Zaburzenie lękowe społeczne (fobia społeczna)
Objawy

Zaburzenie lękowe społeczne (fobia społeczna) to przewlekłe zaburzenie psychiczne charakteryzujące się intensywnym lękiem przed oceną w sytuacjach społecznych, które znacząco zaburza funkcjonowanie społeczne, zawodowe i edukacyjne. Występuje u 5-10% populacji, z roczną częstością około 7%, częściej u kobiet, z początkiem zwykle w wieku 8-15 lat. Objawy obejmują zarówno symptomy fizyczne (np. rumienienie się, nadmierne pocenie, kołatanie serca), jak i poznawcze (intensywny strach przed oceną, nadmierna samoświadomość), emocjonalne oraz behawioralne (unikanie sytuacji społecznych, trudności w nawiązywaniu kontaktu wzrokowego). Zaburzenie może mieć przebieg łagodny, umiarkowany lub ekstremalny, a także występować w formie uogólnionej lub specyficznej. Nieleczone prowadzi do przewlekłego upośledzenia funkcjonowania, izolacji społecznej, nadużywania substancji oraz zwiększonego ryzyka depresji i myśli samobójczych.

Zaburzenie lękowe społeczne (fobia społeczna)

Zaburzenie lękowe społeczne, znane również jako fobia społeczna, jest przewlekłym zaburzeniem psychicznym charakteryzującym się intensywnym, uporczywym lękiem przed sytuacjami społecznymi, w których osoba może być oceniana lub obserwowana przez innych. W przeciwieństwie do zwykłej nerwowości, zaburzenie lękowe społeczne obejmuje strach, niepokój i unikanie, które zakłócają relacje międzyludzkie, codzienne rutyny, pracę, naukę lub inne aktywności12.

Charakterystyka ogólna

Zaburzenie lękowe społeczne jest trzecim najczęściej występującym zaburzeniem psychicznym po depresji i zaburzeniach związanych z używaniem substancji psychoaktywnych. Dotyka około 5-10% populacji na całym świecie, a jego częstość występowania w ciągu roku wynosi około 7%, zarówno wśród dzieci, jak i dorosłych w Stanach Zjednoczonych123. Występuje częściej u kobiet niż u mężczyzn (prawie dwukrotnie), a jego początek zazwyczaj przypada na wczesny lub środkowy okres dojrzewania, choć może czasem rozpocząć się u młodszych dzieci lub u dorosłych12.

Osoby z zaburzeniem lękowym społecznym boją się sytuacji, w których mogą zostać negatywnie ocenione, zawstydzone lub upokorzone. Strach ten jest nieproporcjonalny do rzeczywistego zagrożenia stwarzanego przez sytuację społeczną i kontekst społeczno-kulturowy12.

Objawy zaburzenia lękowego społecznego

Objawy fobii społecznej można podzielić na kilka kategorii: fizyczne, poznawcze (myślowe), emocjonalne i behawioralne. Każda osoba może doświadczać ich w różnym nasileniu i konfiguracji1.

Objawy fizyczne

Osoby z zaburzeniem lękowym społecznym często doświadczają wyraźnych objawów fizycznych w sytuacjach społecznych, które mogą obejmować:

  • Zaczerwienienie twarzy (rumienienie się) – uznawane za charakterystyczny objaw zaburzenia lękowego społecznego12
  • Nadmierne pocenie się1
  • Drżenie lub trzęsienie się1
  • Przyspieszone bicie serca (kołatanie serca)1
  • Trudności z oddychaniem lub przyspieszone oddychanie1
  • Uczucie zawrotów głowy lub omdlenia1
  • Napięcie mięśniowe1
  • Suchość w ustach i gardle1
  • Nudności lub problemy żołądkowe1
  • Uczucie, że umysł staje się pusty1
  • Bóle w klatce piersiowej1
  • Uczucie dławienia się1

Te objawy fizyczne mogą być źródłem dodatkowego niepokoju, ponieważ osoby cierpiące na fobię społeczną martwią się, że inni zauważą te objawy, co tylko zwiększa lęk i tworzy błędne koło1.

Objawy poznawcze i emocjonalne

Osoby z zaburzeniem lękowym społecznym doświadczają szeregu myśli i emocji, które mogą obejmować:

  • Intensywny strach przed sytuacjami, w których mogą być oceniane1
  • Obawa przed zawstydzeniem lub upokorzeniem1
  • Nadmierna samoświadomość w obecności innych ludzi1
  • Ciągłe uczucie bycia obserwowanym i ocenianym1
  • Strach, że inni zauważą ich niepokój1
  • Obawy przed rozmową z obcymi lub wystąpieniami publicznymi1
  • Intensywny strach przed wykonywaniem czynności przed innymi1
  • Uczucie pustki w umyśle podczas interakcji społecznych1
  • Oczekiwanie najgorszych możliwych konsekwencji negatywnego doświadczenia w sytuacji społecznej1
  • Nadmierna krytyka wobec siebie i kwestionowanie swoich działań po interakcjach społecznych1

Objawy behawioralne

Zachowania charakterystyczne dla zaburzenia lękowego społecznego to:

  • Unikanie sytuacji społecznych, które mogą wywołać lęk1
  • Trudności z nawiązywaniem kontaktu wzrokowego1
  • Sztywna postawa ciała podczas interakcji społecznych1
  • Mówienie bardzo cicho lub jąkanie się1
  • Nadmierne przygotowywanie się do sytuacji społecznych1
  • Unikanie miejsc, gdzie znajdują się inni ludzie1
  • Unikanie bycia w centrum uwagi1
  • Opuszczanie lub wcześniejsze opuszczanie wydarzeń społecznych1
  • Używanie alkoholu lub innych substancji, aby poradzić sobie z lękiem1

Przebieg i rozwój zaburzenia

Początek i rozwój

Zaburzenie lękowe społeczne zazwyczaj rozpoczyna się we wczesnym lub środkowym okresie dojrzewania, w wieku około 11-15 lat, choć może pojawić się wcześniej u niektórych dzieci lub później u osób dorosłych12. Około 75% osób z tym zaburzeniem doświadcza pierwszych objawów w wieku 8-15 lat1.

Początek zaburzenia może być stopniowy lub nagły, często pojawia się po stresującym wydarzeniu lub upokarzającym doświadczeniu społecznym u osoby z historią nieśmiałości lub zahamowania społecznego w dzieciństwie12. Około połowa pacjentów zgłasza, że ich fobia rozpoczęła się w odpowiedzi na konkretne zawstydzające doświadczenie, podczas gdy pozostali twierdzą, że była z nimi „od zawsze”1.

Nasilenie i trwanie objawów

Zaburzenie lękowe społeczne może występować w różnym nasileniu, od łagodnego do ekstremalnego1:

  • Łagodne zaburzenie lękowe społeczne: Osoba może doświadczać fizycznych i psychologicznych objawów lęku społecznego, ale nadal uczestniczy w sytuacjach społecznych lub je znosi. Może również doświadczać objawów tylko w pewnych sytuacjach społecznych1.
  • Umiarkowane zaburzenie lękowe społeczne: Osoba może doświadczać fizycznych i psychologicznych objawów lęku społecznego, ale nadal uczestniczy w niektórych sytuacjach społecznych, unikając innych1.
  • Ekstremalne zaburzenie lękowe społeczne: Osoba może doświadczać bardziej intensywnych objawów lęku społecznego, takich jak atak paniki w sytuacjach społecznych. Z tego powodu osoby z ekstremalnym lękiem społecznym zwykle unikają sytuacji społecznych za wszelką cenę. Osoba z ekstremalnym lękiem społecznym prawdopodobnie ma objawy we wszystkich lub wielu typach sytuacji społecznych1.

Możliwe jest wahanie między różnymi poziomami lęku społecznego w ciągu życia1.

Rodzaje zaburzenia lękowego społecznego

Zaburzenie lękowe społeczne można podzielić na dwie główne kategorie:

  • Uogólnione zaburzenie lękowe społeczne: Objawy występują w większości sytuacji społecznych. Osoby z uogólnionym zaburzeniem lękowym społecznym obawiają się większości sytuacji społecznych, w tym zarówno interakcji społecznych, jak i sytuacji związanych z występowaniem przed innymi12.
  • Nieuogólnione (specyficzne) zaburzenie lękowe społeczne: Objawy występują w określonych sytuacjach społecznych. Na przykład, niektóre osoby mogą doświadczać lęku tylko w związku z wystąpieniami publicznymi lub jedzeniem w obecności innych12.

