The almost uncontrollable triggering of an immediate anxiety attack in a social or operant situation (e.g., eating, drinking, speaking, etc.) produces persistent, marked fear and avoidance of the social or operant situation. Anxiety reactions can manifest as panic attacks that can occur in specific social situations, and adolescent youth or adults can often recognize such fears as excessive and unreasonable. This fear of specific social situations is manifested by the patient’s fear of embarrassing expressions in situations where people are present or being noticed, fear of being perceived by others as displaying anxiety, nervousness, clumsiness of movement, blushing, or unnatural demeanor, they are afraid of being noticed in conversations, their speech is not fluent, and their hands are shaking, and thus they often avoid eating, drinking, and shoeing in public, are afraid to defecate in a public restroom, or vomiting occurs,. There are other symptoms of anxiety, such as palpitations, tremors, sweating, nausea, gastrointestinal discomfort, diarrhea, muscle tension, blushing, urinary urgency, etc., and in severe cases, they can reach the level of panic attacks. Most patients avoid anxiety-inducing social situations, a few patients reluctantly stay in such situations and experience intense anxiety, with the development of the disease, tone of voice anxiety can occur, the patient is very anxious about every day to face a variety of social activities, and produce an anxious reaction, the emergence of anticipatory anxiety to make the symptoms appearing in the social situation more pronounced and thus the formation of a vicious circle of maladaptive. The patient’s fear of social situations, fear obviously leads to personal suffering, and impedes the patient’s normal occupation, socialization, recreation and other social functions. Li Ping, Department of Psychological Counseling, Yantai Economic and Technological Development Zone Hospital Transient social anxiety in children and adolescents is developmentally related social anxiety, such as girls avoiding eating in front of boys. Severe social phobia patients can lead to complete isolation from society, the course of the disease can be lifelong, but most adults have a more pronounced remission but remain passive, and can be exacerbated after stressful events. Social phobics are often associated with hypersensitivity to criticism and negative evaluations of others, lack of self-confidence and low self-esteem, usually accompanied by poor social skills and observed anxiety traits (pronounced hand tremor, trembling voice), which have a marked impact on their academic life. There are some variations in different cultures and clinical presentations, and in some cultures it is not necessarily the fear of embarrassment, but rather the fear of undermining the other person, e.g., blushing may make the other person feel uncomfortable.