{"id":24342,"date":"2026-02-28T22:53:52","date_gmt":"2026-03-01T02:53:52","guid":{"rendered":"https:\/\/cliniqueomicron.ca\/anxiete-sociale\/"},"modified":"2026-03-01T16:57:06","modified_gmt":"2026-03-01T20:57:06","slug":"social-anxiety","status":"publish","type":"page","link":"https:\/\/cliniqueomicron.ca\/en\/anxiete-sociale\/","title":{"rendered":"Social anxiety (social phobia): symptoms and treatment | Clinique Omicron"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"24342\" class=\"elementor elementor-24342\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f571c0f e-flex e-con-boxed e-con e-parent\" data-id=\"f571c0f\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;ekit_has_onepagescroll_dot&quot;:&quot;yes&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-65b1903 elementor-widget elementor-widget-html\" data-id=\"65b1903\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<style>\n@import url('https:\/\/fonts.googleapis.com\/css2?family=Cinzel:wght@600&family=Poppins:wght@400;500;600;700&display=swap');\n\n.co-wrap * {\n  font-family: 'Poppins', sans-serif;\n  box-sizing: border-box;\n}\n.co-wrap {\n  max-width: 1100px;\n  margin: 0 auto;\n  padding: 30px 0 60px;\n  margin-top: 10px;\n}\n.co-label {\n  font-family: 'Cinzel', serif;\n  font-size: 14px;\n  font-weight: bold;\n  letter-spacing: 1px;\n  text-transform: uppercase;\n  color: #4D6577;\n  margin-bottom: 14px;\n  display: block;\n}\n.co-wrap h1 {\n  font-size: 32px;\n  font-weight: 500;\n  color: #323C52;\n  margin: 0 0 22px;\n  line-height: 1.2;\n  letter-spacing: 0.5px;\n}\n.co-intro {\n  font-size: 16px;\n  font-weight: 400;\n  line-height: 1.75;\n  color: #4D6577;\n  margin-bottom: 36px;\n  padding-bottom: 32px;\n  border-bottom: 1px solid rgba(77,101,119,.2);\n}\n.co-wrap h2 {\n  font-size: 20px;\n  font-weight: 600;\n  color: #323C52;\n  margin: 32px 0 12px;\n  letter-spacing: 0.3px;\n}\n.co-wrap p {\n  font-size: 15px;\n  font-weight: 400;\n  color: #4D6577;\n  line-height: 1.7;\n  margin-bottom: 14px;\n}\n.co-list {\n  list-style: none;\n  padding: 0;\n  margin: 12px 0 24px;\n}\n.co-list li {\n  font-size: 15px;\n  font-weight: 400;\n  color: #4D6577;\n  padding: 10px 14px 10px 38px;\n  margin-bottom: 8px;\n  border-radius: 6px;\n  position: relative;\n  background: rgba(77,101,119,.06);\n  border-left: 3px solid #4D6577;\n}\n.co-list li::before {\n  content: \"\u2713\";\n  position: absolute;\n  left: 12px;\n  font-weight: 700;\n  color: #4D6577;\n}\n.co-table {\n  width: 100%;\n  border-collapse: collapse;\n  margin: 14px 0 22px;\n  font-size: 14px;\n  border-radius: 8px;\n  overflow: hidden;\n}\n.co-table thead tr {\n  background: #323C52;\n  color: #fff;\n}\n.co-table thead th {\n  padding: 11px 16px;\n  text-align: left;\n  font-weight: 600;\n  font-size: 13px;\n}\n.co-table tbody tr:nth-child(even) { background: rgba(77,101,119,.06); }\n.co-table tbody tr:nth-child(odd) { background: #fff; }\n.co-table td {\n  padding: 10px 16px;\n  color: #4D6577;\n  border-bottom: 1px solid rgba(77,101,119,.12);\n  font-size: 14px;\n  vertical-align: top;\n}\n.co-table td:first-child {\n  font-weight: 600;\n  color: #323C52;\n}\n.co-infobox {\n  display: flex;\n  gap: 12px;\n  background: rgba(77,101,119,.06);\n  border-radius: 8px;\n  border-left: 4px solid #4D6577;\n  padding: 14px 18px;\n  margin: 18px 0 28px;\n  font-size: 14px;\n  font-weight: 400;\n  color: #4D6577;\n  line-height: 1.65;\n}\n.co-infobox .ico { font-size: 18px; flex-shrink: 0; }\n.co-urgence {\n  background: #fff8f8;\n  border-left: 5px