Social phobia or social anxiety disorder entails fears of judgment, rejection from a social and performance standpoint, being seen in a negative light, and intense anxiety. People with a social anxiety disorder may worry about acting or appearing visibly anxious or being viewed as inadequate. As a result, they often avoid social or performance situations, or they will experience significant anxiety and distress. Many people with a social anxiety disorder also experience physical symptoms, such as a rapid heart rate, nausea, sweating, and panic attacks. Although people recognize that their fear is excessive; however, they often feel powerless against their anxiety. Social anxiety disorder is the second most diagnosed anxiety disorder following specific phobia. Onset for social anxiety disorder is often during the teen years.