Skip to content

Anxiety & Panic Disorders Health Center

Select An Article

This article is from the WebMD Feature Archive

Font Size

Just Shy or Social Anxiety Disorder

Is social anxiety disorder just another name for being really shy?
By
WebMD Feature

Many people are a little bit shy, but those with social anxiety disorder (also called social phobia) can become overwhelmed with anxiety in simple social situations.

Peter (not his real name) was a smart, savvy businessman with a PhD and a bright future. He had quickly climbed the corporate ladder, but when he was offered another promotion -- one that would put him at the top of his division -- he turned it down, jeopardizing his career. Why? The thought of being the center of attention in a major meeting, required in the new position, threw Peter into a blind, desperate panic, complete with physical symptoms like flushing, sweating, and heart palpitations.

Recommended Related to Anxiety Panic

Beyond 'White Coat Syndrome'

When Dorothea Lack was a little girl, she hid under a doctor's desk to avoid a vaccination. Undaunted, the doctor crawled under the desk and vaccinated her then and there. Lack said the incident provoked a fear of doctors that followed her into adulthood. "I didn't feel I could trust them," says Lack, PhD, now a psychologist who performs research on doctor-patient relations. It's a rare soul who truly enjoys visiting the doctor. But for a significant minority of the population, fear and anxiety...

Read the Beyond 'White Coat Syndrome' article > >

Peter had what psychiatrists call circumscribed social anxiety disorder (SAD) -- an intense, irrational, and persistent fear of being scrutinized or negatively evaluated by other people. People with SAD, also known as social phobia, tend to be sensitive to criticism and rejection, have difficulty asserting themselves, and suffer from low self-esteem. Social anxiety disorder can be "circumscribed," like Peter's (he only feared being scrutinized at work), or "generalized" -- a much more debilitating condition that can make everything from walking to a table at a restaurant to attending your best friend's wedding a cause for sheer terror.

In February, two antidepressant drugs, Effexor and Zoloft, were added to a list of about a dozen approved medications for social anxiety disorder, sparking renewed interest in this little-known condition. Is social anxiety disorder just another name for being really shy?

Putting the Brakes on Life

Not at all, say many leading psychiatrists. "Many people are a little bit shy. If you're shy, you might be somewhat uncomfortable in situations such as going to a party where you don't know anyone, but you do it. You give yourself a push, you go to the party, after a while you relax and talk to people," says Rudolf Hoehn-Saric, MD, who heads the Anxiety Disorders Clinic at Johns Hopkins University School of Medicine. "The social phobic person, at the prospect of the same party, would be overwhelmed by such anxiety that [he or she] would have a physical reaction -- perhaps nausea, sweating, heart racing, dizziness -- and would avoid it if at all possible. It's a matter of degree."

Next Article:

Today on WebMD

young leukemia patient
Article
Unhappy couple
Article
 
embarrassed woman
SLIDESHOW
clown
Quiz
 
Phobias frightened eyes
Slideshow
podium
Article
 
organize
Article
stressed boy in classroom
Article
 
Distressed teen girl in dramatic lighting
Article
man hiding with phone
Article
 
chain watch
Article
tarantula
Article