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12 - What Is Social Anxiety Disorder?

Source: Crunchyroll
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(Please feel free to edit the speaker names if incomplete or inaccurate. Names are handled on a best-effort basis depending on the info on the source file. Dialogue is left as is.)
SIGN    Comical Psychosomatic Medicine!
SIGN    Episode 12
    "What Is Social
    Anxiety Disorder?"
[00:10] Himeru
    What do I do? What do I do? What do I do?
[00:14] Himeru
    What do I do? What do I do?
[00:16] Himeru
    What do I do?
[00:18] Asuna
    This way, Doctor!
[00:18] Himeru
    What do I do? What do I do?
[00:19] Ryou
    O-Okay...
[00:20] Ryou
    But, Asuna-san, is it true that
    Himeru-san is in big trouble?
[00:24] Asuna
    Yes. She even left this note.
SIGN    Asuna, I'm in a major pinch!
    You might say... Da Pinchy.
    Even Mona Lisa is shocked!
[00:28] Ryou
    Is it me or does she seem
    to be taking it in stride?
[00:30] Asuna
    Try not to be surprised.
[00:32] Asuna
    When my sister's in trouble, she changes
    so much, you wouldn't recognize her.
[00:36] Ryou
    Oh, don't exaggerate...
[00:38] Himeru
    Oink.
[00:40] Ryou&Text
    Who is that, seriously?!
[00:42] Asuna
    You're a sow today, Onee-chan?
[00:44] Himeru
    Oink, oink, oink...
[00:44] Ryou
    You're treating her normally?!
SIGN    And you specify "sow"?!
[00:46] Himeru
    Oink, oink, oink.
[00:47] Ryou
    She's a pig inside and out!
[00:48] Asuna
    Uh-huh. I see...
[00:49] Ryou
    They're holding a conversation?!
[00:50] Ryou
    Um, what is she saying?
[00:53] Asuna
    She's saying "oink, oink."
[00:54] Ryou
    I can tell that much!
[00:55] Himeru
    Oink, oink, oink.
[00:58] Himeru
    Oink.
[00:59] Ryou
    Is she a matryoshka doll?
[01:00] Ryou
    Just how serious is this?!
SIGN    Plunk
[01:02] Ryou
    Um... Why are you a sow?
[01:04] Himeru
    W-Well, I'm going to be
    joining a certain club,
[01:07] Himeru
    and I have to introduce myself there.
[01:09] Himeru
    Just thinking about it makes me anxious,
[01:12] Himeru
    so I thought I'd dress as a sow
    so I'd be less embarrassed...
[01:14] Ryou
    I think the sow costume is a few
    million times more embarrassing.
[01:18] Ryou
    So basically,
[01:19] Ryou
    you get nervous in front of large groups?
[01:22] Himeru
    Yes.
[01:23] Asuna
    Then I'll give you some advice rooted
    in the latest psychiatric studies.
[01:26] Ryou
    Huh?!
[01:27] Asuna
    Write "person" on your hand and swallow it!
[01:29] Ryou
    That's not psychiatric or even medical!
[01:31] Ryou
    Also, that's "enter," not "person," Asuna-san!
[01:33] Himeru
    Swallow it...
SIGN    Chew Chew
[01:34] Ryou
    She's trying to swallow it for real!
[01:37] Asuna
    Seeing a family member so freaked
    out actually makes me feel calmer.
[01:41] Ryou
    What good does it do for you to calm down?!
[01:42] Asuna
    Anyway, Doctor, can't you solve this
    with that psychiatry of yours?
SIGN    Gurgle
[01:47] Ryou
    Generally, when anxiety symptoms are strong,
[01:49] Ryou
    it's known in psychiatry
    as "anxiety disorder."
SIGN    Anxiety Disorder
[01:51] [SONG] Text
    Troubled due to anxiety.
[01:52] Ryou
    It means you're troubled due to anxiety.
[01:54] Ryou
    There are various types, but the type
[01:56] Ryou
    that often feels anxious when interacting
    with people, like Himeru-san,
SIGN    Social Anxiety Disorder or (Social Phobia)
[01:59] Ryou
    is known as "social anxiety disorder."
[02:01] Himeru
    Wh-What are the specific symptoms?
[02:04] Ryou
    The most common one is glossophobia.
[02:05] [SONG] Text
    Glossophobia
[02:06] Ryou
    This refers to intense
    anxiety felt when speaking
[02:08] Ryou
    in front of many people,
    such as receptions or meetings.
[02:12] Asuna
    What's it called when you're anxious because
SIGN    Wedding Reception Invitation
[02:14] ---
    everyone around you is holding receptions?
[02:16] Ryou
    That's a different matter.