Nasilenie zaburzenia, zarówno uogólnionego, jak i nieuogólnionego, może być modyfikowane przez różne stresory w życiu osoby1.

Lęk antycypacyjny i błędne koło

Osoby z zaburzeniem lękowym społecznym często doświadczają intensywnego lęku antycypacyjnego przed sytuacjami społecznymi1. Mogą martwić się przez dni, tygodnie, a nawet miesiące przed nadchodzącym wydarzeniem społecznym1.

Po wydarzeniu społecznym osoba może analizować swoje zachowanie, oceniając swoją „wydajność” i koncentrując się na postrzeganych porażkach1. Rozmyślanie o tych uczuciach społecznej porażki może sprawić, że osoba poczuje się jeszcze gorzej i wzmocnić pragnienie unikania sytuacji społecznych w przyszłości, tworząc błędne koło1.

Przebieg długoterminowy

Nieleczone zaburzenie lękowe społeczne może być przewlekłe i utrzymujące się1. Bez leczenia, zaburzenie lękowe społeczne może utrzymywać się przez wiele lat, a nawet przez całe życie12.

Około 30% osób doświadcza remisji w ciągu roku, a około 50% w ciągu kilku lat1. Jednak objawy zwykle utrzymują się w jakiejś formie i intensywności przez całe życie osoby1.

U niektórych osób objawy mogą zmniejszać się z wiekiem, jednak dla wielu nie ustępują samoistnie bez leczenia1.

Wpływ na codzienne funkcjonowanie

Wpływ na życie zawodowe i edukacyjne

Zaburzenie lękowe społeczne może mieć poważny wpływ na funkcjonowanie zawodowe i edukacyjne osoby:

  • Może prowadzić do obniżonych osiągnięć w szkole lub pracy1
  • Osoby dotknięte tym zaburzeniem mogą unikać uczestnictwa w zadaniach grupowych, wypowiadania się przed grupami lub awansowania1
  • Zaburzenie może prowadzić do trudności w utrzymaniu pracy1
  • Około 85% pacjentów z tym zaburzeniem doświadcza trudności akademickich i zawodowych spowodowanych ich niezdolnością do spełnienia społecznych wymagań związanych z zabezpieczeniem i utrzymaniem zatrudnienia lub relacji1
  • W ciężkich przypadkach może prowadzić do rezygnacji ze szkoły lub długotrwałego bezrobocia1

Wpływ na relacje międzyludzkie

Zaburzenie lękowe społeczne może znacząco wpływać na relacje międzyludzkie osoby:

  • Może prowadzić do trudności w nawiązywaniu i utrzymywaniu przyjaźni1
  • Osoby z fobią społeczną mogą stać się społecznie izolowane i mieć trudności w nawiązywaniu przyjaźni1
  • Może wpływać na relacje intymne – osoby z fobią społeczną mają mniejsze szanse na zawarcie małżeństwa i mogą mieszkać z członkami rodziny biologicznej1
  • Lęk może zakłócać zdolność osoby do tworzenia bliskich relacji1

Inne obszary wpływu

Nieleczone zaburzenie lękowe społeczne może wpływać na wiele innych aspektów życia osoby:

  • Obniżona jakość życia1
  • Izolacja od rodziny, rówieśników i społeczności1
  • Niechęć do opuszczania domu1
  • Trudności z codziennymi czynnościami, takimi jak zakupy, korzystanie z telefonu lub korzystanie z publicznych toalet1
  • Nadużywanie alkoholu lub innych substancji jako sposób radzenia sobie z lękiem1
  • Zwiększone ryzyko depresji i myśli samobójczych1

Współistniejące zaburzenia

Zaburzenie lękowe społeczne często współwystępuje z innymi zaburzeniami psychicznymi, co może komplikować diagnozę i leczenie1.

Częste współistniejące zaburzenia

Wśród osób z zaburzeniem lękowym społecznym często występują:

Według niektórych badań, do 90% osób z lękiem społecznym ma inne współistniejące zaburzenie12.

Komplikacje i ryzyko

Współistniejące zaburzenia mogą zwiększać ryzyko poważnych komplikacji:

  • Obecność współchorobowości w fobii społecznej wiąże się ze zwiększoną częstością występowania myśli samobójczych i prób samobójczych w ciągu życia1
  • Osoby z lękiem społecznym i współistniejącą depresją są bardziej narażone na myśli i próby samobójcze1
  • Zaburzenie lękowe społeczne może poprzedzać rozwój innych zaburzeń psychicznych, takich jak depresja1

Osoby szczególnie narażone

Zaburzenie lękowe społeczne u dzieci

Zaburzenie lękowe społeczne może również wpływać na dzieci, z objawami takimi jak:

  • Płacz lub denerwowanie się częściej niż zwykle1
  • Częste złoszczenie się1
  • Unikanie interakcji z innymi dziećmi i dorosłymi1
  • Strach przed chodzeniem do szkoły lub uczestniczeniem w zajęciach klasowych, występach szkolnych i wydarzeniach społecznych1
  • Niechęć do proszenia o pomoc w szkole1
  • Silna zależność od rodziców lub opiekunów1
  • Napady złości, kurczowe trzymanie się znanych osób, odmowa mówienia przed klasą, strach w nowych miejscach i z nowymi ludźmi1

U dzieci lęk społeczny może być trudniejszy do zdiagnozowania, ponieważ nie mają one zdolności do opisywania natury swojego lęku tak skutecznie jak dorośli. Zaburzenie może więc pozostać nierozpoznane, mimo że dziecko wykazuje objawy1.

U młodszych dzieci zaburzenie lękowe społeczne może przeplatać się z lękiem separacyjnym1.

Długoterminowe skutki nieleczonego zaburzenia

Nieleczone zaburzenie lękowe społeczne w dzieciństwie zazwyczaj kontynuuje się w dorosłości i może potencjalnie powodować znaczną długość trwania upośledzenia i zakłócać normalny rozwój1.

Dzieci z zaburzeniem lękowym społecznym zgłaszają również trudności z asertywnością, uczucia niższości i nadwrażliwość na krytykę i inne negatywne osądy, często prowadzące do nadmiernej złości1.

Podejście do leczenia

Zaburzenie lękowe społeczne jest zaburzeniem, które powinno być leczone za pomocą opieki medycznej. Jest to prawdziwe zaburzenie i zwykle nie ustępuje samo z siebie. Lekarz rodzinny może pomóc w znalezieniu sposobów na zarządzanie objawami1.

Zaburzenie lękowe społeczne można skutecznie leczyć za pomocą psychoterapii poznawczo-behawioralnej (CBT) i/lub leków, takich jak leki przeciwdepresyjne (zazwyczaj selektywne inhibitory wychwytu zwrotnego serotoniny, znane również jako SSRI, lub beta-blokery)1.

Znalezienie odpowiedniej dawki i rodzaju leku może zająć trochę czasu. Warto wiedzieć, że rozpoczęcie procesu leczenia zaburzenia lękowego społecznego przybliża osobę do poczucia poprawy1.

Osoby z zaburzeniem lękowym społecznym bardzo dobrze reagują na leczenie, czy to w formie terapii poznawczo-behawioralnej (CBT), leków lub obu tych metod1.

Prognozy i wnioski

Rokowania dla osób z zaburzeniem lękowym społecznym są dobre, jeśli otrzymają odpowiednie leczenie1. Badania wykazały, że terapia poznawczo-behawioralna (CBT) i leki przeciwdepresyjne są bardzo skuteczne w leczeniu i zarządzaniu zaburzeniem lękowym społecznym1.

Leczenie może pomóc znacznie zmniejszyć lub przezwyciężyć objawy i lęk w sytuacjach społecznych1. Pacjenci z zaburzeniem lękowym społecznym, którzy szukają leczenia, często mogą przezwyciężyć uczucia strachu i lęku związane z sytuacjami społecznymi, umożliwiając im pełniejsze i bardziej pewne uczestnictwo w wydarzeniach społecznych bez przytłaczających uczuć strachu lub lęku1.

Jednak zaburzenie lękowe społeczne jest zaburzeniem przewlekłym. Osoby mogą doświadczyć nawrotu objawów miesiące lub lata po udanym leczeniu, co może wymagać ponownego szukania leczenia w celu zarządzania objawami1.

Bez leczenia zaburzenie lękowe społeczne może być wyniszczające i może prowadzić do złych wyników edukacyjnych, spadku wydajności w pracy, niższej jakości relacji i ogólnie obniżonej jakości życia1.

