- What causes social anxiety disorder?
The exact cause is complex, but it usually involves a combination of factors. Causes of social anxiety can include genetics (it can run in families), brain structure (an overactive amygdala), and environmental factors. Social phobia in childhood, such as bullying, teasing, or family conflict, can also be significant contributing factors. It is often a learned response to perceived threats in social environments.
- What are the main social anxiety disorder symptoms?
Social anxiety disorder symptoms vary but generally fall into physical, emotional, and behavioural categories. Physical signs include sweating, trembling, blushing, and a racing heart. Emotional symptoms involve an intense fear of embarrassment, worry about being judged, and dreading social events days or weeks in advance. Behavioural symptoms often present as social withdrawal, avoidance of eye contact, and staying quiet to avoid attention.
- Is there a social anxiety disorder test?
While there are many online quizzes labelled as a social anxiety disorder test or social phobia assessment, only a qualified mental health professional can provide a formal diagnosis. These professionals use specific criteria to determine if your anxiety levels meet the threshold for a disorder. If you feel your anxiety is impacting your life, seeking a professional assessment is the best course of action.
- How can hypnotherapy help with social anxiety?
Hypnotherapy helps by accessing the subconscious mind to change negative thought patterns and beliefs that fuel anxiety. It can help lower your general anxiety baseline, making triggers less potent. By using visualisation and suggestion, hypnotherapy helps you rehearse social situations in a calm state, building confidence and reducing the fear of embarrassment and social awkwardness.
- What is the difference between shyness or social anxiety?
Shyness or social anxiety—what is the difference? Shyness is a personality trait. A shy person might feel awkward at a party but will still go and can warm up eventually. Social anxiety disorder, however, is a mental health condition. It involves intense fear that disrupts daily life, causes avoidance of social situations, and leads to significant distress. If your fear stops you from doing things you want or need to do, it is likely more than just shyness.
- Can social anxiety happen at work?
Yes, social anxiety at work is very common. It can manifest as a fear of public speaking, difficulty talking to authority figures, avoiding team lunches, or being unable to use the telephone in front of others. It can severely impact career progression and job satisfaction. Techniques for overcoming performance anxiety are often a key part of treatment for workplace social anxiety.
- What is anti social anxiety disorder?
There is sometimes confusion with terminology. What is anti social anxiety disorder isn’t a standard clinical term. People often confuse Social Anxiety Disorder (fear of social situations) with Antisocial Personality Disorder (a pattern of disregarding the rights of others). They are very different conditions. If you are searching for information on fear of social interaction, the correct term is Social Anxiety Disorder or Social Phobia.
- How do I get started with treatment?
The first step is acknowledging that social anxiety is affecting your life. You can start by visiting your GP or contacting a specialist like a hypnotherapist or psychotherapist. At Interlude Hypnotherapy, I offer a consultation to discuss your needs and how we can use a combination of therapies to help you achieve your goals.
Overcome Social Anxiety Disorder
Interlude Hypnotherapy
Published: December, 2025
As the calendar turns and the New Year begins, we often feel a surge of motivation to change our lives. We promise to get fit, eat better, or finally tackle that home improvement project. But for many of us, the most significant barrier to a fulfilling life isn’t physical health or a cluttered home—it’s the invisible weight of social anxiety disorder.
Imagine walking into a room and feeling as though a spotlight has just been turned on you, highlighting every flaw you perceive in yourself. Your heart races, your palms sweat, and your mind goes blank. You want to connect, to speak up, to be part of the moment, but fear holds you back. If this sounds familiar, you aren’t alone.
In the UK, anxiety disorders are increasingly common. According to Mental Health UK, over 8 million people in the UK are experiencing an anxiety disorder at any one time. Social anxiety disorder, also known as social phobia, is more than just shyness; it is an intense, persistent fear of being watched and judged by others. This fear can affect work, school, and your day-to-day life.
This New Year, let’s move beyond simple resolutions. Let’s focus on deep, transformative change. In this guide, we will explore what social anxiety is, why it happens, and most importantly, how you can overcome it to reclaim your confidence and connection with the world.
What is Social Anxiety Disorder?
Social anxiety disorder is a type of anxiety disorder that causes extreme fear in social settings. It is distinct from the nervousness many people feel before giving a speech or meeting new people. For someone with social anxiety, everyday interactions cause significant anxiety, self-consciousness, and embarrassment because they fear being scrutinised or judged negatively by others.