solid #c0392b;\n  border-radius: 6px;\n  padding: 20px 26px;\n  margin: 24px 0 32px;\n}\n.co-urgence .co-urgence-titre {\n  font-size: 13px;\n  font-weight: 700;\n  color: #c0392b;\n  letter-spacing: 1.5px;\n  text-transform: uppercase;\n  margin-bottom: 10px;\n}\n.co-urgence p {\n  color: #5a2020;\n  font-size: 14px;\n  margin: 0 0 10px;\n  line-height: 1.7;\n}\n.co-urgence p:last-child { margin-bottom: 0; }\n.co-urgence .co-urgence-num {\n  font-size: 28px;\n  font-weight: 700;\n  color: #c0392b;\n  letter-spacing: 2px;\n  display: block;\n}\n<\/style>\n\n<div class=\"co-wrap\">\n\n  <span class=\"co-label\">Psychiatry - Anxiety disorders<\/span>\n  <h1>Social anxiety (social phobia)<\/h1>\n\n  <div class=\"co-intro\">\n    Social anxiety disorder, also known as social phobia, is an anxiety disorder characterized by an intense, persistent and disproportionate fear of being observed, judged or evaluated negatively by others in social or performance situations. This fear goes beyond simple shyness and causes significant distress and avoidance of feared situations, to the point of disrupting the sufferer's professional, academic or relational functioning. According to epidemiological data, social anxiety disorder is one of the most common anxiety disorders, with an estimated lifetime prevalence of between 7 and 13 % in Western countries. It most often begins in adolescence, between the ages of 13 and 17, and develops chronically in the absence of treatment. Women are slightly more affected than men, although proportionally more men seek help. The disorder can present in a circumscribed way, limited to specific situations such as public speaking, or in a generalized way, involving the majority of social interactions. Despite its significant impact on quality of life, social anxiety remains under-diagnosed, with sufferers often waiting several years before consulting a health professional.\n  <\/div>\n\n  <h2>Frequent trigger situations<\/h2>\n  <p>Social anxiety can be triggered by a wide range of situations involving exposure to the gaze or judgment of others. These situations vary in intensity according to the person's profile and the subtype of the disorder.<\/p>\n\n  <table class=\"co-table\">\n    <thead>\n      <tr>\n        <th>Category<\/th>\n        <th>Examples of trigger situations<\/th>\n      <\/tr>\n    <\/thead>\n    <tbody>\n      <tr>\n        <td>Performance and exhibition<\/td>\n        <td>Public speaking, professional presentations, oral exams, artistic performances<\/td>\n      <\/tr>\n      <tr>\n        <td>Social interaction<\/td>\n        <td>Conversations with strangers, first dates, business meetings, group activities<\/td>\n      <\/tr>\n      <tr>\n        <td>Observation by others<\/td>\n        <td>Eating or drinking in public, writing in front of others, being watched while working<\/td>\n      <\/tr>\n      <tr>\n        <td>Assertive situations<\/td>\n        <td>Expressing disagreement, asking a question, returning an article, phoning a stranger<\/td>\n      <\/tr>\n      <tr>\n        <td>Collective environments<\/td>\n        <td>Parties, social gatherings, crowded public transport, queues<\/td>\n      <\/tr>\n    <\/tbody>\n  <\/table>\n\n  <h2>Clinical manifestations<\/h2>\n  <p>The clinical picture of social anxiety combines cognitive, emotional, behavioral and somatic symptoms. Their intensity varies from one individual to another and according to the context of exposure.