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What is Social Anxiety Disorder? While we all get nervous or uncomfortable in certain social situations, people with social anxiety disorder have an intense fear and anxiety that interferes with their everyday life. It affects their relationships as well as their careers. And it can lead to depression and alcohol abuse. Treatment may include cognitive behavioral therapy as well as medication, role-playing, and social skills training. Medications may include antidepressants like selective serotoninin reuptake inhibitors (SSRIs) and beta blockers. Signs and symptoms Social anxiety disorder is defined by intense fear and distress when people think that others will be negative about them based on their conduct. This includes meeting unfamiliar people, eating or drinking in public, or giving an address or performance. The person can choose to avoid the occasion or suffer extreme anxiety and stress. These feelings are out of proportion to the actual risk or embarrassment. They can also cause major disruptions to daily life and can cause a disruption to relationships. People suffering from this disorder have a lower chance of having close relationships with friends or finding work or maintaining close relationships. They also are at a greater risk of developing depression and abuse. The symptoms of this disorder could include shaking, blushing, or sweating. The patient may not be able speak clearly or make eye contact. They may be frightened while talking on the phone or in writing. They may also find it difficult to keep a job because of poor performance in interviews or meetings. In the most severe cases, symptoms of this disorder could cause a person to develop other anxiety disorders or a major depressive disorder, as well as suicidal thoughts. In these cases the treatment will be more intense and should be directed by a mental health professional with expertise in treating these disorders. Some psychotherapies, such as cognitive-behavioral therapy (CBT) can aid in treating social anxiety. CBT is designed to change negative thoughts or beliefs that can trigger the disorder. It also teaches people to face situations that cause anxiety slowly, with the help of the therapist in a safe setting. A type of psychotherapy called exposure and response or cognitive delivered exposure can be utilized to treat those who suffer from extreme social anxiety. Medication is often used alongside psychological treatments to alleviate symptoms of this disorder. These medications can help reduce or eliminate the uncomfortable and embarrassing symptoms of this disorder. This disorder is usually treated with selective serotonin reuptake inhibits such as paroxetine, sertraline, or Venlafaxine. Beta blockers and other antidepressants could also be beneficial. Diagnosis Most people feel nervous in social situations, such as meeting new people, going on an evening date, or performing an appearance. However, if the fear gets overwhelming and affects the daily routine and activities, a diagnosis of social anxiety disorder might be required. The condition, also known as social anxiety disorder, is not based on the person's personality or their environment. It differs from shyness. It is a chronic, real illness that requires treatment. A doctor will usually be able to identify the problem through a conversation with the patient and performing a physical exam. The therapist can then recommend psychotherapy (sometimes called talk therapy) or medication to alleviate symptoms. Certain kinds of talk therapy can help manage anxiety, including cognitive behavioral therapy (CBT). This approach helps a person to recognize and alter negative thoughts and beliefs about social situations that trigger the anxiety. It can help people learn to manage stressful situations, such as practicing breathing techniques for relaxation or calming. It could also include an exposure therapy, which involves gradually exposing the person to the social situations that they are afraid of under the guidance of their therapist. Many people with social anxiety disorder can find relief from prescription medication, such as antidepressants and antianxiety medicines. Selective serotonin-reuptake inhibitors (SSRIs), like paroxetine (Paxil) and sertraline, (Zoloft), have been used to treat anxiety disorders involving social interaction. However, other drugs could be equally efficient. It can take several attempts to find the right medication. Research has demonstrated that a combination therapy is most effective. This could include CBT and exposure therapy or other forms of psychological treatment, such as interpersonal therapy. It is crucial that someone receive treatment for anxiety because the condition can cause depression and addictions such as alcohol or drugs. It can also cause problems at school or work and cause isolation. Certain people suffering from social anxiety might benefit from expressive therapies, like art therapy. The therapy teaches people to express themselves through painting, drawing or other creative activities. It has been demonstrated that in certain instances, it can reduce the severity symptoms of anxiety. Treatment People are often anxious in certain social situations, like meeting new people or giving an presentation. But when anxiety and fear continue to linger, it becomes a mental health issue called social anxiety disorder or social anxiety. It is more than shyness and requires treatment. Therapy, medication, or both are treatment options that could be considered. Often, the first step is to get an accurate diagnosis from a health professional, such as a physician or a counselor. They may conduct a examine the situation to determine if there are any physical ailments causing the symptoms, and then suggest you see an expert in mental health, such as a psychologist or psychiatrist. Cognitive-behavioral therapy (CBT) is the most commonly used method of psychotherapy to treat social anxiety disorder . In CBT, a trained therapist or counselor helps you confront negative thinking patterns and develop better strategies to cope with stressful situations. Additionally, you can develop relaxation techniques and be taught to face your fears in small steps. CBT usually runs over several sessions, and you might be asked to complete homework between sessions. Social anxiety disorder can be treated with 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 could take several weeks before you start feeling the effects of these medications. They may also cause adverse effects such as headaches or insomnia. Medicines that block the stimulant effect of adrenaline, like beta-blockers are also available and can aid in reducing certain physical symptoms of anxiety, like rapid heart rate and blood pressure, sweating and shaking voice and limbs. However, since these medications can cause dependence and induce sedation doctors don't usually prescribe them for general treatment of social anxiety. Children with social anxiety may outgrow the disorder as they get older, but if it is not addressed, it could cause serious depression and mental health issues. If your child suffers from severe social anxiety talk to your GP about treatment options. Prevention It's normal to feel nervous or anxious in a social context like meeting new people or giving presentations. However, this anxiety can turn into a disorder if it interferes with your everyday activities and causes stress. This is more than shyness. It can affect your self esteem, relationships and school or work performance. If you struggle with this issue, it is important to seek assistance. There are many options for help including medication, therapy to support groups. Social anxiety sufferers are aware that their fears might be unfounded or exaggerated, however they still struggle to overcome their fears. They might avoid social interactions and miss out on friendships, education, and employment. They are also more likely to be depressed or addiction to drugs. Stress management and talk therapy techniques such as breathing exercises and mindfulness meditation are commonly employed to combat social anxiety. A therapist can show you how to challenge negative, unhelpful thoughts that contribute to your social anxiety and replace them with more balanced perspectives. They can also utilize social skills training, role-playing, and other cognitive behavioral therapies (CBT) to assist you in overcoming the situations that cause you anxiety in a safe setting. A few of the symptoms that are associated with social anxiety can be treated with medication, such as excessive sweating and heart palpitations. Before taking any medication, individuals who suffer from social anxiety should discuss the potential adverse effects with their doctor. Some mental health professionals suggest avoiding substances that can make your symptoms worse like alcohol, caffeine, and drugs. They might suggest that you rest enough and eat a balanced diet. You might be advised to go for a walk to aid in relaxing and focusing on the beauty of nature. There are many methods to manage social anxiety. Whether you're seeking treatment or medication, it's crucial to begin treatment early to ensure that your symptoms don't get out of control and keep you from living the life you want to live. BetterHelp can connect you with an accredited and licensed therapist to assist you in addressing your emotions.