Characteristics

People with social anxiety disorder experience an intense fear of being scrutinized and negatively evaluated by others in social or performance situations.  Some people with the disorder, also called social phobia, literally feel sick from fear in seemingly non-threatening situations.

Who it affects

The disorder is often selective where some people may have an intense fear of or giving a speech, but they may be comfortable in other similar settings. Other people may become anxious during routine activities such as starting a conversation with a stranger or a person in authority.  Yet more may have difficulty participating in meetings or classes and things like attending a party could be a nightmare.

Although most of these people would recognize that the fear is excessive and unreasonable, social anxiety disorder makes them feel powerless against their anxiety.  In point of fact they are terrified they will embarrass or humiliate themselves.  The anxiety is such that it can interfere significantly with daily routines, occupational performance, or even their social life.  This makes it difficult to complete school, go to interviews and obviously get a job and have friendships and romantic relationships.

Nearly 1 in 20 of American adults suffer from Social Disorder.  Most of these would say it has left them feeling isolated, ashamed.

One of the most troubling findings is that nearly 40% of people with the disorder report experiencing symptoms for 10 or more years before seeking help.

It should be noted that social anxiety disorder most usually begins in childhood or adolescence.  Children suffering from it are prone to clinging behaviour, tantrums, and even mutism

Symptoms

In addition to the emotional symptoms mentioned above,  physical symptoms of social anxiety disorder may include:

   Blushing
   Dizziness
   Headaches
   Nausea
   Profuse sweating
   Rapid heartbeat
   Shortness of breath
   Trembling

How is it treated?

Like other anxiety disorders, social disability disorder is readily treatable.

Cognitive-behavioural therapy is effective for many people, helping them to identify, understand, and modify faulty thinking and behaviour patterns.

Relaxation techniques, meditation, yoga, exercise, and other alternative treatments may also become part of a treatment plan.

Some with SAD also take medication.

If other anxiety disorders are co-existent, these must also be treated with appropriate therapies.

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