What Is Social Anxiety Disorder?

Every week, I meet with individuals in my New Orleans psychotherapy practice who mention their struggles with social anxiety disorder. Although people often use the term “social anxiety” interchangeably with shyness, there is a world of difference between these two states. 

Unlike shyness, which may be temporary, mild, and easily managed, social anxiety disorder (SAD) is an intense fear of being judged negatively or embarrassed in front of others. Sometimes, it can become a phobia, preventing you from engaging with others publicly or privately.

This fear extends beyond general shyness. While shyness may cause discomfort, it does not typically disrupt daily life. In contrast, social anxiety disorder can significantly impact an individual's daily activities and relationships, limiting their ability to function effectively in their personal and professional life. 

For instance, a person with social anxiety disorder may have trouble attending work meetings or social events, leading to missed opportunities and potential isolation.

Whether you or someone you know is struggling with social anxiety or phobia, it’s essential to understand what it is, how to recognize it, and the available treatment options. The earlier social anxiety is diagnosed and treated, the more likely it will be successfully managed!

Understanding social anxiety disorder

Social anxiety disorder is a complex cognitive disorder that extends beyond a simple fear of public speaking or facing a large crowd.

Typically, this disorder involves an intense fear of interacting with others, which can manifest in various ways. For example, a person with social anxiety disorder might dread speaking to strangers, making eye contact, entering rooms, eating in front of others, and using public restrooms. 

These fears can cause significant distress and hinder the person's ability to lead a normal life. They may find themselves avoiding social situations entirely, which can make it difficult to form and maintain meaningful relationships.

It's important to note that social anxiety disorder is not limited to formal situations. It can rear its head in everyday scenarios like casual conversations or shopping at a supermarket. For instance, a person with social anxiety disorder might feel extremely anxious and self-conscious while standing in line at the grocery store, fearing that others are judging them.

While social anxiety has been understood for many years, the years since the COVID-19 pandemic have added a new layer of complexity to this condition. The fear of contracting the virus, and the feeling that others see one as a potential vector for infection, can be overwhelming for someone with social anxiety disorder. 

The added stress of stay-at-home orders and increased isolation amplified symptoms for many – even for those who have learned how to manage their condition. Now, we are continuing to learn more about how the pandemic has impacted people with conditions like social anxiety disorder and what new strategies can be applied to help them manage their symptoms.

That’s why it’s even more critical now than ever to recognize the signs of social anxiety disorder and seek professional help when needed.

What are the symptoms of social anxiety disorder?

The symptoms of social anxiety disorder are both physical and emotional.

Physical symptoms: People with social anxiety disorder may experience rapid breathing, increased heart rate, sweating, trembling or shaking, muscle tension, nausea, and diarrhea.

Emotional symptoms: Individuals may also feel embarrassed or self-conscious in social situations; fearful of being judged or humiliated; excessively worried about offending others; difficulty making eye contact; and feeling like everyone is watching them.

Some people with social anxiety disorder also experience an "out-of-body" sensation, where they feel detached from themselves during a stressful social situation. This can be quite disconcerting, adding to the distress experienced. In severe cases, people with anxiety disorder may avoid social situations altogether.

What are the causes and risk factors for social phobia and anxiety?

The causes of social anxiety disorder are multifactorial, involving both genetic and environmental factors. For example, having a family member with the disorder can increase a person's risk of developing it, suggesting a genetic link.

The onset of social anxiety disorder typically occurs during adolescence, a period characterized by significant social and emotional changes. During this time, peer acceptance and fitting in become increasingly important, and any perceived social misstep can feel devastating, potentially triggering the onset of social anxiety disorder.

An overactive amygdala, a part of the brain that controls fear response, might play a role, as might a history of abuse, bullying, or certain parenting styles. However, research is ongoing in this sphere — and the important thing is that there are treatments available to help people manage their symptoms.

Treatment options and therapies for social anxiety

Treatment for social anxiety disorder includes psychotherapy and medication such as antidepressants or beta-blockers. 

Psychotherapy can help individuals identify and challenge negative thought patterns that contribute to their anxiety, helping them manage their symptoms more effectively.

Counseling is crucial in providing support and guidance to those struggling with social anxiety disorder. By offering a safe space to express fears and concerns, counselors can help individuals develop coping strategies and overcome their anxiety.

To learn which option might be best for you, it’s essential to start the conversation with your mental health professional. Through a caring and supportive environment, you’ll be able to find a treatment plan that works for you.

Need help with social anxiety or social phobia? Find help from a trusted counselor in New Orleans

You aren’t alone in your struggles with social anxiety. With the right combination of understanding and treatment, you can begin to take steps to create lasting changes in your life. 

If you want to take proactive steps toward achieving better mental health, consider talking with a licensed clinician in New Orleans today. At my practice, I work with young adults and adults in New Orleans from all walks of life who have social anxiety or social phobia. 

I believe everyone deserves compassionate and individualized care, and I aim to provide that. Through our sessions together, we can work towards finding the best treatment plan for you. Together, we’ll explore different coping skills so that you have the tools to effectively manage your anxiety in any situation. I strive to provide a safe and supportive space where we can work together on your journey toward healthier, happier lives.

If you’re ready to take the next step in improving your mental health, please feel free to contact me today. I look forward to connecting with you and helping you on your path to healing!