Zaburzenie lękowe społeczne (fobia społeczna)
Etiologia i przyczyny

Zaburzenie lękowe społeczne (fobia społeczna) jest zaburzeniem o złożonej, wieloczynnikowej etiologii, obejmującej interakcję czynników biologicznych, genetycznych, temperamentalnych, rodzinnych, poznawczych oraz środowiskowych. Kluczową rolę w patogenezie odgrywają nieprawidłowości w funkcjonowaniu ciała migdałowatego oraz zaburzenia równowagi neuroprzekaźników, takich jak serotonina, dopamina, glutaminian i GABA. Dziedziczność zaburzenia wynosi od 27% do 56%, a ryzyko rozwoju u krewnych pierwszego stopnia jest 2-6-krotnie wyższe. Temperament z zahamowaniem behawioralnym zwiększa ryzyko rozwoju fobii społecznej nawet siedmiokrotnie. Czynniki rodzinne, takie jak nadopiekuńczość, krytycyzm czy modelowanie lękowych zachowań, oraz traumatyczne doświadczenia społeczne (np. nękanie, publiczne upokorzenie) również istotnie wpływają na rozwój zaburzenia. Współwystępowanie z depresją, innymi zaburzeniami lękowymi i uzależnieniami komplikuje obraz kliniczny.

Etiologia zaburzenia lękowego społecznego (fobii społecznej)

Zaburzenie lękowe społeczne (fobia społeczna) to powszechnie występujące zaburzenie psychiczne charakteryzujące się znacznym lękiem i dyskomfortem w sytuacjach społecznych, gdzie osoba obawia się bycia ocenianą, obserwowaną lub krytykowaną przez innych. Etiologia tego zaburzenia jest złożona i wieloczynnikowa, obejmując interakcję czynników biologicznych, genetycznych i środowiskowych.123

Czynniki biologiczne

Badania naukowe wskazują na istotną rolę czynników biologicznych w rozwoju zaburzenia lękowego społecznego. Jednym z głównych obszarów mózgu zaangażowanych w powstawanie tego zaburzenia jest ciało migdałowate (amygdala), które kontroluje reakcje lękowe. U osób z fobią społeczną obserwuje się nadmierną aktywność ciała migdałowatego, co może prowadzić do wzmożonej reakcji lękowej w sytuacjach społecznych.123

Zaburzenia w funkcjonowaniu neuroprzekaźników również odgrywają istotną rolę. Badania wykazały, że u osób z zaburzeniem lękowym społecznym występują nieprawidłowości w równowadze neuroprzekaźników takich jak:123

  • Serotonina – neuroprzekaźnik odpowiedzialny za regulację nastroju i emocji
  • Dopamina – związana z układem nagrody i motywacji
  • Glutaminian – główny neuroprzekaźnik pobudzający w mózgu
  • GABA (kwas gamma-aminomasłowy) – główny neuroprzekaźnik hamujący

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Skuteczność leków selektywnie hamujących wychwyt zwrotny serotoniny (SSRI) w leczeniu zaburzenia lękowego społecznego potwierdza hipotezę o roli zaburzeń neuroprzekaźnictwa serotoninergicznego w patogenezie tego zaburzenia.12

Badania neuroobrazowe wykazały również strukturalne różnice w mózgach osób z zaburzeniem lękowym społecznym. Odnotowano nieprawidłowości w zakręcie obręczy, obszarze mózgu odpowiedzialnym za kontrolę uwagi, oraz zmiany w połączeniach neuronalnych między korą przedczołową a ciałem migdałowatym.12

Warto także wspomnieć o badaniach wskazujących, że wcześniaki o bardzo niskiej masie urodzeniowej (600-1250g) mogą być bardziej narażone na rozwój zaburzenia lękowego społecznego w późniejszym życiu. Wiąże się to prawdopodobnie z nieprawidłowościami w pęczku haczykowatym, głównym szlaku istoty białej łączącym korę czołową z ciałem migdałowatym i innymi obszarami układu limbicznego.12

Czynniki genetyczne

Liczne badania wskazują na istotny komponent genetyczny w etiologii zaburzenia lękowego społecznego. Zaburzenia lękowe często występują rodzinnie, co sugeruje predyspozycję genetyczną.123

Osoby, których krewni pierwszego stopnia (rodzice, rodzeństwo) cierpią na zaburzenie lękowe społeczne, mają 2-6 razy większe ryzyko rozwoju tego zaburzenia.123 Badania bliźniąt wykazały, że dziedziczność zaburzenia lękowego społecznego wynosi od 27% do 56%, co potwierdza znaczący udział czynników genetycznych.12

Należy jednak podkreślić, że dotychczas nie zidentyfikowano konkretnych genów odpowiedzialnych za zaburzenie lękowe społeczne. Prawdopodobnie jest to uwarunkowane poligenowo, gdzie wiele genów o niewielkim wpływie indywidualnym razem przyczynia się do zwiększonej podatności na rozwój tego zaburzenia.12

Trudno jest jednoznacznie rozdzielić wpływ genów od wpływu środowiska, ponieważ mogą one wchodzić ze sobą w złożone interakcje. Nie jest do końca jasne, w jakim stopniu rodzinne występowanie zaburzenia lękowego społecznego wynika z czynników genetycznych, a w jakim jest skutkiem uczenia się zachowań lękowych od członków rodziny.12

Czynniki temperamentalne

Temperament jest ważnym czynnikiem w rozwoju zaburzenia lękowego społecznego. Osoby z wrodzonym temperamentem charakteryzującym się zahamowaniem behawioralnym mają znacznie zwiększone ryzyko rozwoju fobii społecznej.12

Zahamowanie behawioralne objawia się jako:12

  • Nieśmiałość i wycofanie w nowych sytuacjach społecznych
  • Lęk przed nieprzewidywalnymi sytuacjami
  • Nadmierna ostrożność i unikanie nieznanych osób
  • Wzmożona reaktywność emocjonalna

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Badania wykazały, że dzieci z zahamowaniem behawioralnym mają siedmiokrotnie zwiększone ryzyko rozwoju zaburzenia lękowego społecznego. Około 40% dzieci z tym wzorcem temperamentu rozwija później fobię społeczną.1

Inne cechy temperamentalne związane z podwyższonym ryzykiem rozwoju zaburzenia lękowego społecznego obejmują nadmierną samokrytykę, perfekcjonizm oraz tendencję do zamartwiania się.12

Czynniki rodzinne i wychowawcze

Style wychowawcze i funkcjonowanie rodziny mają istotny wpływ na rozwój zaburzenia lękowego społecznego. Szczególne znaczenie mają następujące czynniki:12

Nadopiekuńczość rodziców – nadmierna kontrola rodzicielska i ograniczanie samodzielności dziecka mogą prowadzić do niewystarczającego rozwoju umiejętności społecznych i zwiększać podatność na lęk społeczny. Dzieci takich rodziców nie mają możliwości oswojenia się z nowymi sytuacjami i osobami.123

Krytycyzm i chłód emocjonalny – rodzice, którzy są nadmiernie krytyczni, wymagający lub emocjonalnie zdystansowani, mogą przyczyniać się do rozwoju niskiej samooceny i lęku przed oceną u swoich dzieci.12

Modelowanie zachowań lękowych – dzieci uczą się poprzez obserwację. Jeśli rodzice przejawiają lęk w sytuacjach społecznych lub unikają takich sytuacji, dzieci mogą naśladować te zachowania i rozwijać podobne wzorce.12

Niepewny styl przywiązania – badania wykazały związek między zaburzeniem lękowym społecznym a lękowo-ambiwalentnym stylem przywiązania, który charakteryzuje się niepewnością w relacjach i nadmiernym lękiem przed odrzuceniem.1

Środowisko domowe, w którym występują konflikty rodzinne, przemoc domowa lub nadużywanie substancji psychoaktywnych, również zwiększa ryzyko rozwoju zaburzenia lękowego społecznego.12

Negatywne doświadczenia życiowe

Traumatyczne lub stresujące doświadczenia, szczególnie te związane z odrzuceniem społecznym lub publicznym upokorzeniem, mogą być czynnikiem wyzwalającym zaburzenie lękowe społeczne.12

Do najczęściej wymienianych negatywnych doświadczeń życiowych związanych z rozwojem fobii społecznej należą:123

  • Doświadczenie nękania (bullying) – zarówno tradycyjne, jak i cyberprzemoc
  • Publiczne upokorzenie lub zawstydzenie – szczególnie w okresie szkolnym
  • Odrzucenie przez rówieśników lub wykluczenie z grupy
  • Nadużycia fizyczne, emocjonalne lub seksualne w dzieciństwie
  • Krytyczne komentarze dotyczące wyglądu lub zachowania

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Badania sugerują, że około połowa osób z zaburzeniem lękowym społecznym wiąże początek swoich objawów z konkretnym, traumatycznym wydarzeniem społecznym, podczas gdy druga połowa uważa, że objawy były obecne „od zawsze”.1

Należy również zwrócić uwagę na rolę stresu związanego z okresami przejściowymi w życiu, takimi jak rozpoczęcie nowej szkoły, zmiana pracy czy przeprowadzka do nowego miejsca. Te sytuacje mogą wyzwalać lub nasilać objawy lęku społecznego u osób predysponowanych.12

Choroby współistniejące i czynniki medyczne

Zaburzenie lękowe społeczne często współwystępuje z innymi zaburzeniami psychicznymi, co może komplikować obraz kliniczny i wpływać na przebieg choroby.12

Najczęstsze schorzenia współistniejące obejmują:123

  • Depresja – występuje u znacznej części pacjentów z zaburzeniem lękowym społecznym
  • Inne zaburzenia lękoweuogólnione zaburzenie lękowe, zaburzenie paniczne
  • Zaburzenia związane z używaniem substancji psychoaktywnych – często jako forma samoleczenia