Kolejne rozdziały

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  1. 11.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Social anxiety disorder (social phobia) – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/social-anxiety-disorder/symptoms-causes/syc-20353561
    It’s normal to feel nervous in some social situations. For example, going on a date or giving a presentation may cause that feeling of butterflies in your stomach. But in social anxiety disorder, also called social phobia, everyday interactions cause significant anxiety, self-consciousness and embarrassment because you fear being scrutinized or judged negatively by others. […] In contrast to everyday nervousness, social anxiety disorder includes fear, anxiety and avoidance that interfere with relationships, daily routines, work, school or other activities. Social anxiety disorder typically begins in the early to mid-teens, though it can sometimes start in younger children or in adults. […] Signs and symptoms of social anxiety disorder can include constant: Fear of situations in which you may be judged negatively, Worry about embarrassing or humiliating yourself,
  • #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. […] Individuals with social phobia typically experience symptoms resembling panic during a social encounter. These situations may include speaking in public, using public restrooms, eating with other people, or engaging in social contact in general. […] Persons with this disorder fear being humiliated or embarrassed in social and/or performance situations by their actions and may become intensely anxious, with an increased heart rate, diaphoresis, and other signs of autonomic arousal. These physical symptoms may cause additional anxiety, often leading to a conditioned fear response that reinforces their anxiety in public situations.
  • #1 Social Anxiety Disorder: Symptoms, Tests, Causes & Treatments
    https://my.clevelandclinic.org/health/diseases/22709-social-anxiety
    A core feature of social anxiety disorder is that you’re afraid of being judged, rejected and/or humiliated. […] Social anxiety disorder is a common mental health condition that can affect anyone. Most people who have social anxiety disorder experience symptoms before they’re 20 years old. Females experience higher rates of social anxiety than males. […] Social anxiety disorder isn’t uncommon. Approximately 5% to 10% of people across the world have social anxiety disorder. It’s the third most common mental health condition behind substance use disorder and depression. […] A person with social anxiety disorder can have a mild, moderate or extreme form of it. Some people with social anxiety only experience symptoms with one type of situation, like eating in front of others or performing in front of others, while other people with social anxiety experience symptoms in several or all forms of social interaction.
  • #1 Table 16, DSM-IV to DSM-5 Social Phobia/Social Anxiety Disorder Comparison – DSM-5 Changes – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK519712/table/ch3.t12/
    A. A marked and persistent fear of one or more social or performance situations in which the person is exposed to unfamiliar people or to possible scrutiny by others. The individual fears that he or she will act in a way (or show anxiety symptoms) that will be humiliating or embarrassing. […] A. Marked fear or anxiety about one or more social situations in which the individual is exposed to possible scrutiny by others. Examples include social interactions (e.g., having a conversation, meeting unfamiliar people), being observed (e.g., eating or drinking), and performing in front of others (e.g., giving a speech). […] B. Exposure to the feared social situation almost invariably provokes anxiety, which may take the form of a situationally bound or situationally predisposed panic attack. […] C. The social situations almost always provoke fear or anxiety.
  • #1 Social Anxiety Disorder: Symptoms, Tests, Causes & Treatments
    https://my.clevelandclinic.org/health/diseases/22709-social-anxiety
    In general, the different levels of social anxiety include: Mild social anxiety: A person with mild social anxiety may experience the physical and psychological symptoms of social anxiety but still participate in, or endure, social situations. They may also only experience symptoms in certain social situations. Moderate social anxiety: A person with mild social anxiety may experience physical and psychological symptoms of social anxiety but still participate in some social situations while avoiding other types of social situations. Extreme social anxiety: A person with extreme social anxiety may experience more intense symptoms of social anxiety, such as a panic attack, in social situations. Because of this, people with extreme social anxiety usually avoid social situations at all costs. A person with extreme social anxiety likely has symptoms in all or many types of social situations.
  • #1 Social Anxiety Disorder (Social Phobia) – PsychDB
    https://www.psychdb.com/anxiety/social-anxiety
    The fear, anxiety, or avoidance is persistent, typically lasting for 6 months or more. […] The fear, anxiety, or avoidance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning. […] Common physical symptoms of social anxiety disorder include: blushing, stammering, sweating, gastrointestinal symptoms, dry mouth, palpitations, trembling, urgency of micturition, and panic attacks. […] The anticipatory anxiety in social anxiety can sometimes occur far in advance of upcoming situations (e.g. – worrying every day for weeks before the social event). […] Individuals often overestimate the negative consequences of the social situations, but the sociocultural context always needs to be taken into account by the clinician. […] Blushing is considered a hallmark response for social anxiety disorder.
  • #1 Social Anxiety Disorder: Symptoms, Tests, Causes & Treatments
    https://my.clevelandclinic.org/health/diseases/22709-social-anxiety
    It’s very common to have anticipatory anxiety when facing these situations. It’s possible to fluctuate between different levels of social anxiety throughout your life. No matter which type of social anxiety you have, it’s important to seek treatment because this type of anxiety affects your quality of life. […] When people with social anxiety have to perform in front of or be around other people, they tend to experience certain symptoms, behaviors and thoughts. A person with social anxiety disorder can have these symptoms during specific types of social situations or they can have them in several or all social interactions. […] Physical and physiological symptoms of social anxiety disorder can include: Blushing, sweating, shaking or feeling your heart race in social situations, Feeling very nervous to the point of feeling nauseated in social situations, Not making much eye contact when interacting with others, Having a stiff body posture when you’re around other people.
  • #1 Social Anxiety Disorder: More Than Just Shyness – National Institute of Mental Health (NIMH)
    https://www.nimh.nih.gov/health/publications/social-anxiety-disorder-more-than-just-shyness
    The fear that people with social anxiety disorder have in social situations is so intense that they feel it is beyond their control. […] Social anxiety disorder usually starts during late childhood and may resemble extreme shyness or avoidance of situations or social interactions. […] Without treatment, social anxiety disorder can last for many years, or even a lifetime. […] When having to perform in front of or be around others, people with social anxiety disorder may: Blush, sweat, or tremble. Have a rapid heart rate. Feel their mind going blank, or feel sick to their stomach. Have a rigid body posture, or speak with an overly soft voice. Find it difficult to make eye contact, be around people they don’t know, or talk to people in social situations, even when they want to. Feel self-consciousness or fear that people will judge them negatively. Avoid places where there are other people.
  • #1 Social anxiety (social phobia) – NHS
    https://www.nhs.uk/mental-health/conditions/social-anxiety/
    avoid or worry a lot about social activities, such as group conversations, eating with company and parties […] always worry about doing something you think is embarrassing, such as blushing, sweating or appearing incompetent […] find it difficult to do things when others are watching you may feel like you’re being watched and judged all the time […] fear being criticised, avoid eye contact or have low self-esteem […] often have symptoms like feeling sick, sweating, trembling or a pounding heartbeat (palpitations) […] have panic attacks, where you have an overwhelming sense of fear and anxiety, usually only for a few minutes. […] Many people with social anxiety also have other mental health issues, such as depression, generalised anxiety disorder or panic disorder. […] It’s a good idea to see a GP if you think you have social anxiety, especially if it’s having a big impact on your life.
  • #1 Social phobia | Better Health Channel
    https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/social-phobia
    It is estimated that around three per cent of the Australian population experience social phobia in any one year. Up to 13 per cent of the population may develop social phobia during their lifetime. […] In many cases, social phobia begins with shyness in childhood and progresses during adolescence. The onset of social phobia generally occurs around ages 11 to 15. Social phobia is also known as social anxiety disorder. […] When exposed to a feared social situation, a person with social phobia may experience symptoms of extreme anxiety, including: blushing, trembling, feeling as if you have nothing to say, accelerated heart rate, shallow, fast breathing, sweaty palms, nausea, tense muscles, dry throat, stomach pain, feeling faint or light-headed, feelings of self-doubt and uncertainty, negative thoughts such as Im making a fool of myself, difficulty concentrating on anything other than physical sensations of anxiety, negative feedback from others and negative thoughts, an overwhelming urge to flee the situation, the realisation that these feelings are irrational and out of proportion.
  • #1 Social anxiety disorder – Wikipedia
    https://en.wikipedia.org/wiki/Social_anxiety_disorder
