From all outer appearances, one would never guess one of the world\u2019s top supermodels struggles with social anxiety. Bella Hadid, who graced five Vogue covers, two Elle covers and one Harper\u2019s Bazaar cover in September 2017 alone, is one of an estimated 17 million adults in the U.S. affected by social anxiety disorder (SAD). Many people with social anxiety avoid situations in which they need to perform or talk in front of others, so being a supermodel is fraught with potentially debilitating situations at every turn.\n\n\n\nHadid recently shared that her initial foray into mainstream modeling sometimes left her physically shaking and crying. While walking the runway, Hadid\u2019s mind would go blank, a common symptom of anxiety disorder, along with sweaty palms, shortness of breath, shaking, panic attacks and an array of negative emotions.\nAnxiety in the Workplace\nHundreds of cameras clicking in your face and an enraptured audience as you walk the runway is an extreme situation for someone with SAD. Millions of other people in America are coping with social anxiety in the workplace.\n\nSymptoms may manifest differently at work than they do at home or in other settings. At work, this can lead to an inability to network effectively, avoiding business social events, difficulty developing relationships with coworkers, lack of self-confidence and fear of speaking up at meetings. A national survey on social anxiety in the workplace revealed the six most common issues:\n\n \tManaging staff\n \tDealing with problems\n \tSetting and meeting deadlines\n \tMaintaining personal relationships\n \tParticipating in meetings\n \tMaking presentations\n\nOvercoming Social Anxiety\nSelecting a profession and job role closely suiting your interests and personality (including anxiety issues) is important. For example, a sales role involving cold calling potential clients may not be the best career choice for somebody with social anxiety. On the other hand, if someone has a passion for a particular profession, this can drive the desire to find ways to compensate.\n\nThe following general tips can help people struggling with social anxiety reduce stress in the workplace.\n\n \tTell a trusted coworker about your condition to help alleviate discomfort and reduce anticipatory anxiety\n \tLearn to recognize symptoms and how to handle them to diminish fears\n \tMake to-do lists, prioritize work and allow adequate time to complete projects to lessen anxiety related to workload\n \tAvoid overcommitting or offering to take on projects if you don\u2019t have enough time\n \tIf you\u2019re feeling overwhelmed, ask a coworker for help and offer to reciprocate later\n \tDon\u2019t assume your supervisor knows you are overextended, so if you have too much to handle, voice this calmly and diplomatically\n \tTake breaks by walking around the block, practice a few minutes of deep breathing or meditate in a private office or any quiet place where you can be alone\n \tRemember as many as 45% of people are shy or socially anxious, so many of your coworkers may also be hesitant to voice their opinions in meetings\n \tArrive 10-15 minutes early to business meetings so you are ready to greet others when they come in\n \tEngage in brief small talk with coworkers throughout the day (e.g., in the lunchroom, elevator or at the water cooler\n\nSocial Anxiety Treatment\nIf social anxiety disorder is left untreated, it may become chronic and unremitting, resulting in substantial impairments in vocational and social functioning.\n\nFewer than 5% of people struggling with SAD seek treatment following initial onset and more than one-third report symptom duration of 10 or more years before seeking help. Current treatment protocols for SAD include cognitive behavioral therapy (CBT), social skills training and interpersonal psychotherapy. Of these interventions, CBT is the most validated approach.\n\nA 2016 study showed CBT was more efficacious in the long term than just drugs or a combination of the two, with nearly 85% of participants experiencing significant improvements or complete resolution of symptoms. A key component of CBT is to help an individual practice approaching social situations and stay in them, thereby learning nothing terrible will happen and anxiety will subside. By retraining behavior and responses, CBT helps breaks the self-fulfilling cycle of avoiding anxiety-provoking situations.\n\nPeople with SAD have an increased risk of developing major depressive disorder and alcohol use disorder. Individuals with SAD often use alcohol to alleviate anxiety symptoms, leading to alcohol abuse and\/or dependence in about 20% of affected individuals.\n\nIn one study, SAD was diagnosed in 24.7% of 300 individuals hospitalized for AUD and SAD occurred prior to AUD in 90.2% of these cases. If a person with SAD has co-occurring alcohol or substance use disorder, dual diagnosis treatment addresses both disorders. Treatment typically begins with detox followed by a full spectrum of therapies including CBT. The good news is proper treatment has helped many people triumph over both anxiety and addiction.