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SubRosa Mental Services, LLC

Life Coaching & Emotional Support Animals

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Anxiety, Part 2: Social Anxiety – Not Just Shyness

March 24, 2025 by Shiloh Martin, LPC-S, CCMHC

Anxiety about social situations and interactions. People with this type of anxiety fear being judged by others. They may avoid social situations and feel embarrassed or afraid when they engage in social interactions. They experience physical symptoms too such as heart pounding, sweating, shakiness, or dry mouth.

We all know the feeling of being nervous or uncomfortable in a social situation. Maybe you’ve clammed up when meeting someone new or gotten sweaty palms before making a big presentation. Public speaking or walking into a roomful of strangers isn’t exactly thrilling for everybody, but most people can get through it.
If you have social anxiety disorder, which is also known as social phobia, the stress of these situations is too much to handle. You might, for example, avoid all social contact because things that other people consider “normal” — like making small talk and eye contact — make you so uncomfortable. All aspects of your life, not just the social, could start to fall apart.

How common is Social Anxiety?

Social anxiety disorder affects about 5.3 million people in the United States. The average age it begins is between age 11 and 19 — the teenage years. It’s one of the most common mental disorders, so if you have it, there’s hope. The tough part is being able to ask for help

What Are the Causes for Social Anxiety?

There’s no one thing that causes social anxiety disorder. Genetics likely has something to do with it: If you have a family member with social phobia, you’re more at risk of having it, too. It could also be linked to having an overactive amygdala — the part of the brain that controls your fear response.

Social anxiety disorder usually comes on around 13 years of age. It can be linked to a history of abuse, bullying, or teasing. Shy kids are also more likely to become socially anxious adults, as are children with overbearing or controlling parents. If you develop a health condition that draws attention to your appearance or voice, that could trigger social anxiety, too.

How Is Social Anxiety Disorder Treated?

Prescription medication and behavioral therapy are the two effective treatments for social anxiety disorder. You may receive both at the same time

When Should I Talk to My Doctor About Social Anxiety?

First, it’s important to know that you are not abnormal if you have social anxiety. Many people have it. If you have unusually high anxiety and fear about social situations, talk openly with your doctor about treatment. If left untreated, social anxiety disorder may lead to depression, drug or alcohol problems, school or work problems, and a poor quality of life.

SubRosa Mental Services provides a client-forward approach to helping individuals, businesses, and children by offering Comprehensive Psychological & Psycho-Educational Evaluations, life coaching and emotional support animal assistance. Reach out today to find out more.

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  • American with Disabilities Act FAQ for Service Animals
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Books

Written by Dr. Shiloh W. Martin, the book draws on his personal faith and professional expertise to provide guidance and encouragement for individuals struggling with mental health issues and their loved ones. The book explores various mental illnesses–such as depression, anxiety, and bipolar disorder–and uses scriptures to provide comfort, hope, and practical advice.

Click for details

The Anxiety Solution: Regaining Control and Finding Peace,” extends a helping hand to guide you through the labyrinth of anxiety toward a sanctuary of tranquility.

In this empathetic and insightful guide, you’ll discover practical and proven techniques to not only alleviate anxiety but to empower yourself with lasting peace.

Click for details

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Please Note: Shiloh Martin, PhD provides all forensic evaluations. He is a licensed mental health provider in Alaska, Arizona, Hawaii, Missouri, Oklahoma, South Carolina, Texas, and Georgia. Verification of licensure can be verified through each state's licensure board. Dr. Martin is a Nationally Board Certified Counselor registered WITH NBCC. #271022. NPI# 1255588901.

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