12

Relacja między zaburzeniem lękowym społecznym a używaniem substancji psychoaktywnych jest szczególnie istotna. Osoby z fobią społeczną mogą używać alkoholu lub innych substancji w celu zmniejszenia lęku przed sytuacjami społecznymi, co może prowadzić do uzależnienia.12

Pewne schorzenia somatyczne również mogą zwiększać ryzyko wystąpienia zaburzenia lękowego społecznego, szczególnie jeśli wiążą się z widocznymi cechami fizycznymi lub wpływają na interakcje społeczne:12

  • Widoczne różnice w wyglądzie (np. blizny, zniekształcenia)
  • Zaburzenia mowy
  • Choroby skóry (np. łuszczyca, trądzik)
  • Zaburzenia ze spektrum autyzmu
  • Zaburzenia tarczycy
  • Zaburzenia rytmu serca (arytmie)

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Czynniki poznawcze

Modele poznawcze zaburzenia lękowego społecznego podkreślają rolę zniekształconych wzorców myślenia i przetwarzania informacji.12

Osoby z zaburzeniem lękowym społecznym charakteryzują się specyficznymi zniekształceniami poznawczymi:12

  • Katastroficzne myślenie – przewidywanie najgorszych możliwych konsekwencji społecznych interakcji
  • Nadmierna koncentracja na sobie – zwiększona uwaga skierowana na własne objawy lęku i zachowanie
  • Perfekcjonistyczne standardy społeczne – przekonanie, że muszą sprostać nierealnie wysokim standardom
  • Negatywna samoocena – postrzeganie siebie jako nieadekwatnego społecznie
  • Nadmierna generalizacja – przekonanie, że jedna negatywna sytuacja społeczna oznacza porażkę we wszystkich przyszłych interakcjach

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Według modelu Clarka i Wellsa, kluczowego modelu poznawczego zaburzenia lękowego społecznego, osoby cierpiące na to zaburzenie wchodzą w sytuacje społeczne z szeregiem dysfunkcyjnych przekonań i oczekiwań. Aktywacja tych przekonań prowadzi do postrzegania sytuacji społecznych jako zagrożenia, co wywołuje zwiększoną koncentrację na sobie i objawach lęku, a także uruchamia zachowania zabezpieczające (np. unikanie kontaktu wzrokowego).1

Zarówno „bezwarunkowe” przekonania („Jestem nieudolny społecznie”) oraz „warunkowe” przekonania („Jeśli pokażę, kim naprawdę jestem, zostanę odrzucony”) mają istotne znaczenie w podtrzymywaniu lęku społecznego.1

Czynniki kulturowe i społeczne

Badania wskazują, że czynniki kulturowe mogą wpływać na ekspresję, częstość występowania i interpretację objawów zaburzenia lękowego społecznego.12

W kulturach kolektywistycznych (np. japońska, koreańska), gdzie harmonia społeczna i konformizm są wysoko cenione, może występować specyficzna forma lęku społecznego znana jako „taijin kyofusho”. Charakteryzuje się ona obawą, że własne zachowanie, wygląd lub zapach ciała może być nieprzyjemny lub obraźliwy dla innych.1

Zaobserwowano również różnice w częstości występowania zaburzenia lękowego społecznego między różnymi grupami etnicznymi. Badania sugerują, że osoby pochodzenia europejskiego częściej otrzymują diagnozę zaburzenia lękowego społecznego niż osoby z Azji, Afryki czy Ameryki Łacińskiej, chociaż może to być częściowo związane z różnicami w systemach opieki zdrowotnej i metodami diagnozy.1

Normy społeczne dotyczące nieśmiałości i unikania mogą wpływać na zdolność do tworzenia relacji lub dostępu do edukacji i zatrudnienia, co może prowadzić do poczucia wstydu i pogłębiać problemy związane z lękiem społecznym.1

Warto również zauważyć, że pandemia COVID-19 doprowadziła do wzrostu częstości występowania zaburzeń lękowych, w tym zaburzenia lękowego społecznego, ze względu na izolację społeczną i zmiany w codziennych interakcjach.1

Interakcja czynników i wielościeżkowa etiologia

Zaburzenie lękowe społeczne nie ma jednej, określonej przyczyny. Badania wskazują na złożoną interakcję między czynnikami biologicznymi, genetycznymi, temperamentalnymi, rodzinnymi, poznawczymi i środowiskowymi.123

Prawdopodobnie istnieją różne ścieżki rozwoju zaburzenia lękowego społecznego. Dla jednych osób kluczowe mogą być predyspozycje genetyczne, dla innych traumatyczne doświadczenia lub niewłaściwe style wychowawcze.12

Model diateza-stres sugeruje, że osoby z pewną podatnością biologiczną (np. zahamowaniem behawioralnym) mogą rozwinąć zaburzenie lękowe społeczne po wystąpieniu stresujących wydarzeń życiowych. Bez tych stresorów, mimo predyspozycji, zaburzenie może się nie ujawnić.1

Warto podkreślić, że zaburzenie lękowe społeczne różni się od nieśmiałości czy introwersji, które są cechami osobowości, a nie zaburzeniami psychicznymi. Fobia społeczna charakteryzuje się znacznym cierpieniem i upośledzeniem funkcjonowania, których nie obserwuje się przy zwykłej nieśmiałości.12

Zrozumienie złożonej etiologii zaburzenia lękowego społecznego ma kluczowe znaczenie dla opracowywania skutecznych strategii profilaktyki i leczenia. Terapia poznawczo-behawioralna (CBT) oraz farmakoterapia (głównie selektywne inhibitory wychwytu zwrotnego serotoniny) pozostają najskuteczniejszymi metodami leczenia, a ich skuteczność potwierdza biologiczne i poznawcze podstawy tego zaburzenia.123

Podsumowanie etiologii

Zaburzenie lękowe społeczne (fobia społeczna) to złożone zaburzenie o wieloczynnikowej etiologii. Badania wskazują na istotną rolę czynników biologicznych (nieprawidłowości w funkcjonowaniu ciała migdałowatego i neuroprzekaźników), genetycznych (zwiększone ryzyko u krewnych pierwszego stopnia), temperamentalnych (zahamowanie behawioralne), rodzinnych (nadopiekuńczy lub krytyczny styl wychowania), poznawczych (zniekształcone wzorce myślenia) oraz środowiskowych (traumatyczne doświadczenia społeczne).123

Żaden z tych czynników samodzielnie nie wyjaśnia w pełni rozwoju zaburzenia. Najbardziej prawdopodobny jest model integracyjny, w którym zaburzenie lękowe społeczne wynika z kompleksowej interakcji między podatnością biologiczną a czynnikami środowiskowymi.12

Lepsze zrozumienie etiologii zaburzenia lękowego społecznego przyczynia się do opracowywania bardziej skutecznych metod profilaktyki i leczenia. Wczesna identyfikacja czynników ryzyka oraz interwencje skierowane do dzieci z zahamowaniem behawioralnym i ich rodzin mogą pomóc w zapobieganiu rozwojowi pełnoobjawowego zaburzenia lękowego społecznego w późniejszym życiu.12

