; v&agrave; lo &acirc;u c&oacute; th&#7875; &#273;&#432;&#7907;c th&#7875; hi&ecirc;&#7751; qua c&aacute;c h&agrave;nh vi nh&#432;: qu&#7845;y kh&oacute;c, gi&#7853;n d&#7919;, &#273;&#7913;ng im, &#273;eo b&aacute;m, co r&#7909;t ng&#432;&#7901;i l&#7841;i hay th&#7853;m ch&iacute; kh&ocirc;ng n&oacute;i &#273;&#432;&#7907;c trong qu&aacute; tr&igrave;nh t&#432;&#417;ng t&aacute;c v&#7899;i ng&#432;&#7901;i l&#7841;.	4. H&#7885; th&#432;&#7901;ng l&#7843;ng tr&aacute;nh c&aacute;c t&igrave;nh hu&#7889;ng x&atilde; h&#7897;i ho&#7863;c h&#7885; s&#7869; ch&#7883;u &#273;&#7921;ng ch&uacute;ng trong tr&#7841;ng th&aacute;i s&#7907; h&atilde;i, lo &acirc;u t&#7897;t &#273;&#7897;.	5. N&#7895;i s&#7907; h&atilde;i hay lo &acirc;u trong h&#7885; kh&ocirc;ng &#7913;ng v&#7899;i m&#7889;i &#273;e d&#7885;a m&agrave; t&igrave;nh hu&#7889;ng th&#7921;c t&#7871; mang &#273;&#7871;n.	6. S&#7921; s&#7907; h&atilde;i, lo &acirc;u hay n&eacute; tr&aacute;nh c&aacute;c t&igrave;nh hu&#7889;ng t&#432;&#417;ng t&aacute;c x&atilde; h&#7897;i n&agrave;y l&agrave; dai d&#7859;ng, th&#432;&#7901;ng k&eacute;o d&agrave;i t&#7915; 6 th&aacute;ng ho&#7863;c h&#417;n.	7. S&#7921; suy y&#7871;u hay thi&#7879;t h&#7841;i v&#7873; m&#7863;t l&acirc;m s&agrave;ng trong c&aacute;c t&igrave;nh hu&#7889;ng x&atilde; h&#7897;i, ngh&#7873; nghi&#7879;p, hay c&aacute;c l&#297;nh v&#7921;c ho&#7841;t &#273;&#7897;ng quan tr&#7885;ng kh&aacute;c &#273;&#7873;u do n&#7895;i s&#7907; h&atilde;i, lo &acirc;u hay tr&aacute;nh n&eacute; g&acirc;y ra.	8. S&#7921; s&#7907; h&atilde;i, lo &acirc;u hay n&eacute; tr&aacute;nh kh&ocirc;ng ph&#7843;i do t&aacute;c &#273;&#7897;ng sinh l&yacute; c&#7911;a m&ocirc;&#7789; s&#7889; ch&#7845;t (ma t&uacute;y, m&ocirc;&#7789; s&#7889; lo&#7841;i thu&#7889;c, ...) hay m&#7897;t c&#259;n b&#7879;nh th&#7875; ch&#7845;t n&agrave;o &#273;&oacute; g&acirc;y ra.	9. N&#7895;i s&#417;,&#803; lo &acirc;u, hay s&#7921; tr&aacute;nh n&eacute; kh&ocirc;ng &#273;&#432;&#7907;c gi&#7843;i th&iacute;ch t&#7889;t h&#417;n th&ocirc;ng qua c&aacute;c tri&#7879;u ch&#7913;ng c&#7911;a m&#7897;t s&#7889; r&#7889;i lo&#7841;n t&acirc;m th&#7847;n kh&aacute;c nh&#432;: R&#7889;i lo&#7841;n ho&#7843;ng s&#7907; (Panic disorder), R&#7889;i loa&#7751; ph&#7893; t&#7921; k&#7927; (Autism spectrum disorder), R&#7889;i lo&#7841;n d&#7883; d&#7841;ng c&#417; th&#7875; (Body dysmorphic disorder),...	10. N&#7871;u m&#7897;t s&#7889; b&#7879;nh th&#7875; ch&#7845;t (b&#7879;nh Parkinson, b&eacute;o ph&igrave;, bi&#7871;n d&#7841;ng do th&#432;&#417;ng t&#7853;t, ...) xu&#7845;t hi&ecirc;&#7751; , th&igrave; c&#361;ng kh&ocirc;ng li&ecirc;n quan qu&aacute; m&#7913;c &#273;&#7871;n vi&#7879;c th&acirc;n ch&#7911; s&#7907; h&atilde;i, lo &acirc;u ho&#7863;c tr&aacute;nh n&eacute; c&aacute;c t&igrave;nh hu&#7889;ng x&atilde; h&#7897;i.	Nguy&ecirc;n nh&acirc;n n&agrave;o g&acirc;y ra ch&#7913;ng r&#7889;i lo&#7841;n lo &acirc;u x&atilde; h&#7897;i?	