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What is Social Anxiety Disorder? Social anxiety disorder is a serious anxiety disorder that can hinder with your daily activities. Although most people are uncomfortable or nervous in social situations, people with social anxiety disorder experience extreme anxiety and fear. It affects their relationships and their careers. It can also cause depression and even alcohol abuse. Treatment may include cognitive behavior therapy (CBT) or medication and role-playing or social skills training. Treatment options include antidepressants, such as selective serotonin reuptake inhibitors (SSRIs) and beta blockers. Symptoms Social anxiety disorder is characterized by intense fear and distress when people think that people will be negative about them based on their conduct. This includes meeting unfamiliar people drinking or eating in public, or giving a speeches or performing. The person may avoid the fearful situation or suffer from intense anxiety and distress. These feelings are out of proportion to the actual risk or embarrassment. They also cause major disruptions to daily life and can affect relationships. People with this disorder have a lower chance of having close friends or finding work or maintaining close relationships. They are also more vulnerable to depression and addiction issues. The signs of this disorder may include shaking, blushing or sweating. The person may not be able to keep eye contact or communicate clearly. They may be frightened when talking on the phone or in writing. They may also struggle to maintain an employment position because of poor performance in meetings or in interviews. In extreme cases, the symptoms of this disorder can cause an individual to develop other anxiety disorders or a major depressive disorder, as well as suicidal thoughts. In these instances the treatment is typically more intense and should be supervised by a mental health professional with expertise in managing these disorders. Certain psychotherapies, like cognitive-behavioral therapy (CBT), may aid in treating social anxiety disorder. CBT seeks to alter negative beliefs or thoughts that cause the disorder. It also helps a person to confront situations that trigger anxiety slowly, with the help of the therapist in a safe setting. A type of psychotherapy called exposure and response prevention or cognitive delivered exposure can be used to treat individuals who have extreme social anxiety. Psychological treatments are usually combined with medications to treat the symptoms of this disorder. The medications can lessen or eliminate the painful and embarrassing symptoms of this disorder. Selective serotonin reuptake inhibitors, such as paroxetine (Paxil) sertraline (Zoloft), or venlafaxine (Effexor XR) are commonly prescribed for this condition. Beta blockers and other antidepressants may also be beneficial. Diagnosis Nearly everyone experiences some level of anxiety in certain social settings. For instance, you meet new people, going out on dates or performing. However, when the anxiety is so overwhelming that it interferes with everyday life, a diagnosis of a social anxiety disorder may be needed. Also called social phobia, the condition is not based on a person's personality or the environment, and is distinct from shyness. It is a persistent real disease that requires treatment. A medical professional typically diagnoses a problem through a conversation with the patient and conducting a physical examination. The therapist could then recommend psychotherapy, also referred to as talk therapy or medication to treat symptoms. Cognitive behavioral therapy (CBT) is one kind of talk therapy that can help manage anxiety. This method helps people identify and change negative beliefs and thoughts about social situations that cause the anxiety. It can help people learn to cope with stressful situations, like practicing breathing techniques to relax or calm. It may also incorporate an exposure therapy, which involves gradually exposing a person the social situations that they are afraid of under the guidance of a therapist. Prescription medications like antidepressants and antianxiety medications can provide relief for many people with social anxiety disorders. Selective serotonin reuptake inhibitors (SSRIs) like paroxetine (Paxil) and sertraline (Zoloft), have been used to treat anxiety disorders involving social interaction. However, other drugs can be equally efficient. Sometimes, it takes a number of tries to find the right medication for an individual. Research has shown that a combination of therapies is the most effective. This could include CBT exposure therapy, or another type of psychological treatment, such as interpersonal therapy. It is crucial that someone receive treatment for anxiety because the condition can cause depression and addictions such as alcohol or drugs. It can also cause problems at school or at work and cause isolation. Some people with social anxiety may benefit from expressive therapies, like art therapy. This therapy helps people learn to express themselves through drawing, painting or other creative activities. It has been shown that in certain instances, it can lessen anxiety symptoms to a lesser degree. Treatment Many people feel anxious when they meet new people or give presentations. However, when anxiety and fear continue to linger, it becomes a mental health condition known as social anxiety disorder or social anxiety. It is more than shyness and requires treatment. Treatment options include psychotherapy, medication or both. A medical professional such as counselor or doctor is often able to provide an assessment. The doctor or counselor will look into whether there are any physical ailments causing the symptoms, and refer you for a mental health specialist, like a psychiatrist or psychologist. The most commonly used psychotherapy to treat social anxiety disorder is called cognitive-behavioral therapy (CBT). In CBT therapy, a certified counselor or therapist helps you confront negative thinking patterns and learn better ways to handle stressful situations. In addition, you may practice relaxation techniques and learn to confront your fears in small steps. CBT usually takes place over multiple sessions, and you might 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 could take several weeks for you to start feeling the effects of these drugs. They may also cause adverse effects such as headaches or insomnia. Medications that block the stimulating effects of adrenaline, including beta-blockers are also available and can help control some of the physical symptoms of anxiety, including rapid blood pressure and heart rate, sweating and shaking vocal cords and limbs. These drugs can be addictive and sedative. Therefore, doctors don't usually prescribe them to treat social anxiety. Children suffering from social anxiety might be able to overcome the disorder as they get older, but if it is not addressed, it could result in to serious depression and mental health issues. Speak to your GP in the event that your child has a severe social anxiety disorders . The following is a list with preventions. It's normal to feel nervous or anxious in a social context like meeting new people or presenting presentations. However, this anxiety can become a problem when it causes disruption to your daily routine and causes stress. It is more than shyness and it can affect your self-esteem, relationships and work or school performance. It is crucial to seek treatment if you are struggling with this issue. Fortunately, there are many options for assistance including medication, therapy to support groups. People with social anxiety usually recognize that their fears are unfounded and overblown, but they are unable to overcome these fears. They may avoid social interactions and are unable to access opportunities for education, employment, or friendships. They are also more susceptible to depression or addiction to drugs. Talk therapy and stress management techniques like mindfulness meditation and breathing exercises are commonly employed to treat social anxiety. A therapist can help you challenge the negative, unhelpful thinking that fuels your social anxiety. They will then replace these thoughts with more balanced ones. They can also utilize social skills training, role-playing as well as other cognitive behavior therapies (CBT) to help you gradually face the situations that cause anxiety in a secure environment. A few of the symptoms that are associated with social anxiety can be treated with medication, such as excessive sweating and heart palpitations. Patients suffering from this condition should discuss potential adverse effects with their doctor prior to starting a medication. Some mental health professionals recommend abstaining from substances that can make your symptoms worse like caffeine, alcohol and other drugs. They may suggest that you get enough rest and eat healthy foods. They might also suggest to go for a walk in nature which can provide an uplifting effect and help you concentrate on the beauty around you. Finding help for social anxiety is quite common and there are numerous treatment options available. It is essential to seek treatment early, whether you are seeking therapy or taking medication. This will prevent your symptoms from spiraling out of control. BetterHelp can connect you with a licensed and accredited therapist who can assist you in addressing your feelings.