    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. These fears can be triggered by perceived or actual scrutiny from others. Individuals with social anxiety disorder fear negative evaluations from other people. […] Physical symptoms often include excessive blushing, excessive sweating, trembling, palpitations, rapid heartbeat, muscle tension, shortness of breath, and nausea. Panic attacks can also occur under intense fear and discomfort. […] 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.
  • #1 Social Anxiety: Signs, Symptoms, and Treatments
    https://www.webmd.com/anxiety-panic/signs-social-anxiety
    The following emotional and behavioral symptoms may show up in people with social anxiety: Fearing situations where you might be judged, Fear of showing physical symptoms such as blushing, trembling, sweating, or an unsteady voice, Worrying you will embarrass or humiliate yourself, Intense fear of interacting with strangers, Avoiding any situation in which you will be the center of attention, Getting anxiety in anticipation of an activity or event, Avoiding going places or speaking to people out of fear of embarrassment, Fearing people will notice your anxiety, Spending significant time analyzing and critiquing the way you acted in a social situation, Expecting the worst outcomes from a negative social experience. […] Some of the external signs of social anxiety disorder include: Blushing, Rapid heartbeat, Sweating, Difficulty catching your breath, Shaking, Nausea or upset stomach, Lightheadedness or dizziness, Tight muscles.
  • #1 Social Anxiety Disorder > Fact Sheets > Yale Medicine
    https://www.yalemedicine.org/conditions/social-anxiety-disorder
    People with social anxiety disorder are likely to avoid social settings if they can. […] When they find themselves in social situations, they may experience the following physiological symptoms: Blushing, Trembling, Sweating, A rapid heartbeat, Chest pain, Nausea, Dizziness, Feeling as though they are choking, Shortness of breath. […] People with social anxiety disorder may exhibit the following behaviors in social situations: Feel very self-conscious, Have difficulty talking, Speak in a very quiet voice, Avoid eye contact, Feel stiff or rigid rather than relaxed, Believe that other people are judging or rejecting them. […] The most common treatment for social anxiety disorder is cognitive behavioral therapy (CBT), also known as talk therapy. […] Certain medications may also be used to treat the condition.
  • #1 Social Phobia – Anxiety Institute
    https://anxietyinstitute.com/what-we-treat/anxiety-disorders/social-phobia/
    Severe cases may experience suicidal thoughts, or development of substance abuse or other disorders. […] As with other anxiety disorders, symptoms are experienced across emotional, cognitive, and physical domains; each of which play a role in the cycle of anxiety. […] Physical symptoms can be visible or non-visible; acute or pervasive: Excessive sweating, Blushing, Muscle twitches/spasms, Shaking and tremors, Difficulty swallowing/dry mouth, Increased heart rate, Trouble catching one’s breath, Dizziness or feeling faint, Feeling like one’s mind has gone blank, Upset stomach or nausea. […] Cognitive symptoms range from interpretations, predictions, memories and often include the following cognitive distortions: Perfectionism – Setting unrealistic or excessive goals in social situations yet feeling like a failure for not meeting or exceeding the unrealistic goals.
  • #1 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. […] People with social anxiety disorder are fearful of or anxious about certain social situations due to a fear of negative judgment, embarrassment, or rejection. […] Although some anxiety is usual in social situations, such as when giving a presentation or going on a date, social anxiety disorder refers to anxiety that is intense, affects work or personal life, and lasts for at least 6 months. […] People with social anxiety disorder may feel worried about appearing anxious, such as blushing or trembling, or about others thinking that they are awkward or unintelligent. […] The symptoms tend to occur in certain social situations and may include: physical symptoms, such as blushing, sweating, trembling, nausea, an increased heart rate, and the mind going blank; feelings of panic or panic attacks; a fear of experiencing anxiety or of seeming anxious in front of others; an intense fear of judgment from others; feelings of fear or dread in situations with other people, especially strangers; feeling very self-conscious, embarrassed, or awkward in front of others; having difficulty speaking; avoiding situations that might trigger anxiety; a rigid body posture and a soft voice during social interactions; difficulty making or maintaining eye contact; sensitivity to criticism, low self-esteem, and negative self-talk.
  • #1 Social Anxiety Disorder (Social Phobia) | Psychology Today
    https://www.psychologytoday.com/us/conditions/social-anxiety-disorder-social-phobia
    Physical symptoms, which often accompany the intense stress of social anxiety disorder, include blushing, sweating, trembling, nausea, and difficulty speaking. Because these visible symptoms heighten the fear of disapproval, they themselves can become an additional focus of fear, creating a vicious cycle: As people with social anxiety disorder worry about experiencing these symptoms, the greater their chances are of developing them. […] A diagnosis of social anxiety disorder is made only if this avoidance, fear, or anxious anticipation of a social or performance situation interferes with daily routine, occupational functioning, and social life or if there is marked distress as a result of the anxiety. The DSM-5 provides the following criteria for diagnosing social anxiety disorder: The individual fears one or more social or performance situations in which he or she is exposed to possible scrutiny by others. Examples include meeting unfamiliar people, being observed eating or drinking, or giving a speech or performance. […] The individual fears behaving in a manner that causes embarrassment or being negatively evaluated. […] Exposure to social situations almost always causes intense anxiety. […] The feared situation is avoided or endured with anxiety and distress. […] The fear or anxiety is out of proportion to the actual threat posed by the social situation. […] The fear or anxiety is persistent and typically lasts for six months or longer. […] The avoidance, anxious anticipation, or distress interferes significantly with the person’s social, academic, or occupational functioning.
  • #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. […] It’s a common problem that usually starts during the teenage years. It can be very distressing and have a big impact on your life. […] For some people it gets better as they get older. But for many people it does not go away on its own without treatment. […] Social anxiety is more than shyness. It’s a fear that does not go away and affects everyday activities, self confidence, relationships and work or school life. […] Many people occasionally worry about social situations, but someone with social anxiety feels overly worried before, during and after them. […] You may have social anxiety if you: worry about everyday activities, such as meeting strangers, starting conversations, speaking on the phone, working or shopping
  • #1 Social Anxiety Disorder: Symptoms, Tests, Causes & Treatments
    https://my.clevelandclinic.org/health/diseases/22709-social-anxiety
    Thoughts and behaviors that can be signs of social anxiety disorder include: Being very self-conscious in front of other people, Feeling embarrassed or awkward in front of other people, Feeling your mind go blank and not knowing what to say to other people, Feeling very afraid or worried that other people will judge you negatively or reject you, Finding it scary and hard to be around other people, especially strangers, Avoiding places where there are people. […] 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). […] Antidepressants are effective for depression and anxiety disorders and are a frontline form of treatment for social anxiety disorders.
  • #1 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. […] If you have social anxiety disorder, you have anxiety or fear in specific or all social situations, including: Meeting new people, Performing in front of people, Taking or making phone calls, Using public restrooms, Asking for help in a restaurant, store or other public place, Dating, Answering a question in front of people, Eating in front of people, Participating in an interview.
  • #1 Social Anxiety Symptoms: Mental and Physical Effects of Social Anxiety
    https://psychcentral.com/anxiety/social-anxiety-disorder-symptoms
    Below are some physical and psychological signs and symptoms you may recognize if you experience social anxiety. […] Some physical manifestations of social anxiety disorder include: dizziness or fainting, muscle tension, blushing, heart palpitations, hyperventilating, or shortness of breath, nausea or vomiting, irritable bowel syndrome (IBS), excessive sweating, shaking or trembling. […] If you have social anxiety disorder, you might also experience psychological signs and symptoms that affect how you think and feel. These might manifest as: feelings of dread before work, school, or social events, fear, stress, or panic in social settings, brain fog during conversations, intrusive thoughts about social situations, feelings of loneliness or social isolation, fatigue after socializing, hesitance to speak up, for fear of offending others, difficulty making eye contact, low self-esteem.
  • #1 Social anxiety disorder (social phobia) | UM Health-Sparrow
    https://www.uofmhealthsparrow.org/departments-conditions/conditions/social-anxiety-disorder-social-phobia
    It’s normal to feel nervous in some social situations. But in social anxiety disorder, also called social phobia, everyday interactions cause significant anxiety, self-consciousness and embarrassment because you fear being scrutinized or judged negatively by others. […] In contrast to everyday nervousness, social anxiety disorder includes fear, anxiety and avoidance that interfere with relationships, daily routines, work, school or other activities. Social anxiety disorder typically begins in the early to mid-teens, though it can sometimes start in younger children or in adults. […] Signs and symptoms of social anxiety disorder can include constant: Fear of situations in which you may be judged negatively, Worry about embarrassing or humiliating yourself, Intense fear of interacting or talking with strangers, Fear that others will notice that you look anxious, Fear of physical symptoms that may cause you embarrassment, such as blushing, sweating, trembling or having a shaky voice, Avoidance of doing things or speaking to people out of fear of embarrassment, Avoidance of situations where you might be the center of attention, Anxiety in anticipation of a feared activity or event, Intense fear or anxiety during social situations, Analysis of your performance and identification of flaws in your interactions after a social situation, Expectation of the worst possible consequences from a negative experience during a social situation
