Social Anxiety Disorder: Symptoms, Tests, Causes & Treatments (2024)

What is social anxiety disorder (social phobia)?

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.

Social anxiety disorder is a common anxiety disorder.

If you have social anxiety disorder, you have anxiety or fear in specific or all social situations, including:

  • Meeting new people.
  • Performing in front of people.
  • Taking or making phone calls.
  • Using public restrooms.
  • Asking for help in a restaurant, store or other public place.
  • Dating.
  • Answering a question in front of people.
  • Eating in front of people.
  • Participating in an interview.

A core feature of social anxiety disorder is that you’re afraid of being judged, rejected and/or humiliated.

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Who does social anxiety affect?

Social anxiety disorder is a common mental health condition that can affect anyone. Most people who have social anxiety disorder experience symptoms before they’re 20 years old. People assigned female at birth (AFAB) experience higher rates of social anxiety than people assigned male at birth (AMAB).

How common is social anxiety disorder?

Social anxiety disorder isn’t uncommon. Approximately 5% to 10% of people across the world have social anxiety disorder. It’s the third most common mental health condition behind substance use disorder and depression.

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Are there different types of social anxiety?

A person with social anxiety disorder can have a mild, moderate or extreme form of it. Some people with social anxiety only experience symptoms with one type of situation, like eating in front of others or performing in front of others, while other people with social anxiety experience symptoms in several or all forms of social interaction. In general, the different levels of social anxiety include:

  • Mild social anxiety: A person with mild social anxiety may experience the physical and psychological symptoms of social anxiety but still participate in, or endure, social situations. They may also only experience symptoms in certain social situations.
  • Moderate social anxiety: A person with mild social anxiety may experience physical and psychological symptoms of social anxiety but still participate in some social situations while avoiding other types of social situations.
  • Extreme social anxiety: A person with extreme social anxiety may experience more intense symptoms of social anxiety, such as a panic attack, in social situations. Because of this, people with extreme social anxiety usually avoid social situations at all costs. A person with extreme social anxiety likely has symptoms in all or many types of social situations.

It’s very common to have anticipatory anxiety when facing these situations. It’s possible to fluctuate between different levels of social anxiety throughout your life. No matter which type of social anxiety you have, it’s important to seek treatment because this type of anxiety affects your quality of life.

What is the difference between having social anxiety disorder and being shy?

Anyone can experience shyness from time to time. Having social anxiety disorder consistently interferes with or prevents you from doing everyday activities such as going to the grocery store or talking to other people. Because of this, social anxiety disorder can negatively affect your education, career and personal relationships. Being shy from time to time doesn’t affect these things.

In general, the three main factors that distinguish social anxiety from shyness are:

  • How much it interferes with your day-to-day life.
  • How intense your fear and anxiety are.
  • How much you avoid certain 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. It’s important to reach out to your healthcare professional if you’re experiencing ongoing and intense symptoms when in social situations.

Social Anxiety Disorder: Symptoms, Tests, Causes & Treatments (2024)

FAQs

What are the causes of social anxiety? ›

Children who experience teasing, bullying, rejection, ridicule or humiliation may be more prone to social anxiety disorder. In addition, other negative events in life, such as family conflict, trauma or abuse, may be associated with this disorder.

Can you self treat social anxiety? ›

Although social anxiety disorder generally requires help from a medical expert or qualified psychotherapist, you can try some of these techniques to handle situations that are likely to trigger symptoms: Learn stress-reduction skills. Get physical exercise or be physically active on a regular basis. Get enough sleep.

What makes social anxiety worse? ›

Feeling pressured to interact in ways they don't feel ready for, being criticized or humiliated, or having other fears and worries can make social anxiety worse.

Is social anxiety a mental illness? ›

Data from the National Comorbidity Survey reveals that social anxiety disorder is the third most common psychiatric condition after major depression and alcohol dependence (Kessler et al., 2005a).

