Social Anxiety Disorder (SAD)

Social Anxiety Disorder is a mental health condition characterised by an intense fear of social or performance situations where a person may be judged, criticised, or scrutinised by others. It goes beyond typical shyness or occasional nervousness in social settings. Social anxiety can significantly interfere with daily life, relationships, work, and overall well-being.

Key Features of Social Anxiety

  1. Fear of Judgment:

    • A persistent worry about being embarrassed, humiliated, or rejected in social settings.

    • Fear of being the center of attention or doing something wrong.

  2. Avoidance of Social Situations:

    • Avoiding parties, meetings, public speaking, or even smaller interactions like ordering food or talking on the phone.

  3. Physical Symptoms:

    • Sweating, blushing, trembling, rapid heartbeat, or feeling nauseous in social situations.

  4. Emotional Symptoms:

    • Intense self-consciousness and fear before, during, or after social interactions.

    • Ruminating on perceived mistakes or awkward moments.

  5. Impact on Daily Life:

    • Difficulty forming relationships or advancing in school or work due to avoidance of necessary social interactions.

Common Triggers

  • Public speaking or presentations.

  • Meeting new people or dating.

  • Being observed (e.g., eating, writing, or working in front of others).

  • Interacting with authority figures.

  • Participating in group activities or conversations.

Causes of Social Anxiety

While the exact cause isn't fully understood, several factors may contribute:

  • Genetics: A family history of anxiety or mood disorders may increase risk.

  • Brain Chemistry: Imbalances in neurotransmitters like serotonin.

  • Environmental Factors: Negative social experiences, bullying, or overly critical parenting.

  • Personality Traits: Individuals who are naturally more introverted or sensitive to criticism.

If you or someone you know is struggling with social anxiety, seeking professional help is an important step. Early intervention can make a significant difference.

If you suspect that you or someone you know has SAD, seeking a comprehensive evaluation is the best first step.  It can help to confirm the diagnosis and develop a tailored treatment plan. The Soke offers assessment and treatment pathways for both adults and children, in our Chelsea and Wimbledon sites. Please note that as an outpatient centre, we cannot help with those who are chronically unwell and require inpatient services. We also provide support and training for individuals, families, schools and organisations who want to better manage the relationship with the diagnosed individual. Please contact our Client Services team to discuss your symptoms - or the symptoms of your loved one - so that they can guide you towards the most appropriate solution to suit your particular circumstances. They can also be reached on 020 7139 5051.