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Social Anxiety Disorder: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Psychological counseling such as cognitive behavioral therapy and self control are the two most effective treatments for social phobia. Some of the best techniques for fighting social phobia are to avoid negative thoughts, deep breathing and facing the social situations you fear. Personality development is also an effective method of treating social anxiety disorder. Work on your communication skill, interact with new people, take social classes and volunteer for working in groups or taking group therapy.

Social anxiety disorder (SAD) or social phobia is a psychological condition where you feel intense fear of certain social situations. Since it is not a physical condition, the treatment for SAD doesn’t include medication at the core. However, medication is used in addition to psychological therapy and self control techniques. Some of the most common medication used in treating social anxiety disorder is Beta blockers, antidepressants and Benzodiazepines.

Adopting a healthy lifestyle is also very helpful in treating SAD. Caffeine act as an active catalyst in triggering anxiety, so avoiding drinks that contains caffeine such as tea, coffee and soda. Also increase the intake of omega 3 fats in your diet. Quit smoking and drinking if possible or limit it to occasions. Proper rest and sleep also brings down anxiety level.

How is the treatment done?

A person who is suffering from minor social anxiety disorder, it is preferable to avoid medication. However, certain physical conditions of social phobia such as elevated heartbeats, sweating and shaking can be controlled by Beta blockers. They don’t have any effect on emotional anxiety conditions and are only used for relieving performance anxiety. Anti depressants are also commonly used by psychiatrist to prevent wasteful thinking and inducing sleep.

Treatment of social phobia doesn’t include medication as it is purely a psychological condition. The most effective treatment for social anxiety disorder is psychological counseling. Visiting a certified psychiatrist on a regular basis will help you in understanding your psychological condition deeply, its point of origin and what triggers the anxiety. Once you get a clear understanding of these, overcoming the social anxiety disorder is almost half done. There are a lot of self controlling techniques that will help you come out of social anxiety disorder. Few of the techniques that you can adopt in your daily life includes deep breathing to control anxiety, facing the situation that triggers anxiety and avoiding negative thoughts. The best way to avoid negative thinking is to avoid reading other persons mind and predicting the future.

Who is eligible for the treatment? (When is the treatment done?)

Almost every person get nervous and self conscious on certain social occasion but that does not necessarily mean they are suffering from social anxiety disorder. A person suffering from social anxiety disorder will have certain physical and mental symptoms. Always fearing that you are being watched and people are judging you, excessive self consciousness and nervousness leading to a mindset that it is noticeable. Physical symptoms include red face, shortness of breath, nausea, shaking, sweating and feeling dizzy. Person suffering from such conditions needs consultation.

Who is not eligible for the treatment?

As getting nervous and being self conscious is natural on social occasions. Meeting new people, public speaking and being centre of attraction are some of the situations in which people get nervous but that don’t make you eligible for treatment of social phobia. Only if these symptoms are constant in everyday life then it is a major point of concern.

Are there any side effects?

As for self controlling techniques, there are no side effects on a person’s life as it can also be used by any person even if he/she is not suffering from social anxiety disorder. Psychological counseling is a bit concerning only if it is not yielding any result. It can have a negative effect on a person mind if psychological counseling doesn’t help you in overcoming your social phobia. Medication is always the last resort in treating social phobia as it has many side effects on a person’s physical and mental health. Getting addicted to anti depressants is one of the major point of concern. Apart from that both anti depressants and beta blockers have effect on your cardiovascular health.

What are the post-treatment guidelines?

One of the best post treatment guideline for social anxiety disorder is to lead a healthy social life in order to prevent negative thoughts from coming back. Never avoid social situations especially the ones that trigger your anxiety. Avoiding caffeinated products such as tea, coffee and soda, getting proper sleep and rest to avoid deep thinking of future situations and fortune telling are some of the most effective and common post treatment methods. Quitting or limiting smoking and drinking as it is proactive in triggering anxiety. If you have any medication, then shortening the dosage over a period of time to finally quitting it.

How long does it take to recover?

there is no fixed duration for the treatment of social anxiety disorder. It totally depends from person to person and how deep rooted the cause for social anxiety disorder is. In some cases, self controlling can be used to treat social phobia while some cases can be treated by medication. As for psychological counseling, it may last for a month and can even go up to 6 months to a year. Some patients have recovered in only a matter of days.

What is the price of the treatment in India?

Psychological practice and treatment are very expensive in India as of now it is only limited to upper class. However, identifying and treating psychological disorder are now being introduced at the grass root level. Psychological counseling mat start from as low as INR 500 per hour and can go up to INR 2000 per hour depending on the psychiatrist. Medication related to psychological treatment comes with moderate price tag.

