Zaburzenie lękowe społeczne (fobia społeczna)
Objawy

Zaburzenie lękowe społeczne (fobia społeczna) to przewlekły stan charakteryzujący się intensywnym, utrzymującym się co najmniej 6 miesięcy lękiem przed sytuacjami społecznymi, w których pacjent może być oceniany, krytykowany lub upokorzony. Objawy obejmują zarówno manifestacje fizyczne (np. rumienienie się, nadmierne pocenie, kołatanie serca, nudności, duszność), jak i poznawcze (intensywny strach przed oceną, niska samoocena, nadmierne zamartwianie się) oraz behawioralne (unikanie kontaktów społecznych, trudności w nawiązywaniu kontaktu wzrokowego, cichy głos). Zaburzenie dotyka 5-10% populacji, rozpoczyna się najczęściej między 11 a 19 rokiem życia, a u około 75% pacjentów pierwsze objawy pojawiają się między 8 a 15 rokiem życia. Etiologia jest wieloczynnikowa, obejmująca predyspozycje genetyczne, traumatyczne doświadczenia społeczne, czynniki neurobiologiczne oraz współistniejące zaburzenia psychiczne. Nieleczone zaburzenie prowadzi do znacznego upośledzenia funkcjonowania społecznego, zawodowego i edukacyjnego oraz zwiększa ryzyko depresji, nadużywania substancji i myśli samobójczych.

Definicja i charakterystyka zaburzenia lękowego społecznego

Zaburzenie lękowe społeczne (fobia społeczna) to długotrwały i przemożny lęk przed sytuacjami społecznymi, charakteryzujący się intensywnym strachem przed byciem ocenianym, krytykowanym lub upokorzonym przez innych12. Jest to coś więcej niż zwykła nieśmiałość – to lęk, który nie ustępuje i wpływa na codzienne aktywności, pewność siebie, relacje oraz życie zawodowe czy szkolne3. Fobia społeczna jest trzecim najczęstszym zaburzeniem psychicznym po depresji i uzależnieniach od substancji, dotykającym około 5-10% populacji na całym świecie45.

Zasadniczą cechą zaburzenia lękowego społecznego jest strach przed sytuacjami, w których osoba może być poddana ocenie innych6. Osoby z tym zaburzeniem doświadczają znacznego dyskomfortu w większości lub wszystkich sytuacjach społecznych, co prowadzi do unikania interakcji z innymi ludźmi i może powodować poważne upośledzenie funkcjonowania w wielu obszarach życia78.

Objawy zaburzenia lękowego społecznego

Osoby cierpiące na zaburzenie lękowe społeczne doświadczają szeregu objawów, które można podzielić na fizyczne, poznawcze oraz behawioralne9. Objawy te mogą pojawić się na długo przed, w trakcie oraz po sytuacji społecznej, która wywołuje lęk10.

Objawy fizyczne

Fizyczne manifestacje lęku społecznego mogą być intensywne i obejmują1112:

  • Zaczerwienienie (rumienienie się) – uznawane za charakterystyczny objaw fobii społecznej13
  • Nadmierne pocenie się
  • Drżenie lub dygotanie
  • Przyspieszone bicie serca (kołatanie serca)
  • Ból w klatce piersiowej
  • Nudności lub dolegliwości żołądkowe
  • Zawroty głowy lub uczucie omdlewania
  • Suchość w ustach i gardle
  • Napięcie mięśniowe
  • Trudności z oddychaniem (duszność, płytki oddech)
  • Uczucie dławienia się
  • Problemy z mówieniem (jąkanie się, zbyt cichy głos)

W skrajnych przypadkach objawy fizyczne mogą nasilić się do ataku paniki14, co może dodatkowo zwiększyć poziom lęku i stać się źródłem dodatkowych obaw15.

Objawy poznawcze i emocjonalne

Osoby z zaburzeniem lękowym społecznym doświadczają szeregu charakterystycznych myśli i emocji1617:

  • Intensywny strach przed oceną ze strony innych
  • Obawa przed zawstydzeniem lub upokorzeniem
  • Strach przed ujawnieniem oznak niepokoju (np. że inni zauważą, że się rumienią, pocą, trzęsą)
  • Ciągłe martwienie się tym, co inni o nich myślą
  • Strach przed urażeniem kogoś lub powiedzeniem czegoś niewłaściwego
  • Poczucie niskiej wartości i brak pewności siebie
  • Obawy przed wystąpieniami lub rozmową z obcymi
  • Nadmierne zamartwianie się na długo przed wydarzeniem społecznym (nawet tygodnie wcześniej)18
  • Analizowanie swoich interakcji społecznych po fakcie, skupianie się na niedoskonałościach i potencjalnych porażkach19
  • Przekonanie, że ich lęk jest irracjonalny, ale niezdolność do kontrolowania go20

Objawy behawioralne

Zachowania osób z zaburzeniem lękowym społecznym często charakteryzują się2122:

  • Unikaniem sytuacji społecznych – kluczowy objaw zaburzenia
  • Trudnościami w nawiązywaniu kontaktu wzrokowego
  • Sztywną postawą ciała, napięciem
  • Cichym, ledwo słyszalnym głosem podczas rozmowy
  • Pozostawaniem w cieniu, unikaniem bycia w centrum uwagi
  • Trudnościami w inicjowaniu i podtrzymywaniu rozmowy
  • Spożywaniem alkoholu lub zażywaniem innych substancji przed sytuacjami społecznymi w celu złagodzenia lęku23
  • Nadmierną zależnością od osób bliskich w sytuacjach społecznych24
  • Opuszczaniem szkoły lub pracy z powodu lęku25

Sytuacje wyzwalające lęk społeczny

Osoby z zaburzeniem lękowym społecznym mogą doświadczać lęku w różnych sytuacjach społecznych. Najczęstsze z nich to2627:

  • Rozmowy z obcymi lub nowymi osobami
  • Mówienie publicznie lub występowanie przed innymi
  • Jedzenie lub picie w obecności innych osób
  • Korzystanie z publicznych toalet
  • Udział w spotkaniach towarzyskich lub imprezach
  • Bycie w centrum uwagi
  • Rozmowy telefoniczne
  • Wyrażanie własnego zdania
  • Podpisywanie dokumentów w obecności innych
  • Interakcje z osobami na stanowiskach kierowniczych
  • Inicjowanie rozmów
  • Randki lub sytuacje romantyczne

Niektóre osoby doświadczają lęku tylko w określonych sytuacjach (np. podczas publicznych wystąpień), podczas gdy inne mogą odczuwać dyskomfort w większości lub wszystkich interakcjach społecznych2829.

Rozwój i progresja zaburzenia lękowego społecznego

Wiek wystąpienia pierwszych objawów

Zaburzenie lękowe społeczne zazwyczaj rozpoczyna się we wczesnym lub środkowym okresie dojrzewania, najczęściej między 11 a 19 rokiem życia3031. Badania wskazują, że średni wiek wystąpienia objawów to około 13 lat3233. Chociaż zaburzenie zazwyczaj rozpoczyna się w okresie dojrzewania, może również rozwinąć się u młodszych dzieci lub osób dorosłych34.

Warto zauważyć, że większość osób z zaburzeniem lękowym społecznym ma historię nieśmiałości lub zahamowania społecznego w dzieciństwie3536. Około 75% osób w Stanach Zjednoczonych, u których rozwija się zaburzenie lękowe społeczne, doświadcza pierwszych objawów między 8 a 15 rokiem życia37.

Czynniki wyzwalające i okoliczności rozwoju zaburzenia

Rozwój zaburzenia lękowego społecznego często wiąże się z szeregiem czynników3839:

  • Genetyczne predyspozycje – zaburzenie lękowe społeczne może występować rodzinnie, co sugeruje genetyczne podłoże
  • Traumatyczne lub upokarzające doświadczenia społeczne (np. bycie wyśmianym publicznie, doświadczenie zastraszania w szkole)
  • Wychowanie przez nadmiernie kontrolujących lub nadopiekuńczych rodziców
  • Doświadczenie negatywnych interakcji z rówieśnikami, szczególnie w młodym wieku
  • Czynniki neurobiologiczne, w tym nierównowaga chemiczna w mózgu
  • Obecność innych zaburzeń zdrowia psychicznego

Początek zaburzenia może być nagły lub stopniowy, często objawiając się po stresującym lub upokarzającym doświadczeniu społecznym u osoby z historią nieśmiałości lub zahamowania społecznego w dzieciństwie40. Badania wskazują, że 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”41.

