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Social phobia, also called social anxiety disorder, is diagnosed when people become overwhelmingly anxious and excessively self-conscious in everyday social situations. People with social phobia have an intense, persistent, and chronic fear of being watched and judged by others and of doing things that will embarrass them. They can worry for days or weeks before a dreaded situation.

This fear may become so severe that it interferes with work, school, and other ordinary activities, and can make it hard to make and keep friends. Social phobia can be limited to one situation (such as talking to people, eating or drinking, or writing on a blackboard in front of others) or may be so broad (such as in generalized social phobia) that the person experiences anxiety around almost anyone other than the family.

Social phobia affects about 15 million American adults. There is some evidence that genetic factors are involved. Social phobia is often accompanied by other anxiety disorders or depression, and substance abuse may develop if people try to self-medicate their anxiety. Social phobia can be successfully treated with certain kinds of psychotherapy or medications.

See Managing social anxiety

Related articles
Understanding anxiety disorders
Anxiety or anxiety disorder?
Managing anxiety
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For more information
Anxiety Disorders Association of America
National Alliance on Mental Illness
The National Mental Health Association

Sources:
The National Institute of Mental Health (NIMH)
National Mental Health Information Center

A specific phobia is an intense fear of something that poses little or no actual danger. Some of the more common specific phobias are centered around closed-in places, heights, escalators, tunnels, highway driving, water, flying, dogs, and injuries involving blood. While adults with phobias realize that these fears are irrational, they often find that facing, or even thinking about facing, the feared object or situation brings on a panic attack or severe anxiety.

Specific phobias affect an estimated 19.2 million adult Americans and are twice as common in women as men. They usually appear in childhood or adolescence and tend to persist into adulthood.

If the feared situation or feared object is easy to avoid, people with specific phobias may not seek help; but if avoidance interferes with their careers or their personal lives, it can become disabling and treatment is usually pursued. Specific phobias respond very well to carefully targeted psychotherapy.

Cognitive behavioral therapy has the best track record for helping people overcome most phobic disorders. The goals of this therapy are to desensitize a person to feared situations or to teach a person how to recognize, relax, and cope with anxious thoughts and feelings. Medications, such as anti-anxiety agents or antidepressants, can also help relieve symptoms. Sometimes therapy and medication are combined to treat phobias.

Related articles
Understanding anxiety disorders
Anxiety or anxiety disorder?
Managing anxiety

More articles

For more information
Anxiety Disorders Association of America
National Alliance on Mental Illness
The National Mental Health Association

Sources:
The National Institute of Mental Health (NIMH)
National Mental Health Information Center

Page updated February 1, 2010