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Understanding Social Anxiety Disorder

Social anxiety disorder (SAD), also known as social phobia, is a common anxiety disorder characterized by an intense, persistent fear of social situations and interactions. People with SAD have an exaggerated concern about being scrutinized or judged negatively by others, even in ordinary social encounters. This excessive self-consciousness leads to avoidance of interpersonal events and relationships.

What causes social anxiety disorder?

Researchers have identified several contributing factors to the development of SAD :

Genetics-Social Anxiety

Genetics

There is a hereditary component, as SAD is more likely to occur in

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Brain structure-Social Anxiety

Brain Structure and Function

People with SAD demonstrate
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Neurochemistry-Social Anxiety

Neurochemistry

Disruptions in brain chemicals like dopamine, serotonin, and
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Childhood trauma-Social Anxiety

Childhood Trauma

Humiliating early social experiences like bullying, abuse, or strict

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Personality traits-Social Anxiety

Personality Traits

Temperamental factors like shyness, sensitivity to criticism,

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Common signs and symptoms

People with social anxiety disorder experience both psychological and somatic symptoms. These include:

Extreme distress in social settings like parties, meetings, classes, or everyday activities
Avoidance of triggering situations, leading to isolation and impacting relationships
Intense fear of being judged or embarrassing oneself
Severe self-consciousness and sense of being watched/critiqued
Blushing, sweating, trembling when around others
Muscle tension, nausea, diarrhoea before social events
Difficulty concentrating or confused thoughts in social interactions
Panic attacks in feared social situations

Types of feared social situations

Some examples of scenarios those with SAD try to avoid:

Types of Feared Social Situations
Public speaking, performances, or presentations
Eating, drinking, writing in front of others
Talking to authority figures, celebrities, strangers
Being the centre of attention
Parties, meetings, dating, conversation
Public restrooms, crowds, lines
Talking on the phone, video calls

Available treatments

SAD is highly treatable through therapies like:

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Exposure Therapy

Gradually facing feared situations to overcome anxiety.

Cognitive-Behavioural Therapy

Changing negative thought patterns around socializing.

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Social Skills Training

Learning strategies for managing social anxiety.

Medications

Anti-anxiety meds and antidepressants can reduce symptoms.

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Mindfulness and Relaxation Techniques

To lower distress in triggering situations.

Support Groups

Sharing experiences and tactics for managing SAD.

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Lifestyle Changes

Exercise, sleep, and nutrition choices to improve mood.

Building self-confidence

By pursuing achievements and self-care.

With professional support and proven techniques, those suffering from SAD can minimize avoidance behaviours and learn to manage symptoms for greater social comfort and well-being.