Naturalny przebieg i progresja zaburzenia

Bez leczenia, zaburzenie lękowe społeczne jest zazwyczaj chroniczne i może utrzymywać się przez wiele lat, a nawet przez całe życie4243. Przebieg zaburzenia charakteryzuje się kilkoma kluczowymi aspektami4445:

  • Około 30% osób doświadcza remisji w ciągu roku, a około 50% w ciągu kilku lat
  • Dla osób nie otrzymujących leczenia, około 60% wymaga kilku dodatkowych lat, aby osiągnąć remisję
  • Tylko około połowa osób z tym zaburzeniem szuka leczenia, i to zazwyczaj po 15-20 latach doświadczania objawów
  • Średni czas między wystąpieniem objawów a szukaniem pomocy może wynosić nawet 28 lat46

Objawy zaburzenia lękowego społecznego mogą zmieniać się w czasie i nasilać się w okresach zwiększonego stresu lub wymagań życiowych47. U niektórych osób zaburzenie może łagodnieć wraz z wiekiem, jednak dla wielu nie ustępuje samoistnie bez odpowiedniego leczenia4849.

Zróżnicowanie formy zaburzenia

Zaburzenie lękowe społeczne może występować w różnych formach i z różnym nasileniem5051:

  • Zaburzenie uogólnione – lęk występuje w większości sytuacji społecznych; osoby z tą formą zaburzenia obawiają się zarówno interakcji społecznych, jak i sytuacji związanych z występowaniem przed innymi
  • Zaburzenie nieuogólnione (specyficzne) – lęk pojawia się tylko w określonych sytuacjach społecznych
  • Zaburzenie związane tylko z występami – lęk dotyczy wyłącznie sytuacji związanych z publicznym mówieniem lub występowaniem; osoby z tą formą nie unikają ani nie obawiają się innych sytuacji społecznych52

Nasilenie zaburzenia może być łagodne, umiarkowane lub skrajne53. Osoby z uogólnioną formą zaburzenia lękowego społecznego często doświadczają poważniejszych objawów i większego upośledzenia funkcjonowania niż osoby z formą nieuogólnioną54.

Wpływ zaburzenia lękowego społecznego na życie

Nieleczone zaburzenie lękowe społeczne może mieć poważny wpływ na wiele aspektów życia5556.

Wpływ na życie zawodowe i edukację

Zaburzenie lękowe społeczne może znacząco wpływać na funkcjonowanie zawodowe i edukacyjne5758:

  • Słabsze wyniki w szkole i pracy
  • Unikanie udziału w pracach grupowych, dyskusjach i prezentacjach
  • Trudności w proszeniu o pomoc nauczycieli lub przełożonych
  • Problemy z utrzymaniem zatrudnienia
  • Nieobecności w szkole lub pracy
  • Niższe osiągnięcia edukacyjne i zawodowe
  • Trudności w rozpoczynaniu nowej pracy lub szkoły
  • Unikanie awansu zawodowego

W skrajnych przypadkach, zaburzenie może prowadzić do porzucenia szkoły lub długotrwałego bezrobocia59.

Wpływ na relacje i życie społeczne

Zaburzenie lękowe społeczne ma znaczący wpływ na relacje międzyludzkie i życie społeczne6061:

  • Trudności w nawiązywaniu i utrzymywaniu przyjaźni
  • Problemy z wchodzeniem w związki romantyczne
  • Izolacja społeczna i samotność
  • Mniejsze prawdopodobieństwo zawarcia małżeństwa
  • Ograniczona sieć wsparcia społecznego
  • Unikanie spotkań towarzyskich i wydarzeń społecznych
  • Trudności w byciu asertywnym
  • Problemy z wyrażaniem własnych potrzeb i opinii

Badania pokazują, że osoby z nieleczonym zaburzeniem lękowym społecznym rzadziej wchodzą w związki małżeńskie, rzadziej mają satysfakcjonujące przyjaźnie i częściej mieszkają z członkami rodziny biologicznej62.

Wpływ na zdrowie psychiczne i ogólny dobrostan

Nieleczone zaburzenie lękowe społeczne często współwystępuje z innymi problemami zdrowia psychicznego i może prowadzić do6364:

  • Depresji – zaburzenie lękowe społeczne zwiększa ryzyko depresji około czterokrotnie
  • Nadużywania alkoholu lub innych substancji – często jako forma samoleczenia
  • Innych zaburzeń lękowych (np. zaburzenia panicznego)
  • Niskiej samooceny i negatywnego obrazu siebie
  • Myśli lub prób samobójczych – szczególnie przy współwystępowaniu innych zaburzeń
  • Ogólnego obniżenia jakości życia

Około 90% osób z zaburzeniem lękowym społecznym doświadcza jednocześnie innego zaburzenia psychicznego65, co dodatkowo komplikuje obraz kliniczny i utrudnia leczenie.

Różnicowanie zaburzenia lękowego społecznego od nieśmiałości

Ważne jest rozróżnienie między zwykłą nieśmiałością a zaburzeniem lękowym społecznym6667. Chociaż oba stany mogą obejmować dyskomfort w sytuacjach społecznych, zaburzenie lękowe społeczne charakteryzuje się kilkoma kluczowymi cechami, które odróżniają je od zwykłej nieśmiałości:

Cecha Nieśmiałość Zaburzenie lękowe społeczne
Intensywność lęku Łagodny do umiarkowanego dyskomfort Intensywny, przytłaczający lęk
Trwałość Może być przejściowa, sytuacyjna Trwa co najmniej 6 miesięcy68
Wpływ na funkcjonowanie Niewielki wpływ na codzienne życie Znaczące upośledzenie w pracy, szkole, relacjach69
Unikanie Ograniczone unikanie sytuacji społecznych Znaczące unikanie lub znoszenie z intensywnym lękiem70
Objawy fizyczne Łagodne (np. lekkie zdenerwowanie) Intensywne (np. ataki paniki, silne pocenie się, drżenie)71
Świadomość Postrzegana jako część osobowości Rozpoznawana jako nadmierna i nieracjonalna reakcja72
Antycypacyjny lęk Ograniczony Intensywny lęk na długo przed wydarzeniem społecznym73
Reakcja na ekspozycję Zwykle zmniejsza się z czasem Utrzymuje się lub nasila przy powtarzającej się ekspozycji74

W przypadku dzieci, różnicowanie między nieśmiałością a zaburzeniem lękowym społecznym może być trudniejsze75. Kluczowe jest obserwowanie, czy dziecko jest w stanie tworzyć relacje społeczne z osobami znajomymi, mimo że odczuwa lęk w kontaktach z rówieśnikami i dorosłymi76.

Diagnostyka zaburzenia lękowego społecznego

Diagnoza zaburzenia lękowego społecznego opiera się na kryteriach diagnostycznych zawartych w klasyfikacjach takich jak DSM-5 (Diagnostic and Statistical Manual of Mental Disorders) czy ICD-10 (International Classification of Diseases)7778.

Kryteria diagnostyczne

Według DSM-5, aby zdiagnozować zaburzenie lękowe społeczne, pacjent musi spełniać następujące kryteria7980:

  1. Wyraźny strach lub lęk dotyczący jednej lub więcej sytuacji społecznych, w których osoba jest narażona na możliwą ocenę ze strony innych (np. rozmowy, spotkania z nieznajomymi, bycie obserwowanym, występowanie przed innymi)
  2. Obawa, że zachowanie lub objawy lęku zostaną negatywnie ocenione (upokorzenie, zawstydzenie, odrzucenie)
  3. Sytuacje społeczne prawie zawsze wywołują strach lub lęk
  4. Sytuacje społeczne są unikane lub znoszone z intensywnym strachem lub lękiem
  5. Strach lub lęk jest nieproporcjonalny do rzeczywistego zagrożenia wynikającego z sytuacji społecznej i kontekstu społeczno-kulturowego
  6. Strach, lęk lub unikanie utrzymują się, zwykle przez 6 miesięcy lub dłużej
  7. Strach, lęk lub unikanie powodują klinicznie znaczące cierpienie lub upośledzenie funkcjonowania społecznego, zawodowego lub w innych ważnych obszarach
  8. Objawy nie są wynikiem bezpośredniego działania substancji lub innego stanu medycznego
  9. Objawy nie są lepiej wyjaśniane przez inne zaburzenie psychiczne

Dodatkowo, można określić specyfikator „tylko związane z występami”, jeśli lęk ogranicza się do mówienia lub występowania publicznie81.

