Is This Social Anxiety Disorder or My Personality?
You might experience a quickening heart rate, feel sick to your stomach, or be dizzy. These are physiological symptoms that could come and go over weeks, months, or even years. How do you know if these – combined with your fears of meeting new people – are symptoms of Social Anxiety Disorder or simply your personality?
Recognizing when symptoms may be related to Social Anxiety Disorder (SAD) is complex, and not something you should try to ascertain on your own. However, learning about SAD can help you determine your next right step.
What is social anxiety disorder?
Social Anxiety Disorder may be something that you or a loved one has and doesn’t understand. It’s a mental health disorder related to other anxiety disorders.
If you are afraid of joining new groups, meeting new people, or appearing on a stage of any kind, you may have Social Anxiety Disorder. But did you know that even some fear of everyday tasks, such as purchasing a product from a checkout clerk or at a kiosk, making a phone call, or raising your hand in class, can also be signals of Social Anxiety Disorder?
SAD impacts an estimated 7-10% of people in the world, and it often begins in childhood or adolescence. When a person is afraid to join people, groups, or get up in front of others, it may be because of SAD. People with SAD worry about being rejected, criticized, or judged for something they do or say.
Social Anxiety Disorder Symptoms
Symptoms of SAD may seem small at first. You don’t want to participate in group projects at school because you don’t want to be the nominated speaker. Your fear of reading aloud isn’t related to your inability to read; it’s because you don’t want your voice to be judged by classmates.
These symptoms can continue and increase throughout a person’s life. They can range from small to large, come and go depending on the situation, and vary in intensity from mild to severe.
A person with SAD may avoid public speaking, or they may avoid anything where they are asked to address someone they don’t know. This can severely disrupt their life, making it hard to find a career, learn in a traditional school setting, or accomplish basic tasks like purchasing groceries from the supermarket.
How to Tell If You Are Simply Shy
Sometimes, the symptoms of SAD are mild, so they’re chalked up to shyness. This can disturb a young person’s self-esteem because they may perceive that there is something deeply wrong with who they are.
Unfortunately, if your social anxiety disorder is mild, meaning you experience the same symptoms for at least six months, it may be that shyness is hard to distinguish. However, if your symptoms are manageable and they don’t disrupt your everyday life, you are likely someone whom others would characterize as shy.
The tendencies you struggle with can be overcome. Still, it is important to note, your propensity toward shyness doesn’t mean you are any less valuable as a person, though.
Research suggests that shyness isn’t something we’re born with. A sense of self begins to develop around the age of one and a half years old. Consider if you were born with a more sensitive temperament and the caregivers in your life were not understanding of that temperament.
This may have led you to develop lower self-esteem, feel unworthy of love, or believe that the only way to exist successfully in the world around you was to be loud and outgoing.
Sadly, these unhelpful messages are common among people who are shy and among people who have SAD. It’s essential to know that your fears, which contribute to both shyness and social anxiety disorder, stem from real emotions that need to be taken seriously and dealt with gently.
In general, if your symptoms persist for longer than a few weeks (typically, at least six months) and if they’re disrupting your everyday life routines and activities, we recommend consulting a counselor.
Being introverted may increase the likelihood that you will develop SAD, but it doesn’t have to. Psychologists encourage evaluations for anyone who perceives he or she may have SAD because of comorbidities that may be contributing factors, such as generalized anxiety or depression.
Social Anxiety Disorder Treatments
While a person with Social Anxiety Disorder is less likely to seek treatment, due to fear of being judged, it’s essential for a person’s healing. If what you perceive as your shyness persists over time and interrupts your daily life, you can’t discern if you have SAD without a psychotherapy evaluation.
Seeing a counselor in person or online can bring you peace of mind and mark the beginning of a full, varied life. Missing out on friendships, career opportunities, or trying new hobbies are all consistent consequences of someone’s fear getting in the way of their everyday life choices.
Several treatments show promise for social anxiety disorder. Cognitive Behavioral Therapy (CBT) is used to treat multiple mental health issues, and studies show its effectiveness is long-lasting. With CBT, someone with SAD may learn new ways to think about themselves and the world they’re afraid to engage with.
A standard CBT method for social anxiety disorder may help the person understand that some of his or her perceived judgments aren’t there. It can help him or her focus less on self and more on the genuine good found in others. CBT helps people learn new behaviors and beliefs, which impact how they view themselves and how they perceive others’ views of themselves.
Another treatment for SAD is exposure therapy, where a counselor helps someone progressively address and face what they’re afraid of. For example, consider someone with SAD who is particularly afraid of raising their hand (or being called on) in class. Exposure therapy would encourage tiny steps toward class participation. Over time, these small steps add up to overcoming the fear of that specific situation.
