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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 disorder have an intense fear and anxiety that can affect their everyday life. It can impact their careers and relationships. And it can cause depression and even alcohol abuse. Treatment may include cognitive behavioral therapy, medication, role-playing and social skills training. Antidepressants, including beta blockers and selective serotonin release inhibitors (SSRIs), can be prescribed. 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 behavior and evaluate them negatively. This can be the case when meeting new people, eating or drinking in public, or giving an address. The person might avoid the fearful situation or endure it with intense anxiety and stress. These emotions are out of proportion to the actual risk or embarrassment involved. They can also cause significant interruptions to your daily routine and cause disruption to relationships. People with this condition are less likely to have close friends, find jobs, or maintain their intimate relationships. They are also more prone to depression and substance abuse. The symptoms of this disorder could include shaking, blushing or sweating. The person might be unable to maintain eye contact or communicate clearly. The person may feel tense while talking on the phone or writing and struggle to maintain an employment position because of poor performance in interviews or meetings. In the most severe cases, symptoms of this disorder can cause the sufferer to develop additional anxiety disorders or major depressive disorder, and even suicidal thoughts. In these cases the treatment is typically more intense and should be supervised by an expert in mental health who has expertise in treating these disorders. Certain kinds of psychotherapy, including cognitive behavioral therapy (CBT), can help treat social anxiety disorder. CBT is designed to change negative thoughts or beliefs that cause the disorder. It also teaches the person to face the situations that cause anxiety gradually with the help of a therapist, and in an environment that is safe. A type of psychotherapy called exposure and response or cognitive delivered exposure may be used to treat individuals who have extreme social anxiety. It is common to use medication alongside psychological treatments to treat symptoms of this disorder. These medications can reduce the embarrassing and uncomfortable symptoms that are associated with this disorder. Selective serotonin reuptake inhibitors like paroxetine (Paxil), sertraline (Zoloft) or venlafaxine (Effexor XR), are typically prescribed for this disorder. Other antidepressants and beta blockers may also be beneficial. Diagnosis Nearly everyone experiences some level of anxiety in certain social situations. For example, when you meet new people, going out on an evening date or performing. But when the fear is so overwhelming that it interferes with the daily routine, a diagnosis of social anxiety disorder might be required. The condition, referred to as social anxiety disorder is not based on the personality of the individual or their environment. It differs from shyness. It is a real, chronic illness that requires treatment. A doctor can usually diagnose the condition by talking with patients and conducting an examination. The therapist may then suggest psychotherapy (sometimes called talk therapy) or medication to help alleviate symptoms. Certain 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 trigger the anxiety. It can teach people how to manage stressful situations, like practicing relaxation techniques or calming breathing. It may also include exposure therapy, which is gradually building up to social situations a person is afraid of with the help of an experienced therapist in a secure environment. Many people suffering from social anxiety disorder find relief by taking prescription medications, such as antidepressants and antianxiety medications. Selective serotonin-reuptake inhibitors (SSRIs), like paroxetine (Paxil), and sertraline (Zoloft) are used to treat social anxiety disorders . However, other drugs can be equally efficient. It can take a number of attempts to find the right medication. Research has proven that combination therapy is the most effective. This could 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 since it can cause depression or addictions, such as alcohol and other drugs. It can also cause problems at work or school and cause isolation. Art therapy, for example can be beneficial to some people with social anxiety. This helps people express their emotions through drawing, painting, or other creative activities and has been proven to decrease the intensity of anxiety symptoms in some cases. Treatment Many people are nervous in certain social situations, like meeting new people or giving a presentation. However, if anxiety and fear persist and it develops into a mental health disorder called social anxiety disorder or anxiety. It's more than just shyness, and requires treatment to overcome. Treatment with psychotherapy, medication, or both are treatment options that could be considered. The first step is getting a diagnosis from a health care professional such as a doctor or counselor. The doctor or counselor will check to see if there are any physical issues that cause the symptoms, and refer you for a mental health specialist, such as a psychiatrist or psychologist. Cognitive-behavioral therapy (CBT) is the most common form of psychotherapy for treating social anxiety disorder. In CBT you will be guided by a qualified psychotherapist to rethink negative thought patterns and find new ways to cope with stressful situations. In addition, you may practice relaxation techniques and learn to confront your fears in small steps. CBT usually runs over multiple sessions, and you might be asked to complete your homework between sessions. Antidepressants are frequently used to treat anxiety disorders and are effective for some 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 for you to begin feeling the effects of these drugs. disorders anxiety may also cause unwanted side effects like headache or insomnia. Beta-blockers are available to help control the physical symptoms of anxiety. They can cause rapid heart rate and blood pressure rise, sweating, and shaking of the voice and limbs. These medications are a source of addiction and can cause sedation. Therefore doctors rarely prescribe these medications to treat social anxiety. Children who suffer from social anxiety may overcome the disorder as they grow older, but if it is not addressed, it could cause to mental health and depression issues. Consult your GP if your child has a severe social anxiety disorders. Prevention While it's normal to feel nervous or anxious in certain social situations like meeting new people, or giving a presentation, this feeling may become a problem when it interferes with everyday activities and causes anxiety. It's more than shyness and it can affect your self-esteem, relationships and work or school performance. If you have issues with this condition, it is important to seek help. There are many options for assistance from medication to therapy to support groups. Social anxiety sufferers are aware that their fears could be unfounded or exaggerated, but they struggle to overcome their fears. They may avoid social interaction and are unable to participate in education, employment and friendships. They are also at greater risk for depression or substance abuse. Stress management and talk therapy techniques like breathing exercises and mindfulness meditation are frequently used to combat social anxiety. A therapist can help you overcome the negative, harmful thoughts that trigger your social anxiety. They can then replace these thoughts with more balanced ones. They can also utilize role-playing, social skills training as well as other cognitive behavior therapies (CBT) to help you gradually face the situations that trigger anxiety in a secure environment. Certain of the symptoms associated with social anxiety can be cured by medication, including excessive sweating and heart palpitations. Before taking any medication, those with social anxiety should discuss the possible adverse effects with their physician. Some mental health professionals suggest avoid substances that could make your symptoms worse like alcohol, caffeine, and drugs. They may suggest that you sleep enough and eat a healthy, balanced diet. You might be advised to take a walk outside, which can aid in relaxing and focusing on the beauty of nature. There are many ways to treat social anxiety. It is important to seek treatment early, whether you're seeking treatment or medication. This will stop your symptoms from becoming out of control. If you require assistance, BetterHelp can match you with a licensed, accredited counselor who can help you deal with your emotions and be successful in your everyday life.