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- Synonym: Social phobia
- Psychological perception of those affected: A persistent, intense, chronic fear of being judged by others
- Effect on those affected: Feeling "sick from fear," physical symptoms of nausea, sweating, trembling, etc.
- Number of people affected: 15 million American adults http://www.nimh.nih.gov/health/publicati...
- Types: Those that begin during adolescence and those that people are born with. http://www.youtube.com/watch?v=4truuD_xM...
- Effects on daily activities of living: Can make it difficult to go to work or school
- Treatments: cognitive therapy, relaxation techniques, and medication
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Social anxiety disorder, also referred to as social phobia, is when everyday social activities that would seem normal to others, cause extreme anxiety, fear and self awareness making them hard to impossible to do. Social phobia is more than just shyness, it is a chronic mental health condition which is the third most common psychological disorder.http://www.betterhealth.vic.gov.au/bhcv2/bhcevent.nsf/pages/9292A964D056A0124A25752000824338?open
Included on this guide are symptoms of anxiety, treatments, a fast facts section, and dietary recommendations that help improve mood from the Mayo Clinic. There are two featured videos, one from a person who has suffered from this disorder for 10 years and another from a university professor who is interviewed on the "Health Matters" program of Dr. David Granet. Other resources regarding this disorder include relevant links, a blog section and a Mahalo Answers section. If you have a question regarding this topic, please ask a question in the box provided to the right.
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Symptoms
People with social phobia will experience extreme fear and anxiety in social situations. In some cases the anxiety is strong enough to deter them from any social activities for fear of being look down upon. Social phobia can affect different people in different ways such as fear of ordering in restaurants or fear of dating.
Some physical symptoms of social phobia include blushing, intense sweating, trembling, shaking, nausea and palpitations. Usually when suffering from social phobia you realize that your fear is out of character but have no control over it.
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Treatment
The two most effective treatments for social phobia are medications and a type of psychotherapy called cognitive behavior therapy. Education and supportive therapy, including within the family and in groups, are part of many recovery programs. There are several home treatment options and other things that can be done individually as described below. http://health.med.umich.edu/healthcontent.cfm?xyzpdqabc=0&id=6&action=detail&AEProductID=hw_knowledgebase&AEArticleID=hw177276 -
Social Skill Learning and Supportive Strategies for Coping with Anxiety Disorder
- Reinforce positive thoughts about yourself. Supportive thoughts can replace self-critical thoughts.
- Allow yourself to make mistakes and move on.
- Practice engaging socially, listen and start with small steps. http://www.utdallas.edu/counseling/selfhelp/social-anxiety.html
- Find a group of people who have interests similar to yours to try new social skills. You are more likely to be comfortable in this setting and can work on your skills more easily and build from there. http://www.utdallas.edu/counseling/selfhelp/social-anxiety.html
- Start small by greetings and small conversations.
- Find relaxation techniques that help you such as breath meditations and practice them regularly. Practice this [www.healthsystem.virginia.edu/internet/feap/.../faces-of-anxiety-disorders.pdf deep breathing technique] and find the time to relax each day.
- Manage stress by various techniques as shown in How to Manage Stress.
- Find alternative activities that are pleasurable when you feel anxiety.
- Get enough sleep - A 2002 study revealed that an average of 6.5 hours sleep have optimun health and have longer lives. http://health.ucsd.edu/news/2002/02_08_Kripke.html
- Eat well balanced meals and avoid caffeine. See the section below for more recommendations. http://www.health.harvard.edu/press_releases/easing-social-anxiety-during-the-holidays
- Set realistic goals and adjust goals when necessary
- Exercise regularly, gradually increasing your exercise to 20-30 minutes a day. http://www.health.harvard.edu/press_releases/easing-social-anxiety-during-the-holidays http://health.med.umich.edu/healthcontent.cfm?xyzpdqabc=0&id=6&action=detail&AEProductID=hw_knowledgebase&AEArticleID=hw177276
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Dietary Recommendations by the Mayo Clinic
Food cannot cure this disorder, but following some recommendations by the Mayo Clinic on foods to eat and foods to avoid can help improve your emotional health. Here are the dietary guidelines that have been shown to help with anxiety disorders:
- Eat more carbohydrates, especially complex carbohydrates found in whole foods. This means to eat more whole grains and fruits and vegetables. This means that you should also shun sugars or products that are rich in these simple carbohydrates. The eating of complex carbohydrates helps increase the serotinin level in your brain, which is tranquilizing.
