
Social Anxiety Disorder (or Social Phobia) is an anxiety disorder characterized by overwhelming anxiety and excessive self-consciousness in everyday social situations. Social phobia can be limited to only one type of situation — such as a fear of speaking in formal or informal situations, or eating or drinking in front of others — or, in its most severe form, may be so broad that a person experiences symptoms almost anytime they are around other people.
People with social phobia have an intense, persistent, and chronic fear of being watched and judged by others and of doing things that will embarrass them. They can worry for days or weeks before a dreaded situation. This fear may become so severe that it interferes with work, school, and other ordinary activities, and can make it hard to make and keep friends.
While many people with social phobia realize that their fears about being with people are excessive or unreasonable, they are unable to overcome them. Even if they manage to confront their fears and be around others, they are usually very anxious beforehand, are intensely uncomfortable throughout the encounter, and worry about how they were judged for hours afterward.
Social phobia can be limited to one situation (such as talking to people, eating or drinking, or writing on a blackboard in front of others) or may be so broad (such as in generalized social phobia) that the person experiences anxiety around almost anyone other than the family.
Social Anxiety Disorder Frequency:
Social phobia is the most common anxiety disorder and the third most common mental disorder - following depression and alcohol dependence.
Social anxiety disorder affects about 19 million American adults. Women and men are equally likely to develop the disorder, which usually begins in childhood or early adolescence. There is some evidence that genetic factors are involved.
Social phobia is often accompanied by other anxiety disorders or depression, and substance abuse may develop if people try to self-medicate their anxiety.
The cause of social anxiety disorder can be either biological, psychological, or environmental.
Symptoms Of Social Anxiety Disorder:
Many people with social phobia realize that something is wrong but do not recognize their feelings as a sign of illness.
Physical symptoms that often accompany social anxiety disorder include blushing, profuse sweating, trembling, pounding heart, shaking, nausea, muscle tension, diarrhea, and difficulty talking. When these symptoms occur, sufferers feel as though all eyes are focused on them.
Being in social situations create intense fear and anxiety. It is common for social phobia sufferers to avoid social gatherings altogether.
“In any social situation, I felt fear. I would be anxious before I even left the house, and it would escalate as I got closer to a college class, a party, or whatever. I would feel sick in my stomach-it almost felt like I had the flu. My heart would pound, my palms would get sweaty, and I would get this feeling of being removed from myself and from everybody else.”
“When I would walk into a room full of people, I’d turn red and it would feel like everybody’s eyes were on me. I was embarrassed to stand off in a corner by myself, but I couldn’t think of anything to say to anybody. It was humiliating. I felt so clumsy, I couldn’t wait to get out.”
Social Anxiety Disorder Treatment:
The most effective treatment for social anxiety is a combination of medicine and cognitive-behavioral therapy (or CBT).
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