Red flags & when to go in person for Social Anxiety Disorder - Mild to Moderate

Audience: pediatric

Social Anxiety Disorder (SAD) in children and teens involves feeling very nervous or scared in social situations. Mild to moderate SAD can often be managed with support, coping strategies, and sometimes therapy. Telemedicine can help by providing education, counseling, and monitoring symptoms. However, some signs mean it’s important to see a healthcare provider in person. These include worsening symptoms, difficulty functioning at school or home, or thoughts of self-harm. Knowing when to seek in-person care helps keep your child safe and supported. This guide explains red flags, what telemedicine can and cannot do, and how to prepare for and follow up after a tele-visit.

Red flags — go in person / ER

• Rapid worsening of anxiety symptoms or new severe symptoms
• Inability to attend school or perform daily activities due to anxiety
• Any thoughts or expressions of self-harm or suicide

What telemedicine can do

• Providing education about social anxiety
• Teaching coping strategies and relaxation techniques
• Counseling and therapy sessions for mild to moderate symptoms
• Monitoring symptom progress and medication side effects

What telemedicine cannot do

• Emergency situations such as suicidal thoughts or behaviors
• Severe or rapidly worsening symptoms requiring immediate evaluation
• Complex medical or psychiatric conditions needing physical examination or testing

What is Mild to Moderate Social Anxiety Disorder?

Mild to moderate Social Anxiety Disorder means feeling nervous or scared in social settings like school, parties, or talking to new people. It may cause your child to avoid these situations or feel very uncomfortable. These feelings can affect daily life but often can be managed with help and support.

When to Use Telemedicine for Social Anxiety

Telemedicine can provide education about social anxiety, teach coping skills, and offer counseling sessions. It is useful for regular check-ins and monitoring how your child is doing. Telemedicine makes it easier to get help without traveling to a clinic.

Red Flags: When to See a Healthcare Provider In Person

Certain signs mean your child needs an in-person evaluation:

If you notice any of these, seek in-person care promptly.

Preparing for a Telemedicine Visit

Before the visit, gather information about your child's symptoms, behaviors, and any changes. Find a quiet, private place for the appointment. Make a list of questions or concerns. Ensure your internet and device work well to avoid interruptions.

After the Telemedicine Visit: What to Do Next

Follow any advice or treatment plans given. Practice coping skills learned during the visit. Schedule follow-up appointments as recommended. If symptoms worsen or new concerns arise, contact your healthcare provider or seek in-person care.

How to prepare for your tele-visit

• Write down your child's symptoms and how they affect daily life
• List any questions or concerns for the healthcare provider
• Find a quiet, private space with good internet connection
• Have a device ready with camera and microphone
• Ensure your child is comfortable and understands the visit purpose

After your tele-visit

• Follow treatment or therapy recommendations
• Practice coping skills learned during the visit
• Monitor your child's symptoms and mood changes
• Schedule follow-up telemedicine or in-person visits as advised
• Seek immediate in-person care if red flags appear

FAQs

Can telemedicine help my child with social anxiety?

Yes, telemedicine can provide education, counseling, and support for mild to moderate social anxiety. It allows convenient access to mental health professionals who can guide coping strategies and monitor progress.

When should I take my child to see a doctor in person?

If your child's symptoms worsen quickly, interfere with school or daily activities, or if they express thoughts of self-harm, you should seek in-person care promptly for a thorough evaluation.

What can I do to support my child at home?

Encourage your child to practice coping skills, provide a supportive and understanding environment, and help them gradually face social situations. Keep communication open and follow healthcare provider advice.

Is social anxiety common in children and teens?

Yes, social anxiety is one of the more common anxiety disorders in young people. Many children experience some social nervousness, but when it affects daily life, professional support can help.

Are medications needed for mild to moderate social anxiety?

Medications are not always needed and are typically considered if symptoms do not improve with therapy or coping strategies. A healthcare provider can discuss options based on individual needs.

Sources

1. Social Anxiety Disorder — MedlinePlus | U.S. National Library of Medicine / National Institutes of Health.
2. Social Anxiety Disorder in Children and Adolescents — American Academy of Child & Adolescent Psychiatry (AACAP).
3. Anxiety Disorders in Children and Adolescents — Centers for Disease Control and Prevention (CDC).
4. Social Anxiety Disorder Treatment — Mayo Clinic.

This telemedicine guidance is for educational purposes only and is not a substitute for professional in-person medical care. If you have concerns about your child's health or safety, please seek evaluation from a healthcare provider in person.