This Is What The Symptoms Of Social Anxiety Can Look Like...

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  • Intense fear during social interactions
  • Intense anxiety when you're anticipating a social interaction
  • Fear that others will notice your nervousness
  • Fear of interacting with strangers
  • Avoiding situations where you're the center of attention
  • Physical symptoms like sweating or breathlessness during social situations.
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Your Questions About Social Anxiety, Answered!

What is Social Anxiety?

Social anxiety is a chronic mental health condition in which an individual might feel a lot of anxiety when in a social situation. There is an intense fear of negative judgment from others and this causes a lot of distress and anxiety.

What is the difference between shyness and Social Anxiety disorder?

Shyness is a feeling of awkwardness or worry that occurs during social situations. Almost everyone feels shy every now and then, and it is a completely normal feeling to have.

On the other hand, Social Anxiety Disorder (SAD) is a severe fear of situations involving interaction with others or any kind of social situation, particularly when there is a possibility of being judged by strangers. Exposure to social situations can immediately provoke an anxiety response, leading to avoidance of the situation. This further causes various emotional and behavioural problems such as loss of self-confidence, depression, and substance abuse. Thus, shyness and social anxiety are not the same.

Social Anxiety can interfere with a person's ability to function in daily life. It can stop them from becoming involved in relationships, romantic or friendship. Some may avoid eating at a restaurant or using a public restroom, causing them to miss out on joining family members and friends. For some, it prevents them from working. Many people with SAD feel isolated and alone.

What are the main signs and symptoms of Social Anxiety?

The major symptoms of social anxiety disorder include:


  • Intense fear of social situations

  • Fear of others noticing nervousness

  • Anxiety due to anticipating a social interaction

  • Intense fear of interacting with strangers

  • Avoidance of certain situations where the individual is the centre of attention

There are also some physical symptoms to watch out for that can occur in response to the emotional ones listed above:

  • Sweating

  • Rapid heart rate

  • Feeling dizzy, lightheaded

  • Blushing

  • Muscle tension

  • Tremors, which means that your hands start shaking involuntarily

  • Nausea and upset stomach

  • Trouble breathing and catching your breath

How to manage Social Anxiety?

There are certain things you can do to manage social anxiety on your own. They include:

Self-care:

  • Try to understand more about your anxiety, by thinking about or writing down social triggers, what goes through your mind and how you behave in certain social situations, it can help to keep a diary.

  • Try some relaxation techniques, such as breathing exercises for anxiety.

Seeking community support:

  • Connect with people who understand what you're going through because they are managing the same condition.

  • Share your experiences, and coping techniques that worked for you, and help support others.

  • Speaking with a group of people who relate to your anxiety symptoms is also an excellent practice for interacting in social settings, and exposing yourself to social situations that otherwise seemed fearful.

How do therapy & psychiatry help in treating Social Anxiety disorder?

Therapy can primarily benefit in the following ways:

  • Interpreting external social events in a realistic way

  • Shifting the focus of attention from self to others in social conversations.

  • Help process social cues better and build their social skills.

  • Dealing with the negative beliefs that maintain anxiety in social situations

Psychiatry can benefit in the following ways:

  • Increasing the levels of serotonin in the brain by using medicines known as SSRIs, and reducing anxiety

  • Work with other medications that can help stop panic attacks

  • Help deal with other medical concerns that may contribute to or worsen the anxiety

  • Monitor your progress over time and help talk to other professionals to help get better

How to overcome social anxiety?

Overcoming social anxiety typically involves a combination of therapy (especially CBT and Exposure Therapy), gradually exposing yourself to feared social situations, challenging negative thoughts, practising relaxation techniques, and building social skills.

How can I control anxious thoughts in social situations?

You can control anxious thoughts in social situations by practising techniques like:


  • Thought challenging: Questioning whether your anxious thoughts are truly accurate or just fears.

  • Mindfulness: Focusing on the present moment and your surroundings instead of giving in to anxious predictions.

  • Deep breathing: Breathing in a controlled manner to calm your nervous system.

  • Refocusing: Shifting your attention away from internal anxiety to the external conversation or activity.

How can counselling help with social anxiety?

Counselling (therapy) for social anxiety helps you:


  • Identify triggers and negative thought patterns.

  • Gradually engage in exposure therapy to desensitise yourself to feared situations.

  • Develop social skills and assertiveness.

  • Learn relaxation and coping strategies for anxiety.

Is online therapy effective for social anxiety?

Yes, online therapy, particularly Cognitive Behavioural Therapy (CBT) and Exposure Therapy delivered online, is effective for treating social anxiety. It offers convenient access to professional help and can be particularly beneficial for those who find it difficult to attend in-person sessions due to their anxiety.

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