Identifying Social Anxiety Symptoms
Recognising the signs is the first step toward healing. Social anxiety symptoms can manifest emotionally, physically, and behaviourally. You might find yourself worrying about a social event weeks in advance or replaying conversations in your head long after they’ve finished, agonising over what you said.
Common emotional and behavioural symptoms include:
➡️ Fear of embarrassment: intense worry about humiliating yourself.
➡️ Avoidance: staying away from places where there are other people.
➡️ Fear that others will notice your anxiety: worrying that people can see you blushing or trembling.
➡️ Analysis paralysis: over-analysing your performance during social interactions.
➡️ Expecting the worst: anticipating the worst possible consequences from a negative social experience.
Physical social anxiety manifestations often include:
➡️ Blushing
➡️ Fast heartbeat
➡️ Trembling or shaking
➡️ Sweating
➡️ Upset stomach or nausea
➡️ Breathlessness
➡️ Dizziness or feeling lightheaded
➡️ Muscle tension
When we look at what is social anxiety, we see it is a complex interplay of mind and body. It’s not just “being quiet”; it’s a physiological response to a perceived threat—even if that threat is simply a dinner party or a team meeting.
Uncovering the Root Cause of Social Anxiety
To effectively treat any condition, we must understand its origins. The causes of social anxiety are often a mix of biological and environmental factors. It’s rarely just one thing.
Genetics and Brain Structure
Research suggests that anxiety disorders can run in families. However, it isn’t entirely clear how much of this may be due to genetics and how much is learned behaviour. Brain structure also plays a role; the amygdala, a part of the brain that controls the fear response, may be overactive in people with social anxiety syndrome. This leads to a heightened fear response, causing increased anxiety in social situations.
Environmental Factors and Learned Experience
Social phobia in childhood often stems from negative experiences. Children who experience teasing, bullying, rejection, ridicule, or humiliation may be more prone to social anxiety disorder. In addition, other negative life events, such as family conflict, trauma, or abuse, may be associated with this disorder.
Consider the avoidance-avoidance conflict. This psychological concept explains a situation where you have to choose between two equally undesirable options. For someone with social anxiety, the choice might be between attending a stressful social event (undesirable due to fear) or staying home and feeling lonely or guilty (undesirable due to isolation). This internal conflict fuels the cycle of anxiety.
How Social Anxiety Affects Daily Life
The impact of social anxiety disorder ripples through every aspect of a person’s existence. It is not something you can simply “switch off” when you leave the house.
Social Anxiety at Work
For many professionals, social anxiety at work can be debilitating. It might stop you from speaking up in meetings, pitching brilliant ideas, or networking with colleagues. You might avoid promotions because they involve public speaking or managing a team. The fear of being judged as incompetent can lead to overcoming performance anxiety becoming a daily battle, hindering your career progression regardless of your actual skills.
Relationships and Social Withdrawal
In personal lives, social withdrawal is a common coping mechanism. You might turn down invitations to parties, dates, or even casual coffee catch-ups. Over time, this isolation can lead to loneliness and depression. Social inhibition prevents you from showing your true personality, making it hard to form deep, meaningful connections.
Everyday Activities
Even mundane tasks can become hurdles. Eating in public, using a public restroom, or returning an item to a shop can trigger social phobia symptoms. The constant fear of embarrassment turns the world into a minefield of potential judgement.
Effective Ways to Overcome Social Anxiety
The good news is that social anxiety disorder is highly treatable. You do not have to live with this weight forever. There are several powerful approaches to managing and overcoming these fears.
The Power of Hypnotherapy
As a Clinical Hypnotherapist based in Sheffield, I have witnessed firsthand the transformative power of hypnotherapy for anxiety. Hypnotherapy works by accessing the subconscious mind—the part of your brain that holds your deep-seated beliefs, habits, and automatic responses.
How Hypnotherapy Helps
While talk therapies often deal with the conscious mind, hypnotherapy goes deeper. In a relaxed state of trance, we can reframe the negative thought patterns that fuel your social anxiety. We can replace the script that says, “Everyone is judging me,” with a new, empowering belief: “I am calm, confident, and capable.”
Evidence and Research
The effectiveness of hypnotherapy is supported by a growing body of research. A study published in the International Journal of Clinical and Experimental Hypnosis found that hypnotherapy can significantly reduce anxiety levels. Furthermore, research highlighted by the National Council for Hypnotherapy (UK) indicates that hypnotherapy is effective in treating various anxiety disorders by promoting relaxation and altering negative thought processes. By lowering general anxiety levels, we reduce the threshold for social triggers.
