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What is Social Anxiety Disorder? Although most of us are anxious or uncomfortable in certain social situations, people with social anxiety disorders experience extreme anxiety and fear that can affect their everyday life. It can impact their relationships and careers. And it can lead to depression and substance abuse. Treatment can include cognitive behavioral therapy (CBT), medication, and role-playing or social skill training. The medications can include antidepressants like selective serotonin reuptake inhibitors (SSRIs) and beta blockers. Signs and symptoms Social anxiety disorder is characterized by intense fear and distress when people think that others will be negative about them based on their behavior. This includes meeting unfamiliar people, eating or drinking in public, and giving a speech or performance. The person may choose to avoid the event or experience immense anxiety and distress. These feelings are in proportion to the actual danger or embarrassment involved. depression and anxiety disorders can also lead to major disruptions to daily life and can cause a disruption to relationships. People with this condition are less likely to have close relationships, get jobs, or maintain intimate relationships. They also are at a greater risk of developing depression and substance abuse. This condition can cause blushing, sweating, or shaking. The patient may not be able to speak clearly or maintain eye contact. He or she might tremble when talking on the telephone or writing, and might have difficulty maintaining an employment position due to inadequate performance in meetings or interviews. In extreme cases, this disorder can cause other anxiety disorders, major depressive disorder and suicidal thinking. In these cases, treatment is usually more intense and should be guided by an experienced mental health professional who has experience in treating these disorders. Some psychotherapies, such as cognitive-behavioral therapy (CBT) may be able to help treat social anxiety disorder. CBT aims to alter negative thoughts or beliefs that can trigger the disorder. It also teaches people to confront situations that trigger anxiety slowly, with the help of an experienced therapist in a secure setting. Another form of psychotherapy, known as exposure and response prevention, or cognitive delivered exposure, is used to help people with extreme social anxiety disorders. It is common to use medication in conjunction with psychological therapies to treat symptoms of this disorder. These medications can reduce or eliminate the painful and embarrassing symptoms of this disorder. This disorder is usually treated by sever serotonin reuptake inhibitors like sertraline, paroxetine, or venlafaxine. Beta blockers and other antidepressants could also be beneficial. Diagnosis Nearly everyone experiences some level of anxiety in certain social situations. For example, when meeting new people, going out on an evening date or performing. However, if the fear is so overwhelming that it interferes with everyday life, a diagnosis of social anxiety disorder may be needed. Also known as social phobia the condition is not rooted in the individual's personality or environment and differs from shyness. It is a chronic, real illness that requires treatment. A doctor can usually diagnose the condition by talking with the patient and performing a physical exam. The therapist may then recommend psychotherapy, also referred to as talk therapy, or medication to control symptoms. Certain kinds of talk therapy can help with anxiety, including cognitive behavioral therapy (CBT). This method helps people recognize and alter negative thoughts and beliefs about social situations that trigger anxiety. It can teach a person techniques to deal with stressful situations, such as practicing relaxation techniques and calming breathing. It may also incorporate an exposure therapy which involves gradually exposing a person the social situations they are afraid of under the guidance of a counselor. Prescription medications such as antidepressants and antianxiety medication can provide relief for many people with social anxiety disorders. Selective serotonin reuptake inhibitors (SSRIs), such as paroxetine (Paxil) and sertraline (Zoloft), are the first type of medication used to treat this disorder however, other medications may work similarly. Sometimes, it takes a few attempts to determine the most appropriate medication for an individual. Research has shown that a combination therapy is the most efficient. This could include CBT, exposure therapy or another form of psychological treatment such as interpersonal therapy. It is important that someone receive treatment for anxiety because the condition can cause depression and addictions like drugs or alcohol. It can also lead to problems at work or school and can cause isolation. Art therapy, for example can be beneficial to those suffering from social anxiety. This therapy helps people learn to express themselves through drawing, painting or other creative activities. It has been demonstrated that in some cases it can reduce anxiety symptoms to a lesser degree. Treatment Many people are nervous in certain social situations, such as meeting new people or giving a a presentation. However, when anxiety and fear continue to linger, it becomes a mental health disorder called social anxiety disorder or phobia. It's more than shyness, and it requires treatment to overcome. Treatment options include psychotherapy, medication or both. The first step is to obtain an accurate diagnosis from a health care professional such as a doctor or counselor. The doctor or counselor will look into whether there are any physical ailments that cause the symptoms, and then recommend you to an expert in mental health like a psychologist or psychiatrist. The most popular psychotherapy used to treat social anxiety disorder is called cognitive-behavioral therapy (CBT). In CBT therapy, a certified counselor or therapist assists you to confront negative thinking patterns and learn better ways to manage stressful situations. You can also learn relaxation techniques and how to confront your fears one step at a time. CBT usually takes place in multiple sessions, and you may be required to complete your homework between sessions. Social anxiety disorder can be treated with antidepressants. The selective serotonin reuptake inhibitors (SSRIs) fluoxetine (Prozac), sertraline (Zoloft) and paroxetine (Paxil) are often prescribed for this condition, as well as the serotonin-norepinephrine reuptake inhibitors (SNRIs) duloxetine (Cymbalta) and venlafaxine (Effexor XR). It can take several weeks for you to feel the effects of these drugs. They may also cause unwanted side effects like headaches or insomnia. Medicines that block the stimulant effect of adrenaline, including beta-blockers, are also available and can help control certain physical symptoms of anxiety, including rapid blood pressure and heart rate as well as shaking and sweating voice and limbs. But because these drugs can cause dependence and induce sedation, physicians don't typically prescribe them for general treatment of social anxiety. Children who suffer from social anxiety may overcome the disorder as they grow older however if it's not treated, it can lead to serious depression and mental health issues. If your child is suffering from severe social anxiety disorders consult your GP regarding the treatment options available. The following is a list with preventions. Although it's normal to feel nervous or anxious in certain social situations, like meeting new people, or giving an oral presentation, this feeling can become a disorder when it interferes with everyday activities and causes stress. It is more than shyness and it can affect your self-esteem, relationships, and school or work performance. If you have issues with this issue, it is important to seek help. There are many options for assistance from medication to therapy to support groups. Social anxiety sufferers are aware that their fears could be unfounded or exaggerated, however they still struggle to overcome their fears. They may avoid social interactions and are unable to participate in friendships, education, and employment. They are also more susceptible to depression or abuse of substances. Treatment for social anxiety often involves talk therapy and stress management techniques, such as breathing exercises and mindfulness meditation. A therapist can help you challenge the negative, unhelpful thoughts that cause your social anxiety. They then help you replace these thoughts with more balanced ones. They can also employ cognitive behavioral therapy (CBT), social skills training, and role-playing to help you deal with situations that make you feel anxious in a secure setting. Medications can also be used to alleviate some of the symptoms of social anxiety like heart palpitations and sweating. Before taking any medication, those who suffer from social anxiety must discuss the potential side effects with their doctor. Some mental health professionals recommend avoiding substances like caffeine, alcohol, or drugs that can increase the severity of your symptoms. They may recommend that you get enough sleep and eat a healthy, balanced diet. You might be advised to take a walk outside, which can help you relax and concentrate on the beauty of nature. Getting help for social anxiety is quite common and there are numerous treatment options available. It is crucial to seek treatment promptly, whether seeking therapy or medication. This will stop your symptoms from spiraling out of control. If you're in need of assistance, BetterHelp can match you with a licensed, reputable counselor who can help you manage your emotions and thrive in everyday life.