Case: Male 17-year-old sophomore student visited for neck twitching, complaining of uncontrollable head twitching in class, nervousness, brain panic, sweaty palms, nervousness and blushing in public, preferring quietness; worried about classmates’ comments. Parents reported that their children are introverted, shake their heads and are nervous in class or in crowded places, and their brains go blank in class when it is serious. She has difficulties in interpersonal communication. At the end of August, his parents brought him to the neurology department of Beijing Haidian Hospital from his hometown, and he was referred to the psychology department after various tests were conducted to exclude organic diseases. At the time of consultation, he was relatively quiet, just that his neck twitched sometimes. Diagnosis: Clinically, I do treatment in both the cardiology clinic and the psychosomatic medicine clinic, so I have come into contact with a large number of patients with similar symptoms. When the symptoms occurred in public or in social situations, there were obvious signs of head shaking and blushing, trembling of hands and feet, sweating and panic, nervousness and anxiety, so the diagnosis was confirmed as twitching due to anxiety, and the cause of anxiety was due to social phobia. Treatment: 5 sessions, 60 minutes each After 5 sessions of systematic counseling and treatment, the visitor was relieved and no longer nervous in class after returning to school, and was able to interact normally with her teachers and classmates, and her learning efficiency improved significantly. Adolescent social phobia】Adolescent social phobia is a kind of phobia, also known as social anxiety disorder, mainly manifested as fear of worrying in public, often with low self-evaluation and fear of being judged, which can be accompanied by symptoms such as blushing, trembling hands and feet, sweating and panic, gastrointestinal discomfort, nervousness, and urinary urgency. Social phobia is a kind of heart tension caused by maladjustment to the social environment is not good at socializing, as long as active treatment, good psychological guidance, relaxation, you can overcome the fear. Parents and teachers should pay attention to the following points in education: 1. Give your child a little more love. Without the nourishment of love, a child’s life is like water without a source. No matter how busy parents are, please do not neglect your children, talk to them at least once a week, from time to time you can take them out to play, give them some small gifts, bring a little surprise color to the child’s life. No matter how busy the teacher is, he or she cannot ignore the problems raised by the students or the symptoms of some unobvious psychological problems shown, so that they can be found and treated in time, and make them feel a kindness and warmth. 2, a little more patience with children. Many “social phobia” children are extremely low self-esteem, then parents, teachers only with enough patience, sincere attitude, in order to enter their living space, into their hearts. Only after the generation of emotional empathy, can receive good treatment effect. 3. Ask for expert advice. When parents and teachers really can not solve their own children’s problems, they should promptly ask experts for advice and seek help from psychologists, so that the child out of the psychological shadow as soon as possible.