Another treatment that has proven helpful for people who have social anxiety disorder is acceptance and commitment therapy. This therapy, also known as ACT, focuses on the gentle acceptance of fearful thoughts so that they can be invited, acknowledged, and hopefully, overcome through small attempts to engage in anxiety-reducing behavior. Mindfulness practices are one example of how a person can grow to address their fear without letting it take hold.
How to Help a Friend or Loved One with Social Anxiety Disorder
Learning to see the real struggle behind a person’s disorder is paramount to accepting and loving them as they are. When we minimize or try to quickly dismiss a person’s fear, it communicates that they’re blowing things out of proportion or fearful for no reason. These behaviors and attitudes only confirm their belief that they are not enough or that their presence doesn’t matter.
Instead, remind yourself that SAD is a mental health condition, not a simple refusal to be part of what you may perceive as fun. It’s a condition that can be overcome, but it takes patience and taking small steps over time when someone is ready.
Other helpful practices to help you show respect for someone with SAD include:
Listen first You might think you understand or have a story about a time when you faced a fear. Try not to share it. Instead, ask questions with compassion and curiosity to show that you care and are genuinely interested in listening.
Encourage second If your loved one expresses a desire to overcome their fears, start with understanding. There aren’t any quick and easy ways to wholeness when it comes to mental health disorders.
Collaborate third When your loved one decides he or she wants to work on the anxiety that’s held them back, ask if they’d like help to find a professional counselor or a CBT group that can give them resources and support. If they decline, that’s okay; ask what you can do to make them feel like you’re in their corner.
Don’t judge We’ve all had struggles in our lives, and mental health is no different than one of your challenges. Maybe you struggle to maintain a healthy fitness and eating routine, or maybe your spending habits need attention.
Try to remember that, unlike a simple tweak to a routine, a mental health condition needs specific, targeted therapy and can’t be unlearned by following someone on social media or making a lifestyle change. Judgments have no place in mental health.
When your loved one is ready, share the resources that you’ve seen – such as this article – that could lead to the discovery of a counselor who knows how to treat social anxiety disorder with patience and compassion. For more help and tools, contact our office today.
Photos:
“Friends”, Courtesy of Getty Images, Unsplash.com, Unsplash+ License; “Shy Dog”, Courtesy of DACHENGZI LIANG, Unsplash.com, CC0 License; “Relaxation”, Courtesy of Kosal Ley, Unsplash.com, CC0 License; “Counseling Session”, Courtesy of Hrant Khachatryan, Unsplash.com, Unsplash+ License

Legal and other consequences Anger can lead to bad decision-making, like assaulting other people or damaging property. This can result in legal action being taken against you, as well as being arrested and possibly convicted. Anger can also lead to financial problems, especially when the anger escalates and results in losing work or facing lawsuits for damage caused to people and property out of anger.
Psychology has come a long way with treatments for social anxiety. Cognitive Behavioral Therapy (CBT) and Exposure Therapy are two of the most well-known and effective forms of therapy.
As you progress through treatment, the stops will become longer and contain more people. After every exercise, you will report your progress to the counselor and discuss what occurred, how you felt, and what thoughts went through your mind. If an outing did not work out as planned, you will discuss what could have gone better and regroup to try again.
Positive affirmations are phrases that help to encourage and empower. The more you say these daily affirmations, the more you will believe them to be true. When you believe something, whether true or false, it becomes true for you.
You can develop social anxiety disorder later in life, especially if you have experienced trauma. According to the World Health Organization (WHO), the pandemic increased the prevalence of anxiety and depression by 25%. Many people still struggle with anxiety and social anxiety that began in 2020.
Time is an important aspect of our lives. Spouses might want alone time to pursue their hobbies, and also time for shared activities. To promote a healthy work-life balance, a couple may need to establish boundaries between work and life, for instance, by not checking work emails after 5 pm.
The term ‘codependency’ is one that’s gained currency in the last decade or so. It describes a variety of unhealthy relationship behaviors that can be caused in several ways. However, at the heart of codependency is an underdeveloped or poor sense of self. If a person doesn’t develop a clear sense of who they are, their values, and their boundaries, they are more prone to developing codependent patterns of behavior in relationships with others.
There isn’t a single and straightforward path toward codependency. A person develops a poor sense of self and has difficulty maintaining healthy boundaries with others for a variety of reasons. The process of developing a healthy sense of self was often disrupted by experiences such as childhood trauma or experiences such as abandonment, or neglect. These can be in the form of a parent dying, parental divorce, or being literally abandoned.
Depending on your situation, societal or cultural expectations can also play a role in nurturing codependency. If, for instance, there’s more of an emphasis on the collective – society, your local community, or the family – over the individual, that may lead to codependent behaviors. While it’s important to look out for others and love them well, it can be detrimental to do so without regard to personal well-being.
