Advertising
Advertising

Last Updated on July 9, 2019

How to Tell Symptoms of Social Anxiety And What to Do About It

How to Tell Symptoms of Social Anxiety And What to Do About It

Social Anxiety Disorder (formerly known as Social Phobia) can be a significant hurdle to your happiness, health, and ability to achieve your potential in relationships and at work

Here’s a common scenario:

You’re the kind of person that likes others. You want friends, you want to hang out with your co-workers for hors d’oeuvres after work, and you definitely don’t want someone to hang out with on Friday nights. You just can’t make your reality fit with your wishes.

Here’s one scenario that often happens: after wish you could be bold at work, make friends, and ask for that raise, the minute you’re invited to golf with your boss, do a presentation for the team, or come to a friend’s anniversary party…you bail out. You don’t feel smart enough, worthy enough, prepared enough…it is never enough…so you say “no’ to the very thing you wish you could do.

So, on one hand, you’re happy because you got to avoid the anxiety-provoking personal encounter, but you’re simultaneously miserable because – yet one more time – you didn’t go after what you want most. This can hurt your self-esteem even further, which only makes you less apt to try again the next time.

The vicious cycle can go on for years on end. Clearly, this disorder has the potential to rob you of your health or prevent you from meeting your goals at work and having positive, healthy relationships.

But here’s the good news about Social Anxiety Disorder – you don’t have to let it rob your future!

Is It Social Anxiety Disorder?

First, let’s figure out what we’re dealing with.

The Fancy Definition 

According to the National Institute of Mental Health, Social Anxiety Disorder (formerly known as Social Phobia) is an “intense, persistent fear of being noticed and judged by others” to the degree that it can prevent you from reaching your potential at work and other areas of your life.  

It’s not “just” being shy. The anxiety must last over six months and cause “considerable impairment” in your life, according to the Diagnostic and Statistical Manual (5th ed.).[1] In addition, the anxiety must be constant, intense, and disabling to qualify. 

You’re not the only one!

Advertising

According to Social Phobia org, social anxiety is the third- largest mental health issue in the world, and affects 7% of US citizens.[2] It often (not always) begins around middle school which is inherently a period of intense self-consciousness. 

The Theories

Research is still divided on the cause of Social Anxiety Disorder, but some theories indicate there is a genetic/inheritable component while others argue that it can be a learned behavior.

Others believe the problem is multi-determined and can be a combination of genetics, social learning, and other factors combined. 

10 Scenarios That are Potential Triggers 

The Social Anxiety Association lists several scenarios that can be triggers for your anxiety including these common ones:[3]

  • Being teased or criticized
  • Being the center of attention
  • Being watched or observed
  • Having to say something in a formal, public situation
  • Meeting people in authority (“important people/authority figures”)
  • Feeling insecure and out of place in social situations (“I don’t know what to say.”)
  • Feeling embarrassed (e.g., blushing, shaking)
  • Meeting other peoples’ eyes
  • Swallowing, writing, talking, making phone calls if in public
  • Being introduced to other people

3 Major Symptom Categories

When we encounter our triggers, sufferers tend to become symptomatic. According to Psycom, there are 3 main categories of symptoms for this disorder:

  1. Physical symptoms: racing heart, dizziness, stomach trouble, blushing, sweating, trembling, and dry mouth
  2. Emotional Symptoms: panic attacks, poor body image, nervousness, high levels of anxiety and fears.
  3. Behavioral Symptoms: Avoiding places/situations where you think you will be the center of attention; not pursuing activities for fear of embarrassment; becoming isolated, quitting school or a job, substance abuse.

NIMH adds that poor eye contact, mind going blank, speaking softly, self-consciousness, and feeling awkward are also commonplace. Remember: these symptoms can be “normal” – we are looking only for a situation where it is prolonged and a true hinderance to functioning!

What To Do About It

The important factor is to do something about your Social Phobia as it can become more self-perpetuating over time. Here’s are a few ideas of how to get started.

1. Ask a Doctor

Don’t self diagnose, ask a doctor. Reach out!

If you are concerned that social anxiety is preventing you from reaching your full potential, then seek consultation from a mental health professional or medical provider. Don’t suffer in silence!

Fewer than 5% of people with social anxiety seek treatment after their symptoms begin and, in fact, 1/3 of sufferers report having symptoms for ten years or more before reaching out for help. 