Proces diagnostyczny

Diagnoza zaburzenia lękowego społecznego obejmuje zazwyczaj8283:

  • Szczegółowy wywiad kliniczny dotyczący objawów, ich historii, wpływu na codzienne funkcjonowanie i ewentualnych czynników wyzwalających
  • Badanie przedmiotowe w celu wykluczenia fizycznych przyczyn objawów
  • Kwestionariusze samooceny dotyczące objawów lęku społecznego
  • Ocenę sytuacji, które wywołują lęk
  • Wykluczenie innych zaburzeń psychicznych lub stanów medycznych, które mogłyby wyjaśniać objawy

Ważne jest, aby diagnoza została przeprowadzona przez wykwalifikowanego specjalistę zdrowia psychicznego, takiego jak psychiatra, psycholog kliniczny lub terapeuta84. Osoby z zaburzeniem lękowym społecznym często zwlekają z szukaniem pomocy, co może opóźnić diagnozę i rozpoczęcie leczenia85.

Zaburzenie lękowe społeczne u dzieci i młodzieży

Zaburzenie lękowe społeczne często zaczyna się w dzieciństwie lub wczesnym okresie dojrzewania i może mieć znaczący wpływ na rozwój młodych osób86.

Objawy u dzieci

U dzieci zaburzenie lękowe społeczne może przejawiać się w nieco odmienny sposób niż u dorosłych8788:

  • Płacz lub większe zdenerwowanie niż zwykle
  • Częste napady złości lub wybuchy gniewu
  • Unikanie interakcji z innymi dziećmi i dorosłymi
  • Strach przed chodzeniem do szkoły lub udziałem w zajęciach klasowych
  • Odmowa mówienia w sytuacjach społecznych lub mówienie bardzo cichym głosem
  • Słabe umiejętności społeczne (np. unikanie kontaktu wzrokowego)
  • Silna zależność od rodziców lub opiekunów
  • Częste skargi na dolegliwości fizyczne (bóle brzucha, głowy, zawroty głowy)
  • Zamieranie, kurczenie się lub przytulanie się do znanych osób w nowych sytuacjach
  • Odmowa korzystania z publicznych toalet
  • Odmowa jedzenia w obecności innych
  • Trudności w korzystaniu z telefonu

Diagnoza zaburzenia lękowego społecznego u dzieci może być trudniejsza ze względu na ich ograniczoną zdolność do opisywania własnych przeżyć wewnętrznych89. Aby zdiagnozować to zaburzenie u dziecka, objawy muszą występować w kontaktach z rówieśnikami, a nie tylko z dorosłymi, i utrzymywać się przez co najmniej 6 miesięcy90.

Wpływ na rozwój i edukację

Nieleczone zaburzenie lękowe społeczne u dzieci i młodzieży może prowadzić do9192:

  • Trudności w nawiązywaniu przyjaźni i rozwijaniu umiejętności społecznych
  • Słabszych wyników w nauce
  • Odmowy chodzenia do szkoły
  • Problemów z uczestnictwem w zajęciach pozalekcyjnych
  • Unikania aktywności, które mogłyby wspierać rozwój talentów i zainteresowań
  • Trudności z wyrażaniem siebie i bycia asertywnym
  • Problemów z rozwojem niezależności

Wczesna interwencja jest kluczowa, ponieważ nieleczone zaburzenie lękowe społeczne w dzieciństwie zwykle utrzymuje się w dorosłości i może prowadzić do znaczącego upośledzenia funkcjonowania przez długi okres93.

Progresja zaburzenia lękowego społecznego

Zaburzenie lękowe społeczne jest przewlekłym stanem, który bez odpowiedniego leczenia może trwać przez wiele lat lub przez całe życie9495. Progresja zaburzenia obejmuje kilka charakterystycznych etapów:

  1. Wczesne początki – zazwyczaj w dzieciństwie lub wczesnym okresie dojrzewania, często u osób z historią nieśmiałości lub zahamowania społecznego96
  2. Rozwój objawów – nasilenie objawów często następuje po stresującym lub upokarzającym doświadczeniu społecznym97
  3. Utrwalenie wzorca unikania – osoba zaczyna unikać sytuacji wywołujących lęk, co krótkoterminowo przynosi ulgę, ale długoterminowo wzmacnia zaburzenie98
  4. Rozszerzanie się wzorca unikania – z czasem unikanie może objąć coraz więcej sytuacji społecznych, prowadząc do izolacji i ograniczenia codziennego funkcjonowania99
  5. Rozwój wtórnych problemów – nieleczone zaburzenie może prowadzić do depresji, nadużywania substancji i innych zaburzeń psychicznych100

Badania wskazują, że tylko około 30-50% osób z zaburzeniem lękowym społecznym doświadcza spontanicznej remisji bez leczenia101. Dla większości osób zaburzenie utrzymuje się w pewnej formie i nasileniu przez długi czas102.

Dobre rokowanie jest związane z wczesnym rozpoczęciem odpowiedniego leczenia103. Leczenie poznawczo-behawioralne i/lub farmakoterapia może znacząco zmniejszyć objawy i poprawić funkcjonowanie osób z zaburzeniem lękowym społecznym104105. Im wcześniej rozpocznie się leczenie, tym większa szansa na ograniczenie długoterminowych negatywnych konsekwencji zaburzenia106.