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  1. 16.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Social anxiety disorder (social phobia) | UM Health-Sparrow
    https://www.uofmhealthsparrow.org/departments-conditions/conditions/social-anxiety-disorder-social-phobia
    Like many other mental health conditions, social anxiety disorder likely arises from a complex interaction of biological and environmental factors. Possible causes include: […] Anxiety disorders tend to run in families. However, it isn’t entirely clear how much of this may be due to genetics and how much is due to learned behavior. […] A structure in the brain called the amygdala may play a role in controlling the fear response. People who have an overactive amygdala may have a heightened fear response, causing increased anxiety in social situations. […] Social anxiety disorder may be a learned behavior some people may develop significant anxiety after an unpleasant or embarrassing social situation. Also, there may be an association between social anxiety disorder and parents who either model anxious behavior in social situations or are more controlling or overprotective of their children.
  • #1 Social Anxiety Disorder: Causes, Symptoms, and Diagnosis
    https://www.healthline.com/health/anxiety/social-phobia
    Social anxiety disorder sometimes known as social phobia is a type of anxiety disorder that causes anxiety or fear in social settings. […] The exact cause of social anxiety disorder is unknown, but it may result from a combination of factors. […] Physical, biological, and genetic factors likely play a role, according to scientists. […] Problems with neurotransmitter systems may lead to imbalances in the hormones serotonin, dopamine, and glutamate. […] Environmental factors may contribute, but only as part of a complex interaction that also involves biological and genetic features, some experts say. […] Factors that may contribute include a history of emotional, physical, or other kinds of abuse, negative interactions with peers, overcontrolling parenting styles, having an insecure attachment style.
  • #1 Social Phobia: Practice Essentials, Background, Pathophysiology
    https://emedicine.medscape.com/article/290854-overview
    Theories have also arisen looking at the efficacy of pharmacologic agents used to treat social phobia. Thus, serotonergic functioning might be involved, as serotonergic reuptake inhibitors help alleviate symptoms. Similarly, some researchers believe in an adrenergic etiology because of the success of propranolol therapy. Neurocircuitry involving the amygdala, a structure involved in fear, may be involved, as studies have found an exaggerated reactivity of the amygdala to aversive social stimuli in social anxiety. […] Very low weight (6001250 g) premature babies may also be at higher risk for later development of social anxiety disorder, possibly owing to abnormalities in the uncinate fasciculus, the major white matter tract connecting the frontal cortex to the amygdala, and other limbic temporal regions.
  • #1 Social anxiety disorder: Causes, symptoms and treatment | Live Science
    https://www.livescience.com/45267-social-anxiety-disorder.html
    Peer victimization (the experience among children of being a target of the aggressive behavior of other children) may be another predisposing factor for social anxiety disorder, according to a 2019 review published in the journal Brain Sciences. […] For years, scientists have been suggesting that social anxiety disorder is caused by a dysregulation of neurotransmitters, notably serotonin. […] The recent evidence from brain imaging studies indicates that social phobia may be linked to structural changes in the brain, rather than a chemical imbalance. […] According to a 2022 review published in the International Journal of Molecular Sciences, social anxiety disorder may be caused by abnormalities in regions of the brain responsible for processing fear, such as the prefrontal cortex. […] Social anxiety disorder has also been linked to an abnormal activation in the cingulate gyrus, a part of the brain responsible for attention control, as reported in a 2021 meta-analysis published in the International Journal of Environmental Research and Public Health.
  • #1 Social anxiety disorder – Wikipedia
    https://en.wikipedia.org/wiki/Social_anxiety_disorder
    It has been shown that there is a two to a threefold greater risk of having social phobia if a first-degree relative also has the disorder. […] Growing up with overprotective and hypercritical parents has also been associated with social anxiety disorder. […] A previous negative social experience can be a trigger to social phobia, perhaps particularly for individuals high in „interpersonal sensitivity”. […] Different parenting styles can also contribute to the development of Social Anxiety disorder. […] Cultural factors that have been related to social anxiety disorder include a society’s attitude towards shyness and avoidance, affecting the ability to form relationships or access employment or education, and shame. […] While alcohol initially relieves social phobia, excessive alcohol misuse can worsen social phobia symptoms and cause panic disorder to develop or worsen during alcohol intoxication and especially during alcohol withdrawal syndrome. […] Research has indicated the role of 'core’ or 'unconditional’ negative beliefs (e.g. „I am inept”) and 'conditional’ beliefs nearer to the surface (e.g. „If I show myself, I will be rejected”).
  • #1 What Causes Social Anxiety?
    https://www.verywellmind.com/social-anxiety-disorder-causes-3024749
    The genetic component of social anxiety disorder is also known as the heritability of the disorder. Although heritability rates can vary a great deal in studies, it has been estimated that around 27% and 56% of the underlying causes of SAD come from genetics. […] The psychosocial causes of social anxiety disorder include factors in the environment that influence you as you grow up. If one of your parents has social anxiety disorder, then you are more likely to develop the disorder yourself. This could be due to both genetic and environmental influences. […] Research has found that children who exhibit behavioral inhibition have a seven-fold increased risk of developing social anxiety disorder. Around 40% of behaviorally inhibited kids later develop SAD. […] Societal factors that can influence the development of social anxiety. For example growing up in a culture with a strong collectivistic orientation, such as Japan or Korea, may increase the risk of social anxiety.
  • #1 Social Anxiety
    https://www.mentalhealth.com/library/social-anxiety
    Social phobia, also called social anxiety, is a disorder characterized by overwhelming anxiety and excessive self-consciousness in everyday social situations. […] Research to define causes of social phobia is ongoing. […] Some investigations implicate a small structure in the brain called the amygdala in the symptoms of social phobia. The amygdala is believed to be a central site in the brain that controls fear responses. […] Animal studies are adding to the evidence that suggests social phobia can be inherited. […] One line of research is investigating a biochemical basis for the disorder. Scientists are exploring the idea that heightened sensitivity to disapproval may be physiologically or hormonally based. […] Other researchers are investigating the environment’s influence on the development of social phobia. People with social phobia may acquire their fear from observing the behavior and consequences of others, a process called observational learning or social modeling.
  • #1 Social Anxiety (for Teens) | Nemours KidsHealth
    https://kidshealth.org/en/teens/social-phobia.html
    Social anxiety can develop from a mix of 3 things: […] Social anxiety can be partly due to the genes a person inherits. Traits from parents can influence how the brain reacts to anxiety, shyness, nervousness, and stress. […] If parents or others overprotect a shy child, the child won’t have a chance to get used to new people and situations. Over time, shyness can build into social anxiety. […] If cautious people have stressful experiences, it can make them more shy and cautious. Feeling pressured to interact in ways they don’t feel ready for, being criticized or humiliated, or having other fears and worries can make social anxiety worse.
  • #1 Social anxiety disorder (Social phobia) – Beyond Blue
    https://www.beyondblue.org.au/mental-health/anxiety/types-of-anxiety/social-anxiety-disorder
    Social anxiety disorder (also called social phobia) is when you experience intense anxiety about social situations or performing in front of others. […] Causes of social anxiety […] Adolescents who are shy or socially inhibited are particularly at risk. In children, clingy behaviour, shyness, crying easily and excessive timidity may indicate temperaments that could possibly put them at risk of developing social anxiety. […] Social anxiety can run in the family, in part because of a possible genetic predisposition. […] Some people with social anxiety attribute the development of the condition to being poorly treated, publicly embarrassed or humiliated (for example, being bullied at school).
  • #1 How To Deal With Social Anxiety | Social Anxiety Explained | THIS WAY UP
    https://thiswayup.org.au/learning-hub/social-anxiety-explained/
    Personality factors also contribute to social anxiety. Social anxiety is more common in people who are naturally shy or introverted. Personality traits like being perfectionistic and self-critical, or being a worrier, can also lead to social anxiety. […] The impact of life stressors also shouldn’t be underestimated. Significant life changes, like starting a new job, having a baby, or developing a serious illness can impact people’s confidence. Missing out on important opportunities or experiencing a traumatic event (especially one that impacts someone’s appearance) can also change how people see themselves.
  • #1 The Role of Environmental Factors in the Aetiology of Social Anxiety Disorder: A Review of the Theoretical and Empirical Literature | Behaviour Change | Cambridge Core
    https://www.cambridge.org/core/journals/behaviour-change/article/role-of-environmental-factors-in-the-aetiology-of-social-anxiety-disorder-a-review-of-the-theoretical-and-empirical-literature/95A253CA5E3F40E0CA14CF3DA3590133
    No clear pathway has been identified in the development of SAD; however, a range of factors have been proposed to increase risk of developing the disorder. […] Genetic, neurobiological, and temperamental factors have been implicated in the development of SAD, with a recent meta-analysis of twin studies reporting heritability estimates of 41% across age groups, indicating that shared emotional vulnerability is significant in disorder development. […] However, environmental factors also appear to account for a substantial proportion of variance. […] It is likely that SAD develops via a complex interplay of biological and environmental factors, and that multiple aetiological pathways underlie the development of the disorder. […] The risk of developing SAD is increased by over-controlling, critical and cold parenting, insecure (anxious-ambivalent) attachment, emotional maltreatment, and to a lesser extent, physical and sexual maltreatment, and other relational adversities in childhood, as well as aversive social/peer experiences (especially relational victimisation). […] However, understanding of the nature, interactions and relative contributions of these factors remains unclear. […] It is likely that SAD develops via a complex interplay of biological and environmental factors, and that there are multiple and diverse pathways to the development of the disorder.
  • #1 Causes of Social Anxiety – Bridges to Recovery
    https://www.bridgestorecovery.com/social-anxiety/causes-social-anxiety/
    Stressful life events and trauma during childhood can influence the development of social anxiety problems. Some of the exposures known to have predictive value for severe social anxiety include: Physical, sexual, or emotional abuse; Bullying or teasing by peers; Family conflicts, domestic violence, and divorce; Death of or desertion by a parent; Maternal stress during pregnancy or infancy. […] Social anxiety disorder is usually not diagnosed until sufferers reach adulthood, but symptoms tend to first manifest in late childhood or early adolescence, which bolsters the idea that parental influences are playing a formational role in the development of the disorder.
  • #1 Social Anxiety – Social Phobia – Causes and Treatment
    https://altacenters.com/addiction-resources/social-anxiety/