This is a needless impediment to your wellbeing, because studies indicate that this condition is highly treatable. In fact, one study claims an 85% improvement and sometimes full recovery after treatment! [4]

Advertising

A family doctor, internal medicine physician, psychologist, or psychiatrist are among the types of providers experienced in diagnosing and treating Social Anxiety Disorder. Be sure to check reviews and recommendations in your community.

Insider Tip!

Experienced mental health providers always ensure that other factors aren’t the cause of your problem before assigning a psychiatric diagnosis. Many medical issues, medications, and even substance abuse can mimic psychiatric issues so it is essential to rule these out first. 

Special note: Make sure your provider considers all angles without making any assumptions because some people truly do have both genuine psychiatric symptoms and a coincidental medical problems which can mimic it. 

Diagnostics can get complex, so this is why only a credentialed provider should diagnose your concerns! 

What Should You Expect?

Most providers will conduct an intake evaluation where they will take a thorough history, check your symptoms against the DSM-5 criteria, provide you with an anxiety checklist or other type of self-report test instrument, and review your medical records to name a few possibilities.

Be prepared to speak honestly about your history as the more data, the more accurate your diagnosis and recommendations will be. There are also resources, by Mayo Clinic and others, which provide some of the questions you might be asked. Preparation can certainly help with your anxiety about the interview. [5] 

2. Treatment Options

Here are some ways to try to regain your health!

Psychiatric Treatments

The most common types of treatment for social anxiety are psychotherapy, medication, or some combination thereof. 

If you elect to take medication, your doctor can help you decide which one is right for you. Be sure to ask about how long it will take to notice improvement, any potential side effects, and how to weigh the risks versus benefits of the medication.

As for psychotherapy, Cognitive Behavioral Therapy is a common option and NIMH found particularly good outcomes using cognitive therapy combined with a behavioral therapy group.[6]

While the prospect of a group treatment might seem terrifying, it is deemed important so you can work on your symptoms in real-life scenarios with other group members.

Advertising

What is the goal of psychiatric treatment? 

A good goal to aspire to in the treatment of Social Anxiety Disorder is to decrease symptoms, learn to reframe negative thoughts about yourself, developing confidence in social situations, which in the end should help you develop the type of friendships, relationships, jobs, and other opportunities that you previously could not negotiate on your own.

Alternatives

Some organizations are proponents of alternative medicine as an adjunctive treatment. Treatments such as massage, meditation, mindfulness, hypnotherapy, and acupuncture are common place. 

NAMI also suggests various self-management strategies (identifying one specific time to worry during the day, becoming an expert on your triggers, etc.); stress and relaxation techniques (e.g., breathing exercising, focused attention), and yoga (physical postures, breathing, and meditation). Exercise, like in many other areas, is also recommended but check with your doctor before starting an exercise plan.[7]

3. Community Support

Many churches, clubs, and local organizations provide support and healing opportunities for Social Anxiety Disorder. 

The National Alliance of Mental Health provides educational and support resources to those with mental illness including social anxiety at 1-800-950-NAMI or info@nami.org

4. Help Yourself!

NAMI and other organizations provide many ideas for self-help as a first step or as an adjunct to formal treatment. Here are some  ideas for being proactive in your care:

  1. Become educated about medication and treatment options. 
  2. Know your personal triggers and stressors and plan ahead. 
  3. Actively participate in your treatment. 
  4. Don’t QUIT if it isn’t helping. Keep at it until something does.
  5. Live a healthy lifestyle – engage in exercise and de-stressors and watch your diet.
  6. Avoid drugs and alcohol as they affect emotional balance, sleep, and can interactive with medication. *This includes too much caffeine!
  7. Join online discussion groups.

Practice Makes Improvement (If Not Perfect)

Mayo recommends that sufferers participate in social situations by being with those you feel comfortable around.  Then, slowly increase the “risk” by branching out a bit more. Rather than throw yourself into a wild frat party, you might first want to take a small interesting class where the teacher does most of the talking.

You might find that these are “safe” settings to meet people since it is highly structured and there is inherently a reason to speak with your peers. It also levels the playing ground as all of you are “new” in this social setting. [8]

Mayo further suggests that you actually practice socializing, just as you might practice piano. Here are some examples they suggested:

  • Eat with a close relative, friend or acquaintance in a public setting.
  • Purposefully make eye contact and return greetings from others, or be the first to say “hello”.
  • Give someone a compliment.
  • Ask a retail clerk to help you find an item.
  • Get directions from a stranger.
  • Show an interest in others — ask about their homes, children, grandchildren, hobbies or travels, for instance.
  • Call a friend to make plans.

