How To Cure Social Anxiety Disorder: Symptoms And Effective Ways To Overcome It

Social anxiety can be difficult to live with, but overcoming symptoms may be possible, particularly with the help of a professional, like a licensed therapist. If you have social anxiety disorder, challenging and countering negative thoughts, focusing on others rather than yourself, giving yourself small challenges in social situations, limiting unhealthy habits, and trying yoga or meditation may be helpful. Seeking the guidance of a mental health professional can also be a healthy step. 

Below, explore what social anxiety disorder is, common causes of anxiety disorders, and treatments that may help people with social anxiety navigate social situations with less difficulty. In addition, find resources for those who are interested in behavioral therapy to address anxiety symptoms.

What is social anxiety?

While feeling nervous in certain situations can be normal, such as at a job interview or a public speaking engagement, experiencing intense anxiety during everyday situations is generally not typical. Social anxiety disorder, previously referred to as social phobia, usually involves severe fear or distress regarding social situations. A person may be extremely self-conscious and worry that people will harshly judge or reject them. These symptoms may be so severe that they hinder a person’s daily life.

The American Psychological Association (APA) generally defines social anxiety as “an anxiety disorder that is characterized by extreme and persistent social anxiety or performance anxiety that causes significant distress or prevents participation in social activities. The feared situation is often avoided altogether, or it is endured with marked discomfort or dread.”

Can social anxiety be cured?

While there may be no simple cure for social anxiety disorder, there are usually proven treatment options that can alleviate symptoms. Symptoms may include a persistent fear of being judged or humiliated in specific social interactions and excessive anxiety that does not appropriately match the tone of the situation. People living with social anxiety sometimes enroll in social anxiety online therapy or obtain medication to manage the symptoms of their anxiety disorder.

Possible situations that may incite social anxiety disorder symptoms can include the following: 

• Using public restrooms
• Entering a room filled with people
• Eating in front of someone else
• Attending class
• Going to work
• Starting a conversation
• Dating
• Going to a party
• Using recreational substance with others
• Making eye contact with someone
• Speaking in public or giving a speech to a large group of people
• Participating in a job interview
• Talking to strangers

Even making eye contact with a cashier at the grocery store can be a source of significant anxiety and apprehension for some people with this condition. While these situations may not seem significant to some people, they can still cause extreme fear for people living with social phobia.

Common causes of social anxiety disorder in mental health

Like other mental health disorders, social anxiety disorder may be caused by a combination of biological and environmental factors. Common causes and risk factors typically include inherited traits, an overactive amygdala, learned behavior, and other factors, such as childhood experiences and exposure to stressful life events. These factors can contribute to persistent fear and apprehension, often interfering with daily functioning and quality of life. Seeking the help of professionals can be important in understanding and managing the underlying causes effectively.

Genetic predisposition

Mental health conditions, such as social anxiety, can run in families. However, researchers aren’t entirely sure whether this occurs due to genetics or learned behavior. The presence of social anxiety in several family members suggests that both inherited traits and shared life experiences might contribute to the disorder.

Overactive amygdala

The amygdala, a structure in the brain that is typically involved with controlling the fear response, is sometimes overactive in individuals with a social anxiety disorder. Individuals with an overactive amygdala tend to experience a heightened fear response, often resulting in increased levels of anxiety during social situations.

Past events

Past social situations that ended in embarrassment may cause people to develop social anxiety disorder. In addition, when these embarrassing past events lead to increased self-consciousness and extreme shyness, they can intensify the fear of social situations, contributing to the development of social anxiety disorder.

Environmental factors

Parents with anxieties and phobias toward specific social situations may unintentionally pass these behaviors and fears to their children. Children of overprotective or over-controlling parents may also develop social anxiety.

Symptoms of social anxiety

Social anxiety can present itself through emotional, behavioral, and physical symptoms. Common symptoms of a social anxiety disorder often include the following:

• Avoiding social situations that might place you at the center of attention
• Feelings of intense fear and anxiety regarding talking to strangers
• Fear of placing oneself in situations where one might be judged
• Sweating and trembling
• Inability to catch one’s breath
• Fear of feeling anxious in social situations
• Blanking during a stressful or anxiety-including social situation
• Clinginess or tantrums in children
• Body shaking and tremors
• Low self-esteem

Treatment of fear and anxiety symptoms in social situations

If you, a family member, or other loved ones find that anxiety symptoms become persistent, you may want to seek treatment. A mental health specialist, such as a therapist or psychiatrist, can diagnose social anxiety disorder if certain criteria are met. 

To make a diagnosis for social anxiety disorder, individuals must generally experience persistent fear or apprehension toward specific social situations, avoidance of anxiety-inducing situations, and excessive anxiety that interferes with their functioning. After a diagnosis, your mental healthcare provider can recommend an effective treatment plan for social anxiety disorder.

