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What is Social Anxiety Disorder? Although most of us are anxious or uncomfortable in certain social situations, people with social anxiety disorders experience an intense fear and anxiety that affects their daily lives. It can impact their careers and relationships. It can also lead to depression and drug abuse. Treatment could include cognitive behavioral therapy including medication, role-playing, medication and social skills training. Antidepressants, like beta blockers and selective serotonin release inhibitors (SSRIs) are prescribed. Symptoms Social anxiety disorder is characterized by intense fear and distress when people believe that people will be negative about them based on their behavior. This includes meeting unfamiliar people drinking or eating in public, or giving an address or performance. The person may avoid the fearful situation or suffer from intense anxiety and stress. These feelings are in proportion to the actual danger or embarrassment. They can also cause major interruptions to your daily routine and disrupt relationships. People with this condition are less likely to have close relationships, get jobs, or maintain intimate relationships. They are also more prone to depression and addiction issues. This condition may cause sweating, blushing or shaking. The person might not be able to speak clearly or make eye contact. The person might feel tense when talking on the telephone or when writing, and could have difficulty maintaining the job due to poor performance in meetings or interviews. In extreme cases, this disorder may result in other anxiety disorders, major depressive disorder and suicidal thinking. In these cases the treatment is generally more intense and should be supervised by with a mental health professional who is experienced in treating these disorders. Certain psychotherapies, like cognitive-behavioral therapy (CBT), may help treat social anxiety disorder. CBT aims at changing negative beliefs or thoughts that cause the disorder. It also helps the patient to deal with situations that cause anxiety gradually with the help of a therapist and a safe environment. Another type of psychotherapy, called exposure and response prevention or cognitive delivered exposure, is used to help people with extreme social anxiety disorders . Psychological treatments are often paired with medications to treat the symptoms of this disorder. These medications can alleviate the uncomfortable 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 disorder. Other antidepressants and beta blockers are also effective. Diagnosis Most people experience some degree of anxiety in certain social situations. For instance, when you meet new people, going out on a date or performing. When the fear gets overwhelming and impacts your daily life you might need to be diagnosed with social anxiety disorder. 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 long-lasting real illness that requires treatment. A health care provider will typically determine if a condition is present by speaking with the patient and conducting an examination. The therapist might then suggest psychotherapy, also known as talk therapy, or medication to control symptoms. Certain types of talk therapy may help manage anxiety, including cognitive behavioral therapy (CBT). This approach helps a person recognize and change negative beliefs and thoughts about social situations that trigger anxiety. It can teach a person how to handle stressful situations, such as using relaxation techniques and calming breathing. It may also include exposure therapy, which entails gradually working up to the social situations a person is scared of, with the guidance of an experienced therapist in a secure environment. Many people suffering from social anxiety disorder get relief from prescription medication, such as antidepressants and antianxiety medicines. Selective serotonin reuptake inhibitors (SSRIs), such as paroxetine (Paxil) and sertraline (Zoloft), are the first type of drug used to treat this disorder but other drugs may perform equally well. Sometimes, it takes a few attempts to find the best treatment for a particular person. Research suggests that a mix of therapies is the most efficient. This can include CBT and exposure therapy, or other kinds of psychological treatment such as interpersonal therapy. It is essential that a person receives treatment for anxiety as it could lead to depression or addictions, such as alcohol and drugs. It can also cause problems at work or school and can cause isolation. Some people with social anxiety may benefit from expressive therapies, such as art therapy. The therapy teaches people to express themselves through drawing, painting or other creative activities. It has been proven that in some cases it can help reduce anxiety-related symptoms. Treatment Many people are anxious when they meet new people or give a presentation. When the fear and anxiety persist, it can develop into a mental disorder, known as social anxiety disorder or phobia. It's more than just shyness, and requires treatment to overcome. Treatment with psychotherapy or medication are treatment options that could be considered. A professional health care provider like counselors or doctors is often able to provide an assessment. The doctor will conduct a check to determine if physical issues are behind your symptoms. They will then recommend you to an expert in mental health, such as a psychologist or psychiatrist. Cognitive-behavioral therapy (CBT) is the most common type of psychotherapy used to treat social anxiety disorder. In CBT you will be guided by a trained counselor to confront negative thought patterns and find more effective ways to handle stressful situations. You may also learn relaxation techniques and how to confront your fears by taking small steps at a time. CBT typically takes place over several sessions, and you might be asked to complete homework between sessions. Antidepressants are often used to treat anxiety disorders, and can be effective for some people with 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 could take several weeks for you to start feeling the effects of these drugs. They may also cause adverse effects such as headaches or insomnia. Beta-blockers can help manage physical symptoms of anxiety. Beta-blockers can reduce the physical symptoms of. They can cause rapid heart rate and blood pressure rise sweating, shaking of the hands and voice. However, since these medications are sedating and habit-forming doctors don't usually prescribe them for the general treatment of social anxiety. Children suffering from social anxiety might overcome the condition as they get older however if it's not addressed, it could result in serious depression and mental health issues. Consult your GP in the event that your child is suffering from severe social anxiety disorder. The following is a list of preventions. It's normal to be anxious or nervous in certain social situations like meeting new people or giving an oral presentation, this feeling can become a disorder when it interferes with daily activities and causes anxiety. This condition is more than just shyness. It can affect your self esteem, relationships and your work or school performance. If you are struggling with this issue, it is important to seek help. There are a variety of ways to get help, that include therapy, medication, and support groups. Social anxiety sufferers typically recognize that their fears are not rational and overblown, but they struggle to overcome these fears. They might avoid social interactions and are unable to access opportunities for education, employment, or friendships, and they are more susceptible to depression 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 assist you to combat the negative and unhelpful thinking that fuels your social anxiety. They can then replace these thoughts with more positive ones. They can also employ cognitive behavioral therapy (CBT) as well as social skills training and role-playing in order to assist you in tackling the situations that make you feel anxious in a safe setting. Certain of the symptoms that are associated with social anxiety can be cured with medication, such as heart palpitations and excessive sweating. Before taking any medication, those with social anxiety should discuss possible side effects with their doctor. Some mental health professionals suggest avoiding substances like caffeine, alcohol or other substances that may increase the severity of your symptoms. They might suggest that you sleep enough and eat a balanced diet. You might be advised to go for a walk which will help you relax and focus on the beauty of nature. Finding help for social anxiety is very common and there are numerous treatment options available. If you're looking for therapy or medication, it's important to start treatment early so that your symptoms don't spiral out of control, preventing you from living the life you want to live. If you require help, BetterHelp can match you with a certified, licensed counselor who can help you deal with your emotions and be successful in your everyday life.