- Eat several meals, but in smaller portions to keep the blood sugar levels more stable.
- Although alcohol can calm you, when it is being metabolized by the body it can exacerbate anxiety symptoms, so avoidance is recommended.
- Avoid stimulants like coffee and tea or other products that have caffeine.
- Drink plenty of water to provide your body with what it needs. Dehydration, even minor, can negatively affect mood.
- Eat foods that provide tryptophan in your diet. Tryptophan is a precursor to serotonin. Foods in this category are milk and milk products, brown rice, soy, nuts, peanut butter, sesame seeds, bananas, oats, and poultry. http://lpi.oregonstate.edu/infocenter/vitamins/vitaminB6/ http://www.mayoclinic.com/print/coping-with-anxiety/AN01589/METHOD=print
- Make sure you are getting adequate vitamins in you diet, particularly B1, B3, B6, and folic acid which are necessary for you cell metabolism for making serotinin from tryptophan. http://www.fi.edu/learn/brain/proteins.html
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Disclaimer
The content in this page is not a substitute for professional medical advice. If you think you have Social Anxiety Disorder, please consult your doctor.
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Young Woman with Social Anxiety Disorder Makes First Youtube Video
A young woman, 22, makes her first Youtube video to discuss what her experience of social anxiety has been like. She first experienced the sympto ... read moreA young woman, 22, makes her first Youtube video to discuss what her experience of social anxiety has been like. She first experienced the symptoms when she was 12 and in a negative environment at school. These symptoms persisted even when she was placed in a more positive school environment where people were more kind to her. At the age of 16, she did some research in the library, reading psychology books, and came to the conclusion that she had social phobia. After that point, she started seeking help but there is still a significant effect of social anxiety in her life. This video is an attempt to practice and help her overcome her feelings of anxiety.

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Social Anxiety Disorder Discussed on "Health Matters" with Dr. David Granet
In this interview with Professor Murray Stein, he and Dr. David Granet discuss many aspects of social anxiety disorder. Stein points out about mid-wa ... read moreIn this interview with Professor Murray Stein, he and Dr. David Granet discuss many aspects of social anxiety disorder. Stein points out about mid-way in the video that about half of the people who have this disorder acquire this syndrome during adolescence and the other half start out this way. They discuss general symptoms, differentiating social phobia from performance anxiety and other fears that people seem to be able to overcome. Environment seems to have some effect on the incidence, however in cultures that are very reserved, such as Japan, the incidence is the same as it is in the United States, about 5% of the population. The disorder does run in families so there is a genetic component. Awareness of social anxiety in the medical community and in society in general is not adequate. Treatment with medications and with cognitive behavioral therapy are helpful in overcoming this disorder.

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Social Anxiety Disorder Questions
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What is social anxiety disorder? 1 AnswerSocial anxiety disorder, also called social phobia, is an anxiety disorder in which a person has an excessive and unreasonable fear of social situations. Anxiet... read more -
Is there any remedy or healing for Social Anxiety Disorder? 1 AnswerSunlight, low-carb diet, and megadoses of Niacin and other B vitamins read more -
What causes anxiety? 10 Answers"Anxiety is a general term for several disorders that cause nervousness, fear, apprehension, and worrying." ''Anxiety is often triggered by stress in our lives.... read more -
Out of curiosity, how many people (who would openly admit) on here have been diagnosed with a mental disorder? e.g. depression, OCD, bipolar 3 AnswersI am also in a situation close to yours. I get extreme anxiety and I have to take online classes and I haven't been out of the house in 3 years now. I have foun... read more
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Social Anxiety Disorder News and Articles
- Google News: Social Anxiety Disorder Search
- Topix: Social Anxiety Disorder News
- HealthDay: 15 Million Americans Suffer From Social Anxiety Disorder (April 9, 2008)
- Among people with the disorder, 75 percent said the condition affected their ability to do normal activities. In addition, 69 percent said they didn't want people to think they were crazy, and 58 percent said they were embarrassed by their condition, Ross said.
- The New York Times: The Way We Live Now: 6-24-01; The Shyness Syndrome (June 24, 2001)