<\/p>\n\n  <table class=\"co-table\">\n    <thead>\n      <tr>\n        <th>Dimension<\/th>\n        <th>Typical manifestations<\/th>\n      <\/tr>\n    <\/thead>\n    <tbody>\n      <tr>\n        <td>Cognitive<\/td>\n        <td>Fear of being judged, humiliated or ridiculed; catastrophic anticipation of social situations; ruminations after interactions; selective attention to self<\/td>\n      <\/tr>\n      <tr>\n        <td>Emotional<\/td>\n        <td>Intense fear, shame, embarrassment, feelings of inferiority, distress at exhibitions<\/td>\n      <\/tr>\n      <tr>\n        <td>Behavioral<\/td>\n        <td>Avoidance of social situations, safety behaviours (avoiding eye contact, speaking little, keeping to oneself), social procrastination<\/td>\n      <\/tr>\n      <tr>\n        <td>Somatic<\/td>\n        <td>Flushing, trembling, excessive sweating, palpitations, trembling voice, nausea, dry mouth, choking sensation<\/td>\n      <\/tr>\n    <\/tbody>\n  <\/table>\n\n  <div class=\"co-infobox\">\n    <span class=\"ico\">\u2139\ufe0f<\/span>\n    <span>The fear of blushing (ereutophobia), sweating visibly or trembling in public is particularly common in social anxiety. These somatic symptoms themselves become a source of additional anxiety, fueling a cycle of self-monitoring and hypervigilance characteristic of the disorder.<\/span>\n  <\/div>\n\n  <h2>Diagnostic criteria (DSM-5)<\/h2>\n  <p>The diagnosis of social anxiety disorder is based on the criteria set out in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). These criteria distinguish the disorder from simple shyness or normal apprehension in social situations.<\/p>\n\n  <ul class=\"co-list\">\n    <li>Marked and persistent fear of one or more social situations involving possible exposure to the gaze of others<\/li>\n    <li>Fear that the person will act in an embarrassing way or that their anxiety symptoms will be visible and judged negatively<\/li>\n    <li>Social situations almost always provoke immediate fear or anxiety.<\/li>\n    <li>Social situations are avoided or experienced with intense distress<\/li>\n    <li>Fear or anxiety is disproportionate to the real threat posed by the situation<\/li>\n    <li>Persistent fear, anxiety or avoidance, typically lasting six months or more<\/li>\n    <li>The disturbance results in clinically significant distress or impairment of social, occupational or other important functioning<\/li>\n  <\/ul>\n\n  <h2>Important diagnostic distinctions<\/h2>\n  <p>Social anxiety shares certain manifestations with other psychiatric or medical conditions. A rigorous clinical evaluation can establish a precise differential diagnosis and guide appropriate treatment.<\/p>\n\n  <table class=\"co-table\">\n    <thead>\n      <tr>\n        <th>Condition<\/th>\n        <th>Distinction from social anxiety<\/th>\n      <\/tr>\n    <\/thead>\n    <tbody>\n      <tr>\n        <td>Normal shyness<\/td>\n        <td>Transient discomfort without significant avoidance or lasting functional impact<\/td>\n      <\/tr>\n      <tr>\n        <td>Panic disorder with agoraphobia<\/td>\n        <td>Fear is about physical sensations and loss of control, not about the judgment of others.<\/td>\n      <\/tr>\n      <tr>\n        <td>Avoidant personality disorder<\/td>\n        <td>Significant overlap; avoidant personality involves a more pervasive social inhibition rooted in identity<\/td>\n      <\/tr>\n      <tr>\n        <td>Selective Mutism<\/td>\n        <td>Inability to speak in certain social contexts, mainly in children; may coexist with social anxiety<\/td>\n      <\/tr>\n      <tr>\n        <td>Dysmorphophobia<\/td>\n        <td>Social fear focuses on a perceived physical defect, real or imagined.