The concept of self-fulfilling prophecy is briefly called when something we fear actually happens to us. In most of the psychological disorders, these feared things never happen to the person, but unfortunately this can happen in social phobia. For example, a person experiencing a panic attack fears that they will have a heart attack, but the symptom is never related to a heart attack. However, a person with social anxiety who is afraid that he will turn red and sweat while speaking in public creates that sweating and blushing state with this fear.
A person with social anxiety experiences intense anxiety in public because they will blush, sweat, be boring when speaking, and cannot speak well and well. This anxiety activates the sympathetic nervous system of the person. (Because this system is the mechanism that comes into play at the time of danger and adjusts the body’s functions to protect the body.) In times of panic and anxiety, our sympathetic nervous system changes its working system so that our body can be stronger and more combative in order to combat the negativity to be experienced. The heart works faster, the heart rate increases, blood is pumped to the muscles to make us stronger and to the brain to be more attentive. The rate of breathing increases, pupils dilate. As a result of all these, the body temperature naturally increases, the face becomes red, the sweating increases, and the feeling of dizziness or fainting may develop from the excess of oxygen. While all this is going on in the body, when the person wants to speak, his voice is low or different.
In other words, the situation that he is worried about living in public is exactly what happens to him. Due to the breathing rate, sweating and blushing, it is obvious that the person is excited from the outside, he may feel dizzy and faint, his voice may be hoarse while the body is dealing with all these, and the content of his speech may become strange.
Because of these conditions, avoidance of environments in which they will experience anxiety is very common in people with social anxiety, and their lives are greatly restricted unless treated. Social phobia is a disorder with very comfortable results with psychotherapy.