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  1. 09.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #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; 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.
  • #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. […] A core feature of social anxiety disorder is that you’re afraid of being judged, rejected and/or humiliated. […] Most people who have social anxiety disorder experience symptoms before they’re 20 years old. […] Social anxiety disorder isn’t uncommon. Approximately 5% to 10% of people across the world have social anxiety disorder.
  • #3 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; 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.
  • #4 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. […] A core feature of social anxiety disorder is that you’re afraid of being judged, rejected and/or humiliated. […] Most people who have social anxiety disorder experience symptoms before they’re 20 years old. […] Social anxiety disorder isn’t uncommon. Approximately 5% to 10% of people across the world have social anxiety disorder.
  • #5 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.
  • #6 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.
  • #7 Social phobia | Better Health Channel
    https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/social-phobia
    Social phobia is a type of anxiety disorder. People who have social phobia experience extreme and persistent anxiety associated with social or performance situations. […] A person with social phobia experiences anxiety in situations where they are likely to be scrutinised and observed by others. They may have persistent fears about being judged, criticised, ridiculed or humiliated. […] For people with social phobia, social situations provoke feelings that extend beyond simple anxiety or nervousness. […] A social phobia occurs for a person when: there is a persistent fear of one or more social or performance situations where they are exposed to unfamiliar people or to possible scrutiny by others. The person fears that they will act in a way that will be embarrassing and humiliating. […] 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.
  • #8 What Is Social Anxiety Disorder? Symptoms, Causes, Diagnosis, Treatment, and Prevention
    https://www.everydayhealth.com/social-anxiety-disorder/guide/
    Social anxiety disorder previously known as social phobia is an anxiety disorder in which you experience persistent fear of social or performance situations, according to the National Institute of Mental Health (NIMH). People who have social anxiety disorder worry that they will behave in a way that will be embarrassing and humiliating and that they will be judged by others, particularly people they do not know well. […] Social anxiety disorder consists of much more than the shyness or nervousness that many people feel in common social situations, such as going on a first date or giving a presentation (stage fright). […] The condition can interfere with daily activities and even cause people to completely avoid social interactions, even though they often realize their anxiety is irrational.
  • #9 Social anxiety disorder – Signs, symptoms and treatment | healthdirect
    https://www.healthdirect.gov.au/social-anxiety-disorder
    Social anxiety disorder, or social phobia, is an excessive fear of social situations. […] Social anxiety disorder can disrupt your daily life and prevent you from doing things you want to do. […] Symptoms of social anxiety disorder can be both psychological and physical. […] Psychological symptoms of social anxiety disorder include: feeling anxious in social situations, feeling self-conscious around other people, replaying social situations repeatedly in your mind after they have occurred. […] Physical symptoms of social anxiety disorder include: a fast, pounding heartbeat, sweating, dizziness, trembling, upset stomach, nausea and diarrhoea, blushing or stammering when speaking, chest pain. […] Social anxiety disorder is common in Australia and often starts in childhood. […] You can be diagnosed with social anxiety disorder if you have had typical symptoms that have caused significant distress for at least 6 months.
  • #10 Social Anxiety Disorder – HelpGuide.org
    https://www.helpguide.org/mental-health/anxiety/social-anxiety-disorder
    Many people get nervous or self-conscious on occasion, like when giving a speech or interviewing for a new job. But social anxiety disorder, or social phobia, is more than just shyness or occasional nerves. Social anxiety disorder involves intense fear of certain social situationsespecially situations that are unfamiliar or in which you feel youll be watched or evaluated by others. […] Just because you occasionally get nervous in social situations doesnt mean you have social anxiety disorder or social phobia. Many people feel shy or self-conscious on occasion, yet it doesnt get in the way of their everyday functioning. Social anxiety disorder, on the other hand, does interfere with your normal routine and causes tremendous distress. […] 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.
  • #11 Social Anxiety Disorder > Fact Sheets > Yale Medicine
    https://www.yalemedicine.org/conditions/social-anxiety-disorder
    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 diagnosis of social anxiety disorder requires that the symptoms persist for six months or longer. […] The fear or anxiety is out of proportion to the actual threat posed by the social situation and to the sociocultural context. […] The fear, anxiety, or avoidance is persistent, typically lasting for six months or more.
  • #12 Social phobia | Better Health Channel
    https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/social-phobia
    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. […] 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 I’m 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.
  • #13 Social Anxiety Disorder (Social Phobia) – PsychDB
    https://www.psychdb.com/anxiety/social-anxiety
    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. […] Individuals (e.g. – public speakers, musicians, dancers, performers, athletes) with the performance only type of social anxiety disorder will have performance fears that are typically most impairing during their careers or professional lives. Importantly, in performance only type, individuals do not fear or avoid non-performance social situations. […] Blushing is considered a hallmark response for social anxiety disorder. […] Though not specifically part of the diagnostic criteria, common physical symptoms of social anxiety disorder include: blushing, stammering, sweating, gastrointestinal symptoms, dry mouth, palpitations, trembling, urgency of micturition, and panic attacks.
  • #14 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. […] 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.
  • #15 What Is Social Anxiety Disorder? Everything You Need to Know
    https://psychcentral.com/anxiety/social-anxiety-overview
    People with social anxiety disorder, also known as social phobia, suffer from an intense fear of becoming humiliated in social situations specifically the fear of embarrassing oneself in front of other people. […] Individuals with social phobia almost always experience symptoms of anxiety such as heart palpitations, dry mouth, tremors, sweating, gastrointestinal discomfort, diarrhea, muscle tension or trembling, a shaky voice, blushing, and even confusion. In severe cases, a person may experience a full-blown panic attack. […] These symptoms can become a source of added concern where a person with social anxiety will worry that the symptoms theyre experiencing will result in unwanted and embarrassing attention. […] If they are forced into one of their feared situations, they experience it with intense anxiety. […] A variety of studies have demonstrated that social phobia is most likely to develop in the teenage years, though it can start earlier or later. […] Social anxiety disorder is readily treated through a combination of psychotherapy and medications.
  • #16 Social Anxiety Disorder Causes, Symptoms, Treatment, and More
    https://www.verywellmind.com/social-anxiety-disorder-4157220
    Examples of cognitive symptoms: Fearing situations where you don’t know other people, Worrying that you will be judged by others, Fear of becoming embarrassed or being humiliated, Thinking that others will notice your anxiety, Dreading upcoming events weeks in advance. […] Examples of physical symptoms: Blushing, Profuse sweating, Trembling hands, Muscle tension, Racing heart. […] Examples of behavioral symptoms: Avoiding social/performance activities, Leaving/escaping situations, Using safety behaviors. […] In order to receive a diagnosis, a person must meet a number of specific diagnostic criteria. Fear must also be so severe that it significantly impedes daily life, schoolwork, jobs, relationships, or one experiences serious distress about their symptoms. […] Social anxiety disorder can have an effect on your ability to attend school and work at a job. Starting in a new place, making friends, giving presentations, eating with others—these and other aspects of school and work are all triggers for those with social anxiety.
  • #17 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. […] However, when you’re experiencing social phobia, everyday interactions can cause significant anxiety due to fear of being scrutinized, embarrassed, or judged negatively by others. […] Typical symptoms of social anxiety appear as the following: Worry about what others think of you, Fear of doing something embarrassing or humiliating yourself in front of others, Thoughts that you might offend someone, Avoidance of situations where you might be observed or evaluated, such as in school or at work, Physical symptoms may occur such as blushing, shaking, sweating, rapid heartbeat or other uncomfortable sensations including panic attacks, Feelings of self-doubt and uncertainty, Overwhelming urge to flee from and/or actively avoid situations that trigger distress, discomfort, or difficult emotions.
  • #18 Social Anxiety Disorder (Social Phobia) – PsychDB
    https://www.psychdb.com/anxiety/social-anxiety
    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. […] Individuals (e.g. – public speakers, musicians, dancers, performers, athletes) with the performance only type of social anxiety disorder will have performance fears that are typically most impairing during their careers or professional lives. Importantly, in performance only type, individuals do not fear or avoid non-performance social situations. […] Blushing is considered a hallmark response for social anxiety disorder. […] Though not specifically part of the diagnostic criteria, common physical symptoms of social anxiety disorder include: blushing, stammering, sweating, gastrointestinal symptoms, dry mouth, palpitations, trembling, urgency of micturition, and panic attacks.
  • #19 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. […] If left untreated, social phobia can severely affect quality of life. […] Recovery from social phobia is possible with appropriate treatment.
  • #20 Social Anxiety Fact Sheet | Social Anxiety Association
    https://socialphobia.org/social-anxiety-disorder-definition-symptoms-treatment-therapy-medications-insight-prognosis