<\/td>\n      <\/tr>\n      <tr>\n        <td>Autism spectrum disorder<\/td>\n        <td>Social difficulties stem from deficits in communication and reciprocity, not from fear of judgment.<\/td>\n      <\/tr>\n    <\/tbody>\n  <\/table>\n\n  <h2>Common comorbidities<\/h2>\n  <p>Social anxiety rarely occurs in isolation. It is frequently accompanied by other psychiatric disorders, the presence of which can complicate diagnosis and management.<\/p>\n\n  <ul class=\"co-list\">\n    <li>Major depression: most frequent comorbidity, often secondary to prolonged social isolation<\/li>\n    <li>Other anxiety disorders: generalized anxiety disorder, panic disorder, agoraphobia<\/li>\n    <li>Substance use disorders: alcohol and benzodiazepines used as self-medication to alleviate social anxiety<\/li>\n    <li>Obsessive-compulsive disorder (OCD): shares certain ruminations and ritualized behaviors<\/li>\n    <li>Attention Deficit Hyperactivity Disorder (ADHD): impulsivity and relationship difficulties can amplify social anxiety<\/li>\n    <li>Eating disorders: body image and fear of judgment frequently overlap<\/li>\n  <\/ul>\n\n  <div class=\"co-infobox\">\n    <span class=\"ico\">\u2139\ufe0f<\/span>\n    <span>The use of alcohol as a coping strategy in social situations is particularly common among people suffering from social anxiety. This often socially trivialized use can develop into dependence, significantly complicating the clinical trajectory of the disorder.<\/span>\n  <\/div>\n\n  <h2>Therapeutic approaches<\/h2>\n  <p>Social anxiety is a well-documented disorder for which effective treatments exist. Psychotherapeutic and pharmacological approaches can be used alone or in combination, depending on the severity of the disorder and the individual's profile.<\/p>\n\n  <table class=\"co-table\">\n    <thead>\n      <tr>\n        <th>Approach<\/th>\n        <th>Description<\/th>\n        <th>Level of evidence<\/th>\n      <\/tr>\n    <\/thead>\n    <tbody>\n      <tr>\n        <td>Cognitive behavioral therapy (CBT)<\/td>\n        <td>Restructuring of negative automatic thoughts, gradual exposure to feared situations, reduction of safety behaviours<\/td>\n        <td>High; first-line treatment<\/td>\n      <\/tr>\n      <tr>\n        <td>Selective serotonin reuptake inhibitors (SSRIs)<\/td>\n        <td>Paroxetine, sertraline, escitalopram; reduced anticipatory anxiety and avoidance<\/td>\n        <td>High; first-line pharmacological treatment<\/td>\n      <\/tr>\n      <tr>\n        <td>Serotonin and norepinephrine reuptake inhibitors (SNRIs)<\/td>\n        <td>Venlafaxine: comparable efficacy to SSRIs<\/td>\n        <td>High<\/td>\n      <\/tr>\n      <tr>\n        <td>Acceptance and Commitment Therapy (ACT)<\/td>\n        <td>Development of psychological flexibility and acceptance of anxious thoughts without avoidance<\/td>\n        <td>Moderate to high<\/td>\n      <\/tr>\n      <tr>\n        <td>Virtual reality exposure therapy<\/td>\n        <td>Simulated exposure to social situations in a controlled environment<\/td>\n        <td>Moderate; promising complementary approach<\/td>\n      <\/tr>\n      <tr>\n        <td>Beta-blockers (propranolol)<\/td>\n        <td>Reduction of situational somatic symptoms (tremors, palpitations) in specific performance contexts<\/td>\n        <td>Limited; occasional use only<\/td>\n      <\/tr>\n    <\/tbody>\n  <\/table>\n\n  <div class=\"co-infobox\">\n    <span class=\"ico\">\u2139\ufe0f<\/span>\n    <span>Benzodiazepines are generally not recommended as background treatment for social anxiety, due to the risk of dependence and tolerance, as well as their lack of effect on the cognitive and behavioral mechanisms underlying the disorder.