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What is Social Anxiety Disorder? Social anxiety disorder is a severe anxiety disorder that can cause problems with your daily activities. While most people feel uncomfortable or anxious when in social situations, people with social anxiety disorder experience extreme anxiety and anxiety. It can impact their relationships and careers. It can also lead to depression and substance abuse. Treatment can include cognitive behavior therapy including medication, role-playing, medication and social skills training. Medications may include antidepressants such as selective serotonin reuptake inhibitors (SSRIs) and beta blockers. Signs and symptoms Social anxiety disorder makes people experience extreme anxiety or distress when they are in situations where they think people will observe their behavior and evaluate them negatively. This can include meeting people who are not familiar with them, eating or drinking in public, or giving a speeches or performing. The person could avoid the situation they fear or endure it with intense anxiety and distress. These feelings are out of proportion to the actual danger or embarrassment. They can also cause major disruptions to daily life and cause disruption to relationships. People suffering from this disorder have a lower chance of having close friends and finding a job or maintaining intimate relationships. They also have a higher risk of developing depression and substance abuse. Symptoms of this disorder can include shaking, blushing or sweating. The patient may not be able to communicate clearly or maintain eye contact. He or she may tremble while talking on the phone or writing, and find it difficult to keep a job due to poor performance in meetings or in interviews. In IamPsychiatry , this disorder can result in other anxiety disorders, major depression disorder and suicidal thinking. In these instances the treatment is typically more intense and should be supervised by an experienced mental health professional who has experience in managing these disorders. Some types of psychotherapy, such as cognitive behavioral therapy (CBT), can help in treating social anxiety. CBT is a method of changing negative thoughts or beliefs that contribute to the disorder. It also helps the patient to face the situations that cause anxiety gradually with the assistance of a therapist, and in a safe environment. A form of psychotherapy known as exposure and response or cognitive delivered exposure may be used to treat individuals who suffer from extreme social anxiety. It is common to use medication alongside psychological treatments to ease symptoms of this disorder. These medications can help reduce 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 usually prescribed for this condition. Beta blockers and other antidepressants could also be helpful. Diagnosis Everybody experiences some level of anxiety in certain social settings. For instance, when meeting new people, going out on dates, or performing. However, when the anxiety gets overwhelming and affects everyday life, a diagnosis of social anxiety disorder may be needed. The condition, which is also known as social anxiety disorder, is not based solely on the personality of the person or their environment. It differs from shyness. It is a genuine, chronic disease that requires treatment. A medical professional will usually diagnose a condition by speaking with the patient and conducting an examination. The therapist can then recommend psychotherapy (sometimes called talk therapy) or medication to help manage symptoms. Certain types of talk therapy may help manage anxiety, including cognitive behavioral therapy (CBT). This approach helps the person identify and change negative thoughts and beliefs about social situations that trigger anxiety. It can teach someone how to handle stressful situations, including practicing relaxation techniques and calm breathing. It could also include an exposure therapy which involves gradually exposing a person to the social situations that they are afraid of under the guidance of a counselor. Prescription medications like antidepressants and antianxiety medication can offer relief to many sufferers of social anxiety disorder. Selective serotonin-reuptake inhibitors (SSRIs) like paroxetine (Paxil), and sertraline, (Zoloft) are used to treat social anxiety disorders. However, other drugs could be equally efficient. It can take several attempts to find the appropriate medication. Research suggests that a mix of therapies is most effective. This could include CBT exposure therapy, CBT, or another type of psychological treatment such as interpersonal therapy. It is important that people seek treatment for anxiety, as the condition can cause depression and addictions like alcohol or drugs. It can also cause issues at work or school and can lead to isolation. Certain people suffering from social anxiety might benefit from expressive therapies, like art therapy. The therapy teaches people to express themselves through drawing, painting or other creative activities. It has been shown that in certain cases, it can help reduce anxiety symptoms to a lesser degree. Treatment Many people are nervous in certain social situations, like meeting new people or giving the presentation. But when the fear and anxiety persist in the long run, it can lead to a mental health disorder called social anxiety disorder or anxiety. It's more than shyness, and requires treatment to overcome. Treatment options include psychotherapy, medication, or both. The first step is to get an accurate diagnosis from a health professional, such as a physician or a counselor. He or she will check to determine if physical problems are causing your symptoms. Then, they will refer you to an expert in mental health care for help, such as psychiatrist or psychologist. Cognitive-behavioral therapy (CBT) is the most common form of psychotherapy for treating social anxiety disorder. In CBT the therapist or counselor helps you overcome negative patterns of thinking and develop better strategies to handle stressful situations. You may also learn relaxation techniques and ways to conquer your fears one step at a time. CBT usually takes place over multiple sessions, and you may be required to complete your homework between sessions. Social anxiety disorder can be treated using 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). These medications typically last for several weeks before you begin to notice effects, and they can trigger adverse effects like headache or insomnia. The use of medications that block the stimulating effect of adrenaline, including beta-blockers are also available, and may help control some of the physical symptoms of anxiety, including rapid heart rate and blood pressure, sweating and shaking vocal cords and limbs. These drugs are a source of addiction and can cause sedation. Therefore, doctors don't usually prescribe these medications to treat social anxiety. Children with social anxiety may be able to overcome the disorder as they grow older However, if the disorder is not treated, it can cause to serious depression and mental health issues. Talk to your GP when your child suffers from severe social anxiety disorder. Prevention It's normal to be nervous or anxious when you are in a social context like meeting new people or giving a presentation. However, this feeling can become a problem when it causes disruption to your daily activities and causes anxiety. It's more than shyness, and it can affect your self-esteem, relationships and even your school or work performance. It is important to seek treatment if you're struggling with this issue. There are many ways to seek help that include treatment, medication, and support groups. People with social anxiety usually realize that their fears are irrational and exaggerated, yet they are unable to overcome these fears. They may avoid social interactions and are unable to participate in friendships, education, and employment. They are also more susceptible to depression or addiction to drugs. Stress management and talk therapy techniques such as mindfulness meditation and breathing exercises are commonly used to combat 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 employ cognitive behavioral therapy (CBT) and social skills training and role-playing in order to help you face the situations that make you feel anxious in a safe environment. A few of the symptoms associated with social anxiety can be treated with medication, such as excessive sweating and heart palpitations. Before taking any medication, people with social anxiety should discuss possible adverse effects with their physician. Some mental health professionals suggest avoidance of substances such as caffeine, alcohol or other substances that may increase the severity of your symptoms. They might suggest that you get enough sleep and eat a healthy diet. They might also suggest to go for walks in the nature, which can have an uplifting effect and help you to focus on the beauty around you. There are many ways to manage social anxiety. Whether you're seeking treatment or medication, it is essential to begin treatment early to ensure that your symptoms don't get out of control and prevent you from living the life you want to live. BetterHelp can connect you to a licensed and accredited counselor to help you manage your feelings.