Feeling nervous in certain social situations is normal, but for some, these feelings go far beyond occasional discomfort. Social Anxiety Disorder (SAD) is a chronic mental health condition that can deeply affect every aspect of daily life. When left untreated, it can lead to isolation, impaired functioning, and even substance use as a means of coping.
At Hanley Center, we recognize the emotional burden that social anxiety can place on individuals and families. Through personalized, evidence-based treatment in both our integrated dual diagnosis programs and Residential Mental Health Program, we help individuals manage social anxiety and reclaim their confidence, stability, and peace of mind.
What Is Social Anxiety Disorder?
Social Anxiety Disorder is more than shyness or stage fright—it’s an intense, persistent fear of being judged, embarrassed, or negatively evaluated in social or performance situations. These fears can lead to avoidance behaviors that disrupt work, school, and relationships, and can even result in long-term emotional and physical health concerns if not addressed.
People with SAD often experience:
- Rapid heart rate or shortness of breath in social settings
- Nausea, dizziness, or gastrointestinal distress
- Difficulty making eye contact or speaking in groups
- Excessive worry before or after social interactions
- Avoidance of social events, meetings, or even everyday errands
What Causes Social Anxiety Disorder?
There is no single cause of Social Anxiety Disorder, but several contributing factors can increase risk:
- Family history of anxiety or mood disorders
- Negative social experiences, such as bullying or public humiliation
- Childhood trauma or neglect
- Physical characteristics or medical conditions that draw unwanted attention
- Brain chemistry and temperament, including overactivity in fear-related brain circuits
For many individuals, SAD first emerges during adolescence—a critical time for identity formation and social development.
Common Triggers for Social Anxiety
While triggers vary, individuals with Social Anxiety Disorder may struggle with:
- Public speaking or presentations
- Meeting new people or talking to authority figures
- Eating in public or using public restrooms
- Attending parties or group events
- Being the center of attention
Importantly, not every situation will affect each person the same way, and some may mask their anxiety behind humor, silence, or avoidance.
What Happens If Social Anxiety Goes Untreated?
Ignoring symptoms of social anxiety can cause the condition to worsen over time. Many people begin to withdraw from social situations entirely, which can result in:
- Loss of academic or career opportunities
- Difficulty building or maintaining relationships
- Low self-esteem and heightened sensitivity to criticism
- Depression, loneliness, and feelings of hopelessness
- Increased risk of substance use as a coping mechanism
Untreated social anxiety can significantly diminish quality of life and interfere with a person’s ability to reach their full potential.
Healthy Ways to Cope with Social Anxiety
Learning to manage social anxiety is a process, and support is essential. Helpful strategies may include:
- Journaling thoughts and feelings to process social experiences
- Physical activities like yoga, walking, or cycling can release tension
- Structured routines that include time for rest, reflection, and self-care
- Gradual exposure to anxiety-provoking situations
Therapeutic support, including cognitive-behavioral therapy (CBT), mindfulness training, and medication management when appropriate
The Link Between Social Anxiety and Substance Use
Unfortunately, many people with untreated social anxiety turn to drugs or alcohol to feel more at ease in social settings. This coping mechanism may provide temporary relief, but it often leads to dependence, worsening anxiety, and co-occurring substance use disorders.
At Hanley Center, we specialize in dual diagnosis care, treating both social anxiety and substance use disorders concurrently. Our approach recognizes that healing anxiety is not just about reducing symptoms—it’s about addressing the underlying causes and building sustainable coping skills.
Specialized Care at Hanley Center
Whether a person is living with social anxiety alone or alongside addiction, Hanley Center provides comprehensive, personalized treatment designed to support lasting recovery. Our expert team includes licensed therapists, psychiatrists, medical professionals, and wellness specialists who collaborate to create a treatment plan tailored to each individual’s unique needs.
Treatment options include:
- Integrated dual diagnosis treatment for those with co-occurring substance use and mental health disorders
- A standalone Residential Mental Health Program for individuals seeking support for primary psychiatric conditions like anxiety, depression, or trauma without a substance use diagnosis
- Evidence-based modalities including CBT, EMDR, DBT, and mindfulness-based stress reduction
- Continuing care planning to support long-term emotional wellness and confidence in social environments
If you or someone you love is living with the weight of social anxiety, help is available. With compassionate care, proven clinical strategies, and a supportive treatment community, Hanley Center helps individuals move beyond fear and into a life of connection, confidence, and purpose.
Hanley Center has been helping people all over the country achieve wellness for more than 40 years. In addition to providing age- and gender-specific treatment for substance use and co-occurring disorders, Hanley offers a Patriots Initiative for first responders and veterans, a program specifically for pregnant women, and a boutique residential mental health program for adults. For information on our programs, call us today: 561-841-1033.
