Social Anxiety Disorder: Symptoms, Causes & Treatment
Social anxiety disorder, also known as “social phobia,” is one of the most common mental health conditions, affecting millions of people worldwide.
While feeling nervous in social situations is normal, social anxiety disorder can severely impact daily life, relationships, and overall wellbeing.
Understanding and recognizing social anxiety is the first step in getting the help and support you need.
If you or a loved one are struggling with anxiety, we can help. Learn more about our anxiety treatment in Atlanta, Georgia, or call us now at 770-202-1274.
You are not alone. You deserve to get help.
Peachtree Wellness is an industry leader in mental health treatment. Our team of top medical experts specialize in dual diagnosis treatment and are committed to ensuring that each patient is treated as an individual. Call us today, we’re available 24/7.
What is Social Anxiety?
Social anxiety is a mental health condition that triggers intense fear and anxiety about everyday social interactions. People with social anxiety experience overwhelming worry about being judged, criticized, or embarrassed by others, leading to significant distress and impairment in their daily lives.
Social anxiety affects approximately 7% of the U.S. population in any given year and the most common mental health disorder worldwide.
Someone with social anxiety might struggle to make eye contact, engage in small talk, or participate in group activities. The fear can become so severe that they begin avoiding social situations altogether, leading to isolation and missed opportunities for personal and professional growth.
People with social anxiety often understand that their fears are exaggerated or unreasonable, but they feel powerless to control these overwhelming emotions, as the anxiety response feels completely real and consuming in the moment.
Triggers for social anxiety symptoms can vary from person to person but can include:
- Meeting new people
- Public speaking
- Eating in front of people
- Using a public toilet
- Initiating conversations
- Going to parties
Key Features of Social Anxiety:
- Intense fear of being watched, judged, or evaluated by others
- Avoidance of social situations that interferes with normal routine
- Physical symptoms like sweating, trembling, and rapid heartbeat in social settings
- Difficulty forming and maintaining relationships despite wanting social connections
- Overwhelming self-consciousness in everyday social situations
What Causes Social Anxiety?
The development of social anxiety disorder involves a complex interplay of genetic, environmental, and psychological factors.
Some people may inherit a genetic predisposition to anxiety, while others might develop it after experiencing traumatic or embarrassing social situations.
Environmental factors such as overprotective parenting, childhood bullying, or social isolation can also contribute. Additionally, brain structure and chemistry play a role, particularly in areas that control fear and anxiety.
Other factors can include:
- Having a family member that also struggles with social anxiety
- Experiencing abuse or neglect
- Being the victim of bullying or rejection
Signs and Symptoms of Social Anxiety Disorder
People with social anxiety disorder often experience both physical and emotional symptoms, however, symptoms can differ from person to person.
Psychological symptoms can include:
- Intense fear and worry in social situations
- Feeling self-conscious in front of others
- Absence from work or school because of anxiety
- Feeling like you need to drink before a social event
- Low self-esteem and sensitive to criticism
- Believing you’re going to be embarrassed in front of others
- Avoiding social situations wherever possible
- Believing that other people are looking at you or judging you
- Feeling you need to drink alcohol to be able to attend a social event
Physical symptoms can include:
- Racing heart
- Nausea and diarrhea
- Sweating
- Panic attacks
- Trembling and shaking
- Feeling dizzy or lightheaded
While social anxiety can affect everyone differently, some people may only experience intense fear in specific situations, like public speaking or dining with others.
For others, the anxiety can be more pervasive, triggering symptoms across all types of social interactions and significantly impacting their daily life.
How To Get Over Social Anxiety
Overcoming social anxiety requires a comprehensive approach that combines professional treatment with self-help strategies.
Recovery is a gradual process that involves facing fears incrementally while developing healthy coping mechanisms.
Building confidence in social situations takes time and practice, but with the right support and tools, significant improvement is possible.
Key strategies for managing social anxiety include:
- Gradually exposing yourself to feared social situations, starting with smaller challenges and working up to more challenging ones
- Practicing relaxation techniques like deep breathing, progressive muscle relaxation, and mindfulness meditation to manage physical symptoms
- Challenging negative thought patterns through cognitive restructuring and positive self-talk
- Building social skills through practice in safe, supportive environments
- Maintaining a healthy lifestyle with regular exercise, proper sleep, and balanced nutrition
Social Anxiety vs Anxiety
While general anxiety and social anxiety share some common features, social anxiety specifically centers around social interactions and performance situations.
General anxiety might involve worry about various life aspects, while social anxiety focuses particularly on fear of judgment, embarrassment, or scrutiny by others.
Avoidant Personality Disorder vs Social Anxiety
While social anxiety and avoidant personality disorder share similar features, they have vast differences.
Social anxiety typically focuses on immediate fears of social situations and judgment, while avoidant personality disorder involves a deeper, more pervasive pattern of social inhibition and feelings of inadequacy.
People with avoidant personality disorder experience a more extensive and long-lasting pattern of avoidance that affects their entire self-image and way of relating to others. They often view themselves as fundamentally inadequate or inferior, leading to extreme sensitivity to rejection and an intense fear of intimacy that extends beyond social situations.
Treatment for Social Anxiety
Treatment for social anxiety disorder typically involves a multi-faceted approach tailored to each individual’s needs.
Professional help can make a significant difference in managing symptoms and improving quality of life.
Residential Treatment
For severe cases of social anxiety, residential treatment programs provide intensive, structured support in a controlled environment.
These programs offer comprehensive care including individual therapy, group therapy, medication management, and life skills training. Residential treatment allows individuals to focus entirely on their recovery while learning to manage their anxiety in a supportive setting.
Therapy
Cognitive Behavioral Therapy (CBT) and Dialectical Behavioral Therapy (DBT) is particularly effective for social anxiety disorder.
Through CBT and DBT, individuals learn to identify and challenge negative thought patterns, develop coping strategies, and gradually face feared situations.
Exposure therapy, a component of CBT, helps people systematically confront social situations in a controlled, supportive environment.
Group therapy can also be beneficial, providing opportunities to practice social skills and realize that others share similar struggles.
Medication
Several types of mental health medications can help manage social anxiety symptoms.
SSRIs (Selective Serotonin Reuptake Inhibitors) are commonly prescribed as they can help regulate mood and anxiety levels.
Beta-blockers might be prescribed for specific situations to manage physical symptoms like rapid heartbeat and trembling. Anti-anxiety medications may be used short-term to provide relief during particularly challenging periods.
Begin Anxiety Treatment in Atlanta, Georgia Today
If you’re struggling with social anxiety, know that you’re not alone and effective treatment is available.
Taking the first step toward recovery might feel overwhelming, but professional help can make a significant difference in your life.
At Peachtree Wellness Solutions, our mental health treatment programs in Atlanta, Georgia can help you develop a treatment plan tailored to your needs. With proper support and commitment to recovery, you can learn to manage social anxiety and live a more fulfilling life.
If You are in need of immediate care...
Contact us immediately. In the case of a medical emergency please contact 911 or visit your emergency department.
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Medically Reviewed
Medically Reviewed by Dr. Bryon McQuirt
Last Updated on:
February 11, 2025
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