  • #1 Social Anxiety Disorder – HelpGuide.org
    https://www.helpguide.org/mental-health/anxiety/social-anxiety-disorder
    Emotional signs and symptoms of social anxiety disorder: Excessive self-consciousness and anxiety in everyday social situations, Intense worry for days, weeks, or even months before an upcoming social situation, Extreme fear of being watched or judged by others, especially people you dont know, Fear that youll act in ways that will embarrass or humiliate yourself, Fear that others will notice that youre nervous. […] Physical signs and symptoms: Red face, or blushing, Shortness of breath, Upset stomach, nausea (i.e. butterflies), Trembling or shaking (including shaky voice), Racing heart or tightness in chest, Sweating or hot flashes, Feeling dizzy or faint. […] Behavioral signs and symptoms: Avoiding social situations to a degree that limits your activities or disrupts your life, Staying quiet or hiding in the background in order to escape notice and embarrassment, A need to always bring a buddy along with you wherever you go, Drinking before social situations in order to soothe your nerves.
  • #1 Signs Of Social Anxiety Disorder & Its Effect On Mental Health | BetterHelp
    https://www.betterhelp.com/advice/anxiety/24-common-signs-of-social-anxiety/
    When avoidance isn’t possible, they may escape situations abruptly, leaving gatherings or meetings early to relieve their anxiety. […] Some people with social anxiety may turn to alcohol or other substances as a way to cope with or dull their anxiety in social settings. […] Excessive preparation is common, with individuals spending a lot of time rehearsing conversations or planning how to act in social situations to avoid embarrassment. […] Avoiding eye contact is a frequent behavior, as making eye contact can increase feelings of vulnerability and anxiety. […] Quietness or speaking softly is typical in social anxiety, as individuals fear drawing attention to themselves or being judged for what they say. […] Social anxiety symptoms typically begin in the early to mid-teens, around ages 13 to 15, though they can emerge earlier than these ages or later, depending on individual circumstances.
  • #1 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. People with social anxiety disorder have a persistent, intense, and chronic fear of being watched and judged by others and of being embarrassed or humiliated by their own actions. Their fear may be so severe that it interferes with work, school, or other activities. […] While many people with social anxiety disorder recognize that their fear of being around people may be excessive or unreasonable, they are unable to overcome it. They often worry for days or weeks in advance of a dreaded situation. In addition, they often experience low self-esteem and depression. […] Social anxiety disorder can be limited to only one type of situation such as a fear of public speaking or a person can experience symptoms whenever they are around other people. If left untreated, social phobia can have severe consequences. For example, it may keep people from work or school or prevent them from making friends.
  • #1 Social anxiety disorder – Wikipedia
    https://en.wikipedia.org/wiki/Social_anxiety_disorder
    The fear or anxiety affects an individual for an abnormally long time 6 months or more. […] Social anxiety disorder may predict subsequent development of other psychiatric disorders, such as depression. […] Social anxiety disorder remains under-recognized in primary care practice, with people presenting for treatment only after the onset of complications, such as clinical depression or substance use disorders. […] The mean onset of social phobia is 10 to 13 years. Onset after age 25 is rare and is typically preceded by panic disorder or major depression.
  • #1 Social Phobia – Anxiety Institute
    https://anxietyinstitute.com/what-we-treat/anxiety-disorders/social-phobia/
    Social anxiety disorder (SAD) can affect people of any age; however, it typically emerges during early to middle adolescence. […] Social anxiety disorder (also known as social phobia) is a condition in which people experience significant and sometimes paralyzing symptoms of anxiety in social situations, based on core deep fears related to evaluation and judgement by others. This anxiety and fear not only impedes an individual’s social life but also interferes with everyday activities, such as school and professional life. […] About 75% of SAD sufferers experience symptoms by age 13. SAD is influenced by the onset of puberty and associated hormones and physical changes, as well as the evolving and increasingly complex social networks and changes in the maturing teen brain. […] Individuals with SAD are often socially inhibited and shy as young children and report a specific socially-humiliating experience prior to onset resulting in the avoidance of such experiences in the future.
  • #1 Social Phobia: Practice Essentials, Background, Pathophysiology
    https://emedicine.medscape.com/article/290854-overview
    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. […] Individuals with true social phobia go to great lengths to avoid social situations, usually to their own detriment. The fear of embarrassment is egodystonic, thus persons with social phobia are distressed by their symptoms. […] Symptoms of social phobia in younger children include crying, temper tantrums, fidgeting, somatic complaints, and avoidance and withdrawal from social situations. […] The median delay from onset to seeking treatment can be as long as 28 years.
  • #1 Social Anxiety Disorder: A Common, Underrecognized Mental Disorder | AAFP
    https://www.aafp.org/pubs/afp/issues/1999/1115/p2311.html
    The disorder increases a patient’s lifetime risk of depression approximately fourfold. […] Social phobia has a lifetime prevalence rate of 13.3 percent and a one-year prevalence rate of 7.9 percent in community samples, making it the third most prevalent psychiatric disorder. […] Onset of social phobia typically occurs between 11 and 19 years of age. […] In one study, about one half of the patients reported that their phobia began in response to a specific embarrassing experience; the others reported that it had been with them for as long as they could remember. […] The presence of comorbidity in social phobia has been associated with an increased lifetime incidence of suicidal ideation and suicide attempts. […] Social phobia is responsive to specific pharmacologic and psychologic interventions.
  • #1 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
    The onset is usually accompanied by a stressful or humiliating experience and the severity varies by individual. […] The disorder is divided into the following two categories: Generalized: symptoms present in most social situations; Nongeneralized (specific): symptoms present in specific social situations. […] Individuals who develop generalized social anxiety disorder fear most social settings; this includes both social interactions as well as performance situations. […] The severity of the disorder, both generalized and nongeneralized, may be influenced by a variety of stressors in an individuals life. […] Nonetheless, the symptoms typically persist in some form and intensity for the duration of ones life. […] The lifetime prevalence of social anxiety disorder varies with respect to gender and ethnic background.
  • #1 Social phobia | Better Health Channel
    https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/social-phobia
    Some people with social phobia fear and avoid specific situations (such as public speaking), while others may feel generalised anxiety about several social situations (generalised social phobia). […] A person with social phobia can feel anxious while simply anticipating an upcoming social event. After the event, the person may replay the conversations they had and rate their performance. Brooding on these feelings of social failure can make the person feel even worse, and reinforce the desire to avoid social situations in the future. […] If left untreated, social phobia can severely affect quality of life. Some of the common complications may include: using alcohol to cope with anxiety during social events, alcohol abuse, misuse of prescription and non-prescription drugs, difficulty forming and maintaining relationships, curtailed education or employment opportunities, depression, suicidal thoughts, isolation from family, peers and community, reluctance to leave the house. […] Recovery from social phobia is possible with appropriate treatment. Depending on the individual, treatment options may include: cognitive behaviour therapy (CBT), anxiety management techniques, social skills training, medication.
  • #1 Social Anxiety Disorder: A Common, Underrecognized Mental Disorder | AAFP
    https://www.aafp.org/pubs/afp/issues/1999/1115/p2311.html
    Social phobia is a highly prevalent yet often overlooked psychiatric disorder that can cause severe disability but fortunately has shown responsiveness to specific pharmacotherapy and psychotherapy. […] For years, social anxiety disorder, also known as social phobia, has been underrecognized and undertreated. […] The Diagnostic and Statistical Manual of Mental Disorders describes social phobia as an intense, irrational and persistent fear of being scrutinized or negatively evaluated by others. […] In social phobia, fear and avoidance typically develop into a vicious cycle that can become severely distressing, debilitating and demoralizing over time. […] Untreated, social phobia is chronic and unremitting. […] Disability from social phobia can be pervasive and severe. […] Approximately one half of patients with social phobia have comorbid mental, drug or alcohol problems.
  • #1 Social Anxiety Disorder: More Than Just Shyness – National Institute of Mental Health (NIMH)
    https://www.nimh.nih.gov/health/publications/social-anxiety-disorder-more-than-just-shyness
