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What is Social Anxiety Disorder? While most of us get anxious or uncomfortable in certain social situations, those with social anxiety disorder have intense fear and anxiety that affects their everyday life. It can affect their relationships and careers. And it can result in depression and substance abuse. Treatment could include cognitive behavioral therapy, medication, role-playing and social skills training. Treatment options include antidepressants, like selective serotoninin reuptake inhibitors (SSRIs) and beta blockers. Signs and symptoms Social anxiety disorder causes people to be in a state of extreme fear or anxiety in situations where they fear people will observe their behavior and evaluate their behavior negatively. This can be the case when meeting new people, eating or drinking in public, or delivering an address. The person may avoid the situation they fear or endure it with intense anxiety and stress. These feelings are in proportion to the actual risk or embarrassment involved. They can also cause significant disruptions to daily life and can cause a disruption to relationships. People with this disorder have a lower chance of having close relationships with friends or finding work or maintaining close relationships. They also have a higher risk of developing depression and substance abuse. The symptoms of this disorder could include shaking, blushing or sweating. The person might be unable to keep eye contact or communicate clearly. They may be frightened when speaking on the phone or in writing. They may also struggle to maintain an employment position due to poor performance at interviews or meetings. In severe cases, the symptoms of this disorder can cause a person to develop other anxiety disorders or major depressive disorder, and even suicidal thoughts. In these instances the treatment is typically more intensive and should be directed by an expert in mental health who has experience in managing these disorders. Some psychotherapies, such as cognitive-behavioral therapy (CBT), may help treat social anxiety disorder. CBT aims to change negative beliefs or thoughts that cause the disorder. It also teaches the person to deal with situations that cause anxiety gradually with the help of a therapist and in an environment that is safe. A type of psychotherapy known as exposure and response prevention or cognitive delivered exposure can be used to treat people who have extreme social anxiety. Medication is often used in conjunction with psychological treatments to ease symptoms of this disorder. These medications can reduce the embarrassing and uncomfortable symptoms associated with this disorder. Selective serotonin reuptake inhibitors, like paroxetine (Paxil), sertraline (Zoloft) or Venlafaxine (Effexor XR) are usually prescribed for this condition. Beta blockers and other antidepressants could also be helpful. Diagnosis Everyone is anxious in certain social situations, such as meeting new people, going out on dates or performing an appearance. If the anxiety gets overwhelming and interferes with your daily life, you may need to be diagnosed with social anxiety disorder. Also known as social phobia, the condition is not rooted in the individual's personality or environment, and is distinct from shyness. It is a real, chronic disease that requires treatment. A doctor is able to diagnose the condition by talking with a patient and conducting a physical exam. The therapist may then recommend psychotherapy, also referred to as talk therapy or medication to manage symptoms. Some types of talk therapy can aid in managing anxiety, such as cognitive behavioral therapy (CBT). This method helps people recognize and change negative thoughts and beliefs about social situations that cause anxiety. It can help people learn to cope with stressful situations, such as practicing relaxation techniques or calming breathing. It may also incorporate an exposure therapy, which involves gradually exposing the person to the social situations they fear under the guidance of a counselor. Many people suffering from social anxiety disorder find relief from prescription medication, such as antianxiety drugs and antidepressants. Selective serotonin reuptake inhibitors (SSRIs) include paroxetine (Paxil) and sertraline (Zoloft), are the first kind of medication used to treat this disorder however, other medications may work just as well. Sometimes, it takes several attempts to find the best medication for a person. Research has shown that a combination of therapies is the most effective. This can include CBT exposure therapy, or another type of psychological treatment, such as interpersonal therapy. It is crucial that a person receives treatment for anxiety because it could lead to depression or addictions, such as alcohol and drugs. It can also cause problems at school or at work and can cause isolation. Art therapy, for example can be beneficial to some people with social anxiety. The therapy teaches people to express themselves through painting, drawing or other creative activities. It has been proven that in some cases it can help reduce the severity symptoms of anxiety. Treatment Many people are nervous when they meet new people or present a presentation. If the anxiety and fear persist, it can develop into a mental disorder called social anxiety disorder or phobia. It's more than just shyness, and requires treatment to overcome. Treatment options include medication, psychotherapy or both. The first step is to obtain an assessment from a health professional like a doctor or a counselor. The doctor will conduct a check to determine if any physical problems are causing your symptoms. They will then refer you to an expert in mental health care, such as a psychiatrist or psychologist. The most common psychotherapy used to treat social anxiety disorder is cognitive-behavioral treatment (CBT). In CBT you will be guided by a skilled therapist to challenge negative thoughts and discover more effective ways to handle stressful situations. You can also learn relaxation techniques and how to face your fears by taking small steps at a time. CBT usually takes place in multiple sessions, and you could 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). It can take up to several weeks before you start feeling the effects of these medications. They can also trigger unwanted side effects like headaches or insomnia. Beta-blockers are a way to control the physical symptoms of anxiety. Beta-blockers can reduce the physical symptoms of. They can cause rapid heart rate, high blood pressure, sweating, and shaking of the limbs and voice. But since these medications can be habit-forming and sedating, physicians don't typically prescribe them for the general treatment of social anxiety. Children suffering from social anxiety might be able to overcome the disorder as they get older, but if it is not treated, it can result in to mental health and depression issues. If your child suffers from severe social anxiety disorder , speak with your GP about the treatment options available. Prevention It's normal to be nervous or anxious in certain social situations, like meeting new people or giving a presentation, this feeling can turn into a disorder when it interferes with everyday activities and causes anxiety. It is more than shyness and it can affect your self-esteem, relationships and even your school or work performance. It is crucial to seek treatment if you are struggling with this condition. There are numerous ways to seek help ranging from therapy, medication, as well as support groups. People with social anxiety usually realize that their fears are irrational and overblown, but they struggle to overcome them. They may avoid social interaction and are unable to access opportunities for education, work, and friendships, and are at greater risk of depression or addiction to drugs. Talk therapy and stress management techniques such as breathing exercises and mindfulness meditation are often used to treat social anxiety. A therapist can show you how to confront negative, destructive thoughts that cause your anxiety about social situations and replace them with more balanced thoughts. They can also use cognitive behavioral therapy (CBT) as well as social skills training and role-playing in order to help you face the situations that make you feel anxious in a safe environment. The use of medications can also help to reduce some symptoms of social anxiety, such as heart palpitations and sweating. Before taking any medication, those with social anxiety should discuss the possible adverse effects with their physician. Some mental health professionals recommend abstaining from substances such as caffeine, alcohol, or drugs that can cause more symptoms. They may recommend that you sleep enough and eat a balanced diet. You may be advised to take a stroll outside which will help you relax and focus on the beauty of nature. Getting help for social anxiety is very common and there are numerous treatment options available. It is crucial to seek treatment promptly, whether seeking therapy or taking medication. This will stop your symptoms from getting out of control. If you're in need of assistance, BetterHelp can match you with a licensed, reputable professional who can assist you to deal with your emotions and flourish in your daily life.