Social phobia is a phobic disorder characterized by the fear of interacting with people or speaking in public, fear of making a fool of oneself in front of others or being in an embarrassing situation, and therefore avoiding it as much as possible. Social phobia is mainly manifested by the fear of being in full view of the occasion, everyone watching themselves. Or fear of making a fool of themselves in public, so that they are in an embarrassing or embarrassing situation, and therefore afraid of public speaking or performance, fear of eating in public, fear of going to the public toilet to relieve themselves, can not control the hand shaking when writing in public, or stammering in social situations can not answer. Fear of blushing and being seen by others, and therefore anxiety, is called naked face phobia. Fear of looking at others, or think that the afterglow of the eyes in the peeping at others, and therefore anxious, said the opposite of the phobia, some people also called afterglow compulsion or afterglow phobia. Fear of meeting strangers or familiar people in public places is known as agoraphobia. Generally, patients are not afraid of strangers or relatives, but are often afraid of intermediate interpersonal relationships that are neither close nor strange, such as colleagues and classmates. Those who are afraid of encounters with the opposite sex are called heterophobic. Patients are often not afraid of the elderly and children, and are often afraid of the opposite sex of the same age, especially attractive people. What’s more, some patients will fear interacting with people because they gag and blink, while others avoid interacting with people because they fear their body smells bad. Whenever they encounter similar scenes, they often feel nervous and uneasy, and experience significant dizziness, palpitations, chest tightness, sweating and other vegetative reactions; in severe cases, they may experience depersonalization or fainting. Avoidance behaviors often follow due to the patient’s intense experience of fear, insecurity, or distress. After one or more similar experiences, anticipatory anxiety often arises, with nervousness days in advance. In the past two years, I have been receiving more and more visitors suffering from social phobia. Among them, there are some handsome men and women and those who are more privileged in all aspects, often unbelievable. Even some of my assistants and students were surprised by this at the beginning of the consultation. Faced with such doubts, I often suggested them to read Marilyn Monroe’s biography. Monroe’s biography. If they learn that such a once-glamorous woman, the most famous actress, the dream girl of men in the Western world, the idol of countless women, and the object of affection of millionaires, actors and presidents, was actually a social phobic, perhaps, they will have some understanding and sympathy, even respect for similar visitors. Why is this so? It starts with the psychological causes of social phobia. In my experience, without going back to the family and self-concept formation process, the psychological causes of social phobia are often more straightforward: one is the lack of belief in the universality of one’s own internal impulses, thoughts or external behavior, and always thinking that one is wrong. Those who know a little psychology or some introspection will know that in the daytime waking state, our consciousness is often in a state of spontaneous drift (called mind-wandering mind-wondering), the individual lack of control over the process. For example, unexplained thoughts about the next day’s plans, or sudden “flashbacks” to the past, as well as images, sounds, and words that suddenly “pop” into the mind, all fall into the category of mind-wandering. The content of mental wandering is more situational than semantic in its representational form; more future than past in its temporal orientation; and more related to the individual self than fantasy in its relationship to the individual’s current concerns. Daydreaming is also one of the manifestations of mind wandering. The contents of daydreams, such as success or failure, aggression or hostility, sexual fantasy or romantic encounter, and guilt, are common. Mind wandering is a phenomenon of consciousness that individuals have and can have all the time. 96% of adult Americans experience daydreaming every day (Singer, 1966), and the rate of mind wandering in daily life can be as high as 46.9% (Killingsworth & Gilbert, 2010). In a word, mind wandering is a particularly common phenomenon. However, clinically, patients with social phobia often struggle with these spontaneous impulses in themselves. Especially when they are confronted with some good-looking person of the opposite sex or a powerful leader, these involuntary impulses may bubble up even more, trying to control but unable to, which makes them even more overwhelmed. The impulses and thoughts that make social phobics think they are wrong, and therefore avoid social interaction, are not only daydreaming phenomena, but also some deep-seated secrets. These secrets can often be grouped into several broad categories: the most common secret is a conviction of incompetence, a feeling that if others truly recognized them, they would discover their incompetence and see through their own bravado; second is a deep sense of interpersonal detachment, with many stating that they do not and cannot genuinely care for or love someone; the third most common type is a variety of secrets about sex. Almost invariably, visitors are deeply concerned about their sense of worth and their ability to build relationships with other people (Irvin Yalom and Molyn Leszcz, 2005). Second, we always feel that our every move is in the limelight and seen by others. In our mind, we are more important than anything else. This egocentricity creates a focus effect where we tend to see ourselves as the center of everything and intuitively overestimate how much attention others pay to us. In addition, we are always acutely aware of our emotions, and the illusion of transparency often arises. We assume that if we are aware that we are happy, our faces will clearly show that happiness and make others notice. In fact, what we show may be more ambiguous than we realize. In fact, both the focus effect and the illusion of transparency are the result of the patient’s insufficient socialization and failure to shed the egocentricity of childhood and adolescence. This is my psychological analysis of social phobia. As for the treatment effect, according to my existing treatment experience, if the patient is strongly motivated to seek treatment and is willing to follow the doctor’s advice to practice in life, there will be more obvious results in about a year or so. Some patients, even within a few weeks, will have more miraculous results.