Social Anxiety Disorder

By: Dr Carla Kesrouani June 22, 2023 no comments

Social Anxiety Disorder

Social Anxiety Disorder (SAD) is a common mental health condition that affects millions of people worldwide. It is characterized by intense fear and nervousness in social situations, such as meeting new people, speaking in public, or being evaluated by others.
People with SAD may experience physical symptoms such as sweating, trembling, blushing, or nausea. They may also avoid or endure social situations with extreme distress, which can interfere with their daily functioning and quality of life.

Here are the most important things to know about this disorder:

What Are the Symptoms?

Firstly, the key symptoms of this form of anxiety are:

  • Extreme nervousness or fear when meeting new people or being the center of attention
  • Worry about saying or doing something that will cause embarrassment and be negatively judged
  • Avoidance of social situations that trigger anxiety like parties, meetings and talking to authority figures

The anxiety experienced is often severe enough to interfere with normal functioning and quality of life. Physical symptoms like sweating, blushing and trembling are also very common.

What Causes Social Anxiety?

Social Anxiety

Also, while the precise causes are unknown, both genetics and environment likely play a role in the disorder. Risk factors include:

  • A family history of social anxiety or other anxiety disorders
  • Repeated negative social experiences during childhood and teenage years
  • A difficult temperament prone to shyness and sensitivity
  • Exposure to trauma, abuse or neglect

Those with a biological predisposition may be more susceptible to developing anxiety due to negative social learning and experiences during development.

How Is It Diagnosed?

Diagnosing Social Anxiety Disorder (SAD) can be challenging, as it may overlap with other conditions, such as shyness, depression, or personality disorders. There is no definitive test for SAD, but a mental health professional can assess the symptoms, severity, and impact of the disorder on the person’s life. The diagnosis is based on the criteria from the Diagnostic and Statistical Manual of Mental Disorders.

Additionally, to be diagnosed with social anxiety disorder, a person must exhibit symptoms for at least 6 months and experience significant distress in important areas of life.

A complete diagnosis of Social Anxiety Disorder is made through:

  • A clinical interview reviewing family/personal history and social impairments
  • Physical and mental health exams to rule out other issues
  • Completion of standardized rating scales and questionnaires
  • Tracking anxiety levels in social situations to confirm it exceeds what’s considered normal

Those with mild forms of anxiety may not meet full criteria for the disorder. Only a mental health professional can make an accurate assessment.

What Are Treatment Options?

Treatment Options

If you think you may have SAD, it is important to seek professional help. There are effective treatments available, such as cognitive-behavioral therapy (CBT), medication, or a combination of both. With proper treatment, you can overcome your fears and enjoy social interactions more confidently and comfortably.

Finally, treatment aims to reduce symptoms, improve functioning and alleviate distress. Options include:

  • Cognitive behavioral therapy focuses on identifying and challenging unhelpful thoughts that trigger anxiety.
  • Exposure therapy involves gradually facing anxiety-provoking social situations to overcome fear responses.
  • Selective serotonin reuptake inhibitors and other medications can help reduce physical symptoms of anxiety.
  • Support groups give social interaction practice and relief knowing others experience similar challenges.
  • Complementary therapies like yoga, meditation and journaling can aid recovery when paired with other interventions.

Treatment is often tailored based on severity, with managing triggers and learning coping skills key for mild anxiety and a mix of therapies recommended for more debilitating cases.

In conclusion

social anxiety disorder involves extreme and sometimes disabling fear in social situations. Indeed, and while the causes are complex, therapies focused on cognition, exposure and skills training show the most promise for successfully managing problematic anxiety levels over time.

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