    What Causes Social Anxiety […] Causes of Social Anxiety […] It is completely normal to feel nervous or awkward in some social situations. For example, if you have ever been on a blind date or have had to take an important exam you most likely experienced anxiety. […] With social anxiety, or what used to be called social phobia, everyday interactions can cause amplified distress, sometimes to the point of not being able to function at your normal level. There is generally an unfounded perception when one has social anxiety that you are being judged or scrutinized by others. […] Social anxiety affects a great deal of the world’s population. Approximately 7% or fifteen million American adults have social anxiety disorder, and over 75% of people experience their initial symptoms during childhood or adolescents. […] Social anxiety is often linked to a history of bullying, abuse, or teasing. Social anxiety disorder is one of the most common mental health disorders and there are effective treatments available. […] Social anxiety can happen at any time and there can be various causes, both internal and external. For many with this disorder, anxiety is often caused by specific social events, such as meeting new people or having to speak in public. […] There are many factors that lead to social anxiety. Some well-known social anxiety disorder causes include genetics, social experiences, cultural influences, substance use or abuse, and other psychological factors. […] Genetics can occur in approximately 30-40% of the underlying causes of social anxiety. If you have a close relative with social anxiety, you may be two to six times more likely to develop the disorder. according to the Diagnostic and Statistical Manual of Mental Disorders. This being said, inherited traits can be due to learned behavior as much as our genetic makeup. […] As indicated earlier, social experiences can affect social anxiety. Some people develop social anxiety after an unpleasant or embarrassing social experience, and others may be socially anxious because of overprotective parenting. […] An individual’s social concerns are influenced by race, culture, and ethnicity in that mental disorders can be directly linked to social standards and role expectations which are culturally dependent. It is interesting to note that white Americans are more likely to be diagnosed with social anxiety disorder than Asian Americans, African Americans, or Latino Americans. […] Social anxiety and addiction often follow from one another, and evidence shows that they commonly co-occur. Anxiety symptoms can be a risk for substance use disorder and anxiety symptoms can occur during drug or alcohol intoxication withdrawal. […] Viewing oneself negatively, overestimating the negative effect of a social encounter, and avoiding social situations can affect social anxiety. Many people who have social anxiety avoid potentially anxiety-inducing situations, which in turn leads to further social apprehension and anxiety.
  • #1 Social Anxiety Disorder: Causes, Symptoms, and Treatment
    https://patient.info/mental-health/anxiety/social-anxiety-disorder
    Social anxiety disorder is sometimes called social phobia. Social anxiety disorder is a mental health condition. Some causes of anxiety disorder include: Traumatic childhood experiences. There is a genetic component as well; people are more likely to develop social anxiety disorder if a parent or sibling has been similarly affected. It is now known that early negative childhood experiences can affect the development of the brain so situations like neglect, abuse or ridicule in very young children can cause mental health conditions such as social anxiety disorder in later childhood/teens/adulthood. In one study about half of affected people said their phobia began after one memorable embarrassing experience. The other half said it had been present for 'as long as they could remember’. […] Many people with social anxiety disorder have had traumatic events in childhood. These can include having been bullied at school, having lived with controlling or authoritarian parents, having experienced abuse or living with family conflict.
  • #1 Social Anxiety Disorder | J.Flowers Institute
    https://jflowershealth.com/what-causes-social-anxiety-disorder/
    A person with a family history that includes anxiety disorders is likely to be more at risk of developing these disorders. […] Frequent negative experiences can increase a person’s risk of developing an anxiety disorder, even if a person is not predisposed to mental illness. […] Temperament can play a significant role in social anxiety. If you’re naturally shy, introverted, or frequently find yourself uncomfortable in new situations, you might be at a higher risk of developing this type of anxiety. […] Sudden life changes can cause stress or panic responses. […] If you have a condition that makes you stand out or requires special care, such as a physical disability or a skin condition, it could make you more self-conscious and more likely to develop social anxiety.
  • #1 Social anxiety (social phobia) – NHS
    https://www.nhs.uk/mental-health/conditions/social-anxiety/
    Social anxiety disorder, also called social phobia, is a long-term and overwhelming fear of social situations. […] Many people with social anxiety also have other mental health issues, such as depression, generalised anxiety disorder or panic disorder. […] A number of treatments are available for social anxiety. […] CBT is generally considered the best treatment, but other treatments may help if it does not work or you do not want to try it. […] Treatments for social anxiety in children are similar to those for teenagers and adults, although medicines are not normally used.
  • #1 Social Anxiety Disorder: Causes, Symptoms, Treatment | Talkiatry
    https://www.talkiatry.com/blog/social-anxiety-disorder
    People who experienced teasing, bullying, rejection, ridicule or humiliation as children may be more prone to having this disorder. In addition, other negative events in life, such as family conflict, trauma or abuse, may be associated with it. […] If you are already shy, timid, or withdrawn when it comes to facing new situations or people, you may be at greater risk of developing social anxiety. […] Meeting new people, giving a speech in public or making an important work presentation may trigger symptoms for the first time as an adult. […] Other types of anxiety disorders also increase your risk of developing social anxiety disorder. For instance, it’s common for this condition to coexist alongside depression. In fact, social anxiety is reported to be the most commonly occurring anxiety disorder among patients with major depressive disorder. Social phobia almost always starts first, often many years prior to the onset of depression.
  • #1 Social anxiety disorder: MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/article/000957.htm
    Social anxiety disorder is a persistent and irrational fear of situations that may involve scrutiny or judgment by others, such as at parties and other social events. […] People with social anxiety disorder fear and avoid situations in which they may be judged by others. It may begin in the teens and may have to do with overprotective parents or limited social opportunities. […] People with social phobia are at high risk for alcohol or other substance misuse. This is because they may come to rely on these substances to relax in social situations. […] Alcohol or other substance misuse may occur with social anxiety disorder.
  • #1 Social Anxiety Disorder – Symptoms, Signs, Treatments & Stats
    https://www.addictionhelp.com/mental-health/anxiety/social-anxiety-disorder/
    Social anxiety disorder (a.k.a., social phobia) is one of the most common mental health disorders, characterized by an intense fear or anxiety toward ordinary social interactions, such as meeting new people or engaging in conversation. […] While the exact cause of social anxiety disorder is unknown, certain risk factors can encourage the development of the condition. […] Genetics can play a substantial role in the development of social anxiety disorder. Research has shown that people with immediate family members with social anxiety disorder are more likely to develop the condition themselves. […] Other potential causes and risk factors include: The chemical makeup of the brain, Environmental factors (i.e., the environment someone grew up in), Witnessing or being the victim of abuse of any kind, Having negative interactions with peers, especially at a young age, Having over-controlling parents, Having a condition that draws attention to your physical appearance.
  • #1 Social Phobia | Abnormal Psychology
    https://courses.lumenlearning.com/atd-herkimer-abnormalpsych/chapter/social-phobia/
    Cognitive-behavioral models emphasize the psychological and learning factors that assist in developing SP. […] When a person with SP encounters a social situation, such as having to speak in front of an audience, this activates certain negative assumptions about themselves. […] This activates the sympathetic nervous system, causing the outward, observable manifestations of anxiety and at the same time making them more focused inward on themselves. […] This will feed back into negative evaluations of themselves and lead to escape and avoidance behaviors, which will cause a reduction in anxiety, negatively reinforcing those behaviors.
  • #1 Addressing the Root Cause of Social Anxiety | D’Amore
    https://damorementalhealth.com/addressing-the-root-cause-of-social-anxiety/
    For those struggling with social anxiety, addressing the root cause of the disorder is key to lasting recovery. […] Social anxiety disorder is characterized by an intense fear of social situations. […] There is no single root cause of social anxiety. Instead, it results from a combination of factors that can vary from person to person. Some of the most common causes of social anxiety include: Poor self-esteem or lack of confidence, Negative core beliefs about oneself, Inefficient coping skills, Excessive self-consciousness and fear of judgment. […] Addressing these underlying causes is essential to overcoming social anxiety. If one can identify the factors contributing to their social anxiety, they can work on addressing them and eventually overcome them. […] According to the cognitive-behavioral model, social anxiety is caused by a distorted view of oneself and the world around them. […] By challenging negative thoughts and beliefs, one can start to break down the barriers that prevent them from enjoying social interactions.
  • #1 Social Phobia: Practice Essentials, Background, Pathophysiology
    https://emedicine.medscape.com/article/290854-overview
    Social phobia, also called social anxiety disorder, is the third most common mental health disorder after depression and substance abuse, affecting as many as 10 million Americans. Social phobia is an anxiety disorder involving intense distress in response to public situations. […] The onset of social phobia may or may not be abrupt, often manifesting after a stressor or humiliating social experience in an individual with a childhood history of excessive shyness or social inhibition. Social phobia is considered a disorder if it is severe enough to adversely affect social or occupational functioning. […] Cognitive theories helpful in the understanding of the etiology of social phobia include the „Clark and Wells cognitive model of social phobia,” which hypothesizes that self-focused attention, negative observer-perspective images of oneself, and safety behaviors maintain anxiety in subjects with social phobia and that this anxiety associates with observer-perspective imagery and safety-seeking behavior in adolescence; however, even though adolescents with clinical social phobia may report frequent negative self-focused thoughts, this may not be a clear associated symptom.
  • #1 Social Phobia Clinical Presentation: History, Physical, Causes
    https://emedicine.medscape.com/article/290854-clinical
    A cross-cultural perspective is essential, as individuals of some cultures (Japanese, Korean) may have a persistent and excessive fear of offending others in social situations, called taijin kyofusho. Specifically, the individual fears that his or her body odor, eye-to-eye contact, or blushing could be offensive to others. […] A severe form of social phobia and avoidant personality disorder, Hikikomori has been associated with adverse cardiovascular consequences including hypertension. […] The importance of culturally sensitive measures in diagnosis of social phobia and social anxiety is critical, although social phobia and social anxiety has been found in many cultures, not exclusively in Japan but also in Hong Kong, China, India, South Korea, Spain, and the United States. One study found differences in sensitivity of detection of the disorder finding that the Social Interaction Anxiety Scale and Social Phobia Scale were not as sensitive in detecting the disorder in test subjects from Japan compared with those from Australia. […] Preliminary findings of one study show possible blood biomarkers that may reflect increased risk for Hikikomori—lower serum HDL-C in females and lower serum uric acid in males—which may reflect an underlying mechanism of oxidative stress and inflammation increasing risk of social phobia.