While these might seem like basic tasks to our more extroverted friends, this can be seemingly unsurmountable to our friends with Social Anxiety Disorder!

Advertising

Be Kind (To Yourself)

Learning these new social skills is taxing. Remember to be kind to yourself along the way. Mayo suggests that you spend some time with people you already know and feel comfortable with such as long-term friends and family. 

Another idea is to engage in pleasurable activities and hobbies when you’re anxious. 

Remind yourself that anxiety doesn’t last forever and that you have survived it before and will survive it again. 

Never, Ever Give Up

As you begin your treatment strategies, don’t give up. Don’t ever, ever give up. 

Social Anxiety Disorder, as we stated earlier, is a treatable disorder, so every single small step gets you further to your end goal.

Remember: As you practice, you will invariably fail and have set-backs. It is normal so just expect it! Progress isn’t linear– it occurs with step-by-step small gains over time. 

The Future You

Remember that the best time to start is now. Be a strong, stubborn, tenacious self-advocate. Get help if needed to take the step toward wholeness and healing now!

No matter whether your goal is having close friends, being more effective at work, or even finding a new relationship partner, being able to successfully connect with others can indeed transform a lonely, frustrating life into a more fulfilling one.

Take the step.

Featured photo credit: Eric Ward via unsplash.com

Reference

More by this author

Jodie C.

An experienced psychologist who has worked with people of all ages and socioeconomic backgrounds.

How to Tell Symptoms of Social Anxiety And What to Do About It

Trending in Mental Strength

1 How to Use the Law of Attraction to Make Your Dreams Happen 2 What Is Self-Worth and How to Recognize Yours 3 How to Build Self Esteem (A Guide to Realize Your Hidden Power) 4 7 Stress Management Techniques to Get You Back on Track 5 Why an Attitude of Gratitude Is Essential (And How to Develop It)

Read Next

Advertising
Advertising
Advertising

Last Updated on April 6, 2020

How To Be Successful In Life: 13 Life-Changing Tips

How To Be Successful In Life: 13 Life-Changing Tips

What is success to you? How to be successful in life?

To some, when they think of success, they imagine wealth; others want power; some just want to make a positive impact on the world.

All of these are perfectly valid, indeed success is a concept that means different things to different people. Though no matter what success is to you, it almost certainly isn’t something will come easily.

There are countless guides and books to being successful, however, as success is personal and unique to each individual. The advice contained in these books can often not be relevant. Therefore following the advice of a single individual can often be unhelpful.

With this in mind, considering the advice of a great many people, people whose ideas of success were different both to each other, and quite possibly, to you can be a good alternative.

What follows is a list of 13 of the best pieces of advice from some of the most successful people who have ever lived. If you want to learn how to be successful, these tips are essential:

1. Think Big

    From Michelangelo Buonarroti, Great Renaissance Artist:

    “The greater danger for most of us lies not in setting our aim too high and falling short; but in setting our aim too low, and achieving our mark.”

    There are few artists as influential as Michaelangelo. Today centuries after his death, his work still inspires and connects to people. His work is world famous, just think of his statue of David, or the Mural in the Sistine Chapel in the Vatican.

    Imagine then, if he decided not to work as an artist.

    Being a successful artist has always been extremely difficult, imagine if he decided to give up this ambition in favour of something easier?

    Oftentimes, people often decided to put their dreams aside for something more “realistic”. To give up their dream for something easier. This quote teaches us the danger of such a point of view.
    Instead be ambitious.

    2. Find What You Love to Do and Do It

      From Oprah Winfrey, Media Mogul:

      “You know you are on the road to success if you would do your job and not be paid for it.”

      This is a good quote to remember and think about when you’re at work.

      Imagine being as successful as possible in your current job. Ultimately you’ll probably find yourself working extremely hard and this it will take up much of your time.

      If it’s a job you hate, then being successful at it might only mean filling your life with something you hate to do. What’s the sense in this?

      Instead, why not focus on doing something you love? When you’ve found what you’re passionate about, you get the motivation to keep you moving. Success at this means the fulfilment of your dreams.

