Panic Disorder Related Conditions Panic Attacks and Social Anxiety Disorder Differences By Katharina Star, PhD Katharina Star, PhD Facebook LinkedIn Katharina Star, PhD, is an expert on anxiety and panic disorder. Dr. Star is a professional counselor, and she is trained in creative art therapies and mindfulness. Learn about our editorial process Updated on October 24, 2020 Medically reviewed Verywell Mind articles are reviewed by board-certified physicians and mental healthcare professionals. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more. by Akeem Marsh, MD Medically reviewed by Akeem Marsh, MD LinkedIn Twitter Akeem Marsh, MD, is a board-certified child, adolescent, and adult psychiatrist who has dedicated his career to working with medically underserved communities. Learn about our Medical Review Board Print Social anxiety disorder is a mental health condition in which a person is consumed with the fear of being negatively judged and evaluated by others. The person may become so afraid of being embarrassed or humiliated in front of other people that they avoid most social situations. Like panic disorder, social anxiety disorder can negatively impact a person’s quality of life. Panic disorder and social anxiety disorder are marked with similar qualities, such as persistent fear, nervousness, and physical sensations, including trembling and shaking. However, each of these disorders has a specific set of diagnostic criteria that make them unique and distinct conditions. To understand each diagnosis more clearly, these disorders are compared by several factors. 1 Fear and Avoidance PeopleImages.com/Getty Images Panic disorder can occur with or without agoraphobia, or the fear of experiencing panic attack symptoms in a situation that feels either physically difficult or emotionally embarrassing to escape from. A person with panic disorder often fears the physical symptoms of panic attacks, believing that they may have a medical issue causing their discomfort. Over time, the person may feel more secure from these attacks by remaining within certain areas or a self-determined safe zone, typically close to home. Agoraphobia develops when the person can no longer leave this safe zone without experiencing intense fear Social anxiety disorder involves a fear of being the center of attention, criticized, or somehow behaving in a way that would cause embarrassment in front of others. This fear of public humiliation and general discomfort in social settings can become so great that the person may avoid most public and social interactions. Such avoidance differs from agoraphobia, as the person is concerned with the scrutiny of others and not about having a panic attack. 2 Symptoms Panic disorder is characterized by recurrent panic attacks that often take hold without warning. Many of the physical symptoms of panic disorder, such as shaking, difficulty breathing, and heart palpitations can make the person feel that they are in danger. The person may also believe that they are at risk of losing control or going insane. Social anxiety disorder often involves some of the physical symptoms similar to panic attacks, including excessive sweating and trembling. However, these symptoms would only be brought on when faced with or when thinking about public and social interactions. Other common symptoms of social anxiety disorder include blushing, muscle tension, low self-esteem, and avoidance of social contact. 3 Social Interactions People with panic disorder often feel embarrassed about letting others see them have a panic attack. A trusted friend or family member can help support a loved with panic disorder. People with panic disorders typically enjoy social interactions and can benefit greatly from social support. However, many experience loneliness due to trying to keep their panic a secret. Social anxiety disorder sufferers also experience high degrees of loneliness. Such people may want to interact with others, but find the anxiety it causes to be too overwhelming. Friends and family will need to be patient in helping a loved one with social anxiety disorder. 4 Treatment People with panic disorder frequently seek medical attention for their physical symptoms, which can include frightening feelings, such as constricted breathing and a racing heart. It is not uncommon for a person with panic disorder to go to the emergency room due to the intensity of their physical sensations. A doctor can determine if the symptoms are due to panic disorder or a general medical condition. Considering that their symptoms are usually not as extreme as panic disorder, people with social anxiety disorder usually do not seek out medical help for their condition. Many people with social anxiety disorder do not realize they have a mental health condition. They may instead believe that they are overly shy or have a personality flaw. Due to the social isolation and lack of knowledge about the disorder, many people with social anxiety disorder remain undiagnosed Both panic disorder and social anxiety disorder can be effectively treated with medications, such as SSRIs. Medications can help control symptoms and greatly improve daily functioning. Psychotherapy can also be an extremely helpful treatment for both of these disorders. One form of psychotherapy called cognitive-behavioral therapy can assist with changing one’s thinking patterns and negative behaviors associated with their condition. For example, people with panic disorder can learn how to think of their physical symptoms as feelings of anxiety, rather than a life-threatening medical condition. Over time and with practice, these new thoughts can help the person feel more in control when panic attacks occur. People with social anxiety disorder can develop new ways of thinking about themselves and others that will allow them to feel more confident in social situations. Although not typical, it is possible to be diagnosed with both of these disorders. Panic disorder and social anxiety disorder are often accompanied by another mood or anxiety disorder, such as obsessive-compulsive behavior, depression, or post-traumatic stress disorder. People with either panic disorder or social anxiety disorder are also prone to developing a substance abuse issue. To be certain that you receive the right diagnosis, it is important to seek out help from professionals that can treat panic disorder or other anxiety disorders. Talk to your medical doctor about diagnosis and treatment options. Seek out professional help in a timely manner, as treatment can greatly reduce the symptoms of anxiety disorders. The 7 Best Online Anxiety Support Groups 6 Sources Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. NIMH. Social anxiety disorder: more than just shyness. MedlinePlus. Panic disorder. Kim EJ, Kim YK. Panic disorders: The role of genetics and epigenetics. AIMS Genet. 2018;5(3):177–190. doi:10.3934/genet.2018.3.177 Teo AR, Lerrigo R, Rogers MA. The role of social isolation in social anxiety disorder: a systematic review and meta-analysis. J Anxiety Disord. 2013;27(4):353-64. doi:10.1016/j.janxdis.2013.03.010 NIMH. Anxiety disorders. Kaczkurkin AN, Foa EB. Cognitive-behavioral therapy for anxiety disorders: an update on the empirical evidence. Dialogues Clin Neurosci. 2015;17(3):337–346. Additional Reading American Psychiatric Association. "Diagnostic and Statistical Manual of Mental Disorders, 4th ed., text revision" 2000 Washington, DC: Author. By Katharina Star, PhD Katharina Star, PhD, is an expert on anxiety and panic disorder. Dr. Star is a professional counselor, and she is trained in creative art therapies and mindfulness. See Our Editorial Process Meet Our Review Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit Speak to a Therapist for Panic Disorder Advertiser Disclosure × The offers that appear in this table are from partnerships from which Verywell Mind receives compensation.