What is social anxiety disorder?
Social anxiety disorder is a severe fear of being watched and judged by other people. If your child has this disorder, he fears that if he does things when other people are around, he will look foolish and be embarrassed. The fear stops your child from doing things such as making friends, playing, and even going to school. Social anxiety disorder is not just being shy. Shy children will usually relax after a few minutes. A child with social anxiety is always tense and on edge around other people. Social anxiety disorder is also called social phobia.
Without treatment, social anxiety disorder can last a lifetime. However, treatment is very successful.
What is the cause?
The exact cause of this disorder is not known.
- The brain makes chemicals that affect thoughts, emotions, and actions. Without the right balance of these chemicals, there may be problems with the way your child thinks, feels, or acts. A child with this disorder may have too little or too much of some of these chemicals.
- Social anxiety tends to run in families. It is not known if this is caused by genes passed from parent to child. It may also be that parents fear and avoid social events, and children learn this behavior from the parents.
- Social anxiety may start after a frightening or hurtful experience, such as being bullied or abused. Being very self-critical might also lead to social anxiety.
Social anxiety usually starts in the teen years, but may begin in childhood.
What are the symptoms?
Symptoms of social anxiety disorder may include trembling voice, fast or irregular heartbeat, hot and flushed skin, sweaty palms, nausea, headaches, or stomachaches. Feelings your child may have with social anxiety include:
- Anxiety when your child is the focus of attention, even for a short time
- Fear of being judged and rejected
- Fear that other people will notice how nervous your child is
- Fear of unfamiliar places
- Fear of being embarrassed that is so severe that your child cannot take part in school or social activities
If your child has this disorder, he or she may panic when thinking about a social situation, and worry about what people think of them for hours afterward. Social anxiety can lead to lack of self-confidence, lack of self-esteem, and depression.
How is it diagnosed?
Your child’s healthcare provider or a mental health therapist will ask about the child’s symptoms, medical and family history, and any medicines the child is taking. He or she will make sure that your child does not have a medical illness or drug or alcohol problem that could cause the symptoms.
You may want to contact a mental health therapist who specializes in working with children and teens. The therapist will ask questions, watch your child, and may give some special tests.
How is it treated?
There are several ways to treat social anxiety disorder. The first step is usually to help you and your child learn about the disorder.
Cognitive behavior therapy (CBT) helps children learn what causes them to feel anxious and how to control it. CBT might also include social skills training, role-playing, and learning relaxation skills.
Exposure and response prevention therapy (ERPT) helps children to face their fears. Children learn ways to control their body’s response to anxiety, like breathing exercises.
Sometimes medicine may be used as well as therapy. Your childâ€™s healthcare provider will work with you and your child to select the best medicine. Your child may need to take more than one type of medicine.
How can I help my child?
Get emergency care if your child or teenager has ideas of suicide, harming himself, or harming others.
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This content is reviewed periodically and is subject to change as new health information becomes available. The information is intended to inform and educate and is not a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional.
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