Social Anxiety

13 min read

Social anxiety is a type of anxiety disorder that causes fear and discomfort in social situations. It is characterized by an intense fear of being judged, embarrassed, or humiliated in public. People with social anxiety may experience physical symptoms such as sweating, trembling, and a racing heart. They may also feel overwhelmed and have difficulty speaking or making eye contact.

Causes of Social Anxiety

The exact cause of social anxiety is not known, but it is believed to be a combination of genetic and environmental factors. People with social anxiety may have a genetic predisposition to the disorder, or they may have experienced a traumatic event in the past that has caused them to become anxious in social situations. Other factors that may contribute to social anxiety include low self-esteem, perfectionism, and a lack of social skills.

Impact of Social Anxiety

Social anxiety can have a significant impact on a person’s life. It can interfere with work, school, and relationships. People with social anxiety may avoid social situations or become overly anxious in them. This can lead to feelings of isolation and depression. It is important to seek help if you are struggling with social anxiety.

Diagnosis and Treatment of Social Anxiety

Social anxiety is diagnosed by a mental health professional. They will ask questions about your symptoms and your history. Treatment for social anxiety may include cognitive-behavioral therapy, medication, or a combination of both. It is important to find a treatment plan that works for you.

Take the Social Anxiety Assessment

Symptoms

Common Symptoms of Social Anxiety

  • Feeling anxious or fearful in social situations
  • Feeling self-conscious or embarrassed in front of others
  • Avoiding social situations or activities
  • Difficulty making and maintaining relationships
  • Physical symptoms such as sweating, trembling, or a racing heart
  • Difficulty speaking or concentrating in social situations
  • Fear of being judged or criticized by others

When to Seek Help

If you are experiencing any of the symptoms of social anxiety, it is important to seek help from a mental health professional. A therapist can help you identify the underlying causes of your anxiety and develop strategies to manage your symptoms. With the right treatment, you can learn to cope with your anxiety and lead a more fulfilling life.

Causes

Genetics

Research suggests that genetics may play a role in the development of social anxiety. Studies have found that people with social anxiety are more likely to have a family history of the disorder, suggesting that it may be passed down from generation to generation. Additionally, some research has suggested that certain genetic variations may be linked to an increased risk of developing social anxiety.

Personality

Personality traits such as shyness, sensitivity, and introversion may also contribute to the development of social anxiety. People who are naturally shy or introverted may be more likely to experience feelings of anxiety in social situations, as they may feel overwhelmed or out of place. Additionally, people who are highly sensitive may be more likely to experience intense fear and anxiety in social situations, as they may be more easily overwhelmed by their environment.

Life Experiences

Life experiences can also play a role in the development of social anxiety. People who have experienced traumatic events, such as bullying or abuse, may be more likely to develop social anxiety. Additionally, people who have had negative social experiences, such as being rejected or ridiculed, may also be more likely to develop the disorder.

Brain Chemistry

Brain chemistry may also be a factor in the development of social anxiety. Studies have found that people with social anxiety have an imbalance of certain neurotransmitters, such as serotonin and dopamine, which can affect mood and behavior. Additionally, research has suggested that people with social anxiety may have an overactive amygdala, which is the part of the brain responsible for fear and anxiety.

Conclusion

Social anxiety is a complex disorder that can have a significant impact on a person’s life. While the exact cause of social anxiety is not known, there are several factors that may contribute to its development, including genetics, personality traits, life experiences, and brain chemistry.

Getting a Diagnosis

Diagnostic Criteria

Social anxiety is diagnosed based on criteria outlined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). To be diagnosed with social anxiety disorder, an individual must meet the following criteria:

  • A persistent fear of one or more social or performance situations in which the person is exposed to unfamiliar people or to possible scrutiny by others.
  • The individual fears that he or she will act in a way or show anxiety symptoms that will be negatively evaluated.
  • The social situations almost always provoke fear or anxiety.
  • The fear or anxiety is out of proportion to the actual threat posed by the social situation and to the sociocultural context.
  • The fear, anxiety, or avoidance is persistent, typically lasting for 6 months or more.
  • The fear, anxiety, or avoidance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.
  • The fear, anxiety, or avoidance is not attributable to the physiological effects of a substance (e.g., a drug of abuse, a medication) or another medical condition.
  • The fear, anxiety, or avoidance is not better explained by the symptoms of another mental disorder (e.g., panic disorder, separation anxiety disorder, body dysmorphic disorder, a pervasive developmental disorder, or schizophrenia).