    The feelings that accompany social anxiety include anxiety, high levels of fear, nervousness, automatic negative emotional cycles, racing heart, blushing, excessive sweating, dry throat and mouth, trembling, and muscle twitches. […] Constant, intense anxiety (fear) is the most common symptom. […] People with social anxiety typically know that their anxiety is irrational, is not based on fact, and does not make rational sense. […] Appropriate active, structured, cognitive-behavioral therapy is the only solution to this problem. […] Social anxiety treatment must include an active behavioral therapy group, where members can work on their „anxiety” hierarchies in the group, and later, in real-life situations with other group members. […] Cognitive-behavioral therapy for social anxiety has been markedly successful.
  • #21 Social Anxiety Disorder – HelpGuide.org
    https://www.helpguide.org/mental-health/anxiety/social-anxiety-disorder
    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. […] One of the most helpful things you can do to overcome social anxiety is to face the social situations you fear rather than avoid them. Avoidance keeps social anxiety disorder going. […] While avoiding nerve-wracking situations may help you feel better in the short term, it prevents you from becoming more comfortable in social situations and learning how to cope in the long term.
  • #22 Social Anxiety Disorder > Fact Sheets > Yale Medicine
    https://www.yalemedicine.org/conditions/social-anxiety-disorder
    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 diagnosis of social anxiety disorder requires that the symptoms persist for six months or longer. […] The fear or anxiety is out of proportion to the actual threat posed by the social situation and to the sociocultural context. […] The fear, anxiety, or avoidance is persistent, typically lasting for six months or more.
  • #23 Social Anxiety Fact Sheet | Social Anxiety Association
    https://socialphobia.org/social-anxiety-disorder-definition-symptoms-treatment-therapy-medications-insight-prognosis
    The feelings that accompany social anxiety include anxiety, high levels of fear, nervousness, automatic negative emotional cycles, racing heart, blushing, excessive sweating, dry throat and mouth, trembling, and muscle twitches. […] Constant, intense anxiety (fear) is the most common symptom. […] People with social anxiety typically know that their anxiety is irrational, is not based on fact, and does not make rational sense. […] Appropriate active, structured, cognitive-behavioral therapy is the only solution to this problem. […] Social anxiety treatment must include an active behavioral therapy group, where members can work on their „anxiety” hierarchies in the group, and later, in real-life situations with other group members. […] Cognitive-behavioral therapy for social anxiety has been markedly successful.
  • #24 Social anxiety (social phobia) – NHS
    https://www.nhs.uk/mental-health/conditions/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. […] 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. […] Treatments for social anxiety in children are similar to those for teenagers and adults, although medicines are not normally used.
  • #25 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. […] Someone with this disorder has trouble talking with people, meeting new people, and attending social gatherings. They may feel anxious about others judging or scrutinizing them. […] Social anxiety is persistent and overwhelming and may affect everyday activities, such as shopping for groceries. […] For a person with social anxiety disorder, social interaction may lead to: blushing, nausea, sweating, trembling or shaking, a rigid body stance, difficulty speaking, feeling as if their mind goes blank, dizziness or lightheadedness, rapid heart rate. […] 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.
  • #26 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
    Many people feel nervous in certain social settings. […] Social anxiety disorder, or social phobia, however, describes a marked, intense, and persistent fear of social situations that can be differentiated from the more typical fear that comes with discomforting situations. […] The anxiety associated with SAD not only leaks into an individuals social life but interferes with his or her everyday activities and professional life. […] Individuals suffering from social anxiety disorder typically experience the following symptoms: Marked fear or anxiety about one or more social situations in which the individual is exposed to possible scrutiny by others (e.g. having a conversation, meeting new people, giving a speech, eating in front of others). […] The individual fears that he or she will act in a way or show anxiety symptoms that will be negatively evaluated (will be humiliating or embarrassing, or lead to rejection).
  • #27 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
    Some social anxiety is tied to specific performance situations, producing anxiety only when the people must perform a particular activity in public. […] Situations that commonly trigger anxiety among people with social anxiety disorder include the following: Public speaking, Performing publicly, such as reading in church or playing a musical instrument, Eating with others, Meeting new people, Having a conversation, Signing a document before witnesses, Using a public bathroom. […] Some people have social anxiety symptoms in one or a few specific situations, while others experience them in a broader range of settings. […] In either type of social anxiety, people fear that if they fail to meet other people’s expectations or are scrutinized in social interactions, they will feel embarrassed, humiliated, or rejected, or will offend others.
  • #28
    https://slam.nhs.uk/social-anxiety-disorder-social-phobia
    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. […] It’s important to get help if you are having symptoms. There are treatments that can help you manage it. […] 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.
  • #29 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
    Some social anxiety is tied to specific performance situations, producing anxiety only when the people must perform a particular activity in public. […] Situations that commonly trigger anxiety among people with social anxiety disorder include the following: Public speaking, Performing publicly, such as reading in church or playing a musical instrument, Eating with others, Meeting new people, Having a conversation, Signing a document before witnesses, Using a public bathroom. […] Some people have social anxiety symptoms in one or a few specific situations, while others experience them in a broader range of settings. […] In either type of social anxiety, people fear that if they fail to meet other people’s expectations or are scrutinized in social interactions, they will feel embarrassed, humiliated, or rejected, or will offend others.
  • #30 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. […] Slightly more females than males have social phobia. […] 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 often goes undetected.
  • #31 What Is Social Anxiety Disorder? Everything You Need to Know
    https://psychcentral.com/anxiety/social-anxiety-overview
    People with social anxiety disorder, also known as social phobia, suffer from an intense fear of becoming humiliated in social situations specifically the fear of embarrassing oneself in front of other people. […] Individuals with social phobia almost always experience symptoms of anxiety such as heart palpitations, dry mouth, tremors, sweating, gastrointestinal discomfort, diarrhea, muscle tension or trembling, a shaky voice, blushing, and even confusion. In severe cases, a person may experience a full-blown panic attack. […] These symptoms can become a source of added concern where a person with social anxiety will worry that the symptoms theyre experiencing will result in unwanted and embarrassing attention. […] If they are forced into one of their feared situations, they experience it with intense anxiety. […] A variety of studies have demonstrated that social phobia is most likely to develop in the teenage years, though it can start earlier or later. […] Social anxiety disorder is readily treated through a combination of psychotherapy and medications.
  • #32 What is Social Phobia: Signs, Discovery, Progression, Cure, and Recovery -Australia Counselling Directory
    https://www.australiacounselling.com.au/social-phobia-signs-discovery-progression-cure-recovery/
    Social phobia can occur at any stage of an individuals life, but it happens more frequently around thirteen. […] Untreated social phobia is a recipe for disaster, and its progressive effects arent so pretty. […] Anxiety and self-isolation that come with social phobia have been proven to have long-lasting consequences on the individuals affected. […] Untreated social phobia can become a sordid web, and it could be detrimental to a quality lifestyle.
  • #33 Social Anxiety Symptoms: Mental and Physical Effects of Social Anxiety
    https://psychcentral.com/anxiety/social-anxiety-disorder-symptoms
    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. […] 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.
  • #34 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, Intense fear of interacting or talking with strangers, Fear that others will notice that
  • #35 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. For those not receiving treatment, about 60% of individuals take several more years to achieve remission. […] Only about half of individuals seek treatment, and typically after 15 to 20 years of experiencing symptoms.
  • #36 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.
  • #37 Social Anxiety Symptoms: Mental and Physical Effects of Social Anxiety
    https://psychcentral.com/anxiety/social-anxiety-disorder-symptoms
    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. […] 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.
  • #38 Social anxiety disorder – Wikipedia
    https://en.wikipedia.org/wiki/Social_anxiety_disorder
    Social anxiety disorder shows a high degree of co-occurrence with psychiatric disorders. […] SAD often occurs alongside low self-esteem and most commonly clinical depression. […] Research into the causes of social anxiety and social phobia is wide-ranging, encompassing multiple perspectives from neuroscience to sociology. […] Studies suggest that genetics can play a part in combination with environmental factors. […] Generally, social anxiety begins at a specific point in an individual’s life. […] This will develop over time as the person struggles to recover. […] Symptoms may progress to panic attacks. […] The DSM-5 notes that for social anxiety disorder, the fear must be attributed or correlated to social situations and not another condition. […] 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.
  • #39 Social anxiety disorder (Social phobia) – Beyond Blue
    https://www.beyondblue.org.au/mental-health/anxiety/types-of-anxiety/social-anxiety-disorder
    You may worry excessively that you’ll do or say the wrong thing and that something terrible will happen as a result. […] You might experience: excessive perspiration, trembling, blushing or stammering when trying to speak, nausea or diarrhoea. […] A mental health professional may diagnose social anxiety disorder if: you experience the symptoms listed on this page, the symptoms cause significant distress or stop you from doing everyday activities, the symptoms are persistent (for example, for at least six months). […] 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).
  • #40 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.
