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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!

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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]

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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.

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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!

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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

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Last Updated on July 23, 2019

5 Steps To Move Out Of Stagnancy In Life

5 Steps To Move Out Of Stagnancy In Life

In the journey of growth, there are times when we grow and excel. We are endlessly driven and hyped up, motivated to get our goals.

Then there are times when we stagnate. We feel uninspired and unmotivated. We keep procrastinating on our plans. More often than not, we get out of a rut, only to get back into another one.

How do you know if you are stagnating? Here are some tell-tale signs:

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  • If you have been experiencing chronic procrastination on your goals
  • If you don’t ever feel like doing anything
  • If you keep turning to sleep, eating, games, mindless activities and entertainment for comfort
  • If you know you should be doing something, but yet you keep avoiding it
  • If you have not achieved anything new or significant now relative to 1 month, 2 months or 3 months ago
  • If you have a deep sense of feeling that you are living under your potential

When we face stagnation in life, it’s a sign of deeper issues. Stagnation, just like procrastination, is a symptom of a problem. It’s easy to beat ourselves over it, but this approach is not going to help. Here, I will share 5 steps to help you move out of this stagnation. They won’t magically transform your life in 1 night (such changes are never permanent because the foundations are not built), but they will help you get the momentum going and help you get back on track.

1. Realize You’re Not Alone

Everyone stagnates at some point or another. You are not alone in this and more importantly, it’s normal. In fact, it’s amazing how many of my clients actually face the same predicament, even though all of them come from different walks of life, are of different ages, and have never crossed paths. Realizing you are not alone in this will make it much easier to deal with this period. By trying to “fight it”, you’re only fighting yourself. Accept this situation, acknowledge it, and tell yourself it’s okay. That way, you can then focus on the constructive steps that will really help you.

2. Find What Inspires You

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Stagnation comes because there isn’t anything that excites you enough to take action. If you don’t have a habit of setting goals, and instead just leave yourself to daily mundanes, it’s not surprising you are experiencing stagnation. What do you want to do if there are no limitations? If you can have whatever you want, what will it be? The answers to these questions will provide the fuel that will drive you forward.

On the other hand, even if you are an experienced goal setter, there are times when the goals you set in the past lose their appeal now. It’s normal and it happens to me too. Sometimes we lose touch with our goals, since we are in a different emotional state compared to when we first set them. Sometimes our priorities change and we no longer want to work on those goals anymore. However, we don’t consciously realize this, and what happens is we procrastinate on our goals until it compounds into a serious problem. If that’s the case for you, it’s time to relook into your goals. There’s no point in pursuing goals that no longer inspire you. Trash away your old goals (or just put them aside) and ask yourself what you really want now. Then go for them.

3. Give Yourself a Break

When’s the last time you took a real break for yourself? 3 months? 6 months? 1 year? Never? Perhaps it’s time to take a time-out. Prolonged working can cause someone to become disillusioned as they lose sight of who they are and what they want.

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Go take some extended leave from work. A few days at bare minimum; a few weeks or months will be great. Some of my ex-colleagues have quit their jobs and took months out to do some self-reflection. Of course, some of us might not have that luxury, so we can stick to a few weeks of leave. Go on a trip elsewhere and get away from your work and your life. Use this chance to get a renewed perspective of life. Think about your life purpose, what you want and what you want to create for your life in the future. These are big questions that require deep thinking over them. It’s not about finding the answers at one go, but about taking the first step to finding the answers.

4. Shake up Your Routines

Being in the same environment, doing the same things over and over again and meeting the same people can make us stagnant. This is especially if the people you spend the most time with are stagnant themselves.

Change things around. Start with simple things, like taking a different route to work and eating something different for breakfast. Have your lunch with different colleagues, colleagues you never talked much with. Work in a different cubicle if your work has free and easy seating. Do something different than your usual for weekday evenings and weekends. Cultivate different habits, like exercising every day, listening to a new series of podcasts every morning to work, reading a book, etc (here’s 6 Proven Ways To Make New Habits Stick). The different contexts will give you different stimulus, which will trigger off different thoughts and actions in you.

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When I’m in a state of stagnancy, I’ll get a sense of what’s making me stagnate. Sometimes it’s the environment I’m in, sometimes it’s the people I’ve been hanging out with, sometimes it’s my lifestyle. Most of the times it’s a combination of all these. Changing them up helps to stir myself out of the stagnant mode.

5. Start with a Small Step

Stagnation also comes from being frozen in fear. Maybe you do want this certain goal, but you aren’t taking action. Are you overwhelmed by the amount of work needed? Are you afraid you will make mistakes? Is the perfectionist in you taking over and paralyzing you?

Let go of the belief that it has to be perfect. Such a belief is a bane, not a boon. It’s precisely from being open to mistakes and errors that you move forward. Break down what’s before you into very very small steps, then take those small steps, a little step at a time. I had a client who had been stagnating for a long period because he was afraid of failing. He didn’t want to make another move where he would make a mistake. However, not wanting to make a mistake has led him to do absolutely nothing for 2-3 years. On the other hand, by doing just something, you would already be making progress, whether it’s a mistake or not. Even if you make a supposed “mistake”,  you get feedback to do things differently in the next step. That’s something you would never have known if you never made a move.

More to Help You Stay Motivated

Here are some resources that will help you break out of your current phase:

Featured photo credit: Anubhav Saxena via unsplash.com

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