Don’t Let Social Anxiety Ruin Your Life
Dear Dr. LeCrone: I suffer intense anxiety in situations where people, other than my immediate family members, are present. Consequently, I am unable to have social relationships or work in any situation unless I am completely left alone. I worry for days or weeks before an encounter with others and have been told that I have social phobia. Can you please discuss my problem? — A Fearful Reader
Social anxiety disorder, also known as social phobia, is a persistent irrational fear of scrutiny and or criticism from others in social situations or public places.
It has been estimated that as many as 15 million Americans suffer from this form of mental illness. Males and females are affected equally with this disorder, which usually begins in childhood or early adolescence.
Not to be confused with shyness, social anxiety constrains people from functioning in work, school or social relationships.
Social phobia can be specific, such as avoiding talking to people, eating or drinking in a restaurant, or writing a check in front of others. It also can be more generalized, so that the person experiences anxiety around almost anyone other than their family.
Common fears may include attending parties or group functions; using public restrooms; meeting new people; or returning items to a store.
Physical symptoms often associated with social anxiety include trembling or shaking; blushing; perspiring; pounding heart; shaky voice and difficulty in talking; nausea or upset stomach; and mental confusion.
Causes of this psychological malady are thought to include:
* Inherited traits. There is a tendency for many forms of psychological problems including substance abuse, depression and anxiety disorders to run in families. The degree to which this occurs is not known at this time.
* Chemical imbalance. Such an imbalance in the brain is thought to play a part in many types of psychological problems. In the case of social phobia, a chemical imbalance can cause a normal social situation to be seen as frightening.
* Bad experiences. Traumatic and negative experiences such as being bullied as a child; experiencing humiliation, rejection, or ridicule; or parental discouragement of healthy social relationships can lead to social anxiety.
Treatment of social phobia can be very effective with an experienced mental health professional.
Cognitive behavior therapy can help correct irrational thought processes and relaxation skills can help reduce fear and anxiety. Along with psychotherapy, psychotropic medication is frequently prescribed.
Seek professional assistance and help make your life much freer. Good luck to you.