Are the results of the treatment permanent?

Since social anxiety disorder is a psychological condition, it can be triggered at any point of time making the treatment partially permanent. However, elongated treatments are mostly permanent treatment in most cases. Some treatments are also backed by medication and those have the maximum chances of reappearing.

What are the alternatives to the treatment?

if you are not planning to consult a psychiatrist or take medication then self control techniques are the best alternatives. One of the best ways to overcome social anxiety disorder is to face your fears that trigger your anxiety.

Safety: High Effectiveness: High Timeliness: Medium Relative Risk: Low Side Effects: Low Time For Recovery: Medium Price Range: Rs 500 to Rs 2500 per hour

Popular Health Tips

Celebs Quitting Social Media - How Is It Detrimental To Mental Health?

MBBS Bachelor of Medicine and Bachelor of Surgery
General Physician, Faridabad
Celebs Quitting Social Media - How Is It Detrimental To Mental Health?

Celebrities all around the world have a huge fan base on their social media accounts such as Instagram, Facebook, YouTube and Twitter. But recently, it has been reported that numerous celebrities are quitting social media and taking a break from it to focus on their mental health.

Such celebrities include Selena Gomez, Justin Bieber, Kim Kardashian and many other world-famous icons. Ariana Grande and Ed Sheeran are also on this list alongside one of the biggest YouTube icon Lily Singh aka Superwoman.

But why is it so?

Different people have their own opinions. But most of them are of the belief that such world-class celebrities are quitting social media because they want to bring a balance to their mental health. The world of the internet and social media can at times become very suffocating, pressurizing and overwhelming as well. So, to stay away from such negative attributes, these celebrities are avoiding social media platforms. Let us find out how this trend of quitting social media is related to mental health.

How social media can have a negative impact on mental health?

Social media undoubtedly has brought the world closer and now people can connect with each other very easily without any hassles. But, we cannot miss out on the negative impact it has on the people also. Here are some very negative ways by which people including the celebrities can be a victim of it.

  • Cyberbullying - Cyberbullying is one of the most dangerous sides of social media. Teenage boys and especially girls can be a victim of cyberbullying. As a result of such bullying an individual can be affected with depression, anxiety and even develop suicidal tendencies.

  • Negative Memories - Social media can be a great platform to cherish memories with your close ones. But the same platform can also be used to trigger memories which are disturbing, embarrassing or depressing to remember. Many people, thus tend to get depressed or suffer from anxiety when they see such memories.

  • Hamper Reputation - Social media can be used to hamper the reputation and good name of a person very easily. A viral photo or video of any individual or individuals can be used to damage the reputation one has built. Many a time fake news, pictures and other media can be used to target a person and bring their name down. It is very much common nowadays and even with celebrities as well.

So, as you can see that social media can seriously affect the mental health of a person whether he or she is a common individual or a celebrity. Social media can bring anxiety, depression, embarrassing situations and many other negative aspects to a person's life.

As a result, they tend to suffer from a disturbed mental health which can also take a toll on their physical fitness or health. So, if you are facing such a situation or want to avoid any of these to affect your life, it is better that you stay away from social media for the time being and focus on a positive development of yourself.

5 people found this helpful

Popular Questions & Answers

Hi doc, I feel shy talking in public whether it is a known person or unknown. I feel that thing when I talk somebody hears & they might think something about me. I just cannot get this out of my mind. It is a socially embarrassing me.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology, Positive Psychiatry and Mental Health
Psychologist, Palakkad
Dear user. I can understand. You are YOU. Whatever your behavior today, whatever your body language today are learned from your past experiences and social interactions. Whatever you have learned can be unlearned or over written. This is a continuous process happening throughout your life. I suggest cognitive behavior therapy for you. Take care.
1 person found this helpful

Hi I am feeling very low, it’s been 4 years since I have lost interest in my favorite activities, I don’t want to go outside for groceries, I don’t want to meet people. This is making me sick. I am sad most of the times. Please help.

MD - Psychiatry
Psychiatrist, Chennai
The symptoms are suggestive of Chronic depression, you need to consult a psychiatrist to rule out medical reasons and get treated with antidepressants and cognitive behavior therapy, if needed. All the best.

I am depressed from 2015 but 2017 made this worst for me .anyway I am still trying my best to recover it but the thing is I am now totally suffering from social anxiety nd suddenly some time I get heavy breathing and start to shiver etc so is this the effect of depression or something else or I should get the medication for this.