    Are you afraid of being judged by others? Are you self-conscious in everyday social situations? Do you avoid meeting new people due to fear or anxiety? If you have been feeling this way for at least 6 months and these feelings make it hard for you to do everyday tasks such as talking to people at work or school you may have social anxiety disorder. […] Social anxiety disorder is an intense, persistent fear of being watched and judged by others. This fear can affect work, school, and other daily activities. It can even make it hard to make and keep friends. […] A person with social anxiety disorder feels symptoms of anxiety or fear in situations where they may be scrutinized, evaluated, or judged by others, such as speaking in public, meeting new people, dating, being on a job interview, answering a question in class, or having to talk to a cashier in a store.
  • #1 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 average age of onset is between 8 to 15 years, and most have a childhood history of social inhibition or shyness. […] About 30% of individuals experience remission within 1 year, and about 50% experience remission within several years. […] Only about half of individuals seek treatment, and typically after 15 to 20 years of experiencing symptoms. […] The social situations almost always provoke fear or anxiety. […] The fear or anxiety is out of proportion to the actual threat posed by the social situation and to the sociocultural context.
  • #1 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
    In order for a child to be diagnosed with social anxiety disorder, the child must experience anxiety with their peers as well as with adults but also show the capacity to form social relationships with familiar people. […] There are a number of traits frequently seen in individuals with social anxiety disorder that the clinical description of the disease does not take into account. […] This compromises academic performance and later professional performance and may lead to both dropping out of school and long-term unemployment. […] The strong feelings of fear and despair lead to substance abuse and the development of other anxiety and mood disorders. […] 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.
  • #1 Social anxiety disorder: Causes, symptoms, and treatment
    https://www.medicalnewstoday.com/articles/176891
    These symptoms can greatly disrupt daily life, such as school, work, and relationships. […] Without treatment, the person may not achieve their potential at school or work, as they may avoid participating in group tasks, speaking in front of groups, or receiving a promotion. […] When severe or chronic, social anxiety can lead to the development of other conditions, such as depression or substance use disorders. […] Without treatment, however, social anxiety disorder may persist throughout life though it may feel better or worse at certain times. […] The diagnostic criteria for this condition include: having a persistent fear about one or more social situations that might involve scrutiny from others; having a fear of acting in a way that others will judge negatively or that might lead to rejection or offense; avoiding situations that might cause feelings of anxiety; experiencing symptoms that persist for 6 months or longer, cause significant distress, or impair the person’s work, social life, or other key areas.
  • #1 Social Anxiety Disorder: Causes, Symptoms, and Treatment
    https://patient.info/mental-health/anxiety/social-anxiety-disorder
    People with social anxiety disorder may find it hard to stay in a job. This may be because they feel unable to cope with the social aspects needed for many jobs, such as meeting with people. […] People with social anxiety disorder may become socially isolated and find it difficult to make friends. […] It is one of the most common mental health conditions. As many as 1 in 10 adults have some degree of social anxiety disorder. […] It usually develops in the teenage years and can be a lifelong problem unless treated. Just over twice as many women as men are affected. […] Three features are needed for a diagnosis of social anxiety disorder: The symptoms must not be the result of some other mental health condition (for example, a delusion). The feeling of anxiety is entirely or mostly in social situations. One of the main symptoms will be the avoidance of social situations. […] Not much is known about the natural progress of the condition. However, with treatment there is a good chance that symptoms can be greatly improved. Without treatment, social phobia can be associated with depression in later life.
  • #1 Social Anxiety Disorder: A Common, Underrecognized… | Psychlinks Forum — Archive Only (2004-2022)
    https://forum.psychlinks.ca/threads/social-anxiety-disorder-a-common-underrecognized.2141/
    Although patients are usually aware that their fears are unreasonable, they still find themselves experiencing significant dread before facing a feared social encounter. […] Untreated, social phobia is chronic and unremitting. […] Disability from social phobia can be pervasive and severe. […] Approximately 85 percent of patients with the disorder experience academic and occupational difficulties caused by their inability to meet the social demands of securing and maintaining employment or relationships. […] The disorder increases a patient’s lifetime risk of depression approximately fourfold. […] Importantly, the presence of comorbidity in social phobia has been associated with an increased lifetime incidence of suicidal ideation and suicide attempts. […] Although these data underscore the need for early detection, social phobia often goes undetected. […] When these obstacles are overcome, social phobia is responsive to specific pharmacologic and psychologic interventions. […] Patients with social phobia who have been treated with cognitive behavior therapy experience significantly less relapse than those treated only with pharmacotherapy.
  • #1 Social Anxiety Disorder: Symptoms, Tests, Causes & Treatments
    https://my.clevelandclinic.org/health/diseases/22709-social-anxiety
    It could take time to figure out the best dosage and type of medication for you. Know that starting the process of treating your social anxiety disorder brings you one step closer to feeling better. […] People with social anxiety disorder respond very well to treatment, whether that’s in the form of cognitive behavioral therapy (CBT), medication or both. […] If left untreated, social anxiety disorder can be debilitating and can result in poor education outcomes, declining job performance, lower-quality relationships and an overall decreased quality of life. […] If left untreated, a person with social anxiety disorder could have it for the rest of their life. People who are on medication and/or participate in psychological therapy for their social anxiety are often able to drastically lessen or overcome their symptoms and anxiety. […] 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 Disorder > Fact Sheets > Yale Medicine
    https://www.yalemedicine.org/conditions/social-anxiety-disorder
    Social anxiety disorder is a chronic mental health condition characterized by ongoing feelings of intense, persistent fear caused by the anticipation of, or participation in, social situations. Symptoms include blushing, trembling, sweating, rapid heartbeat, chest pain, nausea, and dizziness. Symptoms must last for at least six months for the condition to be diagnosed. […] People with social anxiety disorder may have difficulty making friends and maintaining friendships out of fear of being embarrassed, humiliated, or rejected. […] Some people have performance-only social anxiety disorder, which means that they are fearful of certain social situations, like going on a job interview or giving a presentation in front of classmates or colleagues, but not other social situations, such as riding a bus with strangers or talking to a waiter in a restaurant.
  • #1 Social Phobia – Anxiety Institute
    https://anxietyinstitute.com/what-we-treat/anxiety-disorders/social-phobia/
    In children, Social Phobia may be intertwined with Separation Anxiety. […] Children with SAD also report difficulty being assertive, feelings of inferiority, and a hypersensitivity to criticism and other negative judgments often leading to excessive anger. […] This hypersensitivity also results in fear of others making both direct and indirect judgments. […] They may have extreme test anxiety or refuse to participate in class which compromises academic performance and may lead to avoidance of or dropping out of school. […] It is more difficult for those with social phobia to develop intimate relationships. […] Research shows that left untreated, they are less likely to marry, less likely to have fulfilling friendships, and more likely to live with members of their biological family.
  • #1 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 situations almost always provoke fear or anxiety, and are avoided or endured with fear or anxiety. […] The fear or anxiety is out of proportion to the actual threat posed by the situation and context. […] Those diagnosed with social anxiety disorder are continually hindered by the feeling that all eyes are upon them. […] The anxiety may interfere with an individuals professional life, academic life as well as his or her everyday activities, often hindering an individuals ability to form intimate relationships. […] Importantly, a person also develops a fear of the phobia itself, reinforcing the initial avoidance reaction. […] Some common personality and behavioral traits seen in children with social anxiety disorder are crying, tantrums, clinging to familiar people, extreme shyness, refusing to speak in front of their class, and fear or timidity in new settings and with new people.
  • #1 Social Anxiety Disorder: Causes, Symptoms, and Diagnosis
    https://www.healthline.com/health/anxiety/social-phobia
    Psychological symptoms may include: intense worry before, during, and after a social situation, avoiding social situations or trying to blend into the background if you must attend, self-consciousness and fear of doing something embarrassing, concerns that others will notice you’re stressed or nervous, feeling a need to consume alcohol to help face a social situation, missing school or work because of anxiety. […] Everyone feels anxious at times, but people with social anxiety have a constant fear of being judged by others or humiliated in front of them. […] They may avoid all social situations, including: asking a question, job interviews, shopping, using public restrooms, talking on the phone, eating in public. […] Some people have limited or selective anxiety. For example, they may only be anxious when eating in front of others or talking with strangers. People with severe symptoms may avoid all social settings.
