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Common Symptoms of Social Anxiety Disorder

Courtesy of Mayo Clinic

Feelings of shyness or discomfort in certain situations aren’t necessarily signs of social anxiety disorder, particularly in children. Comfort levels in social situations vary, depending on personality traits and life experiences. Some people are naturally reserved and others are more outgoing.

In contrast to everyday nervousness, social anxiety disorder includes fear, anxiety, and avoidance that interfere with relationships, daily routines, work, school, or other activities. Social anxiety disorder typically begins in the early to mid-teens, though it can sometimes start in younger children or in adults.

Emotional and behavioral symptoms

Signs and symptoms of social anxiety disorder can include constant:

• Fear of situations in which you may be judged negatively
• Worry about embarrassing or humiliating yourself
• Intense fear of interacting or talking with strangers
• Fear that others will notice that you look anxious
• Fear of physical symptoms that may cause you embarrassment, such as blushing, sweating, trembling, or having a shaky voice
• Avoidance of doing things or speaking to people out of fear of embarrassment
• Avoidance of situations where you might be the center of attention
• Anxiety in anticipation of a feared activity or event
• Intense fear or anxiety during social situations
• Analysis of your performance and identification of flaws in your interactions after a social situation
• The expectation of the worst possible consequences from a negative experience during a social situation

Physical Symptoms

Physical signs and symptoms can sometimes accompany social anxiety disorder and may include:

• Blushing
• Fast heartbeat
• Trembling
• Sweating
• Upset stomach or nausea
• Trouble catching your breath
• Dizziness or lightheadedness
• Feeling that your mind has gone blank
• Muscle tension

Top Ten List of SAD Apprehensions and Fears

Courtesy of the Social Anxiety Institute/Phoenix

10. Misunderstood by others (including therapists): No one else understands what it feels like to have social anxiety. Social anxiety remains a relatively misunderstood anxiety disorder, so it comes as no surprise that we feel at a loss when it comes to overcoming it. Many therapists lack the required knowledge to diagnose the disorder properly, and very few structured cognitive-behavioral therapy groups exist in the world.

9. Restricted from living a “normal” life: We feel our options in life are limited. Because we feel unable to engage in common, everyday activities, we feel trapped. A sense of helplessness and lack of control often accompany the feelings of being stuck or trapped.

8. Trapped (in a vicious cycle): We realize that our thoughts and actions don’t make rational sense, but we feel doomed to repeat them anyway. We don’t know any other way to handle scenarios in our lives. It is difficult for us to change our habits because we don’t know how.

7. Alienated: We feel alienated and isolated from our peers and families. We feel like we “don’t fit in” because no one understands us. The more we think this way, the more isolated we become. It’s a self-fulfilling prophecy. We identify with the word “loner.”

6. Hypersensitive to criticism and evaluation: We interpret things in a negatively skewed way. Our brain’s default position is irrational and negative. Even a minor misunderstanding can lead to a lengthy period of self-criticism. Sometimes others try to offer us advice, and we can take it the wrong way. We avoid events or activities where we can be judged, and this contributes to our lack of experience and sociability.

5. Depression over perceived failures: We replay events in our heads over and over, replaying how we “failed miserably” in our own perception. We’re certain that others noticed our anxiety. We may go our entire lives thinking back and re-living a “failed” experience, e.g., a public presentation, a bad date, or a missed opportunity. We keep replaying these things in our minds over and over again, which only reinforces our feelings of failure and defeat.

4. Dread and worry over upcoming events: We obsess about upcoming events, and “negatively predict” the outcomes. Worrying about the future focuses our attention on our shortcomings. We may experience anticipatory anxiety for weeks because we feel the event will cripple us.  Worrying causes more worry, and it becomes a vicious cycle. Our fear and anxiety is built up to gigantic proportions, the more time we spend worrying about the future. We make mountains out of molehills.

3. Uncertainty, hesitation, lack of confidence: We generally have low self-esteem. We hold ourselves back and avoid situations in life. We don’t participate in conversations as much as we could. We avoid situations because we fear being criticized and rejected by others. The fear of disapproval is so strong that we don’t get enough life experience in social situations, due to our habit of avoidance.

2. Fear of being the center of attention: Being put on the spot or made the center of attention is another primary symptom of social anxiety disorder. The thought of giving a presentation in front of a group of people cripples us with anxiety and fear. We worry that everyone will notice our anxiety, even though we are good at hiding it. We may display physiological symptoms of anxiety including sweating, blushing, shaking of the hands or legs, neck twitches, and weakening of the voice.

1. Self-Consciousness: Social anxiety makes us too aware of what we’re doing and how we’re acting around others. We feel like we’re under a microscope and everyone is judging us negatively. As a result, we pay too much attention to ourselves and worry about everyone seeming to observe and notice us. We worry about what we say, how we look, and how we move. We are obsessed with how we’re perceived.

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