Social Anxiety Disorder
When Social Situations Cause Fear Instead of Comfort. Psychiatry care thought medication management
Social Anxiety Disorder (also called social phobia) is more than shyness or occasional nervousness. It’s a recognized anxiety condition in which everyday social interactions trigger intense worry, fear of judgment, and avoidance. These fears can interfere with work, relationships, school, and routine activities like shopping or group conversations.
Social anxiety can affect anyone at any age. It often begins in adolescence and may continue into adulthood without treatment. It is highly treatable with targeted care.
What Social Anxiety Disorder Really Is
Social anxiety disorder involves a persistent, excessive fear of social situations driven by concerns about embarrassment, negative evaluation, or rejection. These reactions are more intense, longer-lasting, and more disruptive than typical nervousness.
People with social anxiety disorder may worry for weeks before an event, avoid social settings entirely, or endure them with significant distress.
Common Symptoms You Might Experience
Social anxiety disorder symptoms may include:
Emotional and Behavioural Signs
Intense fear of being judged or embarrassed
Excessive worry about upcoming social interactions
Avoidance of social situations like parties, meetings, or dating
Difficulty making eye contact or speaking up
Fear that others will notice anxious symptoms (blushing, shaking)
Physical Symptoms
Trembling, sweating, or shaking
Racing heart or shortness of breath
Feeling like your mind goes blank
Nausea or stomach discomfort
Muscle tension or dizziness
To be diagnosed with social anxiety disorder, these symptoms must be persistent (usually at least six months) and cause distress or functional impairment.
What Causes Social Anxiety Disorder?
Experts believe social anxiety develops from a combination of:
Genetic predisposition or family history
Brain wiring and sensitivity to stress
Negative social experiences or early life teasing/rejection
Learned patterns of self‑criticism and fear of embarrassment
No single cause explains everyone’s experience — and it can begin gradually or appear suddenly in response to stress.
How Social Anxiety Is Diagnosed In Person and Online
Psychiatry care by diagnosis involves a thorough clinical evaluation by a licensed provider. At Valiant Mental Health, we look at:
Your symptom history and triggers
The severity of anxiety in social situations
How anxiety affects your daily functioning
Whether other conditions (like depression or panic disorder) are present
Diagnosis is guided by the DSM‑5 criteria, which include persistent fear of social situations and avoidance that interferes with life. Care can include therapy or medication management.
Evidence‑Based Treatment for Social Anxiety
Social anxiety responds well to a combination of therapy and, in some cases, medication.
🧠 Cognitive Behavioral Therapy (CBT)
CBT helps you in person and online:
Identify patterns of anxious or negative thinking
Learn how to challenge self‑criticism
Develop real‑world exposure to feared social situations
Reduce avoidance and build confidence
Exposure‑based techniques are especially effective in helping you gradually face fears rather than avoid them.
💊 Medication Management online
Medications can support treatment by reducing the intensity of anxious thoughts and physical symptoms, making therapy more effective which is the reason our psychiatric provider might recommend.
Common options may include:
SSRIs and SNRIs — often first‑line for social anxiety
Beta‑blockers — for short‑term anxiety in performance situations
Adjunctive medications — based on individual needs
Medication is not about suppressing who you are; it focuses on reducing distress so you can engage more fully in life and therapy.
👉 Medication Management page.
Telepsychiatry: Accessible Care for Social Anxiety
For those whose anxiety makes attending in‑person appointments difficult, telepsychiatry offers flexibility and comfort. You can work with your provider from home, build consistency, and get the support you need without added stress.
Learn how virtual care works on our
👉 Telepsychiatry page.
Insurance & Access to Care
Social anxiety disorder treatment, including evaluation, medication management, and ongoing follow-up, is often covered by major insurance plans. Coverage varies by policy, and benefits should be verified in advance
For details on coverage, co‑pays, and benefit verification, see our
👉 Insurance Plan page.
How Valiant Mental Health Supports You In Person and Online
At Valiant Mental Health:
Your experience is heard and understood
Care is evidence‑based and personalized
Medication is carefully monitored and adjusted
We support you through both challenge and progress
You don’t have to face social anxiety alone — help is available, and you can learn skills that improve comfort, connection, and confidence over time.
How Valiant Mental Health Helps Treat SAD
If you’re struggling with SAD, you don’t have to figure out the next steps on your own. At Valiant Mental Health, we take a practical, evidence-based approach to care—focused on helping you feel better and function better over time.
Your care plan is individualized and may include one or more of the following:
Medication Management
When appropriate, medication can play an important role in treating SAD. We focus on careful evaluation, thoughtful medication selection, and ongoing monitoring to balance symptom relief with side effects. Medication decisions are collaborative and adjusted based on how you respond—not a one-size-fits-all approach.
👉 Learn more about our Medication Management
Therapy
Many people benefit from therapy alongside or instead of medication. Evidence-based therapies—such as cognitive behavioral therapy (CBT) and related approaches—can help you develop skills to manage symptoms, reduce distress, and improve daily functioning. We work with you to determine whether therapy, medication, or a combination is the best fit.
👉 Learn more about our Therapy Services
Telepsychiatry
Care should be accessible. We offer secure telepsychiatry appointments so you can receive high-quality psychiatric care from the comfort of your home. Telepsychiatry allows for flexible scheduling and continuity of care without sacrificing clinical quality.
👉 Learn more about Telepsychiatry
Whether you’re newly seeking help or looking for a better treatment approach, our goal is to support you with clear guidance, professional expertise, and compassionate care—every step of the way.
Frequently Asked Questions
Social Anxiety
Q: What is social anxiety disorder?
A: Social anxiety disorder involves intense fear or worry about social interactions, being judged, or embarrassed in public.
Q: How is social anxiety treated?
A: CBT is the primary treatment, sometimes combined with medications like SSRIs or SNRIs. Telepsychiatry makes therapy and medication management accessible from home.
Q: Can social anxiety interfere with daily life?
A: Yes. It can lead to avoidance of work, school, or social situations, affecting relationships and overall functioning.
Ready to Begin?
👉 Request an Appointment »
👉 Learn More About Medication Management »
👉 Explore How Telehealth Works »
You don’t have to leave home to start feeling better. Let’s take that first step together.
This page is intended for educational purposes and does not replace a professional psychiatric evaluation.
