There are many different treatments for social anxiety disorder (SAD). A different meta-analysis showed "no difference between PDT and CBT for social anxiety disorder" (Zhang, 2022). According to Horenstein (2019), "Poor sleep is prevalent among individuals with social anxiety disorder (SAD) and may affect treatment outcomes." Caldiroli reported that "pregabalin at high doses (450-600 mg/day) appears to be a reliable alternative strategy for SAD treatment" (Caldiroli, 2023). Eating fermented foods that naturally contain probiotics is "associated with fewer symptoms of social anxiety" (Hilimere, 2025)Good examples of helpful fermented foods include yogurt, cottage cheese, kefir, and sauerkraut.