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Social Anxiety

Social Anxiety Disorder (also known as Social Phobia) can be a serious and debilitating condition affecting your ability to interact effectively with the people in your life. At work, with family, friends and in the intimate arena, Social Anxiety can prevent you from expressing yourself,  communicating effectively and achieving your goals and full potential. It’s like living with the handbrake pulled. Social Anxiety can affect your mind and body, transforming social contexts in situations you dread and wish to avoid.


This is an issue that affects more people than you think, but it can stop, and therapy is often the most effective answer. Read more to learn about Social Anxiety Disorder and how therapy and CBT can help you treat this debilitating condition and bring confidence and serenity to your social interactions.

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What is Social Anxiety?

It is common to feel shy and anxious in social situations like public speaking and meeting new people. However, social anxiety disorder (SAD), or social phobia, refers to individuals who experience extreme anxiety levels about being judged negatively in social situations.People may worry excessively before social events and analyze them extensively afterward. Though these fears are often known to be irrational, they persist. This anxiety can be debilitating and significantly impact school, work, and relationships. Therapy is very effective in tackling social anxiety.


What are the Symptoms and Triggers of Social Anxiety Disorder?


Triggers

For those with social anxiety, common trigger situations include:

  • Public speaking/giving presentations

  • Speaking over the telephone when others might overhear

  • Eating in public

  • Meeting strangers

  • Shopping, particularly returning items

  • Speaking with people of authority

  • Speaking in groups or one-to-one

  • Using a public toilet


Thoughts and Feelings

Common thoughts and feelings include:

  • Intense fear about others watching you

  • Fear of being judged negatively

  • Fear of embarrassment or humiliation

  • Worrying about others noticing your anxiety symptoms

  • Panic attacks

  • Fear of worst-case scenarios

  • Anticipatory anxiety

  • Over-analyzing past social situations


Physical Symptoms

Common physical sensations include:

  • Increased heart rate

  • Sweating

  • Shaking/trembling

  • Difficulties concentrating/dizziness

  • Blushing

  • Feeling sick

  • Muscle tension


Behaviours

Common coping behaviors include:

  • Avoiding eye contact

  • Directing attention away from self

  • Sitting near exits

  • Using alcohol/drugs

  • Multitasking during social interactions


These symptoms typically increase during stressful periods and before challenging social events.


What Causes Social Phobia?

Social anxiety develops through biological factors (genes, brain chemistry), societal factors, and environmental factors, including:

  • Overly critical or overprotective parenting

  • Abuse, discrimination, bullying

  • Past humiliating experiences

  • Limited social contact

  • Family conflict


When Should I Get Help for Social Anxiety?

Seek professional help if:

  • You experience social anxiety

  • You struggle to cope

  • It significantly impacts your life


How is Social Anxiety Disorder Treated?

Cognitive Behavioural Therapy (CBT) is the recommended treatment for social anxiety. Your therapist will help you understand the causes and maintenance of your anxiety while teaching coping strategies to address thinking patterns and behaviors. Medication, such as SSRIs, can also help. Discuss this option with your GP if interested.


Can Therapy Help with Social Anxiety?

Yes. CBT Therapy is particularly effective in reducing symptoms and preventing relapses. Depending on severity, 6-10 sessions can provide relief from Social Phobia.


What are the Benefits of Therapy for Social Phobia?

Therapy can lead to:

  • Reduced anxiety levels

  • Reduced depression

  • Improved confidence

  • Better quality of life

  • Increased calmness and relaxation


How Long Does the Treatment for Social Anxiety Disorder Last?

Mild cases may improve within six sessions. More severe cases typically require 14-16 sessions, as recommended by NICE guidelines, to ensure effective recovery and prevent relapse.



If you're looking for help with something you're struggling with, book your in-depth assessment now.


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