  • #1 Causes of social anxiety disorder – Mental Health UK
    https://mentalhealth-uk.org/help-and-information/conditions/social-anxiety-disorder/causes/
    There are several possible causes of social anxiety disorder, including: […] There may be a genetic component to social anxiety disorder. For example, if your parents live with social anxiety disorder, you may have an increased chance of developing the disorder. It is unclear though if this is genetic or if it could be a learned behaviour. […] Having a history of traumatic or upsetting experiences, such as bullying, being publicly embarrassed or humiliated, or other negative events involving interaction with others. Also, the recent Covid-19 pandemic led to an increase in anxiety disorders, more commonly social anxiety disorders. […] A long-term painful health condition or disability may make it more likely to develop social anxiety. For example, having a condition such as a physical disability, a facial difference, speech impairment, or autism spectrum disorder (ASD). […] Shy, timid children, or children who have an overprotective parent, may be more likely to develop social anxiety disorder.
  • #1 Azthena logo with the word Azthena
    https://www.news-medical.net/health/Social-Anxiety-Common-Causes.aspx
    Some growing children present with a group of anxious behaviors such as irritability, crying, moving around, and hiding from new people. […] The first environment a child is exposed to is the home. Anxiety could be behavior learned in the family setup. […] A growing child learns and absorbs things from the environment. Children observe how their parents handle social situations. Acceptable and unacceptable social behaviors are learned from caregivers (either the parents or other family members). […] Many people mention bullying in school as the start of their anxiety problems. […] All kinds of abuse (emotional, physical, or sexual) are major contributors to anxiety, and without proper counseling, these may lead to long-term social anxiety disorders. […] The causes of social anxiety are interrelated and can be classified as stresses and vulnerability factors. […] These are biological and psychological factors whose impact lingers, being active from childhood onwards. Hence, naturally, their effects are more difficult to overcome. […] Finding the causes of social anxiety is the first step before treatment options can be discussed.
  • #1 Social anxiety disorder – Wikipedia
    https://en.wikipedia.org/wiki/Social_anxiety_disorder
    Social anxiety disorder is distinct from the personality traits of introversion and shyness. […] Social anxiety disorder (SAD), also known as social phobia, is an anxiety disorder characterized by sentiments of fear and anxiety in social situations, causing considerable distress and impairing ability to function in at least some aspects of daily life. […] According to ICD-10 guidelines, the main diagnostic criteria of social phobia are fear of being the focus of attention, or fear of behaving in a way that will be embarrassing or humiliating, avoidance and anxiety symptoms. […] Research into the causes of social anxiety and social phobia is wide-ranging, encompassing multiple perspectives from neuroscience to sociology. Scientists have yet to pinpoint the exact causes. Studies suggest that genetics can play a part in combination with environmental factors.
  • #1 Social Anxiety Disorder: Symptoms, Tests, Causes & Treatments
    https://my.clevelandclinic.org/health/diseases/22709-social-anxiety
    Healthcare professionals and researchers are still trying to figure out the cause of social anxiety disorder. So far, they’ve found that the risk factors for developing social anxiety disorder can include: Genetic, when social anxiety disorder runs in your family. If you experienced parenting that’s overly controlling or invasive as a child. If you experienced stressful or fearful events in your life. […] Social anxiety disorder is highly treatable with cognitive behavioral therapy (CBT) and/or medication such as antidepressants (typically selective serotonin reuptake inhibitors also known as SSRIs or beta-blockers). […] Evidence has shown that cognitive behavioral therapy (CBT) and medications like antidepressants are very successful in treating and managing social anxiety disorder. Treatment can help you drastically lessen or overcome your symptoms and anxiety in social situations.
  • #1 Social Anxiety Fact Sheet | Social Anxiety Association
    https://socialphobia.org/social-anxiety-disorder-definition-symptoms-treatment-therapy-medications-insight-prognosis
    Social Anxiety Disorder (social phobia) is the third largest mental health care problem in the world today. […] The lifetime prevalence rate (i.e., the chances of developing social anxiety disorder at any time during the lifespan) stands slightly above 13%. […] It is a pervasive disorder and causes anxiety and fear in most all areas of a person’s life. It is chronic because it does not go away on its own. […] Appropriate active, structured, cognitive-behavioral therapy is the only solution to this problem. […] Decades of research have concluded that this type of therapy is the only way to change the neural pathways in the brain permanently. […] Social anxiety is a fully treatable condition and can be overcome with effective therapy, work, and patience. […] Cognitive-behavioral therapy for social anxiety has been markedly successful.
  • #2 Social Anxiety Disorder: Symptoms, Tests, Causes & Treatments
    https://my.clevelandclinic.org/health/diseases/22709-social-anxiety
    Social anxiety disorder (social phobia) is a medical condition that causes fear and anxiety when you’re around people in social situations. People with social anxiety fear being judged or watched by others. This disorder is treatable with talk therapy and medications such as antidepressants. […] Social anxiety disorder (formerly known as social phobia) is a mental health condition where you experience intense and ongoing fear of being judged negatively and/or watched by others. […] Researchers and healthcare professionals are still trying to figure out the cause of social anxiety disorder. Social anxiety disorder can sometimes run in families, but researchers aren’t sure why some family members get it and others don’t. Many parts of your brain are involved with fear and anxiety, so social anxiety disorder is a complex condition to study. Researchers are also looking into how stress and environmental factors could contribute to social anxiety.
  • #2 What Is Social Anxiety Disorder or Social Phobia?
    https://www.webmd.com/anxiety-panic/mental-health-social-anxiety-disorder
    Social anxiety disorder affects about 15 million adults in the U.S. […] No one thing causes social anxiety disorder. Genetics likely has something to do with it. If you have a family member with social phobia, you’re more at risk of having it, too. It could also be linked to having an overactive amygdala the part of the brain that controls your fear response. […] Social anxiety disorder usually comes on around 13 years of age. It can be linked to a history of abuse, bullying, or teasing. Shy kids are also more likely to become socially anxious adults, as are children with overbearing or controlling parents. If you develop a health condition that draws attention to your appearance or voice, that could trigger social anxiety, too.
  • #2 Social Anxiety Disorder Causes, Symptoms, Treatment, and More
    https://www.verywellmind.com/social-anxiety-disorder-4157220
    Social anxiety disorder usually begins in the teenage years although it may start in childhood. While the exact cause of SAD is unknown, it is believed to result from a combination of both genetic and environmental factors. […] Imbalances in brain chemistry have been linked to SAD. For example, an imbalance in the neurotransmitter serotonin, a brain chemical that regulates mood and emotions, may play a role in the development of social anxiety disorder. […] Over-activity of a structure in the brain called the amygdala has also been linked to social anxiety. People with SAD may be predisposed to an exaggerated fear response and, in turn, increased anxiety. […] Several environmental factors may also increase your risk of developing SAD. These include but are not limited to: Having an overly critical, controlling, or protective parent, Being bullied or teased as a child, Family conflict or sexual abuse, A shy, timid, or withdrawn temperament as a child.
  • #2 Anxiety Disorders: Causes, Symptoms, Treatment & Types
    https://my.clevelandclinic.org/health/diseases/9536-anxiety-disorders
    Social anxiety disorder (formerly known as social phobia) happens when you experience intense and ongoing fear of being judged negatively and/or watched by others. […] Like other types of mental health conditions, researchers don’t know exactly what causes anxiety disorders. But they think a combination of factors plays a role: […] Chemical imbalances: Several neurotransmitters and hormones play a role in anxiety, including norepinephrine, serotonin, dopamine and gamma-aminobutyric acid (GABA). Imbalances in these chemicals can contribute to an anxiety disorder. […] Genetics: Anxiety disorders tend to run in biological families. This suggests that genetics may play a role. You may be at an increased risk of developing one if you have a first-degree relative (biological parent or sibling) with an anxiety disorder. […] Environmental factors: Severe or long-lasting stress can change the balance of neurotransmitters that control your mood. Experiencing a lot of stress over a long period can contribute to an anxiety disorder. Experiencing a traumatic event can also trigger anxiety disorders.
  • #2 Social phobia | Better Health Channel
    https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/social-phobia
    The onset of social phobia generally occurs around ages 11 to 15. […] If left untreated, social phobia can severely affect quality of life. […] Recovery from social phobia is possible with appropriate treatment. […] Treatment options may include cognitive behaviour therapy (CBT), anxiety management techniques, social skills training, and medication. […] Cognitive behaviour therapy aims to help people change the way they think, feel and behave in social situations. […] Some medications, such as selective serotonin re-uptake inhibitors (SSRIs), can help if the person is also suffering from depression.
  • #2 Social Phobia: Practice Essentials, Background, Pathophysiology
    https://emedicine.medscape.com/article/290854-overview
    Theories have also arisen looking at the efficacy of pharmacologic agents used to treat social phobia. Thus, serotonergic functioning might be involved, as serotonergic reuptake inhibitors help alleviate symptoms. Similarly, some researchers believe in an adrenergic etiology because of the success of propranolol therapy. Neurocircuitry involving the amygdala, a structure involved in fear, may be involved, as studies have found an exaggerated reactivity of the amygdala to aversive social stimuli in social anxiety. […] Very low weight (6001250 g) premature babies may also be at higher risk for later development of social anxiety disorder, possibly owing to abnormalities in the uncinate fasciculus, the major white matter tract connecting the frontal cortex to the amygdala, and other limbic temporal regions.
  • #2 Social Anxiety Disorder Causes: What Causes Social Phobia? | HealthyPlace
    https://www.healthyplace.com/anxiety-panic/social-anxiety-disorder/social-anxiety-disorder-causes-what-causes-social-phobia
    The following are thought to be social phobia causes: Genetics anxiety disorders tend to run in families, however it is unknown how much of this is learned behavior rather than inherited traits. […] Brain chemistry because social anxiety disorder responds positively to antidepressants, it’s thought a lack of serotonin, a brain chemical called a neurotransmitter, may play a role in causing social anxiety disorder. […] Brain structure part of the brain known as the amygdala is implicated in controlling fear response. Those with social anxiety disorder may have an overactive amygdala. Additionally, premature babies may be at increased risk for developing social anxiety disorder due to a lack of development in parts of the brain.
