Social anxiety disorder involves overwhelming fear of being judged, embarrassed, or rejected in social settings. It affects school, work, and relationships.
Symptoms include blushing, sweating, trembling, nausea, difficulty speaking, or avoiding social events altogether. Some people endure social situations with extreme distress.
Family history, shy temperament, negative experiences, and overactive brain fear circuits contribute.
CBT with exposure to feared situations is very effective. Medications (such as SSRIs) may help. Social skills training and group therapy also support improvement.
Practicing gradual exposure, building confidence in safe settings, and using relaxation skills can ease symptoms. Encouragement from friends reduces isolation.
Social anxiety is treatable. Many people build confidence, form close relationships, and thrive socially after treatment.