Social anxiety and facial sweating

Several psychiatry texts state that patients with hyperhidrosis have excessive anxiety. This characterization is apparently based on case reports of successful decrease in symptoms through psychotherapy. The authors concluded that most patients with hyperhidrosis have no psychopathology and that symptoms of anxiety, depression, and social isolation in some of the patients were a reaction to the disorder rather than the cause. Patients with hyperhidrosis had more disability, fear, avoidance, and other arousal symptoms.
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The Link Between Depression, Anxiety, and Excessive Sweating (Hyperhidrosis)

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Sweating & Hyperhidrosis | SocialAnxiety

It's normal to feel nervous in some social situations. For example, going on a date or giving a presentation may cause that feeling of butterflies in your stomach. But in social anxiety disorder, also called social phobia, everyday interactions cause significant anxiety, fear, self-consciousness and embarrassment because you fear being scrutinized or judged by others. In social anxiety disorder, fear and anxiety lead to avoidance that can disrupt your life. Severe stress can affect your daily routine, work, school or other activities.
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Hyperhidrosis in social anxiety disorder.

This statement came from one of my first patients in when I was specializing in biofeedback. At this point in my career I had no understanding of social anxiety or hyper-hidrsosis. Thirty eight years later, during which I have provided services to thousands of social anxiety sufferers, I have worked with countless patients where a fear of sweating has created social avoidance, panic, depression, substance over-dependence, and pathological self-esteem. Hyperhidrosis is a condition characterized by abnormally increased sweating in excess of that required for regulation of body temperature.
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Treating excessive sweating or focal hyperhidrosis. More on Perspiration. Excessive Sweating - Myth vs Reality. Genetics of Hyperhidrosis.
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