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What is Social Anxiety Disorder? Social anxiety disorder is a serious anxiety disorder that can hinder with everyday life. While many people feel uncomfortable or anxious when in social situations, people with social anxiety disorder experience extreme anxiety and fear. It affects their relationships and careers. It can also cause depression and addiction to drugs. Treatment can include cognitive behavioral therapy (CBT), medication, and role-playing, or social skills training. Antidepressants, such as beta blockers and selective serotonin reuptake inhibitors (SSRIs), can be prescribed. Symptoms Social anxiety disorder causes people to feel intense fear or distress when they are in situations where they think people will observe their behavior and evaluate them negatively. This includes when they meet people who are unfamiliar, eating or drinking in public, and giving speeches or performing. The person might avoid the feared situation or endure it with intense distress and anxiety. These feelings aren't in proportion to the danger or embarrassment. They can also lead to major interruptions to your daily routine and can cause a disruption to 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. Symptoms of this disorder can include blushing, shaking, or sweating. The person may not be able to speak clearly or make eye contact. He or she may tremble while talking on the phone or in writing. They may also find it difficult to keep a job due to poor performance at meetings or interviews. In the most severe cases, symptoms of this disorder could cause an individual to develop other anxiety disorders or major depression disorder, as well as suicidal thoughts. In these cases the treatment is typically more intense and should be supervised by an experienced mental health professional who has experience in treating these disorders. Certain psychotherapies, for instance cognitive-behavioral therapy (CBT) can aid in treating social anxiety. CBT aims at changing negative thoughts or beliefs that contribute to the disorder. It also helps the patient to deal with situations that cause anxiety gradually, with the assistance of a therapist and in a safe environment. Another form of psychotherapy, known as exposure and response prevention, or cognitive delivered exposure, is utilized to aid people suffering from extreme social anxiety disorders. Medication is often used in conjunction with psychological therapies to alleviate symptoms of this disorder. These medications can reduce or eliminate the discomforting and embarrassing symptoms of this disorder. Selective serotonin-reuptake inhibitors, like paroxetine (Paxil) sertraline (Zoloft), or Venlafaxine (Effexor XR) are usually prescribed for this disorder. Beta blockers and other antidepressants may also be helpful. Diagnosis Nearly everyone feels nervous in certain social situations, like meeting new people, going out on dates or performing an appearance. But when the fear becomes overwhelming and interferes with everyday life, a diagnosis of social anxiety disorder could be required. Also known as social phobia, the condition is not based on the person's personality or environment, and is distinct from shyness. It is a persistent real illness that requires treatment. A health care provider will usually be able to identify the problem by talking with the patient and performing a physical exam. The therapist will then suggest psychotherapy (sometimes called talk therapy) or medication to control symptoms. Certain kinds of talk therapy can 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 help people learn to handle stressful situations, including breathing techniques to relax or calm. It could also include an exposure therapy which involves gradually exposing the person to the social situations they fear under the guidance of their counselor. Prescription medications such as antidepressants and antianxiety medications can provide relief for many people suffering from social anxiety disorders. Selective serotonin reuptake inhibits (SSRIs), like paroxetine (Paxil) and sertraline, (Zoloft), have been used to treat social anxiety disorder. However, other drugs can be equally effective. Sometimes, it takes a number of attempts to find the best treatment for a particular person. Research has shown that a combination of therapies is the most efficient. This could include CBT and exposure therapy, or other types 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 lead to issues at school or at work and can cause isolation. Some people with social anxiety might benefit from expressive therapies, such as art therapy. The therapy teaches people to express themselves through painting, drawing or other creative activities. It has been shown that in certain instances, it can help reduce the severity symptoms of anxiety. Treatment Most people feel nervous in certain social situations, like making new acquaintances or giving an presentation. When the fear and anxiety persist, it can develop into a mental disorder, known as social anxiety disorder or phobia. It is more than shyness and requires treatment. Treatment with psychotherapy or medication are possible treatment options. A professional health care provider such as counselors or doctors, can often provide an assessment. They may conduct a check to see if there are any physical issues causing symptoms, and then recommend you to a mental health specialist, such as psychologist or psychiatrist. Cognitive-behavioral therapy (CBT) is the most common type of psychotherapy used to treat social anxiety disorders . In CBT, you will be guided by a qualified counselor to confront negative thoughts and discover better ways to deal with stressful situations. You can also learn relaxation techniques and ways to confront your fears by taking one step at a. CBT typically takes place in multiple sessions, and you might be asked 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 drugs typically take a few weeks before you notice effects, and they may cause adverse effects like headache or insomnia. Medications that block the stimulating effects of adrenaline, such as beta-blockers are also available and may help control some of the physical symptoms of anxiety, including rapid blood pressure and heart rate, sweating and shaking the limbs and voice. But because these drugs can cause dependence and induce sedation, physicians don't typically prescribe them for the general treatment of social anxiety. Children with social anxiety may be able to overcome the disorder as they get older however if it's not treated, it can result in to mental health and depression issues. Speak to your GP if your child is suffering from severe social anxiety disorders. Prevention While it's normal to feel anxious or nervous in certain social situations like meeting new people, or giving a presentation, this feeling can become a disorder when it interferes with daily activities and causes stress. It is more than shyness. It can affect your self-esteem, relationships and even your school or work performance. If you are struggling with this condition it is crucial to seek assistance. There are many ways to get help, ranging from therapy, medication, and support groups. People with social anxiety usually acknowledge that their fears are not rational and exaggerated, but they are unable to overcome these fears. They may avoid social interactions and miss out on friendships, education, and employment. They are also at greater risk for depression or addiction to drugs. Stress management and talk therapy techniques like breathing exercises and mindfulness meditation are frequently used to combat social anxiety. A therapist can help you challenge the negative, unhelpful thoughts that trigger your social anxiety. They will then replace these thoughts with more positive ones. They can also use the role-playing technique, social skills training, and other cognitive behavioral therapies (CBT) to assist you in overcoming the situations that cause you anxiety in a secure environment. Medications can also be used to ease some symptoms of social anxiety such as heart palpitations or sweating. Before taking any medication, individuals who suffer from social anxiety must discuss possible adverse effects with their doctor. Some mental health professionals recommend avoidance of substances such as alcohol, caffeine or other drugs that could exacerbate your symptoms. They might suggest that you take enough rest and eat healthy food. They may also advise you to go for walks in the nature which can provide an uplifting effect and help you concentrate on the beauty of the world around you. Finding help for social anxiety is quite common, and there are many treatment options available. It is important to seek treatment early, whether you are seeking therapy or medication. This will stop your symptoms from becoming out of control. BetterHelp can connect you to an accredited and licensed counselor to help you deal with your emotions.