Anxiety
Hello, Dr.
Chang.
I tend to sweat excessively, which makes me anxious about going out with my classmates.
Even in a cool environment, my fear of sweating causes me to feel very nervous, leading to excessive perspiration.
When I'm in a group of people, I often feel flushed and sweaty, and I also fear that everyone is watching me while I'm in a crowd.
Could you please tell me what condition this might be? Thank you for your response!
Nìmíng, 20~29 year old female. Ask Date: 2004/08/06
Dr. Zhang Xuncheng reply Psychiatry
Dear anonymous user,
Dr.
Hsün-Cheng Chang from the Psychiatric Department of Tainan Hospital, Ministry of Health and Welfare, responds: There are many possible causes for excessive sweating, such as hyperthyroidism and sympathetic nervous system activation, among others.
When several factors are combined, the condition is more likely to worsen.
For example, if someone already has hyperthyroidism and experiences significant sweating, added stress can exacerbate the sweating even further.
I recommend that you first visit a major hospital's internal medicine or family medicine department for a health check-up regarding this symptom.
If no internal medical issues are found, then anxiety or autonomic nervous system dysregulation is highly likely.
It would be necessary to consult a psychiatrist for treatment arrangements.
Additionally, regardless of your situation, I advise against consuming highly stimulating foods, such as tobacco, alcohol, betel nut, tea, coffee, and spicy foods.
It is also important to incorporate relaxing leisure activities into your life.
This way, the overactive autonomic nervous system can get adequate rest and return to normal function.
Wishing you good health and all the best from Tainan Hospital!
Reply Date: 2004/08/06
More Info
Hello! It sounds like you are experiencing significant anxiety related to sweating in social situations, which is often referred to as "social anxiety" or "social phobia." This condition can manifest in various ways, including excessive sweating (hyperhidrosis), blushing, and an overwhelming fear of being judged or scrutinized by others.
The fear of sweating in public can create a vicious cycle: the anticipation of sweating leads to anxiety, which in turn can trigger sweating, reinforcing your fears and making you feel even more self-conscious. This is a common experience for many individuals with social anxiety, and it can severely impact one's social life and overall well-being.
From a medical perspective, this condition may not be classified as a distinct "disease," but rather as a symptom of social anxiety disorder (SAD). SAD is characterized by an intense fear of social situations where one might be exposed to scrutiny or judgment. Individuals with SAD often worry excessively about embarrassing themselves, which can lead to avoidance behaviors, such as declining invitations to social events or avoiding interactions with peers.
To address your concerns, here are some strategies that may help you manage your anxiety and reduce the fear of sweating in social situations:
1. Cognitive Behavioral Therapy (CBT): This is a highly effective treatment for social anxiety. CBT helps individuals identify and challenge negative thought patterns and beliefs that contribute to anxiety. By reframing your thoughts about sweating and social interactions, you can gradually reduce your fear.
2. Exposure Therapy: This involves gradually exposing yourself to social situations that trigger your anxiety in a controlled manner. Start with less intimidating scenarios and work your way up to more challenging situations. This can help desensitize you to the fear of sweating and being judged.
3. Relaxation Techniques: Practicing mindfulness, deep breathing exercises, or progressive muscle relaxation can help you manage anxiety symptoms. These techniques can calm your nervous system and reduce the physical symptoms of anxiety, such as sweating.
4. Medication: In some cases, medication may be prescribed to help manage anxiety symptoms. Selective serotonin reuptake inhibitors (SSRIs) or beta-blockers can be effective in reducing anxiety and its physical manifestations, including sweating.
5. Lifestyle Changes: Regular physical activity, a balanced diet, and adequate sleep can improve your overall mental health and reduce anxiety levels. Additionally, avoiding caffeine and alcohol, which can exacerbate anxiety symptoms, may be beneficial.
6. Support Groups: Connecting with others who experience similar challenges can provide a sense of community and understanding. Support groups can offer valuable insights and coping strategies.
7. Focus on Others: Shift your attention away from yourself and your fears. Engage in conversations and show genuine interest in others. This can help reduce self-consciousness and anxiety.
8. Practice Self-Compassion: Be kind to yourself and recognize that many people experience anxiety in social situations. Accepting your feelings without judgment can help reduce their intensity.
It's important to remember that overcoming social anxiety is a gradual process, and it's okay to seek professional help. A mental health professional can provide personalized strategies and support tailored to your specific needs. Don't hesitate to reach out for assistance, as you deserve to enjoy social interactions without the burden of anxiety.
In conclusion, while the fear of sweating in social situations can be distressing, there are effective strategies and treatments available to help you manage your anxiety. With time, patience, and the right support, you can work towards feeling more comfortable and confident in social settings.
Similar Q&A
Understanding Social Anxiety: Overcoming Fear in Familiar Settings
Hello, Doctor: When I engage in general social activities alone, I usually don't feel too anxious because I know they are just strangers I've met once and will forget quickly. I don't have to be responsible for them. However, when it comes to interacting with acqua...
Dr. Ding Shuyan reply Psychiatry
Hello, regarding your inquiry about disease diagnosis, it is actually not permissible to conduct remote consultations online. However, let's share some medical knowledge for your reference. If someone exhibits the behaviors you described, they may be experiencing social anxi...[Read More] Understanding Social Anxiety: Overcoming Fear in Familiar Settings
Overcoming Social Anxiety: Coping with Fear in Crowded Situations
I am currently a high school student, and every time I find myself in a crowded situation, I feel extremely anxious, as if everyone is watching and paying attention to me. This is especially true during flag-raising ceremonies, where my face involuntarily trembles, and I experien...
Dr. Liang Sunyuan reply Psychiatry
Hello: It seems that this symptom has caused you considerable distress. I suggest shifting your focus to more neutral matters, such as paying closer attention during meetings to what your superiors are advocating, and contemplating the purpose behind their messages and the effect...[Read More] Overcoming Social Anxiety: Coping with Fear in Crowded Situations
Understanding Anxiety: Coping with Overthinking and Social Fears
Recently, I often feel like crying suddenly and I'm afraid that I won't do something well. I keep ruminating on things that haven't happened yet, which often leads to poor sleep. When a situation involves me, I find myself constantly double-checking and fearing oth...
Dr. Liang Sunyuan reply Psychiatry
Hello: Based on your description, you may be experiencing some symptoms of depression and anxiety. It is advisable to remind yourself that the past is behind you and to focus on the present and on yourself. Feeling nervous about public speaking is normal for most people; you can ...[Read More] Understanding Anxiety: Coping with Overthinking and Social Fears
Overcoming Social Anxiety: Tips for Managing Fear of Men
Hello Dr. Su: I have been struggling with a psychological disorder for a long time, from middle school to university. Whenever I see a boy or a group of boys walking past me or brushing against me, I start to feel anxious, my palms sweat, and my whole body trembles. I really want...
Dr. Su Zongwei reply Psychiatry
Could this lead to social issues? If so, there are many reasons for it. A detailed assessment is necessary. You should consider seeking outpatient consultation with a psychiatrist to evaluate whether treatment is needed.[Read More] Overcoming Social Anxiety: Tips for Managing Fear of Men
Related FAQ
(Psychiatry)
Nervousness(Psychiatry)
Panic(Psychiatry)
Phobia(Psychiatry)
Worry(Psychiatry)
Social Interaction(Psychiatry)
Emotions(Psychiatry)
Autonomic Nervous System(Psychiatry)
Hyperventilation(Psychiatry)
Anti-Anxiety Medication(Psychiatry)