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What is Social Anxiety?
Overview
Social Anxiety is the fear, apprehension and nervousness that someone can feel before, during or after social interactions. Typically, social anxiety will include a degree of worry, self-consciousness and physiological anxiety symptoms. The most common worries of people with social anxiety include things such as not being able to think of anything to say or people noticing blushing, sweating or shaking. The central fear of someone with social anxiety is that others will evaluate them in a negative way and that this will have negative consequences for them.
In a misguided attempt to help a social anxious person, people may tell them to 'pull them self together' or force them into the situations they find difficult, but unfortunately this tends to be counter-productive. Social anxiety is a complex condition, but with the right knowledge and understanding, practically all people experiencing it can gain the confidence to feel comfortable in social situations.
Quality of Life
People usually become very socially isolated and lonely as a result of their social anxiety while at the same time feeling unable to reach out for help. Talking to a group of people, job interviews or asking someone out on a date can seem like an impossibility for many people with severe social anxiety and this can mean that any kind of career or close relationship is also an impossibility. People with social anxiety are not anti-social and often really want to be sociable and get to know other people but their fears can make this very difficult. It is this conflict between a desire to meet social needs and an intense fear of the situations that allow those needs to be met that makes social anxiety such a cruel and misunderstood condition.
Names and Labels
This website is mainly aimed at people who experience enough social anxiety for it to have a significant effect on their quality of life, although the term social anxiety refers to all degrees of anxiety felt in relation to social situations. Many mental health professionals use the term 'social anxiety disorder', 'social phobia' or 'avoidant personality disorder' to describe severe social anxiety, but research indicates that social anxiety exists along a sliding scale and therefore it is unhelpful, if not impossible, to categorise people as either having or not having the condition. Severe social anxiety is technically not a phobia and terms like 'disorder' classify it as type of disease or illness which can increase stigma.
Although these labels can be useful to large healthcare institutions, I have made every attempt to avoiding using them and simply use the term 'social anxiety' instead, while sometimes referring to more severe social anxiety as a condition. The term, 'condition', can also refer to disease, but it is less implied and I use it to mean a mind that is operating in a certain way; the condition of the mind. It is a strong assertion of mine that social anxiety is never a disease, but is rather an unpleasant outcome of a healthy mind working in a particular way.
There is often much disagreement surrounding whether or not social anxiety is just shyness, but the truth is that 'shyness' is a very under-defined word and what one considers shyness to be can vary greatly from person to person, or book to book. On the whole, shyness and social anxiety are the same thing, but when we think of shyness we tend to think of behaviour rather than the thoughts and feelings going on inside a person. Most people go through a shy stage as a child, but unfortunately this can mean that people often don't receive the necessary help when their shyness persists and causes them significant unhappiness. A type of social anxiety that does tend to be noticed in children is 'selective mutism' where a child will refuse to speak publicly or to certain people.
Do I have Social Anxiety?
The rest of this page attempts to explain the experience of social anxiety in more detail. If you think that you may be suffering with social anxiety, or think that someone you know may be, then the following will help you identify whether or not this is the case. The experience of social anxiety can be split up into four areas. These are, mental, physical, behavioural and situational. A brief description of each area is given with a list of common experiences that relate to it. Social anxiety differs from person to person in both in terms of its severity and the exact way it manifests itself. Because of this, not all items in the lists will apply to all people experiencing social anxiety and different things will problematic for different people, however, people will usually quickly recognise if their experiences fit what is being described.
Mental Symptoms
Below is a list of the more common mental experiences of someone with social anxiety. This includes thoughts and feeling as well as other mental states such as poor concentration. If social anxiety is something that is interfering with your life then you will likely identify with many of these items, if not all of them.
- Feeling unable to speak
- Mind going blank
- Poor concentration
- Feeling 'spaced out'
- Feeling disorientated
- Feeling detached from people
- Feeling annoyed with yourself
- Thinking you are inadequate
- Thinking pessimistically
- Thinking others are judging you
- Mentally beating yourself up
- Frequent self-criticism
- Feeling isolated and lonely
- Over-analysing what you did
- Needing everyone to like you
- Racing thoughts
- High sensitivity to criticism
- Thinking you are worthless
- Thinking you are inferior
- Feeling down and depressed
- Feeling watched, scrutinised and judged by others
- Constantly worrying about what others think of you
- Feeling awkward and uncomfortable around people
- Dwelling on and worrying about things you did or said
- Being unable to express your true self
- Thinking that people find you boring, weird or annoying
- Feeling frustrated and unable to form close relationships
- Feelings tired and emotionally drained
- Thinking others disapprove of you
- Worrying about embarrassing yourself
Physical Symptoms
The following is a list of the common physical symptoms that a person with social anxiety will experience. You may find that only one or two of these are particularly unpleasant for you, while some may not seem to apply at all. Commonly people will experience a strong racing heartbeat and muscle tension. Because of their visibility, people can feel very self-conscious about blushing, sweating or shaking. If you are in any doubt about whether or not the physical symptoms you are experiencing are caused by anxiety then you should discuss them with your doctor.
