I used to have this problem to much of an extream, a few years back I went to see a specialist in my area (was probley the first time I had left the house in a few weeks) and we had a very long disgustion about my experiences, his conclusion was that not only was this a social anxiety but at one point a social phobia, I remember fearing for my life to goto school/work and I had no idea why. My advice is to start off slowly, the best way I think of getting rid of this fear is to get out and challange your self, embarrassing yourself in public works well (lol seems like a joke but its true, well atleast for me that is), think of a moment that you had alot of anxiety and keep challanging yourself to do that, over and over until its like nothing too you, think about watching a scarey movie with a friend, if he was to lean over and tell you every scarey part of the movie, good chance it wouldn't live up to the genra of horror. As for meds, I would sudjest "effexor", ive tried paxil and it just seem to create more problems then it solve, then again that could just be me... Anyways I wish you the best of luck, if you have any question don't be afraid to ask me ^-^