  • #2 Anxiety disorders – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/anxiety/symptoms-causes/syc-20350961
    Social anxiety disorder (social phobia) involves high levels of anxiety, fear and avoidance of social situations due to feelings of embarrassment, self-consciousness and concern about being judged or viewed negatively by others. […] The causes of anxiety disorders aren’t fully understood. Life experiences such as traumatic events appear to trigger anxiety disorders in people who are already prone to anxiety. Inherited traits also can be a factor.
  • #2 Social Anxiety Disorder (Social Phobia) | Psychology Today
    https://www.psychologytoday.com/us/conditions/social-anxiety-disorder-social-phobia
    Social anxiety disorder, formerly referred to as social phobia, is an anxiety disorder characterized by overwhelming anxiety and excessive self-consciousness in everyday social situations. […] While research to better understand the causes of social anxiety disorder is ongoing, some investigations implicate a small structure in the brain called the amygdala. The amygdala is believed to be a central site in the brain that controls fear responses. […] Social anxiety disorder is heritable. In fact, first-degree relatives have a two to six times higher chance of developing social anxiety disorder. […] Childhood maltreatment and adversity are risk factors for social anxiety disorder. […] Children living in high-conflict homes can develop social anxiety disorder; trauma or abuse are also associated with SAD in children.
  • #2 The Role of Environmental Factors in the Aetiology of Social Anxiety Disorder: A Review of the Theoretical and Empirical Literature | Behaviour Change | Cambridge Core
    https://www.cambridge.org/core/journals/behaviour-change/article/role-of-environmental-factors-in-the-aetiology-of-social-anxiety-disorder-a-review-of-the-theoretical-and-empirical-literature/95A253CA5E3F40E0CA14CF3DA3590133
    No clear pathway has been identified in the development of SAD; however, a range of factors have been proposed to increase risk of developing the disorder. […] Genetic, neurobiological, and temperamental factors have been implicated in the development of SAD, with a recent meta-analysis of twin studies reporting heritability estimates of 41% across age groups, indicating that shared emotional vulnerability is significant in disorder development. […] However, environmental factors also appear to account for a substantial proportion of variance. […] It is likely that SAD develops via a complex interplay of biological and environmental factors, and that multiple aetiological pathways underlie the development of the disorder. […] The risk of developing SAD is increased by over-controlling, critical and cold parenting, insecure (anxious-ambivalent) attachment, emotional maltreatment, and to a lesser extent, physical and sexual maltreatment, and other relational adversities in childhood, as well as aversive social/peer experiences (especially relational victimisation). […] However, understanding of the nature, interactions and relative contributions of these factors remains unclear. […] It is likely that SAD develops via a complex interplay of biological and environmental factors, and that there are multiple and diverse pathways to the development of the disorder.
  • #2 Social Anxiety Disorder (Symptoms) | Center for the Treatment and Study of Anxiety | Perelman School of Medicine at the University of Pennsylvania
    https://www.med.upenn.edu/ctsa/social_anxiety_symptoms.html
    Social anxiety disorder can affect people of any age. However, the disorder typically emerges during adolescence in teens with a history of social inhibition or shyness. The onset is usually accompanied by a stressful or humiliating experience and the severity varies by individual. Risks have been defined to be temperamental, environmental, genetic, and physiological. […] There is evidence that genetic factors may play a role in the development of social anxiety disorder, particularly in for the generalized form. There is a higher incidence of social anxiety disorder in individuals with first-degree relatives affected by other panic and anxiety disorders. However, there is no one gene that explains this biological trend. General findings indicate that personal experiences, social environment, and biology all play a role in the development of the disorder.
  • #2 Causes of social anxiety disorder – Mental Health UK
    https://mentalhealth-uk.org/help-and-information/conditions/social-anxiety-disorder/causes/
    There are several possible causes of social anxiety disorder, including: […] There may be a genetic component to social anxiety disorder. For example, if your parents live with social anxiety disorder, you may have an increased chance of developing the disorder. It is unclear though if this is genetic or if it could be a learned behaviour. […] Having a history of traumatic or upsetting experiences, such as bullying, being publicly embarrassed or humiliated, or other negative events involving interaction with others. Also, the recent Covid-19 pandemic led to an increase in anxiety disorders, more commonly social anxiety disorders. […] A long-term painful health condition or disability may make it more likely to develop social anxiety. For example, having a condition such as a physical disability, a facial difference, speech impairment, or autism spectrum disorder (ASD). […] Shy, timid children, or children who have an overprotective parent, may be more likely to develop social anxiety disorder.
  • #2 Social Phobia | Abnormal Psychology
    https://courses.lumenlearning.com/atd-herkimer-abnormalpsych/chapter/social-phobia/
    As with all the other anxiety disorders, there has been significant progress in understanding the biological, psychological, and social causes of SP over the last several decades. […] Biologically, multiple gene variants and neurotransmitters seem to play a role in social anxiety, with no one true pathway to the disorder. […] What is likely is that genetics and other pre- and peri-natal biological influences are responsible for the development of a behaviorally inhibited temperament, which then places an individual at a greatly increased risk for developing SP later in life. […] This risk factor (behavioral inhibition) then interacts with certain types of social environments to cause someone to become social anxious. […] For instance, studies have found that the family environments of people diagnosed with SP tend to be more overprotective and less affectionate than is typical.
  • #2 Social Anxiety Disorder (Social Phobia) – PsychDB
    https://www.psychdb.com/anxiety/social-anxiety
    Social Anxiety Disorder (also known as social phobia), is an anxiety disorder characterized by a significant amount of fear in one or more social situations, causing significant distress and impaired ability to function in some aspects of daily life. These fears can be triggered by perceived or actual scrutiny, or negative evaluation from others. […] The neural mechanisms behind social anxiety disorder is thought to be an interplay between non-specific genetic (neurotic temperament) factors and the environment (e.g. – fear of negative evaluation) interactions. […] Temperamental traits such as high behavioural inhibition and fear of negative evaluation is a risk factor. […] First degree relatives of individuals with social anxiety disorder have a two to six times higher chance of having social anxiety disorder.
  • #2 Social Anxiety Disorder | J.Flowers Institute
    https://jflowershealth.com/what-causes-social-anxiety-disorder/
    A person with a family history that includes anxiety disorders is likely to be more at risk of developing these disorders. […] Frequent negative experiences can increase a person’s risk of developing an anxiety disorder, even if a person is not predisposed to mental illness. […] Temperament can play a significant role in social anxiety. If you’re naturally shy, introverted, or frequently find yourself uncomfortable in new situations, you might be at a higher risk of developing this type of anxiety. […] Sudden life changes can cause stress or panic responses. […] If you have a condition that makes you stand out or requires special care, such as a physical disability or a skin condition, it could make you more self-conscious and more likely to develop social anxiety.
  • #2 Social Anxiety Disorder – Definition, Symptoms, and Causes
    https://www.mentalhealth.com/library/social-anxiety-disorder
    Biological factors: Individuals with social anxiety disorder may have some functional abnormalities in certain areas of the brain, including the amygdala, which is responsible for processing emotional stimuli. […] Temperament: Children with social anxiety disorder display an inhibited temperament, meaning they have a tendency to avoid the unfamiliar and to be especially sensitive to new stimuli. […] Parenting: Having an overly controlling or intrusive parent can lead a child to develop an inhibited temperament, which can contribute to social anxiety disorder.
  • #2 Causes of Social Anxiety – Bridges to Recovery
    https://www.bridgestorecovery.com/social-anxiety/causes-social-anxiety/
    When social anxiety is persistent and pervasive it can lead to a diagnosis of social anxiety disorder, a disabling condition that makes social interactions of all types stressful and challenging. Social anxiety disorder emerges from a confluence of factors, including genetic predisposition, childhood experiences, and unusual brain functioning. […] People with a parent or parents who’ve suffered from social anxiety disorder have a 30-40 percent greater likelihood of developing the condition themselves. However, it is impossible to know how much of the parent-child social anxiety association is based on genetics and how much is based on parenting style, which is naturally affected by the presence of the disorder. […] Extensive research has confirmed a connection between negative parenting styles and anxiety disorders, including social anxiety disorder.
  • #2 Social Anxiety (for Teens) | Nemours KidsHealth
    https://kidshealth.org/en/teens/social-phobia.html
    Social anxiety can develop from a mix of 3 things: […] Social anxiety can be partly due to the genes a person inherits. Traits from parents can influence how the brain reacts to anxiety, shyness, nervousness, and stress. […] If parents or others overprotect a shy child, the child won’t have a chance to get used to new people and situations. Over time, shyness can build into social anxiety. […] If cautious people have stressful experiences, it can make them more shy and cautious. Feeling pressured to interact in ways they don’t feel ready for, being criticized or humiliated, or having other fears and worries can make social anxiety worse.
  • #2 Social Anxiety Disorder: Causes, Symptoms, and Treatment
    https://patient.info/mental-health/anxiety/social-anxiety-disorder
    Social anxiety disorder is sometimes called social phobia. Social anxiety disorder is a mental health condition. Some causes of anxiety disorder include: Traumatic childhood experiences. There is a genetic component as well; people are more likely to develop social anxiety disorder if a parent or sibling has been similarly affected. It is now known that early negative childhood experiences can affect the development of the brain so situations like neglect, abuse or ridicule in very young children can cause mental health conditions such as social anxiety disorder in later childhood/teens/adulthood. In one study about half of affected people said their phobia began after one memorable embarrassing experience. The other half said it had been present for 'as long as they could remember’. […] Many people with social anxiety disorder have had traumatic events in childhood. These can include having been bullied at school, having lived with controlling or authoritarian parents, having experienced abuse or living with family conflict.
  • #2 Social Anxiety – Social Phobia – Causes and Treatment
    https://altacenters.com/addiction-resources/social-anxiety/
