May 25, 2024

The Many Forms of Social Anxiety: Causes, Symptoms, and Treatment

Social anxiety is more than just shyness—it’s a persistent fear of being judged or embarrassed in social settings. It can impact your confidence, relationships, and everyday life, but it doesn’t have to define you. With the right tools and support, you can overcome social anxiety and build a fulfilling, confident future.

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Social anxiety can make you feel trapped in your own thoughts, constantly worrying about how others see you.

It’s not just nervousness or shyness—but a fear so powerful that it can stop you from doing things you want or need to do.

This fear might keep you from meeting new people, speaking up, or even just enjoying the moment, but it doesn’t have to define you.

When you understand what it is and how to manage it, you can start to take back control of your life.

What Is Social Anxiety?

Social anxiety isn’t the same as shyness.

It’s a deep and overwhelming fear of being judged or embarrassing yourself in social situations.

Even something as simple as speaking in a group or meeting new people can feel terrifying.

You might worry about saying the wrong thing or looking foolish, and sometimes, that fear leads to avoiding those situations altogether.

It doesn’t just affect your social life—it can also take a toll on your confidence, career, and relationships.

The good news? With the right guidance and tools, it can be managed and overcome.

A sense of ease and confidence in social settings is absolutely possible.1

The Many Forms of Social Anxiety

Social anxiety doesn’t look the same for everyone.

For some, it’s a general fear of most social interactions.

For others, it’s tied to specific situations.

Knowing what type of social anxiety you experience can help you find better ways to manage it.

  • Generalized Social Anxiety: Fear of nearly all social interactions, like chatting with strangers or attending events.
  • Performance Anxiety: Fear of being watched or judged, like during a presentation or public speaking.
  • Specific Social Phobias: Fear of certain activities, like eating in front of others or using public restrooms.2

What Causes Social Anxiety?

Social anxiety doesn’t just happen overnight—it’s often a result of several factors, such as your family, brain chemistry, or past experiences.

Learning about what causes it can allow you to understand yourself and make positive changes in healing.

  • Genetics: Having a family with a background of anxiety can make it likelier that you’ll develop one, too.3
  • Brain Chemistry: Having an imbalance in brain chemicals like serotonin can make your anxiety feel more intense.
  • Negative Experiences: Having experienced teasing, humiliation, trauma, and rejection in your early years can have a long-lasting impact, causing social settings to feel unsafe.

 

These factors can combine in different ways, but they don’t have to control your life.

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Common Symptoms of Social Anxiety

Social anxiety can affect how you feel, how your body reacts, and how you behave in social situations.

It’s more than just being nervous; but an outright battle in your head and your body.

Recognizing the symptoms is the first step to understanding what you’re going through and finding ways to manage it.

  • Emotional Symptoms: You might feel a constant fear of being judged, embarrassed, or rejected.
  • Physical Symptoms: Your body might react with sweating, blushing, trembling, a racing heart, or even nausea.
  • Behavioral Symptoms: You might avoid social situations, cancel plans, or struggle to build or maintain relationships.

 

These symptoms can be overwhelming, but they also signal that it’s time to take steps toward getting help.

Quick Tips for Managing Social Anxiety

Practice Deep Breathing: Take slow, deep breaths to calm your body and reduce anxiety.

Prepare for Conversations: Rehearse what you might say in social situations to feel more confident.

Challenge Negative Thoughts: Replace thoughts like “I’ll just embarrass myself” with “I can handle this one step at a time.”

Start Small: Begin with low-key, simple social engagements and build your confidence over time.

Effective Treatments for Social Anxiety

Social anxiety can feel overwhelming, but it’s not impossible to manage.

Recovery doesn’t mean you’ll never feel nervous again—but that you’ll know how to manage those feelings and not let them hinder your life any longer.

Here are some of the types of treatment you can expect:

  • Cognitive Behavioral Therapy (CBT): This type of therapy helps you recognize and change negative thought patterns. You’ll also learn new ways to handle social situations.4
  • Exposure Therapy: This approach involves slowly facing the situations that scare you so they feel less overwhelming over time.
  • Medication: Sometimes, medication like antidepressants or anti-anxiety prescriptions can help manage symptoms, especially when paired with therapy.

 

With patience and the right support, it’s possible to feel more comfortable in social settings.

Frequently Asked Questions

What is the difference between shyness and social anxiety?

Shyness is quiet and reserved in social settings but won’t have an impact in your life at all. Social anxiety, on the other hand, is an intense fear of getting judged and embarrassed and can cause a lot of misery and make you go out of your way and avoid social settings.

Yes, social anxiety can be healed with guidance and therapy in proper form. Cognitive Behavioral Therapy (CBT) is one of the most successful forms of therapy, helping you reframe negative thoughts and develop confidence. Exposure therapy and, in a few cases, medication can make symptoms easier and make social experiences less challenging.

Social anxiety can arise out of a combination of factors, such as brain chemicals, family background, and painful past experiences like bullying or rejection. Understanding these triggers can make taking that first step towards overcoming it easier for yourself.

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Key Takeaways

Find Hope and Support for Social Anxiety at Cornerstone

The first step to overcoming social anxiety is understanding what you’re experiencing and reaching out for help.

Whether through therapy, medication, or small daily practices, progress is always possible.

At Cornerstone Healing Center, we understand the challenges of living with social anxiety.

It can feel isolating, but you’re not alone.

Our specialized anxiety treatment program provides the support and tools you need to regain confidence and take control of your life.

Social anxiety doesn’t have to define you—start your journey toward freedom and self-assurance today.

Contact us today to learn how we can help.

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Author & Reviewers

lionel estrada lisac clinical director
CLINICAL DIRECTOR & REVIEWER

Lionel is the Clinical Director of Cornerstone’s Scottsdale treatment facilities. He has had over 4 years at Cornerstone. He is personally in recovery and passionate about helping others overcome substance abuse and mental health challenges; he is trained as an EMDR, adopting a trauma-informed approach to treat the underlying issues.

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