|SSM Cardinal Glennon Children's Medical Center|
It's natural to feel self-conscious, nervous, or shy in front of others at times. Anyone can have a racing heart, sweaty palms, or fluttering stomach when trying out for chorus, asking someone on a first date, or giving a class presentation.
Most people manage to get through these moments when they need to. But for some, the anxiety that goes with feeling shy or self-conscious can be extreme. It can seem so unbearable that they might feel too nervous to give answers in class, be unable to make eye contact with classmates in the hallway, or avoid chatting with others at the lunch table.
When people feel so self-conscious and anxious that it prevents them from speaking up or socializing most of the time, it's probably more than shyness. It may be an anxiety condition called social phobia.
What Is Social Phobia?
Social phobia (also called social anxiety) is a type of anxiety problem. Extreme feelings of shyness and self-consciousness build into a powerful fear. As a result, a person feels uncomfortable participating in everyday social situations.
People with social phobia can usually interact easily with family and a few close friends. But meeting new people, talking in a group, or speaking in public can cause their extreme shyness to kick in.
With social phobia, a person's extreme shyness, self-consciousness, and fears of embarrassment get in the way of life. Instead of enjoying social activities, people with social phobia might dread them — and avoid some of them altogether.
The Fear Reaction
Like other phobias, social phobia is a fear reaction to something that isn't actually dangerous — although the body and mind react as if the danger is real. This means that someone feels physical sensations of fear, like a faster heartbeat and breathing. These are part of the body's fight-flight response. They're caused by a rush of adrenaline and other chemicals that prepare the body to either fight or make a quick getaway.
This biological mechanism kicks in when we feel afraid. It's a built-in nervous system response that alerts us to danger so we can protect ourselves. With social phobia, this response gets activated too frequently, too strongly, and in situations where it's out of place. Because the physical sensations that go with the response are real — and sometimes quite strong — the danger seems real, too. So the person will react by freezing up, and will feel unable to interact.
As the body experiences these physical sensations, the mind goes through emotions like feeling afraid or nervous.
People with social phobia tend to interpret these sensations and emotions in a way that leads them to avoid the situation ("Uh-oh, my heart's pounding, this must be dangerous — I'd better not do it!"). Someone else might interpret the same physical sensations of nervousness a different way ("OK, that's just my heart beating fast. It's me getting nervous because it's almost my turn to speak. It happens every time. No big deal.").
What Fears Are Involved?
With social phobia, a person's fears and concerns are focused on their social performance — whether it's a major class presentation or small talk at the lockers.
People with social phobia tend to feel self-conscious and uncomfortable about being noticed or judged by others. They're more sensitive to fears that they'll be embarrassed, look foolish, make a mistake, or be criticized or laughed at. No one wants to experience these things. But most people don't really spend much time worrying about it.
How It Can Affect Someone's Life
With social phobia, thoughts and fears about what others think get exaggerated in someone's mind. The person starts to focus on the embarrassing things that could happen, instead of the good things. This makes a situation seem much worse than it is, and influences a person to avoid it.
Some of the ways social phobia can affect someone's life include:
Some kids and teens are so extremely shy and so fearful about talking to others, that they don't speak at all to certain people (such as a teacher or students they don't know) or in certain places (like at someone else's house). This form of social phobia is sometimes called .
People with selective mutism can talk. They have completely normal conversations with the people they're comfortable with or in certain places. But other situations cause them such extreme anxiety that they may not be able to bring themselves to talk at all.
Some people might mistake their silence for a stuck-up attitude or rudeness. But with selective mutism and social phobia, silence stems from feeling uncomfortable and afraid, not from being uncooperative, disrespectful, or rude.
Why Do Some People Develop Social Phobia?
Kids, teens, and adults can have social phobia. Most of the time, it starts when a person is young. Like other anxiety-based problems, social phobia develops because of a combination of three factors:
The good news is that the effect of these negative experiences can be turned around with some focused slow-but-steady effort. Fear can be learned. And it can also be unlearned, too.
Dealing With Social Phobia
People with social phobia can learn to manage fear, develop confidence and coping skills, and stop avoiding things that make them anxious. But it's not always easy. Overcoming social phobia means getting up the courage it takes to go beyond what's comfortable, little by little.
Here's who can support and guide people in overcoming social phobia:
Overcoming Social Phobia
Dealing with social phobia takes patience, courage to face fears and try new things, and the willingness to practice. It takes a commitment to go forward rather than back away when feeling shy.
Little by little, someone who decides to deal with extreme shyness can learn to be more comfortable. Each small step forward helps build enough confidence to take the next small step. As shyness and fears begin to melt, confidence and positive feelings build. Pretty soon, the person is thinking less about what might feel uncomfortable and more about what might be fun.
Reviewed by: D'Arcy Lyness, PhD