Eye Contact Anxiety

We’ve all been there – in a social situation where we feel nervous and awkward, avoiding eye contact and hoping to blend into the background. But for some people, this experience is more than just temporary discomfort. Eye contact anxiety is a real condition that can make social interactions feel like a nightmare. 

In this blog, we’ll explore what eye contact anxiety is, why it happens, and what you can do to manage it. So, whether you struggle with this issue or are simply curious to learn more, keep reading to discover the fascinating world of eye contact anxiety.

What Is Eye Contact Anxiety?

Eye contact anxiety, also known as ophthalmophobia or scopophobia, is a specific type of social anxiety disorder affecting an individual’s ability to make or maintain eye contact with others. It can result in significant discomfort and avoidance behaviors in social situations that involve direct eye contact, such as job interviews, public speaking, or even one-on-one conversations.

While some degree of discomfort or shyness around eye contact is common, eye contact anxiety is a more intense and persistent fear that can interfere with an individual’s ability to communicate effectively and form relationships. This fear can stem from various underlying factors, including past negative experiences, low self-esteem, social rejection, or cultural differences in eye contact norms.


Some of the most common symptoms of eye contact anxiety include:

  1. Avoiding eye contact: People with eye contact anxiety may avoid making eye contact altogether, making social situations more difficult and leading to misunderstandings.
  2. Staring at the ground or other objects: Instead of making eye contact, individuals with this condition may stare at the ground, their phone, or other things around them.
  3. Feeling self-conscious or embarrassed: People with eye contact anxiety may feel self-conscious or embarrassed about their inability to make eye contact, leading to further anxiety and avoidance.
  4. Sweating: Anxiety can cause physical symptoms like sweating, which can be embarrassing and lead to further discomfort.
  5. Rapid heartbeat: People with eye contact anxiety may experience a rapid heartbeat or heart palpitations in social situations, which can be uncomfortable and distressing.
  6. Difficulty concentrating on the conversation: Because of the anxiety caused by eye contact, individuals with this condition may have difficulty concentrating and miss important details.

These symptoms can make social situations difficult and uncomfortable and impact an individual’s ability to form relationships and function daily. They might also relate to broader issues, like overcoming relationship anxiety. It’s important to seek treatment if these symptoms interfere with your quality of life.

Treatment Options

Treatment options for eye contact anxiety typically involve a combination of psychotherapy, medication, and lifestyle changes, and the most effective one will depend on the individual’s specific needs and preferences. 

Here are some of the most effective treatment options:

  1. Cognitive-behavioral therapy (CBT): CBT is a form of talk therapy that focuses on changing negative thought patterns and behaviors. It can help individuals with eye contact anxiety to challenge their negative beliefs about eye contact and develop more positive coping strategies, as described by the Mayo Clinic.
  2. Exposure therapy: Exposure therapy is a type of CBT that involves gradually exposing individuals to the situations that trigger their anxiety, such as making eye contact in a controlled and safe environment. It can help individuals to overcome their fear of eye contact and develop more confidence in social situations.
  3. Medication: Antidepressant or anti-anxiety medications may be prescribed by a doctor to help manage the symptoms of eye contact anxiety. These medications can be effective in reducing anxiety and promoting relaxation, according to the National Institute of Mental Health.
  4. Lifestyle changes: Certain lifestyle changes, such as getting regular exercise, eating a healthy diet, and practicing stress-reducing activities like yoga or meditation, can help to reduce anxiety symptoms and improve overall well-being.
  5. Social skills training: For some individuals, it can help improve their ability to communicate and form relationships. This type of therapy can involve role-playing exercises or other techniques to improve social skills and reduce anxiety in social situations.

Eye Contact and Social Anxiety

Social Anxiety Disorder

Social anxiety disorder, also known as social phobia, is a type of anxiety disorder characterized by an intense fear of being negatively evaluated or judged by others in social situations. This fear can be so debilitating that it interferes with daily life and can prevent individuals from participating in social activities, forming relationships, and achieving their goals.

People with social anxiety disorder may experience physical symptoms such as blushing, sweating, trembling, or a rapid heartbeat in social situations. They may also have intense negative thoughts and beliefs about themselves, such as believing they are boring or unlikable, making social situations even more challenging.

The causes of social anxiety disorder are complex and can involve genetic, environmental, and social factors. Some researchers believe that an overactive amygdala, the part of the brain that controls fear responses, may be involved in developing a social anxiety disorder.

Effective treatments for social anxiety disorder include therapy, medication, and lifestyle changes. Cognitive-behavioral therapy (CBT) is a type of talk therapy that is often used to treat social anxiety disorder. It involves identifying negative thought patterns and beliefs and developing positive coping strategies. Medications such as selective serotonin reuptake inhibitors (SSRIs) or benzodiazepines may also be prescribed to help manage symptoms.

