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What is generalized anxiety disorder ? Social anxiety disorder is a severe anxiety disorder that can cause problems with everyday life. Although most people are uncomfortable or nervous when they are in social situations, people with social anxiety disorder experience extreme anxiety and fear. It can affect their relationships and careers. It can also lead to depression and drug abuse. Treatment could include cognitive behavioral therapy, medication, role-playing and social skills training. Treatment options include antidepressants, like selective serotonin reuptake inhibitors (SSRIs) and beta blockers. Signs and symptoms Social anxiety disorder is characterized by extreme fear and anxiety when people believe that people will be negative about them based on their behavior. This includes situations such as meeting new people, eating and drinking in public or giving speeches. The person can be able to either avoid the fearful event or experience great distress and anxiety. These feelings are out of proportion to the actual danger or embarrassment. They can also cause significant disruptions to everyday life and disrupt relationships. People with this condition are less likely to have close relationships, get jobs, or maintain intimate relationships. They also are at a greater risk of developing depression and abuse. Symptoms of this disorder can include shaking, blushing, or sweating. The person may not be able to maintain eye contact or communicate clearly. They may be frightened while talking on the phone or writing and have trouble maintaining a job due to poor performance at meetings or in interviews. In severe cases, the symptoms of this disorder could cause the sufferer to develop additional anxiety disorder s or a major depressive disorder, and even suicidal thoughts. In these cases, the treatment is usually more intensive and should be guided with a mental health professional who has expertise in treating these disorders. Some psychotherapies, such as cognitive-behavioral therapy (CBT) may be able to help treat social anxiety disorder. CBT aims at changing negative thoughts or beliefs which contribute to the disorder. It also teaches the person to deal with situations that cause anxiety gradually, with the help of a therapist and in an environment that is safe. Another type of psychotherapy called exposure and response prevention or cognitive delivered exposure, can be utilized to aid people suffering from extreme social anxiety disorder. The use of medication is usually alongside psychological treatments to treat symptoms of this disorder. These medications can reduce the embarrassing and uncomfortable symptoms associated with this disorder. Selective serotonin reuptake inhibitors, such as paroxetine (Paxil), sertraline (Zoloft), or Venlafaxine (Effexor XR) are usually prescribed for this disorder. Beta blockers and other antidepressants are also effective. Diagnosis Most people experience some degree of anxiety in certain social settings. For example, when making new acquaintances, going out on dates, or performing. If the anxiety becomes overwhelming, and it affects your daily routine it is possible to be diagnosed with a social anxiety disorder. Also called social phobia, the disorder is not rooted in a person's personality or the environment, and is distinct from shyness. It is a persistent, real illness that requires treatment. A health professional typically diagnoses a problem by talking to the patient and conducting a physical examination. The therapist will then suggest psychotherapy (sometimes called talk therapy) or medication to help alleviate symptoms. Certain types of talk therapy may help manage anxiety, including cognitive behavioral therapy (CBT). This method assists a person to recognize and alter negative thoughts and beliefs about social situations that trigger the anxiety. It can teach people how to manage stressful situations, like practicing breathing techniques for relaxation or calming. It may also incorporate an exposure therapy, which involves gradually exposing a person to the social situations they fear under the guidance of a therapy therapist. Many people with social anxiety disorder find relief by taking prescription medications, such as antidepressants and antianxiety medications. Selective serotonin-reuptake inhibitors (SSRIs) such as paroxetine (Paxil), and sertraline, (Zoloft) are used to treat social anxiety disorders. However, other drugs can be equally effective. It may take a few tries to find the appropriate medication. Research has shown that a combination therapy is most effective. This may include CBT and exposure therapy or other forms of psychological treatment, such as interpersonal therapy. It is vital that a person receives treatment for anxiety because it could lead to depression or addictions, such as alcohol and drugs. It can also cause issues at school or work and lead to isolation. Art therapy, for example can be beneficial for certain people suffering from social anxiety. It teaches people to express their feelings through painting, drawing or other creative pursuits. It has been proven to decrease the intensity of anxiety symptoms in certain cases. Treatment Many people are nervous in certain social situations, like making new acquaintances or giving an presentation. But when the fear and anxiety persist and it develops into a mental health issue known as social anxiety disorder or anxiety. It's more than shyness, and requires treatment to overcome. Psychotherapy or medication, or both are possible treatment options. A medical professional like counselors or doctors will often be able to give a diagnosis. The doctor or counselor will examine the situation to determine if there are any physical issues that are causing symptoms, and then refer you for an expert in mental health, such as a psychiatrist or psychologist. The most popular psychotherapy used to treat social anxiety disorders is called cognitive-behavioral therapy (CBT). In CBT you will be guided by a skilled therapist to challenge negative thinking patterns and find better ways to deal with stressful situations. You can also learn relaxation techniques and ways to face your fears by taking one step at a. CBT is typically spread across many sessions. You may be asked to do homework in between sessions. Social anxiety disorder can be treated with antidepressants. The selective serotonin reuptake inhibitors (SSRIs) fluoxetine (Prozac), sertraline (Zoloft) and paroxetine (Paxil) are often prescribed for this condition, as well as the serotonin-norepinephrine reuptake inhibitors (SNRIs) duloxetine (Cymbalta) and venlafaxine (Effexor XR). It can take several weeks for you to begin feeling the effects of these medications. They may also cause unwanted side effects like headaches or insomnia. The use of medications that block the stimulating effect of adrenaline, like beta-blockers, are also available, and may assist in controlling some of the physical symptoms of anxiety, like rapid heart rate and blood pressure as well as shaking and sweating voice and limbs. These drugs are a source of addiction and can cause sedation. Therefore, doctors don't usually prescribe them to treat social anxiety. Research shows that children with social anxiety might be able to overcome it as they grow up, but if the disorder is left untreated, it can lead to severe depression and other mental health issues. Consult your GP if your child suffers from severe social anxiety disorders. Prevention Although it's normal to feel anxious or nervous in certain social situations, such as meeting new people or giving a presentation, this feeling may become a problem when it affects daily activities and causes anxiety. It is more than shyness and it can affect your self-esteem, relationships, and school or work performance. If you struggle with this issue it is crucial to seek out help. Fortunately, there are many options for assistance including medication, therapy to support groups. Social anxiety sufferers typically realize that their fears are not rational and overblown, but they struggle to overcome them. They may avoid social interactions and miss out on friendships, education, and employment. They also are more susceptible to depression or addiction to drugs. Treatment for social anxiety typically includes therapy sessions and strategies for managing stress such as breathing exercises and mindfulness meditation. A therapist can assist you to challenge the negative, unhelpful thoughts that trigger your social anxiety. They will then replace these thoughts with more balanced ones. They can also employ cognitive behavioral therapy (CBT) and social skills training and role-playing in order to help you deal with situations that make you feel anxious in a safe environment. Medications can also be used to ease some symptoms of social anxiety, such as heart palpitations or sweating. People with this condition must always discuss possible adverse effects with their doctor prior to starting the treatment. Some mental health professionals recommend avoidance of substances such as alcohol, caffeine or other drugs that could cause more symptoms. They may recommend that you get enough sleep and eat a balanced diet. They might also advise you to try taking a walk in nature which can provide an uplifting effect and help you focus on the beauty of the world around you. There are many methods to manage social anxiety. It is crucial to seek treatment promptly, whether seeking treatment or medication. This will prevent your symptoms from spiraling out of control. BetterHelp can connect you to an accredited and licensed counselor to assist you in addressing your feelings.