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What is Social Anxiety Disorder? While most of us get anxious or uncomfortable in certain social situations, those who suffer from social anxiety disorders have an intense fear and anxiety that interferes with their daily life. It can affect their careers and relationships. And it can result in depression and substance abuse. Treatment can include cognitive behavior therapy as well as medication, role-playing, and social skills training. The medications can include antidepressants like selective serotoninin reuptake inhibitors (SSRIs) and beta blockers. Signs and symptoms Social anxiety disorder can cause people to be in a state of extreme fear or anxiety when they are in situations where they think that others will notice their actions and judge them negatively. This can include situations like meeting new people, eating or drinking in public, or giving speeches. The person could avoid the feared situation or be in anxiety and stress. These feelings are in proportion to the actual danger or embarrassment. They also cause major disturbances in everyday life and affect relationships. People suffering from this condition are less likely of having close relationships with friends or finding work or maintaining intimate relationships. They are also more prone to depression and substance abuse. The symptoms of this disorder could include blushing, shaking, or sweating. The person might be unable to make eye contact or speak clearly. The person may feel tense when talking on the phone or writing, and find it difficult to keep the job due to poor performance in interviews or meetings. In the most severe cases, symptoms of this disorder can cause a person to develop other anxiety disorders or a major depressive disorder, as well as suicidal thoughts. In these cases the treatment is typically more intense and should be guided by a mental health professional with experience in treating these disorders. Certain psychotherapies, for instance cognitive-behavioral therapy (CBT) may be able to aid in treating social anxiety. CBT aims to alter negative thoughts or beliefs that can trigger the disorder. It also helps the patient to face the situations that cause anxiety gradually with the assistance of a therapist and a safe environment. Another form of psychotherapy, called exposure and response prevention, or cognitive delivered exposure, is used to help people with extreme social anxiety disorder. Medication is often used in conjunction with psychological treatments to treat symptoms of this disorder. These medications can help reduce the embarrassing and uncomfortable symptoms associated with this disorder. Selective serotonin-reuptake inhibitors, like paroxetine (Paxil) sertraline (Zoloft) or venlafaxine (Effexor XR), are typically prescribed for this condition. Beta blockers and other antidepressants are also effective. Diagnosis Everybody experiences some level of anxiety in certain social settings. For instance, when making new acquaintances or going out on dates, or performing. But when the fear becomes overwhelming and interferes with everyday life, a diagnosis of a social anxiety disorder may be needed. Also known as social phobia the condition is not based on the person's personality or environment and differs from shyness. It is a persistent real disease that requires treatment. A health care provider is able to diagnose the condition by talking with the patient and performing an examination. The therapist may then recommend psychotherapy, also known as talk therapy or medication to treat symptoms. Cognitive behavioral therapy (CBT) is one type of talk therapy that can help manage anxiety. This method helps people to recognize and alter negative thoughts and beliefs about social situations that cause the anxiety. It can teach someone skills to cope with distressing situations, for example, by practicing relaxation techniques and calming breathing. It can also include exposure therapy, which is gradually working up to the social situations a person fears with the guidance of the therapist in a safe environment. Prescription medications like antidepressants and antianxiety medicines can offer relief to many people suffering from social anxiety disorder. Selective serotonin reuptake inhibitors (SSRIs), such as paroxetine (Paxil) and sertraline (Zoloft) are the primary kind of medication used to treat this condition but other drugs may perform equally well. It may take a few tries to find the appropriate medication. Research shows that a combination of therapies is most efficient. This may include CBT and exposure therapy, or other forms of psychological treatment, like interpersonal therapy. It is important that people seek treatment for anxiety, as the condition can lead to depression and addictions, like drugs or alcohol. It can also cause problems at school or at work and can cause isolation. Some people with social anxiety may benefit from expressive therapies, like art therapy. This therapy teaches people how to express themselves through painting, drawing or other creative activities. It has been proven that in certain instances, it can lessen anxiety symptoms to a lesser degree. Treatment Many people are nervous in certain social situations, such as meeting new people or giving a presentation. However, if the fear and anxiety persist and it develops into a mental health disorder called social anxiety disorder or fear. It's more than shyness, and requires treatment to overcome. Treatment options include psychotherapy, medication or both. A professional health care provider such as counselors or doctors will often be able to give a diagnosis. He or she may examine the situation to determine if there are any physical ailments causing the symptoms, and suggest you see a mental health specialist, like a psychiatrist or psychologist. The most popular psychotherapy used to treat anxiety disorders affecting social phobia is cognitive-behavioral treatment (CBT). In CBT therapy, a certified counselor or therapist assists you to overcome negative patterns of thinking and learn better ways to cope with stressful situations. You can also learn relaxation techniques and how to confront your fears one step at a time. CBT typically takes place over several sessions, and you could be asked to complete homework between sessions. Antidepressants are frequently used to treat anxiety disorders and they can be effective for people with social anxiety disorder. 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 before you feel the effects of these drugs. They can also trigger unwanted side effects like headaches or insomnia. Medications that block the stimulating effects of adrenaline, such as beta-blockers are also available, and may aid in reducing certain physical symptoms of anxiety, including rapid blood pressure and heart rate as well as sweating and shaking of the limbs and voice. These drugs are a source of addiction and can cause sedation. Therefore doctors do not usually prescribe them to treat social anxiety. Children who suffer from social anxiety may outgrow the condition as they get older however if it's not treated, it can cause to mental health and depression issues. Speak to your GP in the event that your child has a severe social anxiety disorders. The following is a list of preventatives. Although it's normal to feel nervous or anxious in certain social situations such as meeting new people or giving a presentation, this feeling can become a disorder when it affects daily activities and causes distress. This is more than just shyness. It can affect your self esteem and relationships as well as school or work performance. If you are struggling with this condition, it is important to seek assistance. Fortunately, there are many options to help including medication, therapy to support groups. People who suffer from social anxiety typically recognize that their fears are irrational and exaggerated, yet they struggle to overcome these fears. They may avoid social interactions and do not have the opportunity to gain education, work, and friendships, and are more likely to be depressed or addiction to drugs. Treatment for social anxiety usually includes therapy sessions and stress management techniques such as breathing exercises and mindfulness meditation. A therapist can help you learn how to challenge negative, unhelpful thoughts that cause your social anxiety and replace them with more balanced perspectives. They can also use role-playing, social skills training, and other cognitive behavioral therapies (CBT) to assist you in overcoming the situations that cause you anxiety in a secure environment. A few of the symptoms that are associated with social anxiety can be cured by medication, such as heart palpitations and excessive sweating. Before taking any medication, people who suffer from social anxiety must discuss possible adverse effects with their physician. Some mental health professionals suggest avoiding substances like alcohol, caffeine or other drugs that could exacerbate your symptoms. They might suggest that you rest enough and eat healthy foods. You may be advised to take a walk outside which will aid in relaxing and focusing on the beauty of nature. There are many methods to treat social anxiety. It is crucial to seek treatment early, whether you're seeking therapy or taking medication. This will stop your symptoms from spiraling out of control. If you require assistance, BetterHelp can match you with a licensed, reputable counselor who can help you manage your emotions and thrive in everyday life.