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Facial Blushing: Psychiatric Management

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Frequent or severe facial blushing may cause distress and impede a person’s social interactions. It often leads to fear of blushing (erythrophobia) and avoidance of social situations. Current psychiatric classifications state that blushing is a hallmark physical response of social anxiety disorder (SAD).

US Food and Drug Administration (FDA)-approved drugs for SAD, such as the selective serotonin reuptake inhibitors (SSRIs) sertraline and fluvoxamine, have been shown to be superior to placebo for treating facial blushing. A newer SSRI, escitalopram, has been successfully used for erythrophobia. β-Blockers taken prior to a situation that typically triggers blushing may also be effective for incapacitating blushing and performance anxiety.

Likewise, task concentration training, the most widely known psychological therapy for fear of blushing, and cognitive–behavioral treatments for SAD are good treatment options. Since they involve learning processes, they have the advantage of providing longer-lasting results.

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  • Bögels SM. Task concentration training versus applied relaxation, in combination with cognitive therapy, for social phobia patients with fear of blushing, trembling and sweating. Behav Res Ther. 2006;44:1190–210.

    Article  Google Scholar 

  • Chaker S, Hofmann SG, Hoyer J. Can a one-weekend group therapy reduce fear of blushing? Results of an open trial. Anxiety Stress Coping. 2010;23(3):303–18.

    Article  Google Scholar 

  • Clark DM, Wells A. A cognitive model of social phobia. In: Heimberg R, Liebowitz M, Hope DA, Schneier FR, editors. Social phobia: diagnosis, assessment, and treatment. New York, NY: Guilford Press; 1995. p. 69–93.

    Google Scholar 

  • Connor KM, Davidson JR, Chung H, Yang R, Clary CM. Multidimensional effects of sertraline in social anxiety disorder. Depress Anxiety. 2006;23(1):6–10.

    Article  CAS  Google Scholar 

  • Crozier W. Blushing and the social emotions. Basingstoke: Palgrave Macmillan; 2006.

    Book  Google Scholar 

  • Crozier WR, de Jong PJ. The psychological significance of the blush. Cambridge: Cambridge University Press; 2013.

    Google Scholar 

  • Dijk C, Buwalda FM, de Jong PJ. Dealing with fear of blushing: a psychoeducational group intervention for fear of blushing. Clin Psychol Psychother. 2012;19:481–7.

    Article  Google Scholar 

  • Jadresic E, Suárez C, Palacios E, Palacios F, Matus P. Evaluating the efficacy of endoscopic thoracic simpathectomy for generalized social anxiety disorder with blushing complaints: a comparison with sertraline and no treatment. Innov Clin Neurosci. 2011;8:24–35.

    PubMed  PubMed Central  Google Scholar 

  • Leary MR, Cutlip WD II, Brito TW, Templeton JL. Social blushing. Psychol Bull. 1992;3:446–60.

    Article  Google Scholar 

  • Rapee RM, Heimberg RG. A cognitive-behavioral model of anxiety in social phobia. Behav Res Ther. 1997;35(8):741–56.

    Article  CAS  Google Scholar 

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Jadresic, E. (2018). Facial Blushing: Psychiatric Management. In: Loureiro, M., Campos, J., Wolosker, N., Kauffman, P. (eds) Hyperhidrosis. Springer, Cham.

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-89526-0

  • Online ISBN: 978-3-319-89527-7

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