- Blushing
- Sweating
- Nausea/Feeling sick
- Trembling or shaking
- Clenched teeth
- Stiff achy jaw
- Muscular tension
- Heart palpitations
- Racing heartbeat
- Strong heartbeat
- Dry mouth
- Chest pain or discomfort
- Abdominal pain or discomfort
- Shortness of breath
- Feeling faint or fading vision
Behaviours
Social anxiety often leads to the avoidance of feared situations resulting in social isolation, but some will decided to keep on doing the things they find difficult regardless of how much anxiety they experience. Typically, all people with social anxiety will adopt some kind of behaviour to try and help them deal with their fears. This involves behaving in ways to try and minimise the social risks they feel they are faced with. Not all of these will be relevant to you, but if you experience a significant amount of anxiety then you will probably recognise many of them. Avoiding eye contact, using alcohol to boost confidence, speaking quietly, staying on the edge of a group and being very agreeable are behaviours that are particularly common amongst people with social anxiety.
- Crossing the road to avoiding meeting someone you know
- Using alcohol or other drugs before meeting people
- Avoiding answering the door or phone
- Avoiding eye contact
- Sticking to 'safe' topics during conversations
- Giving minimal answers and say as little as possible
- Speaking quietly
- Sitting on at the back or on the edge of a group
- Tensing up to try and control shaking
- Wearing clothes or using hair to hide blushing
- Wearing certain clothes to hide sweating
- Being overly polite to people
- Always agreeing with everyone
- Saying what you think people want to hear all the time
- Rehearsing what you'll say over and over in your head
- Doing what everyone asks of you even if you don't want to
- Living with parents beyond a reasonable age
- Making excuses for anxious behaviour
- Leaving places early
- Talking excessively to fill silences
- Giving short vague answers to questions
- Constantly seeking reassurance from others
- Making yourself look busy to avoid speaking to people
- Having people speak for you
- Shopping in different places to avoid being recognised
- Making excuses for not attending social events
- Choosing a 'safe' career or remaining on benefits
- Declining promotions that are more socially involved.
- Avoiding public transport
- Missing classes/training you find difficult
- Staying close to people you know
- Asking other to do things for you
- Avoiding anything that might initiate conflict
- Meeting social needs almost exclusively through the internet
Feared Situations
Some people will find that nearly every social situation triggers them to feel anxiety, while for others, only certain situations tend to be problematic. For instance, someone might be relaxed while spending time with friends, but then get terrified when they have to presentations or talk to people in positions of authority. However, it wouldn't be uncommon for a person to find nearly all of these situations difficult and anxiety provoking. Talking in groups, hairdressers, supermarkets, parties, public toilets, dancing, singing and being the center of attention are often some of the most uncomfortable situations for people with social anxiety.
- Public speaking
- Making eye contact
- Speaking to strangers
- Making small talk
- Talking in groups
- Being asked an on the spot question
- Visiting the hairdressers
- Going to the supermarket
- Making phone calls and talking on the phone
- Writing in front of others
- Eating in front of others
- Holding things that reveal your shaking in view of others
- Sweating, shaking or blushing in view of others
- Having to assert yourself
- Being asked to introduce yourself
- Icebreaker exercises on courses
- Being left in a room with someone you don't know well
- Getting a refund on something you bought
- Using public or other people's toilets
- Performing in front of others
- Sitting in a doctors waiting room or other waiting rooms
- Being the center of attention
- Noisy environments
- Being where people are shouting or arguing
- Parties or social gatherings
- Karaoke or singing in earshot of others
- Dancing in front of others
- Meeting someone you know in the street
- Work meetings and team building exercises
- Speaking to authority figures
- Asking someone out on a date or going on a date
- Initiating and maintaining conversations
- Reading aloud
- Being embarrassed or humiliated in front of others
- Attending interviews
- Speaking to someone you find attractive
- Using communal showers
- Having your picture taken or being videoed
More information on social anxiety will be added to the free downloads section of the website as it becomes available.
IMPORTANT INFORMATION: This document should under no circumstances be used in the place of a diagnosis by a qualified medical professional.
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