A friendship, even a good friendship, can be overcome by codependent dynamics. If a friend is in trouble and you bail them out, that’s one thing. However, if you begin to fall into that pattern of relating to each other, a codependent dynamic can develop. A healthy friendship can become codependent in several ways, or it might commence between two people with codependent tendencies and patterns of behavior. Recovery, however, is possible.
Prayer with a life coach can reveal areas of need, provide emotional grounding, and prepare clients to combine the truths of the Scriptures with the experience of the life coach, motivating them to act. Similarly, certain spiritual practices like fasting, solitude, generosity, and sabbath taking may be taught as a model of healthy life balance passed down from Old Testament heroes, from Jesus, and the early church.
The fear of mortality is also known as ‘thanatophobia’, or the fear of death. This fear or anxiety is rooted in a keen awareness of the fact that life will inevitably end, and that awareness can range from subtle to a blaring and ever-present reality that intrudes into everyday life. It can linger in the quiet moments as you reflect on your day, or it can manifest as severe panic attacks or obsessive behaviors designed to help avoid thoughts of death.
Personal experiences As a person ages, they become more aware that our life under the sun isn’t forever; it is impermanent. Experiencing the death or serious illness of a loved one or having a near-death encounter can all trigger fears about mortality and our limitations. Experiences of trauma, abuse, or neglect can also contribute to fears about mortality.
For others, it can result in being risk-averse. Some people take excessive caution, not wanting to risk that something might happen. Trying new things might also get taken off the menu, as that could be too risky. They might become preoccupied with health to address any and all issues, leading to constantly monitoring every health indicator and seeking medical attention for minor concerns.
Reassurance from Scripture Passages like 1 Corinthians 15, Romans 8, John 11-12, Revelation 21-22, Philippians 1:18-26, 1 Thessalonians 4, and 2 Corinthians 5 all help believers reframe their understanding of life and death. God is sovereign over death, and the resurrection of Jesus changes absolutely everything. There is hope, even when it all seems dark and lifeless.
However, it’s also true that our emotions serve a purpose, and that includes anger. It’s quite likely that you’ve experienced someone expressing their anger before, except that you probably missed it because it was a healthy expression of anger. A person can assert themselves and their feelings of anger in a calm and collected manner. These expressions of anger aren’t sensational, and they often go unnoticed.
Legal problems In the same vein, being angry and expressing it by shouting, cursing, hitting, or acting out anger on people or their property leads to trouble. That trouble could be in the form of getting arrested for causing injury to others or property. If a person gets into legal trouble for things they did because of anger, that strongly points to anger problems.
Your loved one’s anger affects them, but that anger doesn’t stay contained; it also affects you, in subtle as well as other ways. To begin with, anger affects your loved one’s health and well-being. The strain that anger puts on the human body can be problematic if a person is chronically angry. Anger can increase stress levels, the risk of heart disease, and the risk of conditions like diabetes, etc.
In the main, the role you can play in your loved one’s life is as a support. You can help them by gently and lovingly pointing out the problem to them. You can encourage them to talk about what’s going on and allow them to communicate their angry feelings. This should be done within limits; for instance, they can share how they feel, but that doesn’t mean they can shout at you and be abusive.
A devastating loss There are times that the loss of a family member can cause a family to become estranged and broken. When there is a loss it affects every person in different ways. When the family faces the loss they must learn a new dynamic. This isn’t always easy. Grief can cause many emotions and until it is processed it is hard to understand how to navigate healing as a broken family.
Having a hard conversation about what happened is the place to start. Without understanding what happened there is no way to understand what needs to be done to repair the damage. Honest and open communication is the best way to accomplish this conversation. This conversation includes listening as much as speaking. Be intentional about the conversation.
Just as families can find themselves out of harmony with each other, they can restore that peace. It takes work on the part of each individual in the family. This requires motivation, knowledge, persistence, and acknowledgment of the reality that no one is perfect. When the balance is restored the trust will likely be restored as well. Remember, something that becomes broken won’t look like it did before the damage. This doesn’t mean it can’t be fixed.
When a family member chooses to end a relationship the only thing that you are in control of is your reaction to that decision. You must understand that you aren’t to blame for their choice. Once you have pursued the avenue of forgiveness, it is up to them whether or not they receive that extended hand of forgiveness.
The answer this theory offers, is to hold our emotions hand-in-hand with logic and cold hard realities, and find a middle ground of wise behavior called “wise mind” thinking, which listens to the feelings, needs, and urges of the emotional side and balances them with acceptance of fact, to synthesizes them into a new, more adaptive way of thinking. In this theory, neither trying to medicate away feelings nor accepting reality without feeling would benefit healing.