Social Anxiety

Posted on August 28, 2024 by Patrick Hercules

Social anxiety disorder is a medical condition that causes intense fear of being judged or watched by others in social situations.

Social anxiety disorder typically begins in the early to mid-teens, though it can sometimes start in younger children or adults.

Like many other mental health conditions, social anxiety disorder likely arises from a complex interaction of biological and environmental factors, which may include:

Inherited traits
Brain structure
Environment

Several factors increase the risk of developing social anxiety disorder, including:

Family history
Negative experiences
Temperament
New social or work demands
Having an appearance or condition that draws attention to them

There are many signs and symptoms of social anxiety disorder, including:

Emotional and behavioral symptoms
- Fear of situations in which you may be judged negatively
- Worry about embarrassing or humiliating yourself
- Intense fear of interacting or talking with strangers
- Fear that others will notice that you look anxious
- Fear of physical symptoms that may cause you embarrassment, such as blushing, sweating, trembling, or having a shaky voice
- Avoidance of doing things or speaking to people out of fear of embarrassment
- Avoidance of situations where you might be the center of attention
- Intense fear or anxiety during social situations
- Analysis of your performance and identification of flaws in your interactions after a social situation
- Expectation of the worst possible consequences from a negative experience during a social situation
Physical and physiological symptoms
- Blushing
- Fast heartbeat
- Trembling
- Sweating
- Upset stomach or nausea
- Trouble catching your breath
- Dizziness or lightheadedness
- Feeling that your mind has gone blank
- Muscle tension

People living with social anxiety may avoid social situations such as:

Interacting with unfamiliar people or strangers
Attending parties or social gatherings
Going to work or school
Starting conversations
Making eye contact
Dating
Eating in front of others
Using a public restroom
Taking or making phone calls
Performing in front of people

The symptoms of social anxiety disorder can change over time. They may flare up if you’re facing many changes, stresses, or demands in your life.

Although avoiding situations that produce anxiety may make you feel better in the short term, your anxiety is likely to continue over the long term if you don’t get treatment. Therefore, you should speak to your doctor about the symptoms you are experiencing. Your healthcare provider will want to determine whether other conditions may be causing your anxiety or if you have a social anxiety disorder along with another physical or mental health disorder. They may determine a diagnosis based on the following:

A physical exam to help assess whether any medical condition or medication may trigger symptoms of anxiety
A discussion of your symptoms, how often they occur, and in what situations
A review of a list of situations to see if they make you anxious
Self-report questionnaires about symptoms of social anxiety
Criteria listed in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) published by the American Psychiatric Association

Treatment depends on how much social anxiety disorder affects your ability to function in daily life. Treatments can include:

Psychotherapy (the most common treatment)
- Cognitive behavioral therapy (CBT) is the most effective type of psychotherapy for anxiety
Medications
- Antidepressants
- Anti-anxiety medications
- Beta-blockers

If you or someone you know has a social anxiety disorder, you can call or schedule an appointment with a mental health provider at Jamaica Hospital Medical Center, please call 718-206-5575.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Social Anxiety Disorder

Posted on March 5, 2019 by Xavia Malcolm

Social anxiety disorder or social phobia is a common type of anxiety disorder that affects approximately 15 million adults living in the United States. According to the Anxiety and Depression Association of America, it is characterized by “an intense anxiety or fear of being judged, negatively evaluated, or rejected in a social or performance situation.”

There is no exact known cause for social anxiety disorder; although, it is believed that genetics play a significant role. Social phobia is also linked to having an overactive amygdala; the part of the brain that controls our response to fear. Others factors believed to contribute to the disorder are a history of abuse or bullying.

The onset of social anxiety disorder typically begins in the early to mid –teens; however, it can also occur in young children and adults.

Those with social anxiety disorder often experience physical symptoms associated with fear or anxiety in social situations. These symptoms may include rapid heart rate, dizziness, muscle tension, sweating or nausea.

Symptoms of social anxiety disorder can profoundly affect an individual’s ability to live a normal life. Those affected often avoid or have trouble with normal, day-to-day social situations such as making eye contact, entering rooms where there are people, using public restrooms, eating in front of people or going to work or school.

These behaviors are often indicative of a more serious problem that could be developing as a result of social anxiety disorder. If left unaddressed, social phobia can lead to low self-esteem, negative thoughts, depression, substance abuse or suicide.

The best approach to treating social anxiety disorder is to receive assistance from a mental health professional. They will be able to assess your health to determine whether you have a social anxiety disorder or other mental health conditions. As part of your treatment, a mental health professional may recommend psychotherapy or medications. They may also suggest implementing lifestyle changes such as exercising, learning stress reduction skills or participating in support groups.

To make an appointment or to speak with a mental health provider at Jamaica Hospital Medical Center, please call 718-206-5575.

Is Your Constant State of Nervousness and Worry a Sign of an Anxiety Disorder?

Posted on May 26, 2015 by Xavia Malcolm

Anxiety is an emotion we all experience. Feeling anxious is a normal reaction to stressful situations such as waiting for the results of a test, speaking in public or preparing for a job interview. Anxiety is often synonymous with feelings of distress, nervousness, panic and fear. These reactions are normally triggered when our bodies feel that there is danger or there is a threatening situation.

For most the feeling of anxiety is temporary and will subside once stressful or threatening circumstances are resolved. However for an estimated 18.1 percent of adults living in the United States, anxiety does not go away and develops into a serious mental health disorder that affects their ability to lead a normal life.

There are six major types of anxiety disorders: panic disorder, generalized anxiety disorder, obsessive compulsive disorders, social anxiety disorders, phobias and post-traumatic stress disorders. Symptoms can be specific to a condition and can differ based on the individual.

The following symptoms of anxiety may be indicative of a developing problem, especially if they continue for an extended period of time:

Experiencing a constant state of worry or fear.
Having trouble concentrating.
Insomnia or other chronic sleep related problems.
Heart palpitations or chest pain during a state of panic.
A fear of being around people or being in public places.
Suffering from overwhelming compulsions, such as constantly washing hands.
Irrational fears of objects or activities that pose little to no danger.
Experiencing anxiety as a result of a traumatic event.

If the preceding symptoms occur on a regular basis and have become so great that they are interfering with your ability to function daily, it is recommended that you seek the help of a mental health professional.

The Department of Psychiatry at Jamaica Hospital Medical Center offers psychiatric consultation and treatment services. Our team of mental health professionals consists of psychiatrists, psychologists, social workers, nurses, creative arts therapists and support staff who are dedicated to positive outcomes and work closely with each patient to provide necessary clinical treatment and services. To learn more about the Psychiatry Department at Jamaica Hospital visit www.JamaicaHospital.org or call 718 206 5575.