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Люди с социофобией избегают ситуаций, в которых приходится контактировать с окружающими, особенно с незнакомыми или авторитетными [1](https://xn--g1ajj1a.xn--p1ai/articles/sotsiofobiya/). Это может быть общение по телефону, участие в собраниях, вечеринках, публичные выступления [1](https://xn--g1ajj1a.xn--p1ai/articles/sotsiofobiya/). \n\nРасстройство негативно влияет на качество жизни, социальную адаптацию, профессиональную деятельность, личные отношения [1](https://xn--g1ajj1a.xn--p1ai/articles/sotsiofobiya/).\n\n## Причины\nТочные причины социофобии до конца не выяснены [5](https://voronezh.sovamed.ru/zabolevaniya/sotsiofobiya/). Некоторые факторы, которые могут способствовать развитию расстройства: \n* **Генетическая предрасположенность** — риск повышается, если в семье уже есть случаи социофобии [3](https://chastnaya-psihiatricheskaya-klinika-stacionar.ru/blog/kak-poborot-socziofobiyu)[5](https://voronezh.sovamed.ru/zabolevaniya/sotsiofobiya/). \n* **Травматический социальный опыт** — например, унижение в школьные годы или негативный опыт публичных выступлений [3](https://chastnaya-psihiatricheskaya-klinika-stacionar.ru/blog/kak-poborot-socziofobiyu). \n* **Особенности воспитания** — чрезмерный контроль со стороны родителей, гиперопека, постоянная критика [5](https://voronezh.sovamed.ru/zabolevaniya/sotsiofobiya/).\n\n## Симптомы\nСимптомы социофобии разнообразны и могут проявляться как на психологическом, так и на физическом уровнях [3](https://chastnaya-psihiatricheskaya-klinika-stacionar.ru/blog/kak-poborot-socziofobiyu). **Психологические симптомы**: интенсивное чувство тревожности перед или во время социальных взаимодействий, страх критики, низкая самооценка и избегание ситуаций, которые вызывают стресс [3](https://chastnaya-psihiatricheskaya-klinika-stacionar.ru/blog/kak-poborot-socziofobiyu). **Физические симптомы**: потливость, дрожь, ускоренное сердцебиение, тошнота и даже приступы паники [3](https://chastnaya-psihiatricheskaya-klinika-stacionar.ru/blog/kak-poborot-socziofobiyu). \n\nДля постановки диагноза симптомы должны быть стойкими (обычно длятся 6 месяцев и более) и вызывать значительный дистресс или проблемы в важных сферах жизни (работа, учёба, семья) [11](https://prclinics.ru/diseases/socziofobiya/).\n\n## Диагностика\nДиагноз ставит только врач-психиатр на основании комплексного обследования [11](https://prclinics.ru/diseases/socziofobiya/). Некоторые методы диагностики: \n* **Подробная беседа** — врач расспрашивает о чувствах, мыслях, физических ощущениях в социальных ситуациях, о том, как страх влияет на жизнь [11](https://prclinics.ru/diseases/socziofobiya/). \n* **Специальные тесты/опросники** — для оценки тяжести симптомов часто используют Шкалу Либовица для оценки симптомов социофобии (LSAS) или другие валидированные опросники [11](https://prclinics.ru/diseases/socziofobiya/). \n* **Исключение других причин** — иногда врач может назначить анализы крови или консультацию невролога, чтобы исключить физические заболевания, которые могут вызывать похожие на тревогу симптомы [11](https://prclinics.ru/diseases/socziofobiya/).\n\n## Лечение\nНаиболее эффективен комплексный подход, подобранный врачом индивидуально [11](https://prclinics.ru/diseases/socziofobiya/). **Психотерапия** — основной метод [11](https://prclinics.ru/diseases/socziofobiya/). 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