Social phobia is a common psychiatric disorder in children and adolescents, mostly starting in childhood and adolescence. Among them, those who suffer from generalized social phobia may be detached from their peer group for longer periods of time due to fear of social situations and avoidance behaviors, resulting in more severe or even irremediable impairment of social functioning. What is social phobia? When we talk about social phobia, we generally refer to generalized social phobia, which some people mistakenly refer to as “autism” (although social phobics have social avoidance behaviors, it is still not appropriate to refer to it as autism, which is formally known as “autism”). The core clinical features of generalized social phobia are a fear or perception of inappropriateness in social situations, resulting in unreasonable and apparently excessive anxiety, and avoidance of the corresponding social situation. Most patients experience significant anxiety when they are in a social situation and perceive that they may be observed by others, and seek to avoid or leave such situations. Patients feel fearful of being watched by strangers and are overwhelmed or uncomfortable. If the patient is unable to leave the situation, he or she is bound to exhibit unnatural expressions and postures, flushing, heartbeat, and trembling of the hands and feet. If the patient is compelled to speak in public, the patient’s speech also shows corresponding anxiety such as weak voice, trembling, and incoherent speech. The eyes of the patient in such situations are also characteristic, with the gaze wandering or staring at the ground, avoiding eye contact with the other person. Most of the patients show the most prominent performance in the face of unfamiliar people of the opposite sex, especially those of similar age, and their anxiety often reaches an extremely strong level. Patients with social phobia often actively avoid situations where they may have to face strangers, and are afraid to participate in activities such as dinners, meetings, classes, training, etc. They are also afraid to speak or eat in public, or even to walk, sit, or lie in public, which may result in serious impairment of their social functioning. Individuals with social phobia may also exhibit mutism-like manifestations, remaining silent in any situation where there are strangers. A very small number of people with social phobia exhibit “paradoxical” features, i.e., they are not anxious around strangers, but are very anxious around more familiar people. In addition to the typical manifestations of social phobia described in the textbook above, I have also outlined the “three no’s” of social phobic patients based on my own clinical observations and treatment experience. In addition to the typical manifestations of social phobia described in the textbook above, I also outlined the “three no’s” of social phobic patients based on my clinical observation and treatment experience, in order to guide the implementation of effective and reasonable treatment for patients. The first “no” is not daring, that is, poor social courage. Patients have excessive fear and anxiety in social situations, which are the primary symptoms of social phobia. Modern psychiatry has sufficient practical experience and evidence of drug therapy to prove that drug therapy has significant efficacy on this fear and anxiety-based symptoms, and can even achieve the complete disappearance of anxiety symptoms. This “no” is the indication of medication, if the doctor has enough experience in medication, the patient is the best choice to take medication as prescribed by the doctor. The second “no” is the inability, i.e. weak social skills. For non-Asperger’s syndrome patients, this feature is mainly secondary to the longer and more consistent avoidance of social situations by social phobics, resulting in a severe deficit or lack of opportunities for learning and imitation, and a natural deficit or functional impairment. Conversely, in patients with Asperger’s syndrome with social phobia co-morbidity, the deficits in social skills are both primary to Asperger’s syndrome itself and partly secondary to longer-term, more persistent avoidance of social situations. Therefore, in either case, social skill deficits require the patient to make a sustained effort, supported by medication, to learn, imitate and acquire social skills similar to those of healthy peers as comprehensively as possible, based on an awareness of the cause of the problem and the severity of the harm. This is particularly important for patients with early onset and long duration of the disease, as these patients have more severe deficits in social skills and “missed” opportunities to learn and imitate social skills, and it is clear that there is a long way to go to make up for these deficits. If we take into account that these patients are in the so-called “sensitive period” of social skills learning in developmental psychology after the onset of the disease, the subsequent “remediation” may be “half the effort”, and it may really take It may take a hundred times the effort to get a more desirable result. The third “no” is that the social circle is small, and the patient’s motivation and potential to expand his or her social range are clearly lacking. For social phobics who start in childhood and adolescence, most of them have the behavioral characteristics of introversion and low social motivation since childhood, and have few good and stable friendships with peers. After the onset of the disease, the lack of social motivation is even more severe, and they are unable to maintain their original social circle or maintain their original partnerships, and the degree of such functional deficits is positively correlated with the severity and duration of the disease: those with severe disease and long duration of the disease have a smaller social range and poorer social motivation. Therefore, in the treatment of social phobia, psychiatrists, psychotherapists, and rehabilitation therapists must also work to steadily and slowly restore social relationships, expand social circles, and increase social motivation. Such efforts require persistent promotion by the therapist and persistent persistence by the patient, with each day leading to a thousand miles. However, the aforementioned conditions necessary to facilitate the restoration of social relationships, the expansion of social circles, and the enhancement of social motivation are a significant improvement in the patient’s “fear” and “inability” and an awareness of the devastating effects of his or her social phobia on his or her life. Only with these necessary conditions can the patient’s efforts to improve social functioning be sustained. Effective and safe treatments for social phobia currently include medication and psychotherapy. Among these, pharmacological treatments commonly include high-dose selective serotonin reuptake inhibitors (SSRIs) such as paroxetine, fluoxetine, sertraline, and escitalopram, or serotonin noradrenaline reuptake inhibitors (SNRIs) such as venlafaxine and desvenlafaxine. Although many psychotherapeutic approaches are available for the treatment of social phobia, clinicians tend to use or recommend the more efficient cognitive behavioral therapy (CBT). However, whether medication is used alone or in combination with psychotherapy, patients need to be able to comply with medical advice and cooperate with treatment. In particular, it is important to emphasize that as the symptoms of anxiety and depression that severely affect the quality of life of social phobics gradually improve, it is crucial for patients to proactively “adjust” their avoidance behaviors and increase their socialization attempts as early as possible in order to improve their condition and recover their functioning more quickly. These proactive behaviors are actively “self-help” and are of great significance.