  • #1 The Complete Guide to Social Anxiety Disorder | Science-Based
    https://www.conquersocialanxiety.com/social-anxiety/
    Many people with social anxiety are ashamed of their physical anxiety symptoms and try to control them. […] Social anxiety frequently comes along with the following disorders: mood disorders, such as major depression and bipolar disorder; other anxiety disorders, such as generalized anxiety and panic disorder; personality disorders, such as conduct disorder and avoidant personality disorder; substance use disorders, such as alcohol and cannabis abuse.
  • #1 Social Anxiety Symptoms: Mental and Physical Effects of Social Anxiety
    https://psychcentral.com/anxiety/social-anxiety-disorder-symptoms
    Social anxiety disorder can look different from person to person. If you have social anxiety disorder, your symptoms might present as mild, moderate, or severe. Your symptoms can also cause mild, moderate, or severe impairment in terms of day-to-day functioning. […] NIMH reports that in a survey led by Harvard University from 2001 to 2003, its estimated that out of U.S. adults with social anxiety disorder: 31.3% had mild impairment, 38.8% had moderate impairment, 29.9% had serious impairment. […] Up to 90% of people with social anxiety disorder have a co-occurring condition, meaning that they have two conditions simultaneously. […] If you talk with a therapist, they may also want to rule out some of these conditions if you have social anxiety symptoms. […] If your social anxiety is related only to public speaking or performing in front of others, you may only have the performance type of social anxiety disorder.
  • #1 Social Anxiety Disorder: Causes, Symptoms, and Diagnosis
    https://www.healthline.com/health/anxiety/social-phobia
    According to the ADAA, over one-third of people with social anxiety don’t seek help until they have had symptoms for at least 10 years. […] Without treatment, social phobia can affect: achievement at work and in studies, social interaction, relationships, self-esteem, quality of life. […] Up to 90% of people have another condition alongside social anxiety, such as: depression, alcohol misuse, thinking about or attempting suicide. […] People with social anxiety disorder feel fearful or anxious in social situations. The feeling may be so overwhelming that they avoid socializing and may avoid school, work, shopping, and other places where interaction may occur. […] The person fears that someone will judge them or that they will offend someone or somehow humiliate themselves, but the threat is unlikely to be real. […] Medication, counseling, and lifestyle remedies can help people manage symptoms and improve their quality of life.
  • #1 Social anxiety (social phobia) – NHS
    https://www.nhs.uk/mental-health/conditions/social-anxiety/
    Social anxiety can also affect children. […] Signs of social anxiety in a child include: crying or getting upset more often than usual […] getting angry a lot […] avoiding interaction with other children and adults […] fear of going to school or taking part in classroom activities, school performances and social events […] not asking for help at school […] being very reliant on their parents or carer.
  • #1 Social Phobia – Anxiety Institute
    https://anxietyinstitute.com/what-we-treat/anxiety-disorders/social-phobia/
    The disorder is divided into the following two categories: Generalized- symptoms are present in most social situations, and Non-Generalized- symptoms are present in a select few social situations. […] Children with this disorder may exhibit behaviors and traits such as crying, tantrums, clinging to familiar people, extreme shyness, refusing to speak in front of their class, and fear or timidity in unfamiliar settings and with unfamiliar people. […] Children diagnosed with SAD experience anxiety with their peers as well as with adults, but they do have the capacity to form social relationships with familiar people. […] SAD is harder to diagnose in children because they do not have the ability to describe the nature of their anxiety as effectively as adults. […] The disorder may therefore go unrecognized even though the child shows symptoms of the disorder.
  • #1 Social Phobia: Practice Essentials, Background, Pathophysiology
    https://emedicine.medscape.com/article/290854-overview
    Untreated childhood social phobia typically continues into adulthood and thus can potentially cause significant duration of impairment and interfere with normal development. […] Social anxiety can occur in the presence of autism and can have a poorer prognosis, especially if major depression develops in adulthood.
  • #1 Social Phobia – familydoctor.org
    https://familydoctor.org/condition/social-phobia/
    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. […] Social phobia is an ongoing disorder that should be treated with medical care. It is real and does not usually go away on its own. Your family doctor can help you find ways to manage your symptoms. […] Social phobia can make it hard to go to work, school, or take part in daily activities. It can affect your ability to make and keep friends. It is not a condition that you should have to deal with alone. Talk to loved ones and your doctor to begin treatment. It is common to choose a combination of therapy and medicine. Your doctor should monitor your treatment and progress.
  • #1 Social Anxiety Fact Sheet | Social Anxiety Association
    https://socialphobia.org/social-anxiety-disorder-definition-symptoms-treatment-therapy-medications-insight-prognosis
    Social anxiety medication is useful for many, but not all, people with social anxiety disorder. […] Medication without the use of active, structured cognitive-behavioral therapy has no long-term benefits. […] The therapy used must „fit” the way the human brain is structured. […] Social anxiety disorder is one of the five major anxiety disorders as listed in the DSM-5. […] High rates of alcoholism and other substance abuse, family difficulties and problems, lack of personal relationships, and difficulty in obtaining and continuing with employment are among the everyday problems experienced by many people with social anxiety disorder. […] Prognosis is markedly good. […] People completing CBT training report a high success rate, compared to control groups. […] Repetition and reinforcement of rational concepts, strategies, and methods (and their implementation) is the key to alleviating social anxiety disorder on a long-term basis. […] People can and do overcome social anxiety if they stick with the cognitive strategies and practically apply them to their lives.
  • #1 Social Anxiety Disorder > Fact Sheets > Yale Medicine
    https://www.yalemedicine.org/conditions/social-anxiety-disorder
    Patients with social anxiety disorder who seek treatment can often overcome their feelings of fear and anxiety related to social situations, enabling them to participate more fully and confidently in social events without overwhelming feelings of fear or anxiety. […] Social anxiety disorder is a chronic condition. People may relapse months or years after successful treatment, requiring them to seek treatment again to manage symptoms.
  • #2 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. […] It’s a common problem that usually starts during the teenage years. It can be very distressing and have a big impact on your life. […] For some people it gets better as they get older. But for many people it does not go away on its own without treatment. […] Social anxiety is more than shyness. It’s a fear that does not go away and affects everyday activities, self confidence, relationships and work or school life. […] Many people occasionally worry about social situations, but someone with social anxiety feels overly worried before, during and after them. […] You may have social anxiety if you: worry about everyday activities, such as meeting strangers, starting conversations, speaking on the phone, working or shopping
  • #2 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 latest government epidemiological data show social anxiety affects about 7% of the population at any given time. The lifetime prevalence rate (i.e., the chances of developing social anxiety disorder at any time during the lifespan) stands slightly above 13%. […] Social anxiety is the fear of social situations that involve interaction with other people. […] 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. […] People with social anxiety usually experience significant distress in the following situations: Being introduced to other people, Being teased or criticized, Being the center of attention, Being watched or observed while doing something, Having to say something in a formal, public situation, Meeting people in authority („important people/authority figures”), Feeling insecure and out of place in social situations („I dont know what to say.”), Embarrassing easily (e.g., blushing, shaking), Meeting other peoples eyes, Swallowing, writing, talking, making phone calls if in public.
  • #2 Social anxiety disorder (social phobia)
    https://johnsonmemorial.org/jmh-health/disease-conditions/con-20319026
    It’s normal to feel nervous in some social situations. But in social anxiety disorder, also called social phobia, everyday interactions cause significant anxiety, self-consciousness and embarrassment because you fear being scrutinized or judged negatively by others. […] In contrast to everyday nervousness, social anxiety disorder includes fear, anxiety and avoidance that interfere with relationships, daily routines, work, school or other activities. Social anxiety disorder typically begins in the early to mid-teens, though it can sometimes start in younger children or in adults. […] Signs and symptoms of social anxiety disorder can include constant: Fear of situations in which you may be judged negatively, Worry about embarrassing or humiliating yourself, Intense fear of interacting or talking with strangers, Fear that others will notice that
  • #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 average age of onset is between 8 to 15 years, and most have a childhood history of social inhibition or shyness. […] About 30% of individuals experience remission within 1 year, and about 50% experience remission within several years. […] Only about half of individuals seek treatment, and typically after 15 to 20 years of experiencing symptoms. […] The social situations almost always provoke fear or anxiety. […] The fear or anxiety is out of proportion to the actual threat posed by the social situation and to the sociocultural context.