Diploma in psychology, PVA ayurveda
Psychologist, Bangalore
Hello Friend, Appreciate you are seeking help from this forum. Your social anxiety is an outcome of depression as they are interlinked sometimes. I am sure, you may be already on medication for your depression. In parallel, you need to start psychotherapy covering few lifestyle changes, exercises, self therapies etc along with counseling for managing your anxiety. Feel free to reach me online for furtehr assistance.

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Play video
Anxiety Disorders
Here are Types, Causes, Symptoms, Treatment of Anxiety Disorders

Hello, everyone, I am Dr. Sudeshna Biswas senior consultant neuron-psychiatrist attached with Fortis C-DOC Hospital Nehru place and have my own clinic at CR Park. Today we are going to discuss a very common issue Anxiety. Now the moment we hear the word anxiety many questions come to our mind. What is anxiety? How do we know that we are suffering any kind of anxiety disorder? And how do we know that we have to seek any professional help? Does any age group or any sex acceptable to this disorder? So, so many questions come to our mind? So let s try to find out the answers of these questions?

So now let s begin with what is anxiety? Anxiety is nothing but Anxiousness in a stressful situation. Now when anxiety becomes overwhelming or starts interfering day to day life that is what anxiety disorder is. So let s just try to find out what are the symptoms of anxiety disorders so you can detect the symptoms of anxiety disorder of it is there with you at the earliest.

Now there are two groups of anxiety disorders. The first group, we call it emotional symptoms, the second group is a physical symptom. Now emotional symptom could be in the form of apprehension, restlessness, reduction in the concentration, difficulty in retaining things in your mind that are memory loss. Physical symptoms could be in the form of increased heart rate or a feeling of palpitation, shortness of breath or a stomach upset, numbness in hands and legs, pains in hand and legs, headache, shivering, tremor and some more.
After knowing the symptoms of anxiety disorder let s talk about what are the types of anxiety disorders?

Now there are many types of anxiety disorders. I would try to brief few of them. One could be a generalized anxiety disorder. In this generalized anxiety disorder, people have various reasons to feel anxious throughout the day, many thought keeps on coming into their minds of a different variety. Usually, when these symptoms are lasting for at least six months of duration people are considered to be suffering from generalized anxiety disorder.
There is one more disorder we call obsessive compulsive disorder. In this disorder, people might have frequent washing or checking habits. Once single thoughts which is not acceptable to them coming to their mind again and again. Now again if these thoughts are there for two weeks duration they might be suffering from an obsessive compulsive disorder.
Some other disorders are there like we call it phobia is nothing but a fear of a particular substance. It could be in the form of fear of heights, fear of crowded spaces, examination phobia which is very common among the children.
Similar kind of other disorders includes social anxiety disorder. In this people have an anxiety of social situations. People become scared that other people are looking at them, probably criticizing them. They have a problem of public speaking etc. So this is one we call it social anxiety disorder.
Now few others are post-traumatic stress disorder. In this disorder people might have the anxiety symptoms after a big stress in their life, could be Tsunami for example.
Another type is called panic disorder. In this all the symptoms which are mentioned in physical symptoms, they usually happen for a short duration and people have the feeling that they are going to die the next moment.
So these are all, in short, the different types of anxiety disorder. We would just come straight away towards the treatment.

Treatment could be medicinal or therapeutic. There is various type of medicines available for such kind of disorder. Therapies are there like relaxation therapies, cognitive behavioral therapies and behavioral therapy and many others. So my request to all the viewers would be that please detect your problem at the earliest and seek the help of your near professional because this is a problem that definitely has a solution.

So now to end up if you need my help you can directly come to me by taking the appointment or you can use the app which is Lybrate which is a very good app in your mobile or you can just contact me through lybrate and seek up the appointment. Thank you very much. Stay well.

Play video
Anxiety Disorder
Signs You Might Be Suffering From Anxiety Disorder!
Play video
Anxiety Disorders - Types & Treatment

I am Dr Omkar Mate consultant neuropsychiatrist practicing at Midas Clinic Neurl, Navi Mumbai.

