There are a number of treatments for social anxiety disorder that have shown great benefit to patients. Cognitive, behavioral, and relaxation therapy have certainly shown incredible results. The primary goals with treatment for this disorder include reducing physical signs and symptoms of anxiety, breaking negative thought patterns and replacing them with balanced and realistic views, and eventually facing your fears.
Reducing anxiety symptoms is typically done through relaxation techniques. These can be used to alleviate symptoms ranging from mild to severe. Learning proper breathing techniques can help stop a panic attack in its tracks and can give you greater control over your anxiety. 
In terms of changing negative thought patterns, it is important to first find the thoughts that automatically appear whenever you are in a social situation. These thoughts can be anything from worrying that you will look stupid or foolish to fears about your voice shaking or being unable to speak. People with social anxiety have a tendency to experience thoughts that would require reading minds or predicting the future, such as imagining what other people are thinking or that you know the outcome of a social situation. It is also common to assume that people learning that you are anxious will have catastrophic results or that any reaction of others within the setting is because they are paying attention to you.
It is important in social situations to realize that there are often many conversations and thought processes taking place. People are rarely focused entirely on you. Learning that it is impossible to know how someone will react or what they are thinking is crucial, and you must also learn to look at things in a realistic manner.
Last, it is important to gradually face your fears. Research shows that the more often and longer you avoid social situations, the more frightening they will become to you. While you wouldn’t want to suddenly be forced to give a huge speech after years of social anxiety, gradually introducing yourself into new social settings can help you overcome the symptoms by offering greater confidence and coping skills.
Summary
Social anxiety disorder is different from other anxiety disorders in many ways. With this condition, it is typically interaction with or judgment of other individuals that triggers feelings of fear and anxiety. Social anxiety can be alleviated and there is help available, but speaking with your doctor or mental health professional is an important step towards recovery and proper treatment.
Could I Have Social Anxiety Disorder?
Recognizing the difference between being shy or nervous and social anxiety disorder is important. This questionnaire can help you know if your condition is something that you should speak with your doctor about.
Do you have significant or persistent fear of social or performance situations where you may be embarrassed, rejected, or scrutinized?
Do you almost always experience anxiety symptoms when in the social situation that you fear?
Do you know that your fear is unreasonable but find that you do not know what to do about it?
Do you avoid the feared social situation or endure it with intense distress or anxiety?
If you have answered yes to these questions and your doctor has ruled out other physical or mental causes, you may have social anxiety disorder. If your fear and anxiety is making it difficult for you to function, attend school or work, or have healthy relationships, it is important that you speak with a physician or mental health professional. These are signs of social anxiety disorder and you may benefit greatly from treatment.
Obsessive Compulsive Disorder
OCD
Obsessive-compulsive disorder is another common anxiety disorder. People with OCD are plagued by repetitive, intrusive, and distressing thoughts. For patients with OCD, acting on these thoughts and compulsions can serve to alleviate anxiety, even though they realize that the compulsions are irrational or unreasonable.
Studies show that some 2.2 million adults in the United States suffer from obsessive-compulsive disorder to some degree. This is roughly 1 percent of the adult population. Studies also show that while the first symptoms of the disorder often begin in childhood or early adolescence, the average age at time of diagnosis is 19. In children, the condition is noted more often in boys than girls, but by adulthood, the diagnostic rate is remarkably similar.
How Obsessive Compulsive Disorder Presents
To people surrounding someone with OCD, the patient may just seem superstitious. They may feel the need to walk in a certain pattern, do things a certain number of times, or even touch things in a specific way. They may also compulsively wash their hands, clean certain items, or check locks or light switches.
One of the hallmark characteristics for people with OCD is that they realize that their obsessions and compulsions are unreasonable and without merit. This realization helps distinguish OCD from obsessive-compulsive personality disorder. Many people with OCD feel shame and fear regarding their thoughts and behaviors and will work to keep from revealing them.
OCD is broken down into two different patterns of thought and resulting behavior- obsessions and compulsions. Obsessions are recurrent and unwanted thoughts or impulses that cause significant anxiety. These thoughts are intrusive and while they may first be thought of as benign, they can quickly become disabling as they create a sense of fear and anxiety.
Obsessions typically fall into certain categories. The common themes for obsessions are as follow:
- Fear of contamination with dirt, germs, or poison. This can manifest as constant hand washing and cleaning or even the avoidance of items perceived as dirty or poisonous.
- Fear of having a serious illness, which can manifest at hypervigilance at all bodily symptoms and changes and frequent visits to the doctor or emergency room.
- Fear that one’s personal actions can hurt other people or cause bad things to happen, which may result in irrational beliefs, such as that leaving a door unlocked can cause a loved one to meet great harm.
- Hoarding, or the inability to discard useless and unneeded items.
- Inappropriate aggressive or sexual thoughts and images, which can result in violent emotional or physical outbursts as well as sexual impulses.
- The overwhelming need for exactness, order, or symmetry, which can present with constant organization, a fixation with even numbers, or anxiety over arrangement, eating habits, or even clothing.
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