  • #2 Social phobia | Better Health Channel
    https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/social-phobia
    It is estimated that around three per cent of the Australian population experience social phobia in any one year. Up to 13 per cent of the population may develop social phobia during their lifetime. […] In many cases, social phobia begins with shyness in childhood and progresses during adolescence. The onset of social phobia generally occurs around ages 11 to 15. Social phobia is also known as social anxiety disorder. […] When exposed to a feared social situation, a person with social phobia may experience symptoms of extreme anxiety, including: blushing, trembling, feeling as if you have nothing to say, accelerated heart rate, shallow, fast breathing, sweaty palms, nausea, tense muscles, dry throat, stomach pain, feeling faint or light-headed, feelings of self-doubt and uncertainty, negative thoughts such as Im making a fool of myself, difficulty concentrating on anything other than physical sensations of anxiety, negative feedback from others and negative thoughts, an overwhelming urge to flee the situation, the realisation that these feelings are irrational and out of proportion.
  • #2 Social Anxiety Symptoms: Mental and Physical Effects of Social Anxiety
    https://psychcentral.com/anxiety/social-anxiety-disorder-symptoms
    According to the DSM-5, 75% of people in the United States who develop social anxiety disorder do so between ages 8 and 15. […] When it comes to figuring out whether a child has social anxiety disorder, there are a few key distinctions. […] You may need to seek help for social anxiety when you feel its stopping you from living day-to-day life. […] A therapist or other mental health professional can be a key source of support in navigating social anxiety disorder.
  • #2 Social Anxiety Disorder: A Common, Underrecognized Mental Disorder | AAFP
    https://www.aafp.org/pubs/afp/issues/1999/1115/p2311.html
    The disorder increases a patient’s lifetime risk of depression approximately fourfold. […] Social phobia has a lifetime prevalence rate of 13.3 percent and a one-year prevalence rate of 7.9 percent in community samples, making it the third most prevalent psychiatric disorder. […] Onset of social phobia typically occurs between 11 and 19 years of age. […] In one study, about one half of the patients reported that their phobia began in response to a specific embarrassing experience; the others reported that it had been with them for as long as they could remember. […] The presence of comorbidity in social phobia has been associated with an increased lifetime incidence of suicidal ideation and suicide attempts. […] Social phobia is responsive to specific pharmacologic and psychologic interventions.
  • #2 Social Phobia – Anxiety Institute
    https://anxietyinstitute.com/what-we-treat/anxiety-disorders/social-phobia/
    The disorder is divided into the following two categories: Generalized- symptoms are present in most social situations, and Non-Generalized- symptoms are present in a select few social situations. […] Children with this disorder may exhibit behaviors and traits such as crying, tantrums, clinging to familiar people, extreme shyness, refusing to speak in front of their class, and fear or timidity in unfamiliar settings and with unfamiliar people. […] Children diagnosed with SAD experience anxiety with their peers as well as with adults, but they do have the capacity to form social relationships with familiar people. […] SAD is harder to diagnose in children because they do not have the ability to describe the nature of their anxiety as effectively as adults. […] The disorder may therefore go unrecognized even though the child shows symptoms of the disorder.
  • #2 Social Anxiety Disorder > Fact Sheets > Yale Medicine
    https://www.yalemedicine.org/conditions/social-anxiety-disorder
    Social anxiety disorder is a chronic mental health condition characterized by ongoing feelings of intense, persistent fear caused by the anticipation of, or participation in, social situations. Symptoms include blushing, trembling, sweating, rapid heartbeat, chest pain, nausea, and dizziness. Symptoms must last for at least six months for the condition to be diagnosed. […] People with social anxiety disorder may have difficulty making friends and maintaining friendships out of fear of being embarrassed, humiliated, or rejected. […] Some people have performance-only social anxiety disorder, which means that they are fearful of certain social situations, like going on a job interview or giving a presentation in front of classmates or colleagues, but not other social situations, such as riding a bus with strangers or talking to a waiter in a restaurant.
  • #2 Social Anxiety Disorder: Symptoms, Tests, Causes & Treatments
    https://my.clevelandclinic.org/health/diseases/22709-social-anxiety
    It could take time to figure out the best dosage and type of medication for you. Know that starting the process of treating your social anxiety disorder brings you one step closer to feeling better. […] People with social anxiety disorder respond very well to treatment, whether that’s in the form of cognitive behavioral therapy (CBT), medication or both. […] If left untreated, social anxiety disorder can be debilitating and can result in poor education outcomes, declining job performance, lower-quality relationships and an overall decreased quality of life. […] If left untreated, a person with social anxiety disorder could have it for the rest of their life. People who are on medication and/or participate in psychological therapy for their social anxiety are often able to drastically lessen or overcome their symptoms and anxiety. […] 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.
  • #2 Social anxiety (social phobia) – NHS
    https://www.nhs.uk/mental-health/conditions/social-anxiety/
    avoid or worry a lot about social activities, such as group conversations, eating with company and parties […] always worry about doing something you think is embarrassing, such as blushing, sweating or appearing incompetent […] find it difficult to do things when others are watching you may feel like you’re being watched and judged all the time […] fear being criticised, avoid eye contact or have low self-esteem […] often have symptoms like feeling sick, sweating, trembling or a pounding heartbeat (palpitations) […] have panic attacks, where you have an overwhelming sense of fear and anxiety, usually only for a few minutes. […] Many people with social anxiety also have other mental health issues, such as depression, generalised anxiety disorder or panic disorder. […] It’s a good idea to see a GP if you think you have social anxiety, especially if it’s having a big impact on your life.
  • #2 Social Anxiety Disorder (Social Phobia) DSM-5 300.23 (F40.10)
    https://www.theravive.com/therapedia/social-anxiety-disorder-(social-phobia)-dsm–5-300.23-(f40.10)
    According to the DSM-5, the median age of onset of social anxiety disorder in the US is age 13, with 75% of those with social anxiety disorder experiencing the onset at a range of ages 8-15. The onset can either be insidious, or sudden onset triggered by a specific event. […] The DSM-5 cites the annual prevalence of social anxiety disorder as 7%, in both children and adults in the United States. […] The DSM-5 notes that temperamental qualities of fear of poor social evaluation and inhibition are risk factors for the development for social phobia. Child maltreatment, including peer abuse is a correlational risk factor for social phobia, but causality cannot be verified. There appears to be a genetic basis, though it could be speculated that social anxiety is also a learned behavior. Obesity has been identified as a risk factor in teens, as teens who are obese may experience peer rejection and develop social anxiety as a learned behavior.
  • #2 Social Phobia – familydoctor.org
    https://familydoctor.org/condition/social-phobia/
    People who have social anxiety may try to self-medicate by experimenting with and becoming dependent on the use of alcohol or illegal drugs to manage a situation. This puts them at higher risk of substance abuse. […] Diet and exercise also are important in managing the symptoms of social anxiety. This includes regular exercise, a nutritious diet, and avoiding stimulants, such as caffeine and over-the-counter cold medicines.
  • #2 Social Anxiety Disorder: Causes, Symptoms, and Diagnosis
    https://www.healthline.com/health/anxiety/social-phobia
    According to the ADAA, over one-third of people with social anxiety don’t seek help until they have had symptoms for at least 10 years. […] Without treatment, social phobia can affect: achievement at work and in studies, social interaction, relationships, self-esteem, quality of life. […] Up to 90% of people have another condition alongside social anxiety, such as: depression, alcohol misuse, thinking about or attempting suicide. […] People with social anxiety disorder feel fearful or anxious in social situations. The feeling may be so overwhelming that they avoid socializing and may avoid school, work, shopping, and other places where interaction may occur. […] The person fears that someone will judge them or that they will offend someone or somehow humiliate themselves, but the threat is unlikely to be real. […] Medication, counseling, and lifestyle remedies can help people manage symptoms and improve their quality of life.
  • #3 Social Anxiety Disorder (Social Phobia) | Psychology Today
    https://www.psychologytoday.com/us/conditions/social-anxiety-disorder-social-phobia
    The physical symptoms of social anxiety disorder include the following: Blushing, sweating, trembling, experiencing a rapid heart rate, or feeling the mind going blank […] Nausea or upset stomach […] Displaying a rigid body posture, poor eye contact, or speaking too quietly. […] According to the National Institute of Mental Health, about 7 percent of the U.S. population is estimated to have social anxiety disorder within a given 12-month period. Social anxiety disorder occurs about twice as often in women as in men, although a higher proportion of men seek help for the condition. The disorder typically begins in childhood or early adolescence and rarely develops after age 25. […] 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.