Another study relevant to UK practice, published in BMC Complementary Medicine and Therapies, suggests that hypnotherapy interventions can have a positive impact on anxiety and stress management, offering a viable alternative or adjunct to pharmaceutical treatments.
Cognitive Behavioural Therapy (CBT) and NLP
In my practice at Interlude Hypnotherapy, I often blend Hypnotherapy with Cognitive Behavioural Therapy (CBT) and Neuro-Linguistic Programming (NLP).
CBT for Social Anxiety
CBT is the gold standard for treating anxiety. It helps you identify and challenge unhelpful thoughts (cognitions) and change the way you react to them (behaviours). For example, if you think, “I will sound stupid if I speak,” CBT helps you look for evidence to the contrary and test that belief in small, safe ways.
NLP Techniques
NLP offers practical tools to change your mental state quickly. Techniques like ‘anchoring’ can help you trigger feelings of calm and confidence simply by touching your finger and thumb together. This gives you a tool you can use discreetly in any social situation to manage social awkwardness.
Self-Help Strategies for Coping
While professional help is invaluable, there are coping skills group activities and individual strategies you can use to manage symptoms day-to-day.
Challenge Your Thoughts
When you feel the social and psychological pressure mounting, pause. Ask yourself: “Is there evidence that people are judging me? Or is this my anxiety talking?” Often, we project our own insecurities onto others.
Shift Your Focus
Anxiety turns our focus inward. We become obsessed with our racing heart or shaky hands. Try to turn your focus outward. Listen intently to what the other person is saying. Look at the colour of the walls or the pattern on the carpet. Grounding yourself in the external world can quiet the internal chatter.
Controlled Breathing
Social anxiety manifestations often include rapid, shallow breathing. Practice deep, slow breathing. Breathe in for a count of four, hold for four, and breathe out for four. This signals to your nervous system that you are safe.
Gradual Exposure
How to get over social anxiety isn’t about diving into the deep end immediately. Start small. Smile at a cashier. Ask a colleague a simple question. Gradually build up to more challenging situations. This is known as desensitisation.
Lifestyle Changes
Diet and Exercise
What you eat and how you move affects your mental health. Caffeine and sugar can mimic anxiety symptoms like a racing heart, so reducing them can help. Regular exercise releases endorphins, which are natural mood lifters.
Sleep Hygiene
Anxiety thrives on exhaustion. Prioritising good sleep hygiene ensures you have the emotional resilience to handle social stressors.
My Unique Approach: Compassion and Solutions
At Interlude Hypnotherapy, I don’t believe in a one-size-fits-all approach. I’m Farah-Naz Khan, and my work as a Clinical Hypnotherapist and Wellness Coach is rooted in over 25 years of holistic wellness expertise. I understand that social phobia disorder is not just a clinical diagnosis; it is a deeply personal struggle that affects your confidence and your joy.
A Personalised Path to Healing
I blend Clinical Hypnotherapy, Psychotherapy, CBT, and NLP to create a bespoke treatment plan for you. Whether we work together face-to-face in Sheffield or online, my goal is to create a safe, non-judgmental space where you can explore your fears without shame.
Solution-Focused Therapy
We won’t just dwell on the past or the root cause of social anxiety, although understanding it is important. We will focus on the solution: what do you want your life to look like? We work towards that future, building the neural pathways for confidence, calm, and connection. My approach provides personalised therapy and mindful self-care practices, facilitating transformative and positive life changes.
Your New Year, Your New Confidence
How to reduce shyness or overcome a disorder is a journey, not a sprint. But the New Year offers a symbolic fresh start. It is the perfect time to commit to your own well-being.
Imagine a year where you accept invitations with excitement rather than dread. Imagine speaking up in a meeting and feeling proud of your contribution. Imagine meeting new people and focusing on their stories rather than your own fears. This is not just a dream; it is a possibility.
If social anxiety disorder has been holding you back, know that you do not have to face it alone. Whether it’s social anxiety social phobia affecting your teens or adult onset anxiety affecting your career, help is available.
Don’t let another year slip by in the shadow of fear. Take the first step towards a vibrant, connected life today.
Contact Me today to book a free consultation. Let’s discuss how we can work together to unlock your confidence and leave social anxiety in the past.