What is the best cure for social anxiety? ›

People with social anxiety disorder usually obtain the best results with a combination of medication and CBT or other psychotherapies. For basic information about these and other mental health medications, visit NIMH's Mental Health Medications webpage.

What triggers anxiety? ›

Difficult experiences in childhood, adolescence or adulthood are a common trigger for anxiety problems. Going through stress and trauma when you're very young is likely to have a particularly big impact. Experiences which can trigger anxiety problems include things like: physical or emotional abuse.

Can I beat social anxiety? ›

While it may seem impossible to overcome a feared social situation, you can do it by taking it one small step at a time. The key is to start with a situation that you can handle and gradually work your way up to more challenging situations, building your confidence and coping skills as you move up the “anxiety ladder.”

How to calm anxiety? ›

Self-care for anxiety
  1. Talk to someone you trust add. Talking to someone you trust about what's making you anxious could be a relief. ...
  2. Try to manage your worries add. ...
  3. Look after your physical health add. ...
  4. Try breathing exercises add. ...
  5. Keep a diary add. ...
  6. Complementary and alternative therapies add.

How do I escape social anxiety? ›

Begin by understanding your triggers, those specific situations that make your heart race. Practice calming techniques like deep breathing exercises when you feel anxious. Gradually expose yourself to social situations, starting small and building up over time. If you're struggling, seek professional help.

What is the new medication for social anxiety? ›

Vistagen's fasedienol is an innovative, rapid-onset investigational pherine nasal spray in Phase 3 clinical development in the U.S. for the acute treatment of anxiety in adults with social anxiety disorder (SAD).

How to tell if someone has social anxiety? ›

Thoughts and behaviors that can be signs of social anxiety disorder include:
  1. Being very self-conscious in front of other people.
  2. Feeling embarrassed or awkward in front of other people.
  3. Feeling your mind “go blank” and not knowing what to say to other people.
Apr 10, 2022

What not to say to someone with social anxiety? ›

What Not To Say to Someone With Anxiety Disorder
  • “It's All In Your Head” So is everything. ...
  • “I Get Anxious/Feel Stress Too” ...
  • “Is This My Fault?” ...
  • “Anxiety Is Just a Trend”/”Other People Have It Worse”/”It's Not Such a Big Deal” ...
  • “Not This Again” ...
  • Stop Worrying/Calm Down.
May 25, 2022

What is the root cause of social anxiety? ›

There is no single root cause of social anxiety. Instead, it results from a combination of factors that can vary from person to person. Some of the most common causes of social anxiety include: Poor self-esteem or lack of confidence.

What triggers social anxiety? ›

It can be linked to a history of abuse, bullying, or teasing. Shy kids are also more likely to become socially anxious adults, as are children with overbearing or controlling parents. If you develop a health condition that draws attention to your appearance or voice, that could trigger social anxiety, too.

What age does anxiety peak? ›

Anxiety does not have a particular age at which it peaks; it can happen later or earlier in life for different people, all based on the triggers that cause you to have an anxiety attack.

How did people get social anxiety? ›

What Causes this Disorder. There is evidence that genetic factors may play a role in the development of social anxiety disorder, particularly in for the generalized form. There is a higher incidence of social anxiety disorder in individuals with first-degree relatives affected by other panic and anxiety disorders.

How do you trigger social anxiety? ›

Common social anxiety triggers include:
  1. Meeting new people.
  2. Making small talk.
  3. Public speaking.
  4. Performing on stage.
  5. Being the center of attention.
  6. Being watched while doing something.
  7. Being teased or criticized.
  8. Talking with “important” people or authority figures.
Feb 5, 2024

What causes social anxiety in a teenager? ›

Social anxiety tends to run in families although it is not known if this is caused by genetics passed from parent to child. Children could be learning the behavior from watching their parents and adapting the same fears. Social anxiety may occur after a frightening or hurtful experience such as being bullied or abused.

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