      Not sure what your passion is yet? You should learn about this Motivation Engine first.

      Even if you’re not successful, you still filled your time with something you love to do. Many successful musicians spent years of their lives doing unpaid performances, the only reason they kept playing was because they loved to perform.

      3. Learn How to Balance Life

      Advertising

        From Phil Knight, CEO of Nike Inc.:

        “There is an immutable conflict at work in life and in business, a constant battle between peace and chaos. Neither can be mastered, but both can be influenced. How you go about that is the key to success.”

        All too often, people think that to be successful, they need to make the object of their success their life.

        If a person thinks their job will lead them to success, then they may spend countless hours per day, and well into the evening working hard.

        However this comes at the cost of rest, your health and having an enjoyable life. Ultimately they may burn out and cease to be successful at their job anyway.

        If success comes from having a strong social life and a good group of friends, their job may suffer; meaning that they may lose their job, and then be unable to afford going out with friends.

        In these ways, success, as Phil Knight says above, is helped by balance. Think of it as a balance between rest and work, or work and play.

        To achieve that balance, this Ultimate Guide to Prioritizing Your Work And Life can help you.

        4. Do Not Be Afraid of Failure

          From Henry Ford, Founder of Ford Motors:

          “Failure is simply the opportunity to begin again, this time more intelligently.”

          There is a story, it’s unconfirmed whether it actually happened, yet the message within is none the less true:

          Thomas Edison inventing the lightbulb was the result of several hundred failed attempts. In an interview, he was asked “How do you feel after all of your failed attempts?”

          His response was great, “I didn’t fail, I learned hundreds of ways not to invent the lightbulb”

          He saw each “failure” as a lesson. From that lesson he learned what won’t work, and also might work instead.

          Each failed attempt, each rejection, were key steps on his path to success. It is easy to feel like you should give up after a failure. But perhaps in that failure is a lesson.

          Pay attention to your failures, study them. Perhaps then you’ll learn how to succeed.

          If you find it difficult to fight your fear of failure, here’s a guide for you: Why You Have the Fear of Failure (And How to Conquer It Step-By-Step)

          5. Have an Unwavering Resolution to Succeed

            From Colonel Sanders, Founder of KFC:

            “I made a resolve then that I was going to amount to something if I could. And no hours, nor amount of labor, nor amount of money would deter me from giving the best that there was in me. And I have done that ever since, and I win by it. I know.”

            This, in many ways relates to the above quote about learning from your failures.

            It’s the easiest thing in the world to give up from a failure. The only way to push on is if you have the true burning desire to succeed, to not be moved or dissuaded from your goals.

            Advertising

            If you are not truly dedicated towards success, then each failure will hurt more, each set back will slow you down.

            Success is hard; without the unwavering desire to succeed, this difficulty may seem insurmountable. With the desire, it is merely an obstacle to go through.

            6. Be a Person of Action

              From Leonardo da Vinci, Renaissance Genius:

              “It had long since come to my attention that people of accomplishment rarely sat back and let things happen to them. They went out and happened to things.”

              Though it was said hundreds of years ago, it works just as much today as it ever had. It applies to literally any successful person.

              Think about it, picture someone like William Shakespeare:

              When we think of the time he lived in, we think of the time in a way shaped by him. When we think of Renaissance era Italy, we think of Michelangelo and Leonardo Da Vinci. Or think about the present day, Bill Gates or Steve Jobs. Our current way of life would simply be incomparably different if they didn’t accomplish what they did.

              You’re probably reading this article on a device by a company that they either founded or companies influenced by them.

              All these figures were proactive, they saw ways to do things differently and did them. If they let the world shape them, then they’d simply fit into the background. Instead they shaped the world.

              Applying this to you?

              Don’t be afraid of going outside the norm. If you can think of a better way to do something, do it that way. If you fail, try again.

              7. Cultivate Positive Relationships

                From Theodore Roosevelt, 26th President of America: “

                The most important single ingredient in the formula of success is knowing how to get along with people.”

                The best leaders and some of the most influential people (and Theodore Roosevelt is one of the best leaders and one of the most influential people to have lived) were not those who caused commotions, who fought with people or disregarded people; but were people who were friendly to those around them.

                People liked them. They wanted them to do well.

                This is key to good leadership.

                It’s logical. If someone likes you, they want to help you; if you give them a suggestion, they’ll gladly follow through with it.