  • #41 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. […] Slightly more females than males have social phobia. […] 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 often goes undetected.
  • #42 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. […] Social anxiety disorder usually starts during late childhood and may resemble extreme shyness or avoidance of situations or social interactions. It occurs more frequently in females than in males, and this gender difference is more pronounced in adolescents and young adults. Without treatment, social anxiety disorder can last for many years, or even a lifetime.
  • #43 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; 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.
  • #44 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. For those not receiving treatment, about 60% of individuals take several more years to achieve remission. […] Only about half of individuals seek treatment, and typically after 15 to 20 years of experiencing symptoms.
  • #45 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. […] If left untreated, social phobia can severely affect quality of life. […] Recovery from social phobia is possible with appropriate treatment.
  • #46 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.
  • #47 Social Anxiety Disorder (Social Phobia): Causes, Symptoms, and Treatments | SELF
    https://www.self.com/story/understanding-social-anxiety-disorder
    Social anxiety disorder symptoms can change over time. They may flare up if you’re facing a lot of stress or demands. Although avoiding situations that produce anxiety may make you feel better in the short term, your anxiety is likely to continue over the long term if you don’t get treatment. […] Left untreated, social anxiety disorder can run your life. Anxieties can interfere with work, school, relationships, or enjoyment of life. Social anxiety disorder can cause: Low self-esteem, Trouble being assertive, Negative self-talk, Hypersensitivity to criticism, Poor social skills, Isolation and difficult social relationships, Low academic and employment achievement, Substance abuse, such as drinking too much alcohol, Suicide or suicide attempts. […] Your doctor may determine a diagnosis based on: Physical exam to help assess whether any medical condition or medication may trigger symptoms of anxiety, Discussion of your symptoms, how often they occur and in what situations, Review of a list of situations to see if they make you anxious, Self-report questionnaires about symptoms of social anxiety, Criteria listed in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), published by the American Psychiatric Association.
  • #48 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; 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.
  • #49 Social anxiety (social phobia)
    https://www2.hse.ie/conditions/social-anxiety/
    Social anxiety disorder is an overwhelming fear of social situations. It can be long-lasting. […] It usually starts during the teenage years. For some, it gets better as they get older. For many, it does not go away on its own. […] Social anxiety is more than shyness. It’s an intense fear that does not go away. […] Many people worry about social situations from time to time. Someone with social anxiety feels very worried before, during and after them. […] You may have social anxiety if you: dread meeting strangers, starting conversations, speaking on the phone, working, or shopping; 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; fear criticism, avoid eye contact or have low self-esteem; often have symptoms such as feeling sick, sweating, trembling or heart palpitations; have panic attacks.
  • #50 Social Anxiety Disorder: Symptoms, Tests, Causes & Treatments
    https://my.clevelandclinic.org/health/diseases/22709-social-anxiety
    A person with social anxiety disorder can have a mild, moderate or extreme form of it. […] It’s very common to have anticipatory anxiety when facing these situations. […] Many people with social anxiety disorder don’t try to get help or seek treatment because they think social anxiety is just part of their personality. […] 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. […] Physical and physiological symptoms of social anxiety disorder can include: Blushing, sweating, shaking or feeling your heart race in social situations. […] Thoughts and behaviors that can be signs of social anxiety disorder include: Being very self-conscious in front of other people. […] A healthcare provider such as a clinician, psychologist, psychiatrist or therapist can diagnose a person with social anxiety disorder based on the criteria for social anxiety disorder listed in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) published by the American Psychiatric Association.
  • #51 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.
  • #52 Social Anxiety Disorder (Social Phobia) – PsychDB
    https://www.psychdb.com/anxiety/social-anxiety
    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. […] Individuals (e.g. – public speakers, musicians, dancers, performers, athletes) with the performance only type of social anxiety disorder will have performance fears that are typically most impairing during their careers or professional lives. Importantly, in performance only type, individuals do not fear or avoid non-performance social situations. […] Blushing is considered a hallmark response for social anxiety disorder. […] Though not specifically part of the diagnostic criteria, common physical symptoms of social anxiety disorder include: blushing, stammering, sweating, gastrointestinal symptoms, dry mouth, palpitations, trembling, urgency of micturition, and panic attacks.
  • #53 Social Anxiety Disorder: Symptoms, Tests, Causes & Treatments
    https://my.clevelandclinic.org/health/diseases/22709-social-anxiety
    A person with social anxiety disorder can have a mild, moderate or extreme form of it. […] It’s very common to have anticipatory anxiety when facing these situations. […] Many people with social anxiety disorder don’t try to get help or seek treatment because they think social anxiety is just part of their personality. […] 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. […] Physical and physiological symptoms of social anxiety disorder can include: Blushing, sweating, shaking or feeling your heart race in social situations. […] Thoughts and behaviors that can be signs of social anxiety disorder include: Being very self-conscious in front of other people. […] A healthcare provider such as a clinician, psychologist, psychiatrist or therapist can diagnose a person with social anxiety disorder based on the criteria for social anxiety disorder listed in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) published by the American Psychiatric Association.
  • #54 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.
  • #55 Social Anxiety Disorder: Symptoms, Tests, Causes & Treatments
    https://my.clevelandclinic.org/health/diseases/22709-social-anxiety
    A person typically has to have had symptoms of social anxiety disorder for at least six months in order to be diagnosed. […] 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). […] 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. […] It’s almost impossible to overcome social anxiety without treatment. […] Evidence has shown that cognitive behavioral therapy (CBT) and medications like antidepressants are very successful in treating and managing social anxiety disorder.
  • #56 Social anxiety disorder: Causes, symptoms, and treatment
    https://www.medicalnewstoday.com/articles/176891
    Social anxiety disorder typically starts early in life, during a person’s adolescence or teenage years, but it can affect people of all ages. […] The symptoms of social anxiety disorder can significantly disrupt the person’s work and social life and may result in a lack of social support, low achievement at work and in other areas, a reduced quality of relationships, and a reduced quality of life. […] Social anxiety disorder is associated with other mental health concerns, including low self-esteem, depression, substance misuse, and suicidal ideation. […] When severe or without treatment, the condition can be debilitating.
  • #57 Social Anxiety Disorder: Symptoms, Tests, Causes & Treatments
    https://my.clevelandclinic.org/health/diseases/22709-social-anxiety
    A person typically has to have had symptoms of social anxiety disorder for at least six months in order to be diagnosed. […] 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). […] 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. […] It’s almost impossible to overcome social anxiety without treatment. […] Evidence has shown that cognitive behavioral therapy (CBT) and medications like antidepressants are very successful in treating and managing social anxiety disorder.
  • #58 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.
  • #59 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.
  • #60 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.
  • #61 Social Anxiety Disorder (Social Phobia): Causes, Symptoms, and Treatments | SELF
    https://www.self.com/story/understanding-social-anxiety-disorder
    Social anxiety disorder symptoms can change over time. They may flare up if you’re facing a lot of stress or demands. Although avoiding situations that produce anxiety may make you feel better in the short term, your anxiety is likely to continue over the long term if you don’t get treatment. […] Left untreated, social anxiety disorder can run your life. Anxieties can interfere with work, school, relationships, or enjoyment of life. Social anxiety disorder can cause: Low self-esteem, Trouble being assertive, Negative self-talk, Hypersensitivity to criticism, Poor social skills, Isolation and difficult social relationships, Low academic and employment achievement, Substance abuse, such as drinking too much alcohol, Suicide or suicide attempts. […] Your doctor may determine a diagnosis based on: Physical exam to help assess whether any medical condition or medication may trigger symptoms of anxiety, Discussion of your symptoms, how often they occur and in what situations, Review of a list of situations to see if they make you anxious, Self-report questionnaires about symptoms of social anxiety, Criteria listed in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), published by the American Psychiatric Association.
  • #62 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.
  • #63 Social Anxiety Disorder: Causes, Symptoms, and Diagnosis
    https://www.healthline.com/health/anxiety/social-phobia
    People with social anxiety have a constant fear of being judged by others or humiliated in front of them. […] 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. […] 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. […] Counseling therapy, lifestyle changes, and medication can help many people cope with social anxiety and other mental health issues. […] 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. […] Medication, counseling, and lifestyle remedies can help people manage symptoms and improve their quality of life.
  • #64 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.
  • #65 Social Anxiety Symptoms: Mental and Physical Effects of Social Anxiety
    https://psychcentral.com/anxiety/social-anxiety-disorder-symptoms
