A Complete Guide to Social Anxiety



Introduction 

In certain social settings, it's natural to feel nervous. For example, going on a date or giving a presentation might make you feel like you have butterflies in your stomach.

But in social anxiety disorder, also called social phobia, day-to-day experiences cause extreme anxiety, fear, self-consciousness, and humiliation, so you fear being scrutinised or judged by others.

In social anxiety disorder, fear and anxiety can lead to avoidance. Extreme stress can have an effect on your everyday life, job, education, or other activities.

Social anxiety disorder is a chronic mental health condition, but learning how to deal with psychotherapy and taking medication will help you build trust and enhance your ability to communicate with others.

Symptoms

Feelings of shyness or discomfort in some circumstances are not necessarily signs of social anxiety disorder, particularly in children. How comfortable you are in social settings varies based on personality characteristics and life experiences. Some people are naturally quiet, others are more outgoing.

Unlike everyday nervousness, social anxiety disorder involves fear, anxiety, and averting that interferes with daily life, work, school, or other activities. Social anxiety disorder normally starts in the early to mid-teens, although it may often begin in younger children or adults.

Emotional and behavioural symptoms

Signs and symptoms of social anxiety disorder can include persistent:

1.   Fear of scenarios in which you can be judged

2.   Worrying about being embarrassing or insulting yourself

3.   Intense fear of communicating or talking to strangers

4.   Fear that someone will notice you're looking nervous

5.   Fear of physical signs that may cause you to feel ashamed, such as blushing, sweating, shaking or shaking your voice.

6.   Avoiding doing stuff or talking to people out of fear of humiliation

7.   Avoiding circumstances where you may be at the centre of attention

8.   Anxiety in anticipation of feared event or activity

9.   Enduring a social condition of extreme fear or anxiety

10. Spending time after a social situation to assess your results and find       weaknesses in your interactions

11. Expecting the worst possible effects of unpleasant experiences in a social     situation

For adolescents, anxieties about communicating with adults or peers can be illustrated by screaming, tempering tantrums, clinging to parents, or refusing to talk in social situations.

Performance type of social anxiety disorder is when you feel extreme fear and anxiety only while speaking or performing in public, but not in other forms of social situations.

Physical signs and symptoms can often follow social anxiety disorder and may include:

1.   Blushing

2.   Rapid pulse

3.   Having Shaky hands

4.   Shivering

5.   nausea

6.   Trouble in holding your breath

7.   Dizziness or lightheadedness

8.   Feeling like your mind has gone empty

9.   Tension in muscles

10.  Avoiding regular Social Situations

Daily encounters that can be difficult to handle when you have a social anxiety disorder include for example:

1.   Interacting with unknown or strangers

2.   Participation in groups or social events

3.   Going to work or to school

4.   Initiating conversations

5.   Keeping eye contact

6.   Dating

7.   Entry into a room where people are already sitting

8.   Returning things back to a shop

9.   Eating in front of other people

10.  Using a public toilet

The symptoms of social anxiety disorder can change over time. They could flare up if you're facing a lot of tension or demands. While avoiding conditions that cause anxiety will make you feel better in the short term, your anxiety is likely to persist over the long term if you do not receive treatment.

Causes

As most other mental health disorders, social anxiety disorder is going to happen from a complex interaction of biological and environmental variables. Possible causes may include:

·     Inherited characteristics- Anxiety disorders typically occur in families. However it is not completely clear how much of this could be attributed to evolution and how much is due to learned behaviour.

·      Structure of brain- A structure in the brain called the amygdala can play a role in controlling the response to fear. People who have an overactive amygdala can have a heightened reaction to fear, causing increased anxiety in social situations.

·       Environment- Social anxiety disorder may be a learned behavior—some people can develop a disease after an uncomfortable or embarrassing social situation. 

   There may also be a correlation between social anxiety disorder and parents who either model nervous behaviour in social settings or who restrict or overprotect their children.

Factors of risk

Several factors can increase the risk of developing social anxiety disorder, including:

·      An occurrence In the family- if someone from your biological parents or siblings already have social anxiety disorder, then youre more likely to develop the condition.

·      Bad experience- Children who encounter bullying, abuse, rejection, criticism or embarrassment may be more likely to experience social anxiety disorder. In addition, other negative life experiences, such as family conflict, trauma or violence, can be associated with social anxiety disorder.

·    Attitude- Children who are quiet, timid, withdrawn or restrained when faced with new circumstances or people may be at higher risk.

·   New demands in workplace or social gatherings-  Social anxiety disorder symptoms normally begin in teenage years, but meeting new people, speaking in public or making an important job presentation can cause symptoms for the first time.

Developing an illness or having an appearance that draws attention to it. For example, facial disfigurement, stuttering, or trembling due to Parkinson's disease may increase self-consciousness and may cause social anxiety disorder in some people.

Complications:

Untreated, social anxiety disorder will lead your life. Anxieties can interfere with work, education, relationships, or enjoyment of life. Social anxiety disorder can cause:

1.   Low self-esteem;

2.   Trouble to be assertive

3.   Negative self-talking

4.   Hypersensitivity to criticism

5.   Bad social competence

6.   Isolation and complicated social ties

7.   Low academic performance

8.   Abuse of drugs, such as drinking too much alcohol

9.   Suicide or attempted suicide

Other anxiety disorders and many other mental health disorders, especially major depressive disorders and drug abuse problems, are often associated with social anxiety disorder.

Prevention

There is no way to foresee what causes an anxiety disorder to develop, but you can take measures to reduce the frequency of symptoms if you are anxious:

·    Get support early- Anxiety, like many other mental health problems, can be more difficult to manage while you hesitate.

·       Keep a diary- Keeping track of your personal life will help you and your mental health professional find out what's causing you stress and what seems to help you feel better.

·    Prioritize the problems in your life. You will reduce your anxiety by carefully controlling your time and resources. Make sure you're spending time doing things you're enjoying.

·      Stop harmful drug use-Alcohol and drug use, and even caffeine or nicotine use, can cause or worsen anxiety. If you are addicted to any of these drugs, leaving will make you nervous. If you can't stop by yourself, see your doctor or find a recovery service or support group to help you.

 

-      By Mehak Sachdeva 

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