                But if someone doesn’t like you, they may either refuse to help or actively get in your way.

                What’s more, it’s always a good idea to cultivate good relationships. You can never tell who will prove to become someone who’ll be able to help you in a big way, or even be a good and supportive friend.

                As such, help people and they may help you; and be good to people, and they my be good to you.

                8. Don’t Be Afraid of Introducing New Ideas

                Advertising

                  From Mark Twain, Famed Author:

                  “A person with a new idea is a crank until the idea succeeds.”

                  It is an unfortunate truth that those with the boldest ideas are often disregarded.

                  Most of us are taught from an early age to think and do things similarly to everyone else. This can be great to fill an existing role. But to truly do things differently (and all successful people did things differently), you need to think differently.

                  If you have a new idea, don’t throw it away because it’s new and different; instead, celebrate it. Your strange new idea might one day be the one that leads you to success.

                  9. Believe in Your Capacity to Succeed

                    From Walter Disney, Founder of Walt Disney Company:

                    “If you can dream it, you can do it.”

                    Success has to be something you can imagine yourself achieving.

                    It is possible that you will come across those who doubt you and your ability to succeed. You must not become one of these people because the moment you cease believing and dreaming is the moment these dreams fall away.

                    Keep dreaming!

                    10. Always Maintain a Positive Mental Attitude

                      From Thomas Jefferson, 3rd President of America:

                      “Nothing can stop the man with the right mental attitude from achieving his goal; nothing on earth can help the man with the wrong mental attitude.”

                      Like the above quote says, you need to trust in your ability to succeed. This is the only way to cultivate the right mindset.

                      Replace negative thoughts with the positive ones. You need to approach problems, not as obstacles stopping you, but merely tasks that need to be completed for you to keep going.

                      If you stay positive and think like this, setbacks won’t affect you so much, people’s doubts won’t impact you and even the biggest obstacles will seem like minor problems.

                      However with the wrong mindset of doubt, you’ll be much easier to stop.

                      11. Don’t Let Discouragement Stop You from Pressing On

                        From Abraham Lincoln, 16th President of America:

                        “Let no feeling of discouragement prey upon you, and in the end you are sure to succeed.”

                        It is an unfortunate fact of human nature — all of us in some way, doubt ourselves. This can be made far worse if others doubt us too.

                        When surrounded by doubts, giving up can actually seem like a good idea.

                        Advertising

                        Don’t pay attention to the doubts. If you are discouraged, ignore it.

                        If this discouragement moves into your mind and you begin to doubt yourself. It is important to ignore this too.

                        This is How Self Doubt Keeps You Stuck and How to Overcome It

                        12. Be Willing to Work Hard

                          From JC Penny, Founder of JC Penney Inc.:

                          “Unless you are willing to drench yourself in your work beyond the capacity of the average man, you are just not cut out for positions at the top.”

                          You might have heard the quote that “success is 1% inspiration, 99% perspiration” or you may have heard about the 10,000 hours idea.

                          Whichever way you frame it, they say one thing:

                          True success comes from work.

                          You’ll never become successful if you don’t work towards your goal in life and keep working towards it.

                          Check out this article and you’ll understand Why Hard Work Beats Talent.

                          13. Be Brave Enough to Follow Your Intuition

                            From Steve Jobs, Co-founder of Apple Inc.:

                            “Have the courage to follow your heart and intuition. They somehow already know what you truly want to become. Everything else is secondary.”

                            In ancient Greece, there was a group of Oracles who lived in Delphi. Everyone who needed advice or to know their future visited them, from the poorest of society to kings. Above the doorway of the temple were the words “know thyself”.

                            If you strongly believe and desire something, chances are that you already have an idea how to get there. If not, you may naturally know what things will help you and what things will slow you down.

                            It’s like how your body can detect danger even when things seem safe.

                            Ultimately then, you need to trust your own instincts.

                            Final Thoughts

                            What you might have noticed is that many of the above lessons are similar — most are about developing the right state of mind. This clearly suggests that the key to achieving success, in whatever you wish, comes down to the way you approach it mentally.

                            Moreover, no matter what stage of life you’re at now, you can still make a difference and pursue success. You can make resetting your life possible when you do this: How to Start Over and Reboot Your Life When It Seems Too Late

                            More Tips for Achieve Success

                            Featured photo credit: Ryan Wong via unsplash.com

                            Read Next