<\/span>\n  <\/div>\n\n  <h2>Consult at Clinique Omicron<\/h2>\n  <p>Clinique Omicron has points of service in Quebec offering mental health and general medical consultations for people with symptoms suggestive of social anxiety. The clinic's physicians and specialized nurse practitioners are able to assess the clinical situation and refer patients to the appropriate resources and professionals. To book an appointment at one of our Quebec locations, visit cliniqueomicron.ca or contact the clinic directly.<\/p>\n\n  <style>.co-disclaimer{font-size:13px;color:#8a9aaa;font-style:italic;border-top:1px solid rgba(77,101,119,.15);padding-top:24px;margin-top:40px;line-height:1.6;}<\/style>\n  <p class=\"co-disclaimer\">The content of this page is provided for informational purposes only and is not intended to replace the advice of a qualified healthcare professional. Consult a physician for any symptoms, questions or decisions you may have regarding your health.<\/p>\n\n<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Psychiatrie \u2013 Troubles anxieux Anxi\u00e9t\u00e9 sociale (phobie sociale) L&rsquo;anxi\u00e9t\u00e9 sociale, d\u00e9sign\u00e9e \u00e9galement sous le terme de phobie sociale, est un trouble anxieux caract\u00e9ris\u00e9 par une peur intense, persistante et disproportionn\u00e9e d&rsquo;\u00eatre observ\u00e9, jug\u00e9 ou \u00e9valu\u00e9 n\u00e9gativement par autrui dans des situations sociales ou de performance. Cette crainte d\u00e9passe la simple timidit\u00e9 et engendre une d\u00e9tresse&hellip;&nbsp;<a href=\"https:\/\/cliniqueomicron.ca\/en\/anxiete-sociale\/\" rel=\"bookmark\">Read More \"<span class=\"screen-reader-text\">Social anxiety (social phobia): symptoms and treatment | Clinique Omicron<\/span><\/a><\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"neve_meta_sidebar":"","neve_meta_container":"","neve_meta_enable_content_width":"off","neve_meta_content_width":100,"neve_meta_title_alignment":"","neve_meta_author_avatar":"","neve_post_elements_order":"","neve_meta_disable_header":"","neve_meta_disable_footer":"","neve_meta_disable_title":"","_themeisle_gutenberg_block_has_review":false,"_metasync_otto_title":"Anxi\u00e9t\u00e9 sociale (phobie sociale) | Omicron","_metasync_otto_description":"L'anxi\u00e9t\u00e9 sociale est un trouble anxieux caract\u00e9ris\u00e9 par une peur intense des situations sociales. D\u00e9couvrez ses manifestations, son diagnostic et ses option...","_metasync_otto_keywords":"anxiete sociale, Clinique Omicron, clinique m\u00e9dicale Qu\u00e9bec, m\u00e9decin g\u00e9n\u00e9raliste Montr\u00e9al, Qu\u00e9bec","_metasync_otto_og_title":"Anxi\u00e9t\u00e9 sociale (phobie sociale) : | Brossard | Clinique Omicron","_metasync_otto_og_description":"L'anxi\u00e9t\u00e9 sociale est un trouble anxieux caract\u00e9ris\u00e9 par une peur intense des situations sociales. D\u00e9couvrez ses manifestations, son diagnostic et ses option...","_metasync_otto_twitter_title":"Anxi\u00e9t\u00e9 sociale (phobie sociale) : | Brossard | Clinique Omicron","_metasync_otto_twitter_description":"L'anxi\u00e9t\u00e9 sociale est un trouble anxieux caract\u00e9ris\u00e9 par une peur intense des situations sociales. 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