    What Causes Social Anxiety […] Causes of Social Anxiety […] It is completely normal to feel nervous or awkward in some social situations. For example, if you have ever been on a blind date or have had to take an important exam you most likely experienced anxiety. […] With social anxiety, or what used to be called social phobia, everyday interactions can cause amplified distress, sometimes to the point of not being able to function at your normal level. There is generally an unfounded perception when one has social anxiety that you are being judged or scrutinized by others. […] Social anxiety affects a great deal of the world’s population. Approximately 7% or fifteen million American adults have social anxiety disorder, and over 75% of people experience their initial symptoms during childhood or adolescents. […] Social anxiety is often linked to a history of bullying, abuse, or teasing. Social anxiety disorder is one of the most common mental health disorders and there are effective treatments available. […] Social anxiety can happen at any time and there can be various causes, both internal and external. For many with this disorder, anxiety is often caused by specific social events, such as meeting new people or having to speak in public. […] There are many factors that lead to social anxiety. Some well-known social anxiety disorder causes include genetics, social experiences, cultural influences, substance use or abuse, and other psychological factors. […] Genetics can occur in approximately 30-40% of the underlying causes of social anxiety. If you have a close relative with social anxiety, you may be two to six times more likely to develop the disorder. according to the Diagnostic and Statistical Manual of Mental Disorders. This being said, inherited traits can be due to learned behavior as much as our genetic makeup. […] As indicated earlier, social experiences can affect social anxiety. Some people develop social anxiety after an unpleasant or embarrassing social experience, and others may be socially anxious because of overprotective parenting. […] An individual’s social concerns are influenced by race, culture, and ethnicity in that mental disorders can be directly linked to social standards and role expectations which are culturally dependent. It is interesting to note that white Americans are more likely to be diagnosed with social anxiety disorder than Asian Americans, African Americans, or Latino Americans. […] Social anxiety and addiction often follow from one another, and evidence shows that they commonly co-occur. Anxiety symptoms can be a risk for substance use disorder and anxiety symptoms can occur during drug or alcohol intoxication withdrawal. […] Viewing oneself negatively, overestimating the negative effect of a social encounter, and avoiding social situations can affect social anxiety. Many people who have social anxiety avoid potentially anxiety-inducing situations, which in turn leads to further social apprehension and anxiety.
  • #2 Social anxiety disorder: Causes, symptoms, and treatment
    https://www.medicalnewstoday.com/articles/176891
    Social anxiety disorder is a condition characterized by a fear of being watched or judged by others in social situations. It may occur due to a combination of genetic and environmental factors. […] The causes of social anxiety disorder are complex. They are likely to involve a combination of genetic and environmental factors. […] Possible causes and risk factors include: Genetics: Anxiety disorders can run in families, so there may be a genetic component at play. Adverse life events: Stressful or traumatic events such as abuse, violence, the death of a loved one, or a prolonged illness may increase the risk of an anxiety disorder. Previous bullying, humiliation, or rejection can also increase the risk. Parenting styles: Some sources suggest that overprotective parenting can increase a child’s risk of social anxiety.
  • #2 Azthena logo with the word Azthena
    https://www.news-medical.net/health/Social-Anxiety-Common-Causes.aspx
    Some growing children present with a group of anxious behaviors such as irritability, crying, moving around, and hiding from new people. […] The first environment a child is exposed to is the home. Anxiety could be behavior learned in the family setup. […] A growing child learns and absorbs things from the environment. Children observe how their parents handle social situations. Acceptable and unacceptable social behaviors are learned from caregivers (either the parents or other family members). […] Many people mention bullying in school as the start of their anxiety problems. […] All kinds of abuse (emotional, physical, or sexual) are major contributors to anxiety, and without proper counseling, these may lead to long-term social anxiety disorders. […] The causes of social anxiety are interrelated and can be classified as stresses and vulnerability factors. […] These are biological and psychological factors whose impact lingers, being active from childhood onwards. Hence, naturally, their effects are more difficult to overcome. […] Finding the causes of social anxiety is the first step before treatment options can be discussed.
  • #2 How To Deal With Social Anxiety | Social Anxiety Explained | THIS WAY UP
    https://thiswayup.org.au/learning-hub/social-anxiety-explained/
    Personality factors also contribute to social anxiety. Social anxiety is more common in people who are naturally shy or introverted. Personality traits like being perfectionistic and self-critical, or being a worrier, can also lead to social anxiety. […] The impact of life stressors also shouldn’t be underestimated. Significant life changes, like starting a new job, having a baby, or developing a serious illness can impact people’s confidence. Missing out on important opportunities or experiencing a traumatic event (especially one that impacts someone’s appearance) can also change how people see themselves.
  • #2 Social Phobia: Practice Essentials, Background, Pathophysiology
    https://emedicine.medscape.com/article/290854-overview
    Social phobia often goes undiagnosed in patients with other coexisting acute psychiatric conditions such as depression or suicidality but should not be overlooked, as it can contribute to a lack of symptom remission. In some situations, social phobia may be the root cause of depressive or suicidal symptoms.
  • #2 Social anxiety disorder: MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/article/000957.htm
    Social anxiety disorder is a persistent and irrational fear of situations that may involve scrutiny or judgment by others, such as at parties and other social events. […] People with social anxiety disorder fear and avoid situations in which they may be judged by others. It may begin in the teens and may have to do with overprotective parents or limited social opportunities. […] People with social phobia are at high risk for alcohol or other substance misuse. This is because they may come to rely on these substances to relax in social situations. […] Alcohol or other substance misuse may occur with social anxiety disorder.
  • #2 Social Phobia – familydoctor.org
    https://familydoctor.org/condition/social-phobia/
    Social phobia, also called social anxiety disorder, is a fear of being judged by others during social situations. […] Social phobia is about twice as common in women as it is in men. Most people notice it as children or teens. The condition can be genetic and run in families. Other potential factors include hormones and environment. For example, race, culture, economic status, and neglect can increase a person’s risk. Social phobia also can be related to other conditions, including depression, other anxiety disorders, or addiction.
  • #2 Social anxiety disorder – Wikipedia
    https://en.wikipedia.org/wiki/Social_anxiety_disorder
    It has been shown that there is a two to a threefold greater risk of having social phobia if a first-degree relative also has the disorder. […] Growing up with overprotective and hypercritical parents has also been associated with social anxiety disorder. […] A previous negative social experience can be a trigger to social phobia, perhaps particularly for individuals high in „interpersonal sensitivity”. […] Different parenting styles can also contribute to the development of Social Anxiety disorder. […] Cultural factors that have been related to social anxiety disorder include a society’s attitude towards shyness and avoidance, affecting the ability to form relationships or access employment or education, and shame. […] While alcohol initially relieves social phobia, excessive alcohol misuse can worsen social phobia symptoms and cause panic disorder to develop or worsen during alcohol intoxication and especially during alcohol withdrawal syndrome. […] Research has indicated the role of 'core’ or 'unconditional’ negative beliefs (e.g. „I am inept”) and 'conditional’ beliefs nearer to the surface (e.g. „If I show myself, I will be rejected”).
  • #2 Social Anxiety Disorder | Significant Distress and Impairment | Learn More
    https://www.therecoveryvillage.com/mental-health/social-anxiety-disorder/
    It is unlikely that SAD is caused by these brain differences alone, as people with similar differences in brain function don’t always develop the disorder. As with most other mental health conditions, SAD derives from a combination of biological factors and life experiences. […] While social anxiety disorder is not known to be caused by medical conditions, health problems can trigger social anxiety symptoms. Changes in brain chemistry and heart rate, as well as anything that triggers the release of adrenaline, can make people feel anxious. […] Most of the time, social anxiety disorder is not caused solely by medical conditions or substance use. Usually, genetic, physical and neurochemical causes combine with difficult life circumstances to cause anxiety.
  • #2 Social Phobia: Practice Essentials, Background, Pathophysiology
    https://emedicine.medscape.com/article/290854-overview
    Social phobia, also called social anxiety disorder, is the third most common mental health disorder after depression and substance abuse, affecting as many as 10 million Americans. Social phobia is an anxiety disorder involving intense distress in response to public situations. […] The onset of social phobia may or may not be abrupt, often manifesting after a stressor or humiliating social experience in an individual with a childhood history of excessive shyness or social inhibition. Social phobia is considered a disorder if it is severe enough to adversely affect social or occupational functioning. […] Cognitive theories helpful in the understanding of the etiology of social phobia include the „Clark and Wells cognitive model of social phobia,” which hypothesizes that self-focused attention, negative observer-perspective images of oneself, and safety behaviors maintain anxiety in subjects with social phobia and that this anxiety associates with observer-perspective imagery and safety-seeking behavior in adolescence; however, even though adolescents with clinical social phobia may report frequent negative self-focused thoughts, this may not be a clear associated symptom.
  • #2 Social Anxiety Disorder – HelpGuide.org
    https://www.helpguide.org/mental-health/anxiety/social-anxiety-disorder
    Social anxiety disorder, on the other hand, does interfere with your normal routine and causes tremendous distress. […] Social anxiety sufferers have negative thoughts and beliefs that contribute to their fears and anxiety. […] Challenging these negative thoughts is an effective way to reduce the symptoms of social anxiety. […] Learning how to control the physical symptoms of anxiety through relaxation techniques and breathing exercises. […] Challenging negative, unhelpful thoughts that trigger and fuel social anxiety, replacing them with more balanced views. […] Facing the social situations you fear in a gradual, systematic way, rather than avoiding them. […] Medication is sometimes used to relieve the symptoms of social anxiety, but it’s not a cure. […] Medication is considered most helpful when used in addition to therapy and self-help techniques that address the root cause of your social anxiety disorder.
  • #2 Social Phobia | Abnormal Psychology
    https://courses.lumenlearning.com/atd-herkimer-abnormalpsych/chapter/social-phobia/
    Cognitive-behavioral models emphasize the psychological and learning factors that assist in developing SP. […] When a person with SP encounters a social situation, such as having to speak in front of an audience, this activates certain negative assumptions about themselves. […] This activates the sympathetic nervous system, causing the outward, observable manifestations of anxiety and at the same time making them more focused inward on themselves. […] This will feed back into negative evaluations of themselves and lead to escape and avoidance behaviors, which will cause a reduction in anxiety, negatively reinforcing those behaviors.
  • #2 What Causes Social Anxiety?
    https://www.verywellmind.com/social-anxiety-disorder-causes-3024749
