Social Anxiety Disorder

Social Anxiety Disorder (also called social phobia) involves intense fear of social situations where you might be observed, judged, or embarrassed. It goes beyond shyness or occasional nervousness, it’s a persistent fear that interferes with work, school, relationships, or other aspects of daily life. Social anxiety affects roughly 7% of adults in the U.S. each year and often begins in the early teen years, though it can develop at any age.

What is Social Anxiety Disorder?

Social Anxiety Disorder centers on the fear of negative evaluation by others. People with social anxiety often worry intensely before, during, and after social interactions, replaying conversations or analyzing how they came across. The fear can be specific to certain situations—like public speaking or eating in front of others—or more generalized, affecting most social encounters. Over time, many people begin avoiding situations that trigger anxiety, which can lead to isolation and missed opportunities.

Common Feared Situations in Social Anxiety

Social anxiety can show up in a range of settings. People often struggle with:

• Speaking in meetings, giving presentations, or talking in front of groups
• Meeting new people or making small talk
• Eating or drinking in front of others
• Being the center of attention
• Using public restrooms
• Making phone calls or returning items to a store
• Dating or attending social gatherings
• Speaking up or asserting themselves in conversations

Treatment for Social Anxiety Disorder

Cognitive Behavioral Therapy (CBT), particularly exposure therapy, is the gold standard for treating social anxiety. Treatment involves gradually facing feared social situations in a structured way while learning to challenge thoughts about judgment or rejection. Exposure helps you build tolerance for discomfort and see that feared outcomes rarely occur—or are more manageable than anticipated. Cognitive work focuses on identifying overly harsh self-judgments and unrealistic social standards. Some people benefit from medication, such as SSRIs, especially when anxiety is severe. Skills training in assertiveness or conversation can also be part of treatment.

If social anxiety is keeping you from connecting with others or pursuing your goals, Miami Counseling & Resource Center can help. Contact us to learn more about treatment options.