“When you have social anxiety, alcohol may seem like a magical cure—suddenly you’re no longer afraid, you’re less inhibited, and you’re the life of the party. But it’s just an illusion because you’re still the same person when you sober up.”
– Dr. Kasey Dean, Nurse Practitioner and Dual Diagnosis Specialist at LVRC
Nausea, upset stomach, and heart palpitations are just three of the physical symptoms of social anxiety disorder; a debilitating mental illness that is more than just “shyness”. People with social anxiety disorder (also called a “social phobia”) feel such an intense fear of certain (or all) social situations that their work, school, and personal relationships suffer as a result. What makes social anxiety disorder particularly difficult to live with is that unlike other specific phobias (say, arachnophobia), social situations are nearly impossible to avoid. While people with a spider phobia may go months or even years without encountering a dreaded eight-legged insect, people with social anxiety disorder are forced to struggle through anxiety-provoking encounters on daily basis. To cope, those with social anxiety disorder often self-medicate, turning to a substance that has been relieving people of their inhibitions and crippling self-consciousness for millennia: Alcohol.
Social Anxiety and Alcohol Abuse: Common Partners in CrimeUsing alcohol as a tool for muddling through awkward social situations is not uncommon, even among those without a social phobia. One study that examined 34,000 American adults found that 13 percent of the adults who had drunk alcohol in the past year had done so in order to lessen their anxiety. Unlike the general population, however, those with an anxiety disorder who drink in order to numb their discomfort face a greater risk of becoming alcohol dependent. The same study found that the participants with diagnosed anxiety disorders who self-medicated with alcohol were two to five times more likely to have developed an alcohol use disorder within three years of the study’s completion. All in all, approximately 20 percent of people with a social anxiety disorder will also experience alcohol abuse or dependency. The reason for the correlation between social phobias and alcohol abuse may seem obvious: Drinking reduces anxiety, so people with high levels of anxiety drink in excess in order to feel “normal” in uncomfortable social situations, such as at a party or work function.
Alcohol Makes Anxiety Worse
The irony is, however, that alcohol abuse can actually increase anxiety levels in those with a social phobia, particularly in the hours or days after a drinking binge. This is because alcohol decreases the serotonin levels in the brain and causes a drop in blood sugar, hypersensitivity in the nervous system, and a spiked heart rate. All of these in combination can cause a person to feel depressed, irritable, shaky, and overly sensitive, which can elevate anxiety levels, especially in someone who is already anxious.
What’s the Solution?Regardless of whether or not you meet the criteria for an alcohol use disorder, if you have social anxiety and you find yourself leaning heavily on alcohol as a crutch to get you through frightening social situations, you may want to consider finding new and healthier coping techniques. While moderate drinking is not a negative in itself, relying on alcohol for your fearlessness instead of your own inner well of courage robs you of the chance to work through your fears and overcome your phobia. There are healthier ways of coping with social anxiety, such as:
- Deep-breathing exercises
- Exposure therapy
- Cognitive-behavioral therapy
- Completing exercises in an anxiety workbook
- Anti-anxiety medication
If you find yourself trying and failing to quit drinking or using substances, this could mean that you have crossed the line from merely abusing alcohol to becoming physically and emotionally dependent. If this is the case, you will need to seek professional help, as addiction is a serious disease that does not go away on its own.
Signs and Symptoms of an Alcohol Use Disorder:
While there are a number of signs and symptoms of alcohol addiction, the following are four of the most prominent:
- Inability to manage or control one’s drinking (once you start, you struggle to stop)
- A tendency to drink too much (even when you promise yourself you won’t)
- A mental preoccupation with drinking (your thoughts revolve around when you’ll be able to drink again)
- Continuing to drink even though your drinking has caused health, work, relationship or legal problems.