Now let us talk about anxiety and anxiety disorders, so anxiety is that feeling of nervousness, sometimes associated with traveling, racing heart and shortness or difficulty of breathing. Anxiety is a normal response of human mind and body to certain stressful situations anxiety is not always bad like stress too is not always bad, being anxious before exams leeds a person to study better, work better and get better marks. This stress is a positive stress which increases performance, it is called used stress. However, sometimes a person is become so anxious that the anxiety hampers or reduces persons functioning of performance, this is distress. The next level of distress is an anxiety disorder, there are different types of anxiety disorders a panic disorder, obsessive compulsive disorder, social anxiety disorder, various types of phobias, let us look briefly at each one of them. A panic disorder is something which is made up of panic attacks now what is panic attack, panic attack is that intense fear or anxiety with associated symptoms like racing heart, difficulty in breathing or shortness of breath, sometimes the person feel suffocated and he feels that I am going to die. This episode usually last for 15 minutes to an hour and goes away on its own, but sometimes these episodes recur and a person remains fearful that I will get this episode again. In such cases a panic disorder is diagnosed. Obsessive compulsive disorder is another anxiety disorder, here a person repeatedly checks things like door, gas stoves, light switches, sometimes a patient has a habit of washing hand repeatedly. Now all these things are usually repeated by a person to take care of anxiety and a reason for the anxiety in such patients are thoughts. They may be thoughts that somebody close to them maybe ill, it maybe thoughts that my hands are dirty and illness will spread in my family because of my dirty hands, it can be thoughts like the gas stove or door is not locked and robbers will rob my house or the gas stove being on can lead to an accident. Usually, the themes are related to fear and illness or death. Repeated thoughts make the person anxious who in turn thus behaviour to take care of that anxiety. If such symptoms lead to hampering of his or her life or his functioning or his profession then it needs to be treated usually if the symptoms are for more than half an hour to 1 hour. Another anxiety disorder is what we called as social anxiety disorder. Here a person is fearful or afraid of making public appearances or talking in public places or going to social gathering the constant fear of thought in such people mind is what will others think about me, whether I will make a fool of myself, this leads people to avoid certain social situations.

If a person who is a management person is scared of making presentations this will definitely affect his performance, so in such cases where a person's performance occupationally or socially is dependent on his public speaking and he is not able to do so because of anxiety then we diagnose it as social anxiety disorder. One of the commonest anxiety disorder seen is something which we call as phobias. All of us are be aware of a phobia like many of us are scared of injections or needles, there are some of us who faint on seeing blood. Similarly, there are different phobias like fear of height, fear of closed spaces like claustrophobia and fear of crowded places which is agoraphobia. A person having phobia need not always be treated, for example if a person who has fear of heights doesn't required to go on tall places it may not be treated. However, if certain phobias are actually leading to problems like fear of flying in planes in can it can lead a person who wants to travel abroad or who has to travel for work, it makes that person afraid and he avoid such situations. So functional impairment in such cases need treatment for phobia, around 1 in 5 people suffer from one or other anxiety disorder, however, many times they are not detected. Anxiety disorder are the most treatable disorder and mostly curable also with the help of medicines and proper therapy techniques and counselling techniques.

Thank you for more enquiries about anxiety disorders you can contact me through lybrate.
Play video
Warning Signs Of Anxiety Disorder
Anxiety actually refers to a normal reaction to danger, the body s automatic fight-or-flight response that gets triggered when you feel threatened or pressurised or are facing a stressful situation. There are steps which can be taken to reduce your symptoms and regain control of your life.
Play video
Anxiety And Its Symptoms
Hello Everyone! My name is Dr Kaartik Gupta and I am a clinical psychologist at AKGs Ovihams Medical Center.

Aaj hum anxiety ke baare mein baat karenge. Anxiety bahut hi common and natural phenomena hai. Jo humein kabhi na kabhi kisi na kisi situation mein experience hota hi hai. Anxiety ke apne kuch faayde bhi hain. Jaise hum iske revolution prospect ki baat karen to isne hi ensure kia tha ki sab survive karen. Jab bhi hume kahin na kahin threat mehsus hota hai, hamari jo anxiety ka response hai , vo activate ho jaata hai. Activate hone ka matlb hai ki hamari body is tarike se bani hui hai, ki jab bhi hum arouse hote hain ya jab bhi humein threat mehsus hota hai, hamari body automatically fight-flight-freeze response ke mode mein aa jaati hai. Jiska matlb ye hota hai ki ya to hum us situation mein ladenge, ya to hum us situation se bhaagne ki koshish karenge ya hum bilkul numb ho jaate hain.

Agar hum symptoms ki baat karen anxiety ke ya jo commonly humein mehsus hote hain, uske physical symptoms hote hain , jaise ki hamari heart-beat badh jaati hai, pulse rate badh jati hai, breathing heavy hone lagti hai, kayi logon ko sweating hone lagta hai specially palm mein sweating ho jaata hai, dry mouth hone lagta hai. To ye saare physical symptoms hai anxiety hone ke. Psychological symptoms hote hain ki hum overthink karne lagte hain, hum future ke baare mein darane lagte hain, hum apprehensive hone lagte hain. Ek hi time pe dimaag mein hazaron khayal aate hain, jisko hum racing thoughts bolte hain. Behavioral responses hote hain ki hum restless hone lgte hain.