Lifestyle changes, such as practicing stress-reducing activities like yoga or meditation, regular exercise, and avoiding alcohol and caffeine, can also help manage symptoms of social anxiety disorder. 

Fear and Avoidance of Eye Contact in Social Anxiety Disorder

One of the hallmark symptoms of social anxiety disorder is fear and avoidance of eye contact in social situations. It can be due to the belief that eye contact will result in negative judgment or evaluation by others, which can cause intense anxiety and discomfort.

People with a social anxiety disorder may avoid eye contact or use avoidance strategies such as looking away frequently or focusing on something else in the environment. They may also feel self-conscious or embarrassed when making eye contact, leading to further avoidance and social isolation.

The avoidance and fear of eye contact in social anxiety disorder can significantly impact daily life and social functioning. It can interfere with work, school, and personal relationships and prevent individuals from pursuing their goals and interests.

Reasons Someone Avoids Eye Contact

People might avoid eye contact for many reasons, which can vary depending on the individual and the context. 

Here are a few possibilities:

  1. Shyness or social anxiety: Some people may feel uncomfortable making direct eye contact with others because it feels too intimate or vulnerable.
  2. Cultural norms: In some cultures, avoiding eye contact is seen as a sign of respect or humility, particularly when speaking to elders or authority figures.
  3. Autism spectrum disorder (ASD): People with ASD may struggle with making eye contact because they find it overwhelming or distracting. They may also have difficulty reading social cues conveyed through eye contact.
  4. Deception or dishonesty: When someone lies or is deceitful, they may avoid eye contact to conceal guilt or discomfort.
  5. Low self-esteem or insecurity: People who struggle with feelings of inferiority or inadequacy may avoid eye contact because they fear judgment or rejection from others.
  6. Attention deficit hyperactivity disorder (ADHD): People with ADHD may have difficulty sustaining eye contact because they are easily distracted or restless.
  7. Trauma or abuse: Some people who have experienced trauma or abuse may avoid eye contact to protect themselves from triggering memories or feelings of fear or vulnerability.
  8. Disinterest or boredom: In some situations, people may avoid eye contact simply because they are not interested in the conversation or activity.

Is Eye Contact Autism or Anxiety?

Eye contact can be affected by both autism and anxiety but for different reasons.

People with autism may have difficulty with eye contact due to challenges with social communication and social interaction. They may find it difficult to interpret social cues and may not understand the significance of eye contact in social interactions. They may also experience sensory overload when looking directly into someone’s eyes.

On the other hand, anxiety can also lead to difficulty with eye contact. People with social anxiety disorder may avoid eye contact because they fear being judged or scrutinized by others. They may feel self-conscious or vulnerable when making direct eye contact and may find it uncomfortable or overwhelming.

It’s important to note that not all people with autism or anxiety struggle with eye contact, and many other factors can influence this behavior. It’s also possible for someone to have both autism and anxiety, making it more complex to understand their experiences with eye contact. If you are concerned about your own or someone else’s eye contact behavior, it may be helpful to talk to a healthcare professional for guidance and support.

How to Get Rid of Eye Contact Anxiety?

If you struggle with eye contact anxiety, there are several strategies that you can try to help reduce your discomfort:

  1. Practice mindfulness: Focus on the present moment and observe your thoughts and feelings without judgment. It can help you to be more aware of your anxiety and better manage it.
  2. Start small: Begin by making brief, intermittent eye contact with people you feel comfortable around. Gradually increase the duration and frequency of your eye contact as you become more comfortable.
  3. Use positive self-talk: Challenge negative thoughts contributing to your anxiety and replace them with positive affirmations.
  4. Maintain good posture: Stand or sit straight, and keep your head level. It can help you to feel more confident and in control.
  5. Practice relaxation techniques: Deep breathing, progressive muscle relaxation, and visualization can help to reduce anxiety and promote relaxation.
  6. Seek professional help: If your anxiety about eye contact is severe or interfering with your daily life, consider talking to a mental health professional who can help you develop coping strategies and work through any underlying issues.

Remember, overcoming this anxiety takes time and practice. Be patient with yourself and celebrate small successes along the way.

About Us:

Welcome to After-Anxiety.com! Our dedicated team tirelessly curates resources that empower individuals to overcome anxiety. Our authors, including mental health advocates Jessi Davis, James Thompson, and Ana Ramirez, contribute their diverse experiences and expertise to provide insightful content. Their backgrounds in psychology, holistic health, mindfulness, and wellness contribute to our mission: helping individuals understand, manage, and thrive after anxiety. Discover After-Anxiety.com today – your online hub for healing, growth, and a fulfilling future.