    Social anxiety symptoms tend to come from fear involving social situations. […] For people with social anxiety disorder previously called social phobia these thoughts can be frustratingly common. […] According to the National Alliance on Mental Illness (NAMI), social anxiety disorder can also cause panic attacks. […] The National Institute of Mental Health (NIMH) estimates that social anxiety disorder affects 7.1% of U.S. adults a year. […] Social anxiety disorder can look different from person to person. […] 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.
  • #66 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. […] 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.
  • #67 Social phobia vs. social anxiety: Similarities, differences, and more
    https://www.medicalnewstoday.com/articles/social-phobia-vs-social-anxiety
    Social anxiety disorder may also have associations with physical experiences, such as headaches, upset stomach, heart palpitations, dizziness, shortness of breath, sweating, trembling. […] The symptoms of social anxiety and social anxiety disorder often overlap, but health experts differentiate them by their duration and intensity. […] Social anxiety disorder is a persistent state of social anxiety that can cause major changes in daily life. […] Temporary social anxiety’s effects are often temporary and less severe. […] Social anxiety and social phobia, or social anxiety disorder, are two separate experiences on the spectrum of social anxiety. […] Conversely, social anxiety disorder is a persistent, severe type of anxiety that impairs function and has pervasive effects on everyday life.
  • #68 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/
    D. The feared social or performance situations are avoided or else are endured with intense anxiety or distress. […] E. The avoidance, anxious anticipation, or distress in the feared social or performance situation(s) interferes significantly with the persons normal routine, occupational (academic) functioning, or social activities or relationships, or there is marked distress about having the phobia. […] G. The fear, anxiety, or avoidance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning. […] F. The fear, anxiety, or avoidance is persistent, typically lasting for 6 months or more. […] H. The fear, anxiety, or avoidance is not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition and is not better accounted for by another mental disorder (e.g., panic disorder with or without agoraphobia, separation anxiety disorder, body dysmorphic disorder, a pervasive developmental disorder, or schizoid personality disorder). […] I. The fear, anxiety, or avoidance is not better explained by the symptoms of another mental disorder, such as panic disorder, body dysmorphic disorder, or autism spectrum disorder.
  • #69 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/
    D. The feared social or performance situations are avoided or else are endured with intense anxiety or distress. […] E. The avoidance, anxious anticipation, or distress in the feared social or performance situation(s) interferes significantly with the persons normal routine, occupational (academic) functioning, or social activities or relationships, or there is marked distress about having the phobia. […] G. The fear, anxiety, or avoidance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning. […] F. The fear, anxiety, or avoidance is persistent, typically lasting for 6 months or more. […] H. The fear, anxiety, or avoidance is not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition and is not better accounted for by another mental disorder (e.g., panic disorder with or without agoraphobia, separation anxiety disorder, body dysmorphic disorder, a pervasive developmental disorder, or schizoid personality disorder). […] I. The fear, anxiety, or avoidance is not better explained by the symptoms of another mental disorder, such as panic disorder, body dysmorphic disorder, or autism spectrum disorder.
  • #70 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. […] Social anxiety disorder is harder to diagnose in children. […] 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.
  • #71 Social Anxiety
    https://www.mentalhealth.com/library/social-anxiety
    Physical symptoms often accompany the intense anxiety of social phobia and include blushing, profuse sweating, trembling, and other symptoms of anxiety, including difficulty talking and nausea or other stomach discomfort. These visible symptoms heighten the fear of disapproval and the symptoms themselves can become an additional focus of fear. Fear of symptoms can create a vicious cycle: as people with social phobia worry about experiencing the symptoms, the greater their chances of developing the symptoms. […] The disorder typically begins in childhood or early adolescence and rarely develops after age 25. […] Social phobia can cause lowered self-esteem and depression. To try to reduce their anxiety and alleviate depression, people with social phobia may use alcohol or other drugs, which can lead to addiction. Some people with social phobia may also have other anxiety disorders, such as panic disorder and obsessive-compulsive disorder.
  • #72 Social Anxiety Fact Sheet | Social Anxiety Association
    https://socialphobia.org/social-anxiety-disorder-definition-symptoms-treatment-therapy-medications-insight-prognosis
    The feelings that accompany social anxiety include anxiety, high levels of fear, nervousness, automatic negative emotional cycles, racing heart, blushing, excessive sweating, dry throat and mouth, trembling, and muscle twitches. […] Constant, intense anxiety (fear) is the most common symptom. […] People with social anxiety typically know that their anxiety is irrational, is not based on fact, and does not make rational sense. […] Appropriate active, structured, cognitive-behavioral therapy is the only solution to this problem. […] Social anxiety treatment must include an active behavioral therapy group, where members can work on their „anxiety” hierarchies in the group, and later, in real-life situations with other group members. […] Cognitive-behavioral therapy for social anxiety has been markedly successful.
  • #73 Social Anxiety Disorder (Social Phobia) – PsychDB
    https://www.psychdb.com/anxiety/social-anxiety
    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. […] Individuals (e.g. – public speakers, musicians, dancers, performers, athletes) with the performance only type of social anxiety disorder will have performance fears that are typically most impairing during their careers or professional lives. Importantly, in performance only type, individuals do not fear or avoid non-performance social situations. […] Blushing is considered a hallmark response for social anxiety disorder. […] Though not specifically part of the diagnostic criteria, common physical symptoms of social anxiety disorder include: blushing, stammering, sweating, gastrointestinal symptoms, dry mouth, palpitations, trembling, urgency of micturition, and panic attacks.
  • #74 Social Anxiety: Symptoms & Treatments | Social Anxiety Association
    https://socialphobia.org/social-anxiety-symptoms-and-treatment
    The physiological manifestations that accompany social anxiety may include intense fear, racing heart, turning red or blushing, dry throat and mouth, trembling, swallowing with difficulty, muscle twitches, shaky hands, excessive sweating, and eye contact problems. […] Constant, intense anxiety that does not go away is the most common feature. […] People with social anxiety disorder know that their anxiety is irrational and does not make „head” (rational) sense. […] Thus, in people with social anxiety, thoughts and feelings of anxiety persist and show no signs of going away. We say that anxiety is chronic in this situation. […] Overcoming social anxiety is not an easy task; yet many thousands have already done it. […] While you’re in the middle of this problem, it can feel hopeless it can feel like you’ll never get better.
  • #75 Social anxiety – Wikipedia
    https://en.wikipedia.org/wiki/Social_anxiety
    Physical symptoms often include excessive blushing, excess sweating, trembling, palpitations, and nausea. Stammering may be present, along with rapid speech. Panic attacks can also occur under intense fear and discomfort. […] 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. […] Some feelings of anxiety in social situations are normal and necessary for effective social functioning and developmental growth. The difficulty with identifying social anxiety disorder in children lies in determining the difference between social anxiety and basic shyness. […] It can be easier to identify social anxiety within adults because they tend to shy away from any social situation and keep to themselves. Common adult forms of social anxiety include performance anxiety, public speaking anxiety, stage fright, and timidness.
  • #76 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.
  • #77 Social Anxiety Disorder: Symptoms, Tests, Causes & Treatments
    https://my.clevelandclinic.org/health/diseases/22709-social-anxiety
    A person with social anxiety disorder can have a mild, moderate or extreme form of it. […] It’s very common to have anticipatory anxiety when facing these situations. […] Many people with social anxiety disorder don’t try to get help or seek treatment because they think social anxiety is just part of their personality. […] 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. […] Physical and physiological symptoms of social anxiety disorder can include: Blushing, sweating, shaking or feeling your heart race in social situations. […] Thoughts and behaviors that can be signs of social anxiety disorder include: Being very self-conscious in front of other people. […] A healthcare provider such as a clinician, psychologist, psychiatrist or therapist can diagnose a person with social anxiety disorder based on the criteria for social anxiety disorder listed in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) published by the American Psychiatric Association.
  • #78 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.
  • #79 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.
  • #80
    https://www.pediatriconcall.com/calculators/dsm-5-social-phobia-social-anxiety-disorder
    Marked fear or anxiety about one or more social situations in which the individual is exposed to possible scrutiny by others. […] The social situations almost always provoke fear or anxiety. […] The fear or anxiety is out of proportion to the actual threat posed by the social situation and to the sociocultural context. […] The social situations are avoided or endured with intense fear or anxiety. […] The fear, anxiety, or avoidance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning. […] The fear, anxiety, or avoidance is persistent, typically lasting for 6 months or more. […] The fear, anxiety, or avoidance is not attributable to the physiological effects of a substance (e.g., a drug of abuse, a medication) or another medical condition.
  • #81
    https://www.pediatriconcall.com/calculators/dsm-5-social-phobia-social-anxiety-disorder
    The fear, anxiety, or avoidance is not better explained by the symptoms of another mental disorder, such as panic disorder, body dysmorphic disorder, or autism spectrum disorder. […] If another medical condition (e.g., Parkinsons disease, obesity, disfigurement from burns or injury) is present, the fear, anxiety, or avoidance is clearly unrelated or is excessive. […] If the fear is restricted to speaking or performing in public.
  • #82 Social Anxiety Disorder (Social Phobia): Causes, Symptoms, and Treatments | SELF
    https://www.self.com/story/understanding-social-anxiety-disorder
