What is Social Anxiety Disorder?
A person with social anxiety fears situations where they may be scrutinized or judged by others or evaluated, such as meeting new people. Symptoms may include a rapid heart rate, feeling sick to their stomach, speaking with an overly soft voice, feeling their mind “go blank,” and finding it difficult to talk to people in social situations even when they want to do so. Everyday tasks, such as using a public restroom or needing to talk to a store cashier, could be impaired, as the fear may get in the way of going to work or attending school. Certain places or events that cause distress may be avoided in favor of staying in situations where the person feels safe, such as the home. Others may be able to attend social events, but with a great deal of anxiety before and during the activities. After a social interaction, they may negatively evaluate how they appeared or what they said and ruminate about it for an extended time. Cognitive Behavior Therapy and Acceptance and Commitment Therapy are often used in conjunction with social anxiety exposures to help individuals learn how to cope with the thoughts, identify ways to reduce avoidance of social situations, and pursue activities they find worthwhile in their daily life.
Symptoms of Social Anxiety Disorder
Social Anxiety Disorder manifests through both emotional and physical symptoms, which can include:
- Intense fear of interacting or talking with strangers
- Fear of situations where you may be judged
- Worrying about embarrassing or humiliating yourself
- Fear that others will notice you look anxious
- Avoiding activities or speaking to people out of fear of embarrassment
- Physical symptoms such as blushing, sweating, trembling, or having a shaky voice
- Avoidance of social situations to a degree that limits your activities or disrupts your life
- After a social situation, analyzing your performance and identifying flaws in your interactions
Impact on Daily Life
The impact of Social Anxiety Disorder can be profound. People with this disorder might avoid common social activities, leading to isolation and difficulty forming relationships. They might miss out on important personal and professional opportunities, resulting in underachievement and reduced quality of life. The constant fear and avoidance can also contribute to other mental health issues, such as depression or substance abuse.