[02:18] Ryou
    Regardless, many people
    fear public speaking,
[02:20] Ryou
    so don't feel like you're alone.
[02:21] Himeru
    Oh, so it's not just me?
SIGN    Whew
[02:24] Ryou
    I think you are the only
    one who turns into a sow.
[02:26] Ryou
    Then there's "scopophobia,"
[02:26] [SONG] Text
    Scopophobia
[02:27] Ryou
    meaning you feel anxious when
    exposed to the eyes of others.
[02:30] Asuna
    Is there anyone with scopophobia
    who's also an exhibitionist?
SIGN    Ah... I want you to look...! But I'm scared...!
[02:33] Ryou
    If there is, it'd be the
    worst complication ever!
[02:35] Ryou
    Then there's telephonophobia,
SIGN    Telephonophobia
[02:36] Ryou
    an intense anxiety toward
    speaking on the phone.
SIGN    Social Anxiety Disorder
[02:39] [SONG] Text
    Scared to interact with people
[02:40] Ryou
    Whichever you're dealing with,
    the fear of interacting
[02:42] ---
    with people is social anxiety disorder.
[02:44] Asuna
    How is it treated?
[02:45] Ryou
    Well, it's generally treated
    with medication, such as SSRI.
SIGN    Medical Treatment
SIGN    Anti-Anxiety Drugs
    
    Etc.
[02:48] Ryou
    There's also psychological treatment
    and gradual acclimation.
[02:52] Ryou
    For example, if you can speak
    in front of one person,
[02:54] Ryou
    you try it with two, then three,
    and increasingly more.
[02:57] Asuna
    And with each added person,
    your reward doubles, right?
[03:00] Ryou
    It's not a pyramid scheme!
[03:02] Ryou
    For starters, why don't you
    introduce yourself to us?
[03:05] Ryou
    If you practice, you won't get as
    nervous when you do it for real.
[03:08] Himeru
    O-Okay, I'll try.
SIGN    I'm H!
SIGN    I'm H!
[03:12] Ryou
    Okay, hold on! Right from
    the start, hold on!
[03:14] Himeru
    I-I was embarrassed to say my
    name, so I used my initial.
SIGN    H for "Himeru"
[03:17] Ryou
    That's even more embarrassing! Say it right!
[03:19] Himeru
    I'm Himeru! H me!
SIGN    H me!
[03:21] Ryou
    Hold on, again! What is
    this for, a dating site?!
SIGN    H for
    "How do you do"
[03:24] Himeru
    It's for "How do you do."
[03:25] Ryou
    You're the only person in
    Japan who'd abbreviate that!
[03:28] Himeru
    I'll do my best, so please, SM...
[03:31] Ryou
    That's even more abnormal. What's that mean?
[03:33] Himeru
    "Please spare me."
SIGN    "SM" for "spare me"
[03:35] Ryou
    I'm telling you, your abbreviations
    are what's embarrassing!
[03:37] Ryou
    But if you're that nervous,
[03:40] Ryou
    just saying "I'm very
    flustered" is one option.
[03:42] Ryou
    That alone can calm you down.
[03:45] Himeru
    I-I'm very flushtered!
[03:47] Ryou
    Enunciate the whole thing clearly!
[03:49] Ryou
    By the way, what kind of club is it?
[03:51] Himeru
    A figure skating fan club.
[03:53] Asuna
    Wow, that sounds fun!
[03:54] Ryou
    Well, just say what you want to say simply.
[03:56] Ryou
    "Hello, my name is Himeru."
[03:58] Ryou
    "I'm very interested in this activity."
[04:00] Ryou
    "It's nice to meet you."
[04:01] Ryou
    I think that'll be fine.
[04:03] Himaru
    O-Okay. Keep it simple!
[04:06] Asuna
    Oh, Onee-chan, it's just about
    time for you to go, isn't it?
[04:09] Himeru
    Oh, you're right...
[04:11] Himeru
    I'm going now.
[04:11] Asuna
    You can do it!
SIGN    Fall Ice Arena
[04:16] Himeru
    H-H-Hello!
[04:18] Himeru
    M-M-My name is Himeru.
[04:20] Guy
    Nice to meet you!
[04:21] Guy
    It's a woman!
SIGN    Hahh... Hahh...
SIGN    Figures & Skating Fan Club
SIGN    Our first girl! Hot!
SIGN    What kinds of figures do you like?
[04:30] Asuna
    I resign, oink.
[04:33] Asuna
    Onee-chan's closed her heart again.
[04:35] Ryou
    I understand how she feels.
SIGN    If you close your heart too
    much, visit the mental clinic!
SIGN    This program is a work of fiction. There is no guarantee that the treatments mentioned herein
    will work. Before having a medical exam, make sure the doctor deals in these treatments first.
[04:40] ---