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Information and guidance

Social anxiety – when fear of judgement limits life

Social anxiety involves strong, recurring distress in social situations, often linked to fears of being judged, making a mistake or showing visible anxiety.

Seek qualified help when daily life is limitedIf anxiety causes significant distress or stops you doing important activities, contact a qualified healthcare provider. In immediate danger, contact local emergency services.

Common situations and symptoms

Social anxiety can arise during presentations, small talk, phone calls, dates, parties, shared meals, meetings or any situation where someone may observe you. The body may react with a racing heart, dry mouth, shaking, dizziness, warmth, blushing or sweating.

The avoidance cycle

A situation is interpreted as a threat, attention turns inward and avoidance or safety behaviours create short-term relief. That relief makes avoidance more likely next time and limits opportunities for new learning.

What can help?

CBT for social anxiety can include psychoeducation, attention work, behavioural experiments, reducing safety behaviours and gradual exposure. Treatment includes individual assessment. A self-guided tool such as Mindivate may provide structure but is not a substitute for professional treatment.

A small first step

Choose one relevant situation, write what you predict, take a manageable action and record what was actually observable. Judge the attempt by the action and learning, not by whether anxiety disappeared.

Sources

  1. Social anxiety disorder: recognition, assessment and treatment – NICE (accessed 16 July 2026)
  2. Social anxiety – 1177 Vårdguiden (accessed 16 July 2026)
  3. National guidelines for depression and anxiety disorders – Socialstyrelsen (accessed 16 July 2026)