Diagnostic Assessment

In order to diagnose social anxiety disorder, a mental health professional will typically conduct a comprehensive assessment. This assessment may include a physical exam, a review of medical history, and a psychological evaluation. During the psychological evaluation, the mental health professional will ask questions about the individual’s symptoms, thoughts, feelings, and behaviors. The mental health professional may also ask the individual to complete questionnaires or other self-report measures to assess the severity of the symptoms.

It is important to note that social anxiety disorder is a complex disorder and can be difficult to diagnose. It is important to seek help from a qualified mental health professional who can accurately assess and diagnose the disorder.

Questions for Your Doctor

Describe Your Symptoms

When talking to your doctor about social anxiety, it’s important to be as detailed as possible. Describe the physical and emotional symptoms you experience when you’re feeling anxious. This can include things like sweating, trembling, difficulty speaking, and feeling overwhelmed. It’s also important to mention any thoughts or behaviors that you’ve noticed that are related to your anxiety.

Discuss Your Triggers

It’s also important to discuss any triggers that you’ve noticed that cause your anxiety to worsen. This can include things like certain people, places, or situations. Knowing your triggers can help your doctor come up with a plan to help you manage your anxiety.

Talk About Your Treatment Options

Your doctor can help you come up with a plan to manage your social anxiety. This can include things like therapy, medication, or lifestyle changes. It’s important to discuss all of your options with your doctor so that you can find the best treatment plan for you.

Ask Questions

Finally, it’s important to ask your doctor any questions that you may have. This can include questions about your diagnosis, treatment options, or any other concerns that you may have. Asking questions can help you better understand your condition and how to manage it.

Talking to your doctor about social anxiety can be intimidating, but it’s important to be prepared and know what to discuss. By being prepared and discussing your symptoms, triggers, and treatment options, you can work with your doctor to find the best plan for managing your anxiety.

Treatment

Cognitive Behavioral Therapy (CBT)

Cognitive behavioral therapy (CBT) is a type of psychotherapy that focuses on identifying and changing negative thought patterns and behaviors. CBT can help people with social anxiety to recognize and challenge their irrational beliefs and fears, and to develop coping strategies for managing their anxiety. It can also help people to become more comfortable with social situations and to build confidence in their ability to interact with others.

Exposure Therapy

Exposure therapy is a type of CBT that involves gradually exposing a person to the situations or objects that cause them anxiety. This type of therapy can help people to become more comfortable with social situations and to learn how to manage their anxiety in a healthy way. It can also help people to develop more positive beliefs about themselves and their ability to interact with others.

Medication

Medication can be used to help manage symptoms of social anxiety. Selective serotonin reuptake inhibitors (SSRIs) are the most commonly prescribed medications for social anxiety. These medications work by increasing levels of serotonin, a neurotransmitter that helps regulate mood. Other medications, such as benzodiazepines, can also be used to help manage symptoms of social anxiety.

Alternative Treatments

In addition to traditional treatments, there are a variety of alternative treatments that can be used to help manage symptoms of social anxiety. These include mindfulness-based therapies, yoga, and acupuncture. These treatments can help to reduce stress and anxiety, and to improve overall wellbeing.

Conclusion

Social anxiety is a common mental health disorder that can cause significant distress and interfere with daily life. Fortunately, there are a variety of treatments available to help manage symptoms and improve quality of life. These treatments include cognitive behavioral therapy, exposure therapy, medication, and alternative treatments. It is important to speak to a mental health professional to determine the best treatment plan for your individual needs.

Drugs & Medications

Selective Serotonin Reuptake Inhibitors (SSRIs)

SSRIs are the most commonly prescribed medications for social anxiety disorder. They work by increasing the amount of serotonin, a neurotransmitter that helps regulate mood, in the brain. Common SSRIs used to treat social anxiety disorder include fluoxetine (Prozac), sertraline (Zoloft), paroxetine (Paxil), and escitalopram (Lexapro).

