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What is Social Anxiety Disorder? While we all get nervous or uncomfortable in certain social situations, people with social anxiety disorder have intense fear and anxiety that affects their daily life. It can affect their relationships and careers. It can also cause depression and substance abuse. Treatment may include cognitive behavior therapy (CBT) as well as medication and role-playing or social skill training. Medications may include antidepressants like selective serotoninin reuptake inhibitors (SSRIs) and beta blockers. Signs and symptoms Social anxiety disorder causes people to feel intense fear or distress when they are in situations where they think people will observe their actions and judge them negatively. This includes meeting unfamiliar people, eating or drinking in public, or giving an address or performance. The person can choose to avoid the occasion or suffer immense anxiety and distress. These feelings aren't in proportion to the risk or embarrassment. They also cause major disruptions in daily life and can affect relationships. People with this condition are less likely of having close friends and finding a job or maintaining relationships. They also are at a greater risk of developing depression and abuse. Symptoms of this disorder can include shaking, blushing, or sweating. The person may not be able speak clearly or make eye contact. They may tremble when speaking on the phone or when writing, and may be unable to maintain the job due to inadequate performance in interviews or meetings. In severe cases, this disorder can cause other anxiety disorders, major depression disorder, and suicidal thoughts. In these cases the treatment will be more intensive and should be guided by an expert in mental health who has experience in treating these disorders. Certain psychotherapies, like cognitive-behavioral therapy (CBT), may aid in treating social anxiety disorder. CBT aims at changing negative thoughts or beliefs that cause the disorder. It also teaches people to face situations that cause anxiety slowly, with the assistance of an experienced therapist in a secure setting. A type of psychotherapy called exposure and response prevent or cognitive delivered exposure may be used to treat people who suffer from extreme social anxiety. Psychological treatments are usually combined with medication to treat symptoms of this disorder. These medications can alleviate the embarrassing and uncomfortable symptoms that are associated with this disorder. This disorder is usually treated with selective serotonin reuptake inhibits such as paroxetine, sertraline or Venlafaxine. Beta blockers and other antidepressants can also be helpful. Diagnosis Most people feel nervous in social situations, such as meeting new people, going out on a date or giving a performance. But when the fear is so overwhelming that it interferes with daily life and activities, a diagnosis of social anxiety disorder may be needed. The condition, referred to as social anxiety disorder, is not solely based on the personality of the individual or their environment. It is distinct from shyness. It is a real chronic disease that requires treatment. A medical professional can usually diagnose the condition through a conversation with a patient and conducting an examination. The therapist might then suggest psychotherapy, also referred to as talk therapy, or medication to control symptoms. Cognitive behavioral therapy (CBT) is one kind of talk therapy that can help to manage anxiety. This method helps people identify and change negative thoughts and beliefs about social situations that trigger anxiety. It can teach someone how to handle stressful situations, for example, by practicing relaxation techniques and calming breathing. It may also include exposure therapy, which entails gradually building up to social situations that one is scared of, with the guidance of an experienced therapist in a secure environment. Many people with social anxiety disorder find relief from prescription medications, including antidepressants and antianxiety medications. Selective serotonin reuptake inhibits (SSRIs) such as paroxetine (Paxil) and sertraline (Zoloft) are used to treat social anxiety disorder. However, other drugs can be equally efficient. Sometimes, it takes several attempts to determine the most appropriate medication for a person. Research has shown that combination therapy is the most effective. This could include CBT and exposure therapy, or other kinds of psychological treatment such as interpersonal therapy. It is crucial that an individual receives treatment for anxiety because it can lead to depression or addictions such as alcohol and other drugs. It can also lead to issues at school or at work and lead to isolation. Some people with social anxiety may benefit from expressive therapies, like art therapy. This teaches people to express their feelings through drawing, painting or other creative pursuits. It has been shown to reduce the severity of symptoms of anxiety in some instances. Treatment Many people are nervous in certain social situations, such as meeting new people or giving a the presentation. However, when the fear and anxiety persist and it develops into a mental health condition called social anxiety disorder or social anxiety. It's more than shyness, and requires treatment to overcome. Treatment options include psychotherapy, medication or both. Often, the first step is to obtain an assessment from a health professional like a doctor or a counselor. He or she will check to determine if physical issues are behind your symptoms. Then, they will refer you to an expert in mental health care like psychiatrist or psychologist. The most commonly used psychotherapy to treat anxiety disorders affecting social phobia is cognitive-behavioral therapy (CBT). In CBT, you will be guided by a qualified counselor to confront negative thought patterns and find new ways to cope with stressful situations. In addition, you may practice relaxation techniques and learn to face your fears in small steps. CBT usually runs in multiple sessions, and you may be asked to complete assignments between sessions. Antidepressants are frequently used to treat anxiety disorders, and they can be beneficial for certain people suffering from social anxiety disorders. 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 headache or insomnia. Medicines that block the stimulant effect of adrenaline, like beta-blockers, are also available and can help control certain physical symptoms of anxiety, such as rapid heart rate and blood pressure as well as shaking and sweating voice and limbs. social anxiety disorder treatment can be addictive and sedating. Therefore, doctors don't usually prescribe them to treat social anxiety. Children suffering from social anxiety might overcome the condition as they get older, but if it is not addressed, it could result in to serious depression and mental health issues. Consult your GP when your child is suffering from severe social anxiety disorder. The following is a list with preventions. It's normal to feel nervous or anxious in a social situation, such as meeting new people or making an appearance. However, this anxiety could turn into a disorder when it affects your daily routine and causes anxiety. It's more than shyness, and it can affect your self-esteem, relationships and work or school performance. If you are struggling with this condition, it is important to seek out help. There are many options for assistance from medication to therapy to support groups. Social anxiety sufferers are aware their fears could be unfounded or exaggerated, yet they are still struggling to overcome their fears. They might avoid social interactions and may miss out on opportunities for education, employment and friendships. They also are at greater risk for depression or substance abuse. Treatment for social anxiety typically involves talk therapy and strategies for managing stress such as breathing exercises and mindfulness meditation. A therapist can help challenge the negative, unhelpful thinking that fuels your social anxiety. They will then replace these thoughts with more positive ones. They can also use cognitive behavioral therapy (CBT) and social skills training and role-playing to help you face the situations that make you anxious in a secure setting. The use of medications can also help to alleviate some of the symptoms of social anxiety like heart palpitations and sweating. People suffering from this condition must always discuss potential side effects with their doctors prior to starting any medication. Some mental health professionals recommend avoid substances that could make your symptoms worse, including alcohol, caffeine, and drugs. They might suggest that you get enough sleep and eat a healthy, balanced diet. You may be advised to take a stroll outside, which can help you relax and focus on the beauty of nature. There are many ways to manage social anxiety. It is important to seek treatment promptly, whether seeking treatment or medication. This will stop your symptoms from becoming out of control. If you need assistance, BetterHelp can match you with a licensed, reputable therapist who can help you cope with your feelings and flourish in your daily life.