R&#7889;i lo&#7841;n lo &acirc;u x&atilde; h&#7897;i &#273;&ocirc;i khi x&#7843;y ra trong c&aacute;c gia &#273;&igrave;nh, nh&#432;ng kh&ocirc;ng ai bi&#7871;t ch&#7855;c t&#7841;i sao m&#7897;t s&#7889; th&agrave;nh vi&ecirc;n trong gia &#273;&igrave;nh m&#7855;c b&#7879;nh n&agrave;y trong khi nh&#7919;ng ng&#432;&#7901;i kh&aacute;c th&igrave; kh&ocirc;ng. C&aacute;c nh&agrave; nghi&ecirc;n c&#7913;u &#273;&atilde; ph&aacute;t hi&#7879;n ra r&#7857;ng m&#7897;t s&#7889; b&#7897; ph&#7853;n c&#7911;a n&atilde;o c&oacute; li&ecirc;n quan &#273;&#7871;n s&#7921; s&#7907; h&atilde;i v&agrave; lo l&#7855;ng. M&#7897;t s&#7889; nh&agrave; nghi&ecirc;n c&#7913;u cho r&#7857;ng vi&#7879;c &#273;&#7885;c sai h&agrave;nh vi c&#7911;a ng&#432;&#7901;i kh&aacute;c c&oacute; th&#7875; &#273;&oacute;ng vai tr&ograve; g&acirc;y ra ho&#7863;c l&agrave;m tr&#7847;m tr&#7885;ng th&ecirc;m ch&#7913;ng lo &acirc;u x&atilde; h&#7897;i. V&iacute; d&#7909;, b&#7841;n c&oacute; th&#7875; ngh&#297; r&#7857;ng m&#7885;i ng&#432;&#7901;i &#273;ang ch&#7857;m ch&#7857;m ho&#7863;c cau m&agrave;y nh&igrave;n b&#7841;n trong khi th&#7921;c s&#7921; kh&ocirc;ng ph&#7843;i v&#7853;y. C&aacute;c k&#7929; n&#259;ng x&atilde; h&#7897;i k&eacute;m ph&aacute;t tri&#7875;n c&#361;ng l&agrave; m&#7897;t nguy&ecirc;n nh&acirc;n c&oacute; th&#7875; g&oacute;p ph&#7847;n kh&aacute;c v&agrave;o ch&#7913;ng lo &acirc;u x&atilde; h&#7897;i. V&iacute; d&#7909;, n&#7871;u b&#7841;n c&oacute; k&#7929; n&#259;ng x&atilde; h&#7897;i k&eacute;m ph&aacute;t tri&#7875;n, b&#7841;n c&oacute; th&#7875; c&#7843;m th&#7845;y ch&aacute;n n&#7843;n sau khi n&oacute;i chuy&#7879;n v&#7899;i m&#7885;i ng&#432;&#7901;i v&agrave; c&oacute; th&#7875; lo l&#7855;ng v&#7873; vi&#7879;c l&agrave;m &#273;&oacute; trong t&#432;&#417;ng lai. B&#7857;ng c&aacute;ch t&igrave;m hi&#7875;u th&ecirc;m v&#7873; n&#7895;i s&#7907; h&atilde;i v&agrave; lo l&#7855;ng trong n&atilde;o, c&aacute;c nh&agrave; khoa h&#7885;c c&oacute; th&#7875; t&#7841;o ra c&aacute;c ph&#432;&#417;ng ph&aacute;p &#273;i&#7873;u tr&#7883; t&#7889;t h&#417;n. C&aacute;c nh&agrave; nghi&ecirc;n c&#7913;u c&#361;ng &#273;ang t&igrave;m c&aacute;ch m&agrave; c&aacute;c y&#7871;u t&#7889; m&ocirc;i tr&#432;&#7901;ng v&agrave; c&#259;ng th&#7859;ng c&oacute; th&#7875; &#273;&oacute;ng m&#7897;t vai tr&ograve; n&agrave;o &#273;&oacute;--------------------------------------------------------------PsychoHub - D&#7921; &aacute;n T&acirc;m l&yacute; h&#7885;c thu&#7897;c Youth+ CommunityFanpage:<a href="https://www.facebook.com/PsychoHub.Project/?__cft__%5B0%5D=AZUvilKZIr-yVwCNMmk2ap0S9WQTdMsS2m-ECmzMpWBYdnwnsfBXxzu2xfWK4KWKrtgwHa90yuc0r4t7dfe8d67lG464eEyLfrBIiBfsL3eh5uoLQq5fo_583Sv6UWuRlnqD9i8WqBNVO5RuA_F-Z9fwaK2xMMVaKfWBWbZVXy-pDQ&amp;__tn__=kK-R" rel="noopener noreferrer" target="_blank" style="background-color: transparent; color: rgb(0, 0, 0);"> https://www.facebook.com/PsychoHub.Project/</a>Email: youth.psychohub@gmail.com

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[PSYCHOHUB] Social Anxiety Disorder: More Than Just Shyness

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