Hoang, 34, lives alone in a 12 m2 room, connecting with the world through his computer due to a condition known as “social phobia”.
He finds it very difficult to maintain a job, often quitting after just a few months because of overwhelming feelings of anxiety and fear when interacting with customers. Hoang frequently experiences panic during large gatherings. For instance, when attending a dinner party with both familiar and unfamiliar faces, he quickly loses his composure, experiences a racing heart, dizziness, and sweating, and often retreats to a quiet place to calm himself.
During a visit to Mai Huong Day Psychiatric Hospital, he shared with Dr. Tran Thi Hong Thu, the Deputy Director, that “I cannot control my confusing emotions.” On September 18, Dr. Thu explained that the results of psychological tests indicated that Hoang suffers from “social anxiety disorder” (SAD), a mental health condition classified within the stress-related disorders.
Individuals with social anxiety disorder often experience intense worry, fear, and stress when facing social situations or scenarios that trigger their anxiety, including meeting new people, attending events, speaking in front of crowds, or even making phone calls or shopping.
Symptoms of the disorder include: rapid heartbeat, palpitations, muscle tension, dizziness, blushing, sweating, nausea, or vomiting. Patients may experience prolonged anxiety for weeks leading up to an event and fear being judged or evaluated by others. In some cases, individuals may feel embarrassed or humiliated.
Individuals with social anxiety disorder often experience high levels of worry, fear, and stress when facing social situations. (Photo: The Law Of Attraction)
Severe and persistent anxiety disorders affect a person’s character and life. Global research indicates that approximately 9% of women and 7% of men are affected, with symptoms lasting around 12 months and a lifetime prevalence rate of at least 13%. Currently, Vietnam lacks official statistics on the number of affected individuals.
According to Neurosciencenews, social anxiety disorder affects 40 million Americans, manifesting as discomfort in large gatherings or even private coffee dates. A study at George Washington University and Columbia College of Arts and Sciences (CCAS) found that over 12% of Americans may be diagnosed with social anxiety disorder at some point in their lives, including many notable figures.
A survey conducted by China Youth Daily last year in China revealed that more than 80% of nearly 5,000 college students reported mild social anxiety disorder, while 12% stated they did not experience any issues.
The causes of the disorder, in addition to genetic factors, may also stem from environmental influences. The rise of social media and online connections has exacerbated social anxiety, according to experts. Many adolescents, who are naturally curious and exploratory, refuse to leave their homes or meet anyone due to their accustomed lifestyle online. Dependence on online communication prevents many from speaking up in real life.
Psychologist Nguyen Thi Huong Lan, General Director of the Vietnam Happiness Academy, recounts the story of a 17-year-old student in Ho Chi Minh City who is very talkative online but often sweats, feels dizzy, and tries to end conversations quickly when meeting strangers. At school, she keeps to herself and rarely engages with others, always avoiding social gatherings. “Talking online feels safer and more comfortable because no one can see you,” Lan noted.
Many members of Generation Z grow up alone, lacking affection or facing excessive protection from their families. On the other hand, they bear high expectations from their parents, causing them to become withdrawn. Social traumas, negative past experiences, or severe criticism in social situations can also contribute to the onset or worsening of the disorder, according to Dr. Thu.
Treatment for the disorder requires a combination of methods, including psychotherapy, medication, and lifestyle changes (developing coping skills). Cognitive Behavioral Therapy (CBT) is one of the most effective treatments for social anxiety disorder, helping patients recognize and alter negative beliefs related to social interactions.
Patients can practice relaxation techniques, such as breathing exercises to reduce stress, breaking down difficult situations into smaller parts, and gradually becoming more comfortable with each aspect. Patients should consult with a mental health professional for guidance and medication as needed.
“Some level of social anxiety is a part of life. Adaptation is a process, so be patient, make an effort, and learn from every social experience,” Dr. Thu advised.