Kayi log start speaking faster, kayi log fumble karne lagte hain ya even stammer karne lagte hain. Ye behavioral symptoms hain anxiety ke , jo dusron ko bhi mehsus hote hain ya unko dikhne lagte hain. Hum sab anxiety disorder ki baat karte hain , to vo disorder isliye kaha jaata hai ki jab ye anxiety itni zyaada severe ho jaye , ya hum itne zyaada intense ho jaaye or itna frequently mehsus hone lage ki hamari personal, occupational, or social functioning hai, uspe uska impact aane lage. Tab hum anxiety ko ek anxiety disorder kehte hain. Anxiety disorder mein kayi saare sub-types hote hai, jaise generalised anxiety disorder jisko hum GAD kehte hain ya free floating anxiety bolte hain.

Iske symptoms apko lagataar 6 mahine ke liye mehsus hote hain jahan mein aapki body mein stiffness hoti hai, nausea ho sakta hai, restlessness reh sakti hai, palpitaion bhi bahut common hai. Dusra ho sakta hai phobia - jisko hum fear bhi bolte hain. It is fear of a specific situation or an object. Us situation ko hum avoid karne lagte hain, quki humein lagta hai ki ye hamare liye bahut threatening hai or us avoidance ki vajah se hi hamara darr badhne lagta hai.

Ek or disorder hai - panic disorder. Jisme vyakti ko panic disorder hote hain, palpitations hote hain , reathing bahut heavy hone lgti hai. Unhe lagta hai kahin unhe heart attack na aa jaye , ya vo collapse na kar jaayen. To humne aisa kayi baar dekha hai ki jinko panic attack hota hai , vo hospital bhaagte hain especially apna ECG krane k liye, ki kahin heart attack to nahi hai. Ek or OCD hai isme vyakti ko repetitive thoughts ya, images ya impulsive aate hain jo unke control mein nahi rehte or is vajah se patient ko bahut stress mehsus hota hai. Us anxiety ko deal karne k liye vo kuch na kuch repetitive behave karte hain , jisko compulsive bola jaata hai - jaise iski common theme ho sakti hai saaf safayi ko leke. Uska result hota hai ki person starts washing there hand again and again. They take bath again and again. Aise hi kuch log hote hain jo baar baar locks check karte hain , ya gas stove check karte hain ki vo band hai ki nahi. To ye OCD ke symptoms ho sakte hain.

Treatment ki agar hum baat karen to jaise baaki psychological problems hoti hain, anxiety disorder ke liye bhi best treatment and best combination of medicines and psychotherapy hoti hai. Medicines mein psychiatric medicines ho sakti hain, allopathy medicines hoti hain, anxiety medicines and even homeopathy medicines kaafi effective hain. Psychotherapy mein CBT jahan pe hum focus krte hain , vyakati ke jo false perception hain ya jo thinking hai , jaise jo situation itni dangerous nahi hai ya jo threatening nahi hai ya usko threatening soch lete hain, they start thinking of extreme, ki ye ho jayega is situation mein ya vo ho jayega. Through therapy, that is what we try to identify , ki kya thinking process chal rha hai jahan pe error ho raha hai ya problem ho rahi hai usko identify krane ke baad usey hum modify karte hain and the person is trained to think in a different manner or jab unki perception change hoti hai , they start thinking in a different way.

Jab unka behavior hota hai ki they start facing the situation more often, confidently face karte hain, unka anxiety or darr automatically kam hone lagta hain. Iske alawa kuch relaxation exercises hain , jo sikhayi jaati hai vyakti ko , to calm themselves down on general basis, especially jab unko koi anxiety hoti hai, us time ke liye vo cheez kam karti hai. Iske aalwa ye chiz bhi samjhni bahut zaruri hai ki anxiety bahut natural phenomena hai, jo hum sabhi ko hota hai.

To hum anxiety se na darr ke un symptoms ko hone de, vo automatically subside kar jayega, quki hmari body us tarike se program me nahi hai ki hum us stage mein bahut der ke liye persist kar sakte hain ya reh sakte hain. Agar hum anxiety us time hone dein, it will automatically settle down without doing extra any other thing. So, you just be with anxiety and let it pass and you will feel better automatically. Iske alwa agar kbhi apko ya apke parivaar me kisi ko anxiety ke symptoms mehsus hon ya aap observe kar skte hain to aap AKGs Ovihams Medical Center joki Delhi me hai, pitampura, rajouri garden or moti bagh me available hai, aap humse psychological and homeopathic treatment k lia consult kar skte hain. Thank you.
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