Prescription medications and treatment for social anxiety disorders

A mental health professional may prescribe medication as part of the treatment plan for social anxiety disorder. The main anti-anxiety medications include selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs), which may help balance certain chemicals in the brain. Beta-blockers are medications typically prescribed to manage the physical symptoms of anxiety and panic attacks, such as rapid heartbeat, shaking, and sweating. For many people, medications gradually work to reduce symptoms, sometimes taking a few weeks to provide benefits. 

The BetterHelp platform is not intended to provide any information regarding which drugs, medication, or medical treatment may be appropriate for you. The content provides generalized information that is not specific to one individual. You should not take any action (including starting, stopping, or changing medications) without consulting a qualified medical professional. 

Talk therapy

Talk therapy is a type of psychological treatment that may be considered one of the best treatments for social anxiety disorder. Cognitive-behavioral therapy (CBT) is a common approach that helps clients identify and challenge negative thought patterns while providing exposure to anxiety-inducing situations in a controlled manner. This type of therapy aims to improve social skills and reduce avoidance behaviors, which may help individuals tackle the root causes of social anxiety. Other therapy techniques may include exposure, cognitive restructuring, and social skills training.

A licensed mental health professional may recommend a specific treatment for social anxiety disorder based on your circumstances, health history, and the type of symptoms you have. Never start or stop any form of medication without the guidance of a licensed medical professional.

How to cure social anxiety disorder: Other ways to manage social anxiety disorders

Therapists often provide recommendations for strategies and lifestyle changes to manage symptoms that people with social anxiety disorder can implement in their daily lives. A few common recommendations may include the following.  

Challenge and counter your negative thoughts and fear

People with social anxiety tend to experience negative and intrusive thoughts. They may fear that a certain social situation could make them look stupid or that they will embarrass themselves in front of a large group of people. Challenging or countering these thoughts can be an effective method for managing social anxiety. Individuals with anxiety can also fall into the trap of engaging in unhelpful thinking styles. They might catastrophize an event or take others’ behavior personally. 

To disengage from these thoughts, people with social anxiety may be asked to identify any underlying negative thoughts they may be holding. They can then analyze and challenge them. By logically evaluating their thoughts and emotions, those with social anxiety may eventually stop these negative thoughts and replace them with more realistic, positive ones.

Keep your focus on others instead of yourself

People with social anxiety tend to get “caught up” in their own discomfort. As a result, they may struggle to focus on the people around them instead of themselves. When they focus too much on their fear and apprehension, people with social anxiety can induce extra anxiety and stress on themselves.

To minimize this, try to focus your attention on those around you. Try to focus on what the other person is saying rather than tune into the negative thoughts that may be nagging you. Social anxiety can be difficult to cope with, but try to focus on the present moment. As you continue to practice this, your social anxiety may eventually become easier to manage.

Give yourself small challenges in different situations

While it may seem counterintuitive, seeking out new relationships and finding supportive social environments may help. If you keep it simple, like saying “Hello” to your co-workers or asking them what they did over the weekend, engaging others in a “safe” environment may help you manage social anxiety. 

As your efforts become easier, try to continue cultivating your new relationships. Some individuals who struggle with social anxiety may take social skills classes or volunteer with small groups of people for social contact.

Limit unhealthy habits to improve mental health and manage social anxiety

What you eat may have a significant impact on your mental health, as well as your ability to manage your social anxiety. Try to avoid consuming excessive amounts of caffeine from coffee or soda, as caffeine can increase your symptoms of anxiety. Try to drink only in moderation, and avoid smoking if possible. Alcohol, nicotine, and substance misuse may worsen social anxiety and accompanying symptoms.

Try alternative treatments such as meditation and yoga

Meditation and yoga can also be beneficial for people with social anxiety. To manage social anxiety, try pairing these practices with at least 30 minutes of daily exercise. Other relaxation exercises might include deep breathing and guided imagery, which can calm the mind and promote a sense of peace and safety.

Find support and treatment from a mental health professional 

Speaking to a therapist can often alleviate social anxiety symptoms. Attempting to treat oneself may not only be difficult, but it can also be ineffective in some cases. While the idea of social anxiety group therapy may sound intimidating to some with social anxiety, this format is one way to face fear in a non-judgmental environment. A therapist might use role-playing as a technique to help a person manage anxiety by simulating social interactions in a safe and controlled manner. 

However, by nature, social anxiety disorder can make being around others difficult, and for some, social anxiety disorder may make leaving home difficult. Those facing this barrier to treatment may benefit from engaging in therapy online instead of in person through an online platform like BetterHelp. 

Online therapy may be a potential solution if you believe you’d benefit from professional help but aren’t comfortable meeting with a therapist in person. You can speak to a licensed mental health professional via phone, online chat, or video chat from the comfort of your home or anywhere you feel safe, if you have an internet connection. Online therapy can be as effective as in-person therapy for treating conditions such as social anxiety disorders, and many prefer online therapy for convenience. A 2022 study found that online therapy was generally equally effective as in-person therapy for treating social anxiety disorder.