Serotonin-Norepinephrine Reuptake Inhibitors (SNRIs)

SNRIs are similar to SSRIs, but they work by increasing the amount of both serotonin and norepinephrine in the brain. Common SNRIs used to treat social anxiety disorder include venlafaxine (Effexor) and duloxetine (Cymbalta).

Benzodiazepines

Benzodiazepines are a class of drugs that work by calming the central nervous system. They are usually used as a short-term treatment for social anxiety disorder, as they can be habit-forming and have a high potential for abuse. Common benzodiazepines used to treat social anxiety disorder include alprazolam (Xanax), clonazepam (Klonopin), and lorazepam (Ativan).

Beta-Blockers

Beta-blockers are a class of drugs that work by blocking the effects of adrenaline, a hormone that can cause physical symptoms of anxiety such as a racing heart and trembling. Common beta-blockers used to treat social anxiety disorder include propranolol (Inderal) and atenolol (Tenormin).

Conclusion

Social anxiety disorder can be effectively treated with a combination of psychotherapy and medication. Drugs used to treat social anxiety disorder include SSRIs, SNRIs, benzodiazepines, and beta-blockers. It is important to talk to your doctor about the risks and benefits of each medication before starting treatment.

Diet

Foods to Eat for Social Anxiety

When it comes to diet and social anxiety, there are certain foods that can help reduce symptoms. These include:

  • Omega-3 fatty acids: Found in fatty fish, such as salmon, mackerel, and sardines, as well as walnuts, flaxseeds, and chia seeds.
  • Fruits and vegetables: High in antioxidants, vitamins, and minerals, which can help reduce inflammation and boost mood.
  • Whole grains: Rich in fiber, which can help regulate blood sugar levels and reduce anxiety.
  • Fermented foods: Such as yogurt, kefir, and sauerkraut, which contain probiotics that can help improve gut health and reduce anxiety.
  • Herbal teas: Such as chamomile, lavender, and passionflower, which can help reduce stress and anxiety.

Foods to Avoid for Social Anxiety

In addition to eating certain foods, it’s also important to avoid certain foods that can make social anxiety worse. These include:

  • Caffeine: Found in coffee, tea, energy drinks, and chocolate, which can increase anxiety and make it harder to sleep.
  • Alcohol: Which can increase anxiety and make it harder to think clearly.
  • Processed foods: High in sugar, salt, and unhealthy fats, which can increase inflammation and worsen anxiety.
  • Artificial sweeteners: Such as aspartame and sucralose, which can cause headaches and other symptoms that can worsen anxiety.

Conclusion

Diet can play an important role in managing social anxiety. Eating foods that are high in omega-3 fatty acids, antioxidants, vitamins, minerals, and fiber, as well as avoiding caffeine, alcohol, processed foods, and artificial sweeteners can help reduce symptoms and improve overall wellbeing.

Lifestyle

1. Practice Mindfulness

Mindfulness is a great way to help manage social anxiety. It involves focusing on the present moment and being aware of your thoughts and feelings without judgment. Practicing mindfulness can help you become more aware of your anxious thoughts and feelings, and can help you to better manage them.

2. Exercise Regularly

Exercise is a great way to reduce stress and anxiety. Regular physical activity can help to reduce the physical symptoms of anxiety, such as increased heart rate and sweating. Exercise can also help to improve your mood and reduce feelings of depression.

3. Get Enough Sleep

Getting enough sleep is essential for managing social anxiety. Lack of sleep can make it harder to manage stress and anxiety, and can make it more difficult to think clearly. Aim to get at least 7-8 hours of sleep each night.

4. Eat a Healthy Diet

Eating a healthy diet can help to reduce stress and anxiety. Eating a balanced diet that includes plenty of fruits, vegetables, and whole grains can help to improve your mood and reduce feelings of anxiety. Avoiding processed foods and sugary snacks can also help to reduce anxiety.

5. Connect with Others

Social anxiety can make it difficult to connect with others, but it is important to reach out and build relationships. Connecting with friends and family can help to reduce feelings of loneliness and isolation, and can help to reduce stress and anxiety. Try to find activities that you enjoy doing with others, such as going for a walk or playing a game.

6. Seek Professional Help

If you are struggling to manage your social anxiety, it is important to seek professional help. A mental health professional can help you to identify the root causes of your anxiety and develop strategies to manage it. They can also provide support and guidance to help you cope with your anxiety.