Most students look forward to going back to school. It's an exciting time to make new friends, participate in class and all sorts of after school activities.

Some aren't as eager, however, because they have an intense fear of becoming humiliated in social situations and are afraid of embarrassing themselves in front of other people.

They may suffer from social phobia, a disorder which often begins during childhood or adolescence, can last a lifetime, and is particularly bothersome to those in school or in the workforce.

Social phobia often occurs in families and may be accompanied by depression and alcohol use. It affects more than seven million Americans. The disorder is characterized by intense discomfort in one or more situations where people feel scrutinized by others, such as eating in front of others, public speaking, signing or writing in public.

“Social phobia wasn't identified until the late 1960s and was not considered a legitimate psychiatric diagnosis until 1980,” according to R. Bruce Lydiard, M.D., Ph.D., professor of psychiatry and behavioral sciences and director of the clinical research section and anxiety disorders program.

The disorder typically shows up during the teems and early 20s, when self-esteem and self-image are undergoing dramatic changes. Unfortunately, few people realize that it is a medical problem and that it can be treated. They think that it is their fault, and they blame themselves. Half of all people with considerable social anxiety also end up suffering from depression at some point in their lives.

Social phobia can cause people to stay at home; many quit work and avoid dating. Some may be unable to write in public, making it impossible to write a check or sign a charge receipt. Some students will quit school because they can't tolerate being with other students.

“In general, it limits people from achieving things they would normally do,” Lydiard said. Medication and behavioral techniques can be used to control the panic, fear and insecurity.

“Treatment is very effective. It can get rid of the symptoms in most people with social phobia,” Lydiard said. “It can help them to live normal lives.”

Those that suspect that he/she suffers from social phobia may qualify to participate in one of MUSC Institute of Psychiatry's research studies. For more information, call 792-5900.