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Society and Mental Health

What is social anxiety?

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Defining Social Anxiety

Social anxiety is characterised by an intense and persistent fear of being negatively judged by others. This fear can significantly disrupt a person’s daily life and may lead to:

  • Excessive self-consciousness 
  • Feelings of inferiority or worthlessness
  • Depression 
  • Discomfort in public settings
  • Substance use issues

People with social anxiety often worry excessively about being the centre of attention, embarrassing themselves, or being perceived as awkward, unlikeable, or incompetent. This fear can even extend to everyday tasks such as eating in front of others or using public restrooms, which they may try to avoid altogether.

It’s important to note that those with social anxiety often desire social connection. They want to engage with others and form friendships but the anxiety can become so overwhelming that they end up withdrawing or isolating themselves. This can hinder the development of social skills, further reinforcing the cycle of anxiety and avoidance.

Social Anxiety vs. Feeling Shy 

Many people confuse social anxiety with shyness, but they are not the same.

The key differences lie in:

  • The intensity of fear
  • How much it interferes with daily life
  • The extent of avoidance

While shyness may involve feeling nervous or reserved in social settings, it generally does not prevent someone from participating in everyday activities. Shy individuals may feel awkward, but they still attend events and engage with others.

In contrast, social anxiety can be debilitating. Those with social anxiety might:

  • Avoid social situations entirely 
  • Experience extreme distress about an upcoming event weeks or even months in advance
  • Feel physically unwell at the thought of social interaction

Situations that Trigger Social Anxiety

If you have social anxiety you are likely to experience significant distress in the following situations:

Talking to others Being in large groups
Attending parties Waiting in lines
Replying to emails/ texts Posting on social media
Using public restrooms Talking on the phone
Eating in public Using public transport
Attending workplace meetings Participating in class discussion/ group work
Asking store clerks for assistance Ordering food
Receiving criticism Being observed whilst performing an activity
Being addressed by authority figures e.g. lecturers Sit-down dinners

The Cycle of Social Anxiety 

Social anxiety is often created and maintained through the interaction of three key components: thoughts, physical symptoms, and behaviours. 

For example, when someone is required to participate in a group discussion, they might experience physical symptoms such as blushing or sweating. These physical sensations can trigger anxious thoughts like, “Everyone thinks I’m awkward and stupid.” These thoughts further intensify their anxiety.

To temporarily relieve this distress, they may engage in safety behaviours, such as leaving class early to avoid the discussion. While this avoidance may reduce anxiety in the short term, it prevents them from learning how to manage their anxiety and ultimately reinforces the fear in the long term. 

Symptoms of Social Anxiety 

Thoughts 

People who experience social anxiety are often extremely self-critical and preoccupied with worry that others are judging them. The following thoughts are often experienced by those who are socially anxious, try ticking off which ones you can relate to: 

People will think I’m dumb/boring/stupid/ weird I’m not an interesting person
I always offend someone People think I’m pathetic/weak
People can see I’m nervous I’m not likeable
People think I’m arrogant People laugh at me
I’m such an embarrassment I inconvenience others
People think I’m hopeless

Physical Symptoms

Pounding heart Rapid, shallow breathing
Sweating Clammy hands
Trembling or shaking Feeling dizzy or faint
Pain in stomach Feeling unable to sit still

Behaviours 

People who experience social anxiety will often develop safety behaviours or participate in avoidance to help reduce their anxiety. The following maladaptive behaviours are often performed to avoid anxiety:

Avoiding eye contact Leaving early
Leaving without saying goodbye Asking questions while avoiding answering questions
Declining invitations Wearing heavy makeup to hide blushing
Pretending not to notice a friend or acquaintance in public Drinking alcohol to calm nerves
Wearing plain clothes for the purpose of avoiding attention Playing with phone to avoid conversations
Rehearsing conversations before an event

Association for Children’s Mental Health. (2021). Common Mental Health Diagnosis in Children | Children Mental Health Disorders. ACMH. http://www.acmh-mi.org/get-information/childrens-mental-health-101/common-diagnosis/

Mayo Clinic. (2017). Social anxiety disorder (social phobia)—Symptoms and causes. Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/social-anxiety-disorder/symptoms-causes/syc-20353561

National Institute of Mental Health (NIH). (2021). Social Anxiety Disorder: More Than Just Shyness. https://www.nimh.nih.gov/health/publications/social-anxiety-disorder-more-than-just-shyness/index.shtml

NIH. ( 2014) What is Social Phobia ( Social Anxiety Disorder) NIH. Retrieved February 28, 2014 from http://www.nimh.nih.gov/health/topics/social-phobia-social-anxiety-disorder/index.shtml

ReachOut Australia. (2021). Social anxiety disorder. https://au.reachout.com/articles/social-anxiety-disorder

Richards, T. A. (2021). What is Social Anxiety? | The Social Anxiety Institute. https://socialanxietyinstitute.org/what-is-social-anxiety

Verywell Mind. (2021). The Surprising Similarities Between Shyness and Social Anxiety. Verywell Mind. https://www.verywellmind.com/difference-between-shyness-and-social-anxiety-disorder-3024431