Signs of Social Anxiety Disorder
According to the American Psychiatric Association, you might have social anxiety if you experience the following:
- Feeling anxious or afraid in social settings. You might feel extremely self-conscious, like others are judging or scrutinizing your every move. For an adult, this might happen on a first date or a job interview, or when meeting someone for the first time, delivering an oral presentation, or speaking in a class or meeting. In children, these behaviors must occur in settings with peers — rather than adult interactions — and will be expressed in terms of age appropriate distress, such as cringing, crying, or just generally displaying obvious fear or discomfort.
- Worrying quite a bit that you’ll reveal your anxiety and be rejected by others
- Consistently feeling distressed during social interactions
- Painfully or reluctantly enduring social interaction — or avoiding it altogether
- Experiencing fear or anxiety that’s disproportionate to the actual situation
- Having fear, anxiety, or other distress around social situations that persist for six months or longer
- Finding that your personal life, relationships, or career are negatively affected. In other words, your anxiety makes it quite difficult for you to function in day-to-day life.
For a diagnosis of Social Anxiety Disorder, these symptoms must be present for six months or longer and not be better explained by another mental health or medical diagnosis.
Why Is Social Anxiety Common in Introverts?
If you’re an introvert who experiences social anxiety, you’re not alone. The research shows that introverts are far more likely to suffer from it than extroverts. A small study done in 2011 found that “social phobia patients” were significantly more often introverts (93.7 percent) than not (46.2 percent). Although not all introverts suffer from social anxiety, this study suggests that us “quiet ones,” by nature, may be prone to it in one form or another.
Social anxiety can be excruciating. Introverts, in my practice, struggle with it because they tend to overthink and overanalyze situations. They may find themselves caught in a cycle of planning out a conversation only to have it go differently than their script. This puts them on the spot — an introvert’s nightmare — and creates a high level of anxiety.
They then may fall into the trap of mind-reading. Mind-reading is what some therapies, like Dialectical Behavioral Therapy, call “thinking errors.” These patterns of thinking can be helpful in some situations, but when overused, can actually be quite harmful.
Many introverts (especially highly sensitive introverts) are particularly vulnerable to the “error” of mind-reading because they’re so good at attuning to others’ body language, emotions, and energy that it feels like they always know what someone else is thinking — even though they don’t actually possess telepathy.
When a conversation goes off-script and anxiety is heightened, introverts may assume others are thinking critically of them and take this assumption as fact. The thoughts of “now he thinks I’m an idiot” — though most likely false — create even more anxiety. It’s a vicious and debilitating cycle.
But you can banish social anxiety. Let’s take a look at the power of identifying and correcting thinking errors.
The Power of Fixing Thinking Errors
Let’s take an example from my practice. One young woman who came to me had a hard time making new friends. This girl was more mature than her cohort and seemed to be having trouble initiating conversation. As we talked, it came to light that her introverted trait of thinking before speaking had spiraled out of control. She’d rehearse for hours what she was going to say to a certain person, then be caught off guard when the conversation didn’t go as scripted. She then feared that people thought she was stupid or awkward (she was mind-reading) and became highly anxious.
After a conversation like this, she’d ruminate over what she should have said for days or weeks. Obviously, this left her too anxious to start any new conversations with anyone, which lead to a cycle of reinforcing her anxiety about social situations and her avoidance of them.
What did we do about it? The first step was education; we discussed both overthinking and mind-reading and how they relate to her introverted nature. She discovered that her tendency to overthink was very helpful in situations where she needed to analyze information and come to a conclusion, like schoolwork, but that with friends and family, it was creating a barrier to close relationships.
She was also able to see that while she is very attuned to others’ emotional states, she isn’t telepathic and can’t actually read others’ minds.
This education into the thought patterns that were feeding her anxiety gave her some valuable insights. For instance, she realized that the thoughts of “stupid” weren’t what she feared others would think of her, but what she thought of herself. Once we hit on this critical insight, she began to understand that her overthinking and mind-reading were actually ways to distract her from the mean things she was saying to herself.
It took quite a few sessions to help this girl become more self-compassionate and to lessen her overthinking. However, by the end of the school year, she was able to not only talk to new people, but to tackle intense, conflict-laden conversations she’d always avoided before.
Anxiety Doesn’t Have to Rule Your Life
This example gives us some valuable insight into how the introvert’s natural penchant for deep thinking and attunement to others can sometimes lead to harmful inner states. It also gives us a road map to moving forward and feeling better.
If you’re an introvert who suffers from social anxiety, the first step is to do what you do best: look inside and bring awareness to the thought patterns that are no longer helping you. Some of the best ways to do this are mindfulness, yoga, and journaling. Mindfulness trains the mind to be non-judging and discerning of thoughts and feelings; yoga helps relieve stress and is a moving meditation; and journaling brings up the unconscious thoughts, feelings, and beliefs we aren’t aware of in daily life that may be holding us back.
Ask yourself if there are thinking errors that are contributing to your anxiety. Are you like the girl I described above? The next time you notice yourself committing a thinking error, don’t judge or beat yourself up for it. Instead, simply notice it — there’s power in this alone! You might go a step further and intentionally replace your thinking error with a positive thought (even if you aren’t totally feeling it yourself at the moment). Try something like, “even though I’m scared, it’s going to be okay” or “I’m a likable person, and people enjoy being around me.”
Your social anxiety won’t disappear overnight. But by stepping into mindfulness and identifying/correcting thinking errors, you can stop it from ruling your life.