    Social anxiety disorder symptoms can change over time. They may flare up if you’re facing a lot of stress or demands. Although avoiding situations that produce anxiety may make you feel better in the short term, your anxiety is likely to continue over the long term if you don’t get treatment. […] Left untreated, social anxiety disorder can run your life. Anxieties can interfere with work, school, relationships, or enjoyment of life. Social anxiety disorder can cause: Low self-esteem, Trouble being assertive, Negative self-talk, Hypersensitivity to criticism, Poor social skills, Isolation and difficult social relationships, Low academic and employment achievement, Substance abuse, such as drinking too much alcohol, Suicide or suicide attempts. […] Your doctor may determine a diagnosis based on: Physical exam to help assess whether any medical condition or medication may trigger symptoms of anxiety, Discussion of your symptoms, how often they occur and in what situations, Review of a list of situations to see if they make you anxious, Self-report questionnaires about symptoms of social anxiety, Criteria listed in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), published by the American Psychiatric Association.
  • #83 Social Anxiety Disorder: Symptoms, Tests, Causes & Treatments
    https://my.clevelandclinic.org/health/diseases/22709-social-anxiety
    A person with social anxiety disorder can have a mild, moderate or extreme form of it. […] It’s very common to have anticipatory anxiety when facing these situations. […] Many people with social anxiety disorder don’t try to get help or seek treatment because they think social anxiety is just part of their personality. […] 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. […] Physical and physiological symptoms of social anxiety disorder can include: Blushing, sweating, shaking or feeling your heart race in social situations. […] Thoughts and behaviors that can be signs of social anxiety disorder include: Being very self-conscious in front of other people. […] A healthcare provider such as a clinician, psychologist, psychiatrist or therapist can diagnose a person with social anxiety disorder based on the criteria for social anxiety disorder listed in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) published by the American Psychiatric Association.
  • #84 Social Anxiety Disorder: Symptoms, Tests, Causes & Treatments
    https://my.clevelandclinic.org/health/diseases/22709-social-anxiety
    A person with social anxiety disorder can have a mild, moderate or extreme form of it. […] It’s very common to have anticipatory anxiety when facing these situations. […] Many people with social anxiety disorder don’t try to get help or seek treatment because they think social anxiety is just part of their personality. […] 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. […] Physical and physiological symptoms of social anxiety disorder can include: Blushing, sweating, shaking or feeling your heart race in social situations. […] Thoughts and behaviors that can be signs of social anxiety disorder include: Being very self-conscious in front of other people. […] A healthcare provider such as a clinician, psychologist, psychiatrist or therapist can diagnose a person with social anxiety disorder based on the criteria for social anxiety disorder listed in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) published by the American Psychiatric Association.
  • #85 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. For those not receiving treatment, about 60% of individuals take several more years to achieve remission. […] Only about half of individuals seek treatment, and typically after 15 to 20 years of experiencing symptoms.
  • #86 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.
  • #87 Social anxiety (social phobia) – NHS
    https://www.nhs.uk/mental-health/conditions/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. […] 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. […] Treatments for social anxiety in children are similar to those for teenagers and adults, although medicines are not normally used.
  • #88 Pediatric Social Phobia – Conditions and Treatments | Children’s National Hospital
    https://www.childrensnational.org/get-care/health-library/social-phobia
    Social phobia is an intense fear of performing in front of people or other social situations where the child or teen feels embarrassed, humiliated or the focus of more attention than he or she wants. […] Symptoms must be present for at least six months for a child to be diagnosed with social phobia. […] These are some of the most common symptoms of social phobia in children: Avoiding or refusing to go to school, Refusing to speak in socials settings or speaking in a very soft or low tone, Showing poor social skills (for example, poor eye contact), Being afraid to use public restrooms, Being afraid to eat in front of others, Refusing to speak on the phone, Expressing wants and thoughts with great difficulty, Being afraid to date (in teens), Refusing to give public performances of difficulty giving them, Being afraid of being called on in class.
  • #89 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.
  • #90 Pediatric Social Phobia – Conditions and Treatments | Children’s National Hospital
    https://www.childrensnational.org/get-care/health-library/social-phobia
    Social phobia is an intense fear of performing in front of people or other social situations where the child or teen feels embarrassed, humiliated or the focus of more attention than he or she wants. […] Symptoms must be present for at least six months for a child to be diagnosed with social phobia. […] These are some of the most common symptoms of social phobia in children: Avoiding or refusing to go to school, Refusing to speak in socials settings or speaking in a very soft or low tone, Showing poor social skills (for example, poor eye contact), Being afraid to use public restrooms, Being afraid to eat in front of others, Refusing to speak on the phone, Expressing wants and thoughts with great difficulty, Being afraid to date (in teens), Refusing to give public performances of difficulty giving them, Being afraid of being called on in class.
  • #91 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.
  • #92 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.
  • #93 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.
  • #94 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. […] Social anxiety disorder usually starts during late childhood and may resemble extreme shyness or avoidance of situations or social interactions. It occurs more frequently in females than in males, and this gender difference is more pronounced in adolescents and young adults. Without treatment, social anxiety disorder can last for many years, or even a lifetime.
  • #95 Social Anxiety Disorder > Fact Sheets > Yale Medicine
    https://www.yalemedicine.org/conditions/social-anxiety-disorder
    The most common treatment for social anxiety disorder is cognitive behavioral therapy (CBT), also known as talk therapy. […] Patients with social anxiety disorder who seek treatment can often overcome their feelings of fear and anxiety related to social situations. […] Social anxiety disorder is a chronic condition.
  • #96 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.
  • #97 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.
  • #98 Understanding Social Anxiety in Children | Child Mind Institute
    https://childmind.org/article/what-is-social-anxiety/
    Social anxiety disorder in kids can cause them to avoid things that worry them. While this might work to calm anxiety in the short term, hiding from anxiety really only makes it get worse. It can also become a habit. […] Having social anxiety can stop you from doing the things you want to do, and close you off from people you’d like to be friends with. It can also make you more likely to get depressed. Asking for help can be hard, but it really is important.
  • #99
    https://cerebral.com/blog/social-anxiety-disorder-signs-and-symptoms
    SAD occurs when intense fear, anxiety, and avoidance of social situations start to interfere with daily life. […] Social phobia can last for years or for a lifetime if untreated. Because it impacts how people go about their daily lives at work or school, the avoidance and fear of social situations will eventually prevent people from reaching their full potential or even enjoying life. […] Depression and other mental health disorders often occur with social anxiety disorder.
  • #100 Social anxiety disorder: Causes, symptoms, and treatment
    https://www.medicalnewstoday.com/articles/176891
    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.
  • #101 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. For those not receiving treatment, about 60% of individuals take several more years to achieve remission. […] Only about half of individuals seek treatment, and typically after 15 to 20 years of experiencing symptoms.
  • #102 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.
  • #103 Social Anxiety Fact Sheet | Social Anxiety Association
    https://socialphobia.org/social-anxiety-disorder-definition-symptoms-treatment-therapy-medications-insight-prognosis
    Thousands of research studies now indicate that, after the completion of social anxiety-specific CBT, people with social anxiety disorder are changed. […] Appropriate therapy is markedly successful in changing people’s thoughts, beliefs, feelings, and behavior. […] 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. […] Only CBT can change the neural pathway associations in the brain permanently. […] Prognosis is markedly good. People completing CBT training report a high success rate, compared to control groups. […] Studies repeatedly indicate that treatment compatibility (i.e., did the person carry out the prescribed therapy?) is the key element in success.
  • #104 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
    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. […] Social anxiety disorder is generally treated with psychotherapy (sometimes called talk therapy), medication, or both. […] Cognitive behavioral therapy (CBT), a research-supported type of psychotherapy, is commonly used to treat social anxiety disorder. CBT teaches you different ways of thinking, behaving, and reacting to situations to help you feel less anxious and fearful.
  • #105 Social Anxiety Disorder > Fact Sheets > Yale Medicine
    https://www.yalemedicine.org/conditions/social-anxiety-disorder
    The most common treatment for social anxiety disorder is cognitive behavioral therapy (CBT), also known as talk therapy. […] Patients with social anxiety disorder who seek treatment can often overcome their feelings of fear and anxiety related to social situations. […] Social anxiety disorder is a chronic condition.
  • #106 Warning Signs of a Social Phobia – Mental Health Hotline
    https://mentalhealthhotline.org/warning-signs-social-phobia/
    To avoid the distressing feelings associated with social situations, you might start to avoid the situations themselves. […] The fear experienced can lead to physical symptoms like sweating, trembling, blushing, a rapid heartbeat or feeling faint. […] A person with social anxiety often has a heightened self-awareness and a tendency to think poorly of themselves. […] You might experience significant anxiety days or even weeks before an anticipated social event. […] Social anxiety disorder is a serious but treatable condition. Recognizing the signs and seeking appropriate help is the best way to recover.