Social anxiety disorder: what are the symptoms?

Written in association with: Professor Debora Elijah
Published: | Updated: 28/09/2023
Edited by: Laura Burgess

Social anxiety disorder (SAD) is the intense feelings of nervousness and anxiety in social situations. It’s a common problem that usually starts in children or during teenage years. One of our top neuropsychologists Professor Debora Elijah explains the symptoms to look out for in your child and how SAD can be prevented.

What is social phobia?

Social phobia is the intense fear of being judged or having intense anxiety, of the fear of being negatively evaluated, or rejected in a social or performance situation.
 

Is social phobia the same as social anxiety disorder (SAD)?

There is some distinction between the two. Social phobia is the fear of being judged and scrutinised whilst performing some task in public. Whilst social anxiety describes feelings of intense nervousness and self-consciousness that sufferers experience during one-on-one meetings or group social gatherings. The symptoms fall under the umbrella of SAD.
 

What are the typical symptoms of SAD?

Symptoms of social anxiety disorder may include:

  • Fear of situations in which you may be judged
  • Worrying about embarrassing or humiliating yourself
  • Intense fear of interacting or talking with strangers
  • Fear that others will notice that you look anxious
  • Fear of physical symptoms that may cause you embarrassment, such as blushing, sweating, trembling or having a shaky voice
  • Avoiding doing things or speaking to people out of fear of embarrassment
  • Avoiding situations where you might be the centre of attention
  • Having anxiety in anticipation of a feared activity or event
  • Enduring a social situation with intense fear or anxiety
  • Spending time after a social situation analysing your performance and identifying flaws in your interactions
     

How can SAD be prevented?

SAD can be minimised by early intervention for children. At The Elijah Centre, we use the PROSCIG® program, which focuses on three main areas: social perception, social problem-solving skills and self-monitoring.

Through structured explanations, games and activities in a group setting, children learn the necessary skills to help them make friends, assert themselves and stand up to bullying. By building their confidence, children experience reduced anxiety, enhanced self-esteem and self-awareness.

The groups are a safe place for children to 'test the waters', to take risks and to say and do things that might not be socially 'typical'. We moderate their communication and social behaviour by helping them to accept each other’s' strengths and weaknesses and to value their differences.

 


If you would like to discuss whether your child is experiencing symptoms of SAD, do not hesitate to book an appointment to see Dr Elijah by visiting her Top Doctors profile. 

By Professor Debora Elijah
Psychology

Professor Debora Elijah is a highly esteemed cognitive neuropsychologist, practising privately at the Elijah Social Cognitive Skills Centre in North London. Professor Elijah attends to a range of age groups from 20 months old to young adults, specialising in building social communication skills, ASD, ADHD, self-regulation and anxiety. She is renowned for her holistic approach, treating everyone as an individual, offering treatment that is tailored specifically to that individual.

Professor Elijah graduated with a degree in neuropsychology from University Louvain La Nueve before studying and completing her PhD in Clinical Cognitive Psychology, Social Psychology and Educational Psychology at Fernando Pessoa University. She was trained by Theo Peeters, a Belgian neurolinguist at the Centre for Training in Autism in Antwerp, Belgium. In Antwerp, she was the Joint Director of Tikvatenu, a centre for social communication skills. She also spent time in Brazil conducting research into structured and non-structured environments for autistic children and children with communication disorders, which was supported by the Brazilian Government. At the same time, she was a founder of CIAPEMA, a centre of research and intervention for young high functioning children with autism and related communication disorders.
She was also a lead researcher in the Process Cognitive Psychology group at the Pontifical Catholic University in Rio Grande do Sul.

Professor Elijah returned to the UK in 2000 and has since worked in her own private practice and for two different charities. She developed a programme called PROSCIG©​, an intervention programme dealing with social perception, self-regulation and social problem-solving. She also works at Harley Street Family Centre as a cognitive neuropsychologist and HCPC registered educational consultant. 

Her work has been globally recognised and she has appeared in numerous news articles. Her book The Social Cognitive Mind in Promoting Psychosocial Competences in the Peer Group was published in Portugal in 2014. Professor Elijah also received special mention in the book Autism: How To Raise A Happy Autistic Child by award-winning The Times journalist Jessie Hewitson.

Professor Elijah was appointed as Professor in 2020 of Autism Spectrum and Alternative Communication, as well as being a social sciences coordinator, delivering lectures in Autism Spectrum Disorder and Increased Alternative Communication Module at the Fernando Pessoa University.

The graduatecourse at The Fernando Pessoa University enables trainees to deepen and practice specific knowledge, allowing the development of competencies that favour effective and quality care to this population and their families, according to the international guidelines of evidence-based practice.

Registration number: PYL32792

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