Social anxiety disorder (social phobia)

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Coping and support

Coping with social anxiety disorder can be challenging. Having social anxiety disorder can make it difficult for you to go to work or school, to interact with other people, or even to visit the doctor. But maintaining connections and building relationships are key ways to help cope with any mental disorder.

Over time, treatment can help you feel more comfortable, relaxed and confident in the presence of others. In the meantime, don't use alcohol or illicit drugs to try to get through an event or situation that makes you anxious.

Some positive coping methods include:

  • Reaching out to people with whom you feel comfortable
  • Joining a support group
  • Engaging in pleasurable activities, such as exercise or hobbies, when you feel anxious
  • Getting enough sleep
  • Eating a well-balanced diet

Over time, doing this can help control your symptoms and prevent a relapse. Remind yourself that you can get through anxious moments, that your anxiety is short-lived, and that the negative consequences you worry about so much rarely come to pass.

References
  1. Social phobia (social anxiety disorder). In: Diagnostic and Statistical Manual of Mental Disorders DSM-IV-TR. 4th ed. Arlington, Va.: American Psychiatric Association; 2000. http://www.psychiatryonline.com. Accessed June 11, 2009.
  2. Hollander E, et al. Social phobia (social anxiety disorder). In: Hales RE, et al., eds. The American Psychiatric Publishing Textbook of Psychiatry. 5th ed. Arlington, Va.: American Psychiatric Association; 2008. http://www.psychiatryonline.com. Accessed June 11, 2009
  3. Bruce TJ, et al. Social anxiety disorder. http://www.uptodate.com/home/index.html. Accessed June 11, 2009.
  4. Phobic disorders. The Merck Manual for Healthcare Professionals. http://www.merck.com/mmpe/sec15/ch196/ch196e.html. Accessed June 11, 2009.
  5. Social phobia (social anxiety disorder). National Institute of Mental Health. http://www.nimh.nih.gov/health/publications/social-phobia-social-anxiety-disorder/index.shtml#SocialPhobia. Accessed June 11, 2009.
  6. Feldman MD, et al. Phobias. In: Ferri FF. Ferri's Clinical Advisor 2009. St. Louis, Mo.: Mosby; 2008: http://www.mdconsult.com/das/book/body/142893743-5/851356429/1701/448.html#4-u1.0-B978-0-323-04134-8..50019-7--subchapter28_9560. Accessed June 11, 2009.
  7. Abramowitz JS. Self-help cognitive-behavioral therapy with minimal therapist contact for social phobia: A controlled trial. Journal of Behavior Therapy and Experimental Psychiatry. 2009;40:98.
  8. Ebell MH. Diagnosis of anxiety disorders in primary care. American Family Physician. 2008;78:501.
  9. Whiteside SP (expert opinion). Mayo Clinic, Rochester, Minn. June 17, 2009.

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Aug. 28, 2009

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