Condition Basics
What is social anxiety disorder?
Social anxiety disorder (also called social phobia) is a condition in which a person is extremely anxious about what they will say or do in front of other people. This includes public speaking and day-to-day social situations. But it's more than just being shy or nervous before public speaking. The fear can start weeks or months before an event.
Some people fear only one or a few types of social situations. For other people, many situations cause stress. This problem affects your daily life. You may be so stressed or afraid that you avoid being in public, such as missing work and school.
What causes it?
Doctors don't know what causes social anxiety disorder. They think it may run in families. But they aren't sure if it's because of genetics or a response to a traumatic situation.
What are the symptoms?
Social anxiety disorder causes a fear of being judged or humiliated in public. But it's more than being nervous before public speaking. You may avoid being around other people. It can affect your daily life and activities, including work or school. People with social anxiety disorder usually have symptoms for around 6 months or longer.
How is it diagnosed?
To diagnose social anxiety disorder, your doctor will ask about your symptoms and past health. The doctor may ask other questions to see how you are doing emotionally. Blood or urine tests may also be done. They can rule out other medical conditions that can cause similar symptoms (such as hyperthyroidism).
How is social anxiety disorder treated?
Treatment of social anxiety disorder includes counseling and sometimes medicine. Whether you need medicine depends on how much the condition affects your daily life. If you already feel anxious around other people, it may be hard to ask for help. But treatment works for many people and can improve your life.
