Symptoms of Social anxiety disorder , The best treatments for Social anxiety disorder 

Feelings of shame or discomfort in some situations do not necessarily reflect signs of social anxiety disorder, especially in children.  Comfort levels in social situations vary, depending on personality traits and life experiences.  Some people are inherently conservative and others are more open .

Unlike nervous stress that can occur on a daily basis, social anxiety disorder involves fear, and, and avoidance that interferes with daily routine, work, school or other activities.  Social anxiety disorder usually starts in the early to mid-teens, although it can sometimes start in younger children or in adults.

Emotional and behavioral symptoms

Signs and symptoms of social anxiety disorder may include a permanent feeling of the following:

• Fear of situations in which you may be judged.

•  Worry about embarrassing or humiliating yourself.
•  Severe fear of interacting or talking to strangers.
•  Fear that others notice your anxiety.
• Fear of physical symptoms that can cause embarrassment, such as redness, sweating, trembling, or your voice trembling.
•  Avoid doing things or talking to people for fear of embarrassment.
• Avoid situations where you may be the center of attention
•  Anxiety before any frightening activity or event.
•  Endure a social attitude in fear or extreme anxiety.
• Spend time following a social situation to analyze your performance and identify flaws in your interactions.
•  Expect the worst possible consequences due to negative experiences during a social situation.

For children, anxiety may manifest when interacting with adults or colleagues as crying, tantrums, clinging to parents, or refusing to speak in social situations.

Performance tension is a type of social anxiety disorder where a person experiences only intense fear and anxiety while speaking or dealing with the public, and the same anxiety does not occur in other types of social situations.

Physical symptoms

Sometimes social anxiety disorder can be accompanied by physical signs and symptoms, which may include the following:

• Rapid heart palpitations.
•  Trembling.
•  Sweating.
•  Stomach upset or nausea.
•  Difficult to breathe.
•  Dizziness.
•  Feeling that your mind is empty. Muscle tension.

treatments of Social anxiety disorder , The best treatments for Social anxiety disorder

Treatment depends on how social anxiety disorder affects your ability to perform in everyday life.  The two most common types of treatment for social anxiety disorder are psychotherapy (also known as counseling or speech therapy), medications, or both.

Psychotherapy

Psychotherapy improves symptoms in most people with a social anxiety disorder.  In therapy, you learn how to perceive and change negative thoughts about yourself; as well as develop skills to help you gain confidence in social situations.

Cognitive-behavioral therapy is the most effective form of psychotherapy with anxiety and can be effective when done individually or in combination.

In cognitive-behavioral therapy, it gradually works to counter situations that it fears most.  This can improve your coping skills and help you increase confidence to deal with anxiety-provoking situations. You can also participate in skills training or role-playing to practice your social skills and to gain comfort and confidence in other skills.

Exposure to social situations is especially useful in addressing your concerns.

Pharmacotherapy , The best treatments for Social anxiety disorder

• Other antidepressants.  You may have to try several different antidepressants to find the most effective one for you, with the least side effects.
• Anti-anxiety medications.  Benzodiazepines may reduce your anxiety level.  Although they usually have a rapid effect, they can cause addiction and anesthesia, so they are usually prescribed for short-term use.
• These medications work by blocking the stimulating effect of epinephrine (adrenaline).  It may reduce heart rate, blood pressure, heart palpitations, trembling sound, and extremities.  Therefore, they may work best when used irregularly to control symptoms in a particular situation, such as giving a speech.
• It is not recommended in general treatment for social anxiety disorder.

The symptoms of social anxiety disorders in some people may disappear over time and they can stop taking medications.  Others may need to take medications for years to prevent the condition from returning.