    The genetic component of social anxiety disorder is also known as the heritability of the disorder. Although heritability rates can vary a great deal in studies, it has been estimated that around 27% and 56% of the underlying causes of SAD come from genetics. […] The psychosocial causes of social anxiety disorder include factors in the environment that influence you as you grow up. If one of your parents has social anxiety disorder, then you are more likely to develop the disorder yourself. This could be due to both genetic and environmental influences. […] Research has found that children who exhibit behavioral inhibition have a seven-fold increased risk of developing social anxiety disorder. Around 40% of behaviorally inhibited kids later develop SAD. […] Societal factors that can influence the development of social anxiety. For example growing up in a culture with a strong collectivistic orientation, such as Japan or Korea, may increase the risk of social anxiety.
  • #2 What Causes Social Anxiety
    https://cogbtherapy.com/what-causes-social-anxiety
    Social Anxiety Disorder can run in families, however, no one knows for sure why some people have it while others don’t. Current research indicates there is not just one factor responsible for social anxiety disorder, and that more likely an interplay of three important factors are responsible: […] There is significant evidence that supports the hypothesis that genes play a role in whether you will develop social anxiety disorder or not. […] We learn a lot growing up in our families. […] Other impactful experiences can also lead to social phobia symptoms. […] Although it is easy to want to believe there is just one cause of social anxiety disorder, usually there is a complex interaction of factors at work.
  • #2 Social anxiety – Wikipedia
    https://en.wikipedia.org/wiki/Social_anxiety
    Social anxiety disorder (SAD), also known as social phobia, is an anxiety disorder characterized by a significant amount of fear in one or more social situations causing considerable distress and impaired ability to function in at least some parts of daily life. […] These fears can be triggered by perceived or actual scrutiny from others. […] Age, culture, and gender impact the severity of this disorder. […] The function of social anxiety is to increase arousal and attention to social interactions, inhibit unwanted social behavior, and motivate preparation for future social situations. […] Social anxiety disorder is distinct from the personality traits of introversion and shyness. […] According to ICD-10 guidelines, the main diagnostic criteria of social anxiety disorder are fear of being the focus of attention, or fear of behaving in a way that will be embarrassing or humiliating, often coupled with avoidance and anxiety symptoms.
  • #2 Social Anxiety Disorder – Mental Health Disorders – Merck Manual Consumer Version
    https://www.merckmanuals.com/home/mental-health-disorders/anxiety-and-stressor-related-disorders/social-anxiety-disorder
    However, there are effective treatment options for social anxiety disorder. […] Exposure therapy is usually effective. […] Cognitive-behavioral therapy may also help. […] Antidepressants, such as SSRIs, and benzodiazepines (antianxiety medications) can often help people with social anxiety. […] Beta-blockers may be used to reduce the increased heart rate, trembling, and sweating experienced by people who are distressed by performing in public, but these medications do not reduce anxiety itself.
  • #2 Addressing the Root Cause of Social Anxiety | D’Amore
    https://damorementalhealth.com/addressing-the-root-cause-of-social-anxiety/
    For those struggling with social anxiety, addressing the root cause of the disorder is key to lasting recovery. […] Social anxiety disorder is characterized by an intense fear of social situations. […] There is no single root cause of social anxiety. Instead, it results from a combination of factors that can vary from person to person. Some of the most common causes of social anxiety include: Poor self-esteem or lack of confidence, Negative core beliefs about oneself, Inefficient coping skills, Excessive self-consciousness and fear of judgment. […] Addressing these underlying causes is essential to overcoming social anxiety. If one can identify the factors contributing to their social anxiety, they can work on addressing them and eventually overcome them. […] According to the cognitive-behavioral model, social anxiety is caused by a distorted view of oneself and the world around them. […] By challenging negative thoughts and beliefs, one can start to break down the barriers that prevent them from enjoying social interactions.
  • #3 Anxiety disorders – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/anxiety/symptoms-causes/syc-20350961
    Social anxiety disorder (social phobia) involves high levels of anxiety, fear and avoidance of social situations due to feelings of embarrassment, self-consciousness and concern about being judged or viewed negatively by others. […] The causes of anxiety disorders aren’t fully understood. Life experiences such as traumatic events appear to trigger anxiety disorders in people who are already prone to anxiety. Inherited traits also can be a factor.
  • #3 Social Anxiety Disorder (Social Phobia) | Psychology Today
    https://www.psychologytoday.com/us/conditions/social-anxiety-disorder-social-phobia
    Social anxiety disorder, formerly referred to as social phobia, is an anxiety disorder characterized by overwhelming anxiety and excessive self-consciousness in everyday social situations. […] While research to better understand the causes of social anxiety disorder is ongoing, some investigations implicate a small structure in the brain called the amygdala. The amygdala is believed to be a central site in the brain that controls fear responses. […] Social anxiety disorder is heritable. In fact, first-degree relatives have a two to six times higher chance of developing social anxiety disorder. […] Childhood maltreatment and adversity are risk factors for social anxiety disorder. […] Children living in high-conflict homes can develop social anxiety disorder; trauma or abuse are also associated with SAD in children.
  • #3 What Causes Social Anxiety?
    https://www.verywellmind.com/social-anxiety-disorder-causes-3024749
    What this neuroimaging research has found is that there are differences in key brain areas in people who have social anxiety disorder. […] People with social anxiety disorder have been shown to have imbalances in some of these neurotransmitters. Understanding how these brain chemicals relate to social anxiety disorder is essential to determine the best medications for treatment.
  • #3 Social anxiety disorder: Causes, symptoms, and treatment
    https://www.medicalnewstoday.com/articles/176891
    Social anxiety disorder is a condition characterized by a fear of being watched or judged by others in social situations. It may occur due to a combination of genetic and environmental factors. […] The causes of social anxiety disorder are complex. They are likely to involve a combination of genetic and environmental factors. […] Possible causes and risk factors include: Genetics: Anxiety disorders can run in families, so there may be a genetic component at play. Adverse life events: Stressful or traumatic events such as abuse, violence, the death of a loved one, or a prolonged illness may increase the risk of an anxiety disorder. Previous bullying, humiliation, or rejection can also increase the risk. Parenting styles: Some sources suggest that overprotective parenting can increase a child’s risk of social anxiety.
  • #3 Social Anxiety Disorder | Mental Health America
    https://www.mhanational.org/conditions/social-anxiety-disorder
    Social Anxiety Disorder, sometimes called social phobia, is an anxiety disorder characterized by extreme fear or anxiety in one or more social settings. […] While it does not have one specific cause, there are a number of risk factors that can increase a person’s likelihood of developing Social Anxiety Disorder. People who are naturally more reserved and those who have experienced trauma like childhood abuse or neglect are more likely to develop the disorder. Additionally, those with a first-degree blood relative who has the disorder are anywhere from two to six times more likely to experience Social Anxiety Disorder.
  • #3 What Causes Social Anxiety? | Psych Central
    https://psychcentral.com/anxiety/what-causes-social-anxiety
    Social anxiety, also known as social phobia, can cause problems interacting with others or completing daily tasks. […] A combination of genetic and environmental factors may cause social anxiety. Research from 2022 suggests that the exact causes of social anxiety are unknown. […] Your environment may be a potential cause of social anxiety. One study of 1,345 Chinese adolescents from migrant families found a positive correlation between social anxiety and overprotective parenting styles. […] Individuals may also be prone to social anxiety if exposed to negative experiences like bullying. A 2018 study of 668 middle school children found that those who were exposed to bullying or cyberbullying had higher levels of social anxiety than those who weren’t exposed to bullying. […] Genetic factors that cause social anxiety remain largely unknown. Research from 2018 examining the genetic risk factors for social anxiety found that social anxiety is heritable. […] 2020 research suggests social anxiety is linked to a larger volume in the amygdala, the part of the brain that deals with emotions and detects threat cues. […] Treatment such as therapy, medication, or both is available if you have a social anxiety disorder.
  • #3 Social Anxiety/Social Phobia – Center for Youth Mental Health | NewYork-Presbyterian
    https://www.nyp.org/youthmentalhealth/anxiety-and-related-conditions/social-anxiety-social-phobia
    Social phobia or social anxiety is a common type of anxiety disorder characterized by persistent, intense fear about social or performance situations. […] If left untreated, social anxiety/social phobia can negatively affect your quality of life. […] Some forms of social anxiety may be related to a genetic predisposition to this disorder. If a family member has the condition, you may be more prone to develop social anxiety. […] Experiencing rejection, bullying, family conflict, abuse, or trauma can increase symptoms of social anxiety.
  • #3 Social Anxiety Disorder – Women’s Health – Associates for Women’s Medicine – Syracuse NY Gynecologist, Gynecology, Obstetrics, OBGYN, OB Physicians, Syracuse New York, Fayetteville, North Syracuse, LiverpoolSocial Anxiety Disorder
    https://www.afwomensmed.com/health-library/hw-view.php?DOCHWID=hw177276
    Social anxiety disorder (also called social phobia) is a condition in which a person is extremely anxious about what they will say or do in front of other people. […] Doctors don’t know what causes social anxiety disorder. They think it may run in families. But they aren’t sure if it’s because of genetics or a response to a traumatic situation. […] Treatment of social anxiety disorder includes counseling and sometimes medicine. Whether you need medicine depends on how much the condition affects your daily life. […] People who have social anxiety disorder often have depression too. They may also have substance use disorder.
  • #3 Social Anxiety Fact Sheet | Social Anxiety Association
    https://socialphobia.org/social-anxiety-disorder-definition-symptoms-treatment-therapy-medications-insight-prognosis
    Appropriate therapy is markedly successful in changing people’s thoughts, beliefs, feelings, and behavior. […] Medication without the use of active, structured cognitive-behavioral therapy has no long-term benefits. […] Only CBT can change the neural pathway associations in the brain permanently. […] Social anxiety disorder is one of the five major anxiety disorders as listed in the DSM-5. […] Lack of professional and knowledgeable therapists is the biggest and most relevant problem to overcoming social anxiety.
  • #3 Psychiatry.org – What are Anxiety Disorders?
    https://www.psychiatry.org/patients-families/anxiety-disorders/what-are-anxiety-disorders
    A person with social anxiety disorder has significant anxiety and discomfort about being embarrassed, humiliated, rejected or looked down on in social interactions. People with this disorder will try to avoid the situation or endure it with great anxiety. Common examples are extreme fear of public speaking, meeting new people or eating/drinking in public. The fear or anxiety causes problems with daily functioning and lasts at least six months. […] The causes of anxiety disorders are currently unknown but likely involve a combination of factors including genetic, environmental, psychological and developmental. Anxiety disorders can run in families, suggesting that a combination of genes and environmental stresses can produce the disorders.