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What is Social Anxiety Disorder (Social Phobia)?

Social anxiety disorder (social phobia) is a condition that causes long lasting anxiety and fears of embarrassment when a person is in a social situation.

What are the Symptoms?

People who have social anxiety disorder or social phobia often feel like everyone is staring at them and making judgments, hoping they will make a mistake so they can laugh at them. In some cases, social anxiety disorder can get so bad that people do not want to put themselves in social situations because they trigger this reaction. Things like talking to a group of people, dining at a restaurant, or even going into a bathroom in public can be very upsetting.

Other people find that dealing with their bosses at work make them very anxious and upset. People with social anxiety disorder are not able to fully participate in a conversation because they are to focused internally on not embarrassing themselves by saying or doing something stupid. They can’t stop focusing on their anxiety and fear long enough to enjoy a social situation.

People who have social anxiety disorder often have physical symptoms like feeling very nervous and fearful, blushing, excessive sweating, a racing heartbeat and diarrhea. These are just a few of the possible physical symptoms of this disorder.

The Difference Between Social Anxiety Disorder (Social Phobia) and Shyness

Social anxiety disorder has somethings in common with shyness but shyness simply causes people to be uncomfortable in social situations. They have mild discomfort that does not prevent them from avoiding social situations that cause them anxiety. People who are shy realize that the anxiety and fear they feel is out of proportion based on the actual situation. People who have social anxiety disorder, on the other hand, have so much fear and anxiety that they often do not know how to cope. That is the difference.

Social anxiety disorder also often comes with anticipatory anxiety, which is a condition wherein people worry for several weeks before an event or situation that causes anxiety for them.

The Facts on Social Anxiety Disorder

The number of people with social anxiety disorder according to the National Institute of Mental Health is more than five million. Other organizations report that as many as 15 or 20 million people have this condition. The first social anxiety disorder symptoms show up when the patient is a child or a teen.

Treatment Methods for Social Anxiety Disorder

Just like any other type of anxiety disorder, social anxiety disorder is usually treated through medication, therapy or the two of these together. There is research to show that cognitive behavioral therapy (CBT) is one of the most effective forms of treatment for social anxiety disorder. This type of therapy teaches patients to change their thought patterns and to change their behaviors in a way that helps them manage their anxiety and the symptoms.

CBT is a type of therapy with a lot of structure and goals that does not go on forever. This type of therapy is based on teaching people to actively change the thought patterns that cause their anxiety and reinforce the behaviors that result from these thoughts. People with social anxiety disorder can learn to recognize and alter their thoughts, which will in turn change the way they act and the way they feel. After undergoing CBT, patients can learn to have a different response to anxiety provoking situations.

In most cases, patients who undergo CBT have better results and are less likely to have a relapse of their social anxiety disorder than those who take medication for their condition. People who only get medication for their social anxiety disorder (social phobia) often relapse quickly once they are off the medication.

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