Journal article
Treatment options for fear of blushing
Current Psychiatry Reports, Vol.22(6), Article 28
2020
Abstract
Purpose of Review
To review mechanisms of blushing and fear of blushing from physiological, neuropharmacological and psychological viewpoints, and to evaluate current forms of treatment for blushing-related fear.
Recent Findings
Blushing appears to be driven primarily by sympathetic adrenomedullary and neural vasodilator discharge, possibly in association with secondary neurovascular inflammation. Psychological risk factors for fear of blushing include social anxiety, coupled with heightened self-focused attention and inflated beliefs about the likelihood and social costs of blushing. In addition, schemas of emotional inhibition, social isolation and alienation may underlie blushing-related fears. Established psychological treatments for fear of blushing include task concentration training, exposure, cognitive therapy, social skills training, psychoeducation and applied relaxation. More novel approaches include mindfulness and mindful self-compassion, video feedback and imagery rescripting. There are no established pharmacological treatments specifically for fear of blushing. However, selective serotonin reuptake inhibitors and serotonin-norepinephrine reuptake inhibitors are effective treatments for social anxiety disorder and may thus help some patients manage their fear of blushing.
Summary
A reactive sympathetic nervous system may interact with psychological predispositions to intensify fear of blushing. These physiological and psychological risk factors could be promising targets for treatment.
Details
- Title
- Treatment options for fear of blushing
- Authors/Creators
- P.D. Drummond (Author/Creator)G.B. Shapiro (Author/Creator)M. Nikolić (Author/Creator)S.M. Bögels (Author/Creator)
- Publication Details
- Current Psychiatry Reports, Vol.22(6), Article 28
- Publisher
- Springer Nature
- Identifiers
- 991005543285507891
- Copyright
- © 2020 Springer Nature Switzerland AG.
- Murdoch Affiliation
- School of Allied Health
- Language
- English
- Resource Type
- Journal article
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- Collaboration types
- Domestic collaboration
- International collaboration
- Citation topics
- 1 Clinical & Life Sciences
- 1.21 Psychiatry
- 1.21.1949 Social Anxiety
- Web Of Science research areas
- Psychiatry
- ESI research areas
- Psychiatry/Psychology