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Could That Fear of Talking to People Be a Mental Disorder?

Social anxiety disorder
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Written by Andrew Le, MD.
Medically reviewed by
Last updated May 27, 2025

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Do you ever feel scared to talk to people or worry about what they think of you?

Social anxiety disorder is more than being shy—it can make everyday things like speaking up or meeting someone new feel scary. This kind of fear can affect your body, your thoughts, and how you live your life.

Social anxiety disorder a deep fear of being judged, embarrassed, and rejected in everyday situations, like starting a conversation, making eye contact, or simply being in a room full of people. For someone with social anxiety, the physical symptoms are immediate and intense: rapid heartbeat, flushed skin, shaky voice, or the urge to escape. Their mind races with self-doubt—Did I say something wrong? Are they judging me? Do I look weird?

This kind of anxiety often leads to avoidance. Invitations get turned down. Work meetings are dreaded. Even simple interactions can feel like a threat. Over time, it can isolate people and affect their relationships, job performance, and overall well-being.

People with social anxiety often avoid social situations or push through them in distress. They also worry nonstop about what others might think and show visible signs of anxiety, like blushing or trembling. In their heads, they replay conversations, picking apart every word and often feel dread days—or even weeks—before a social event.

These symptoms can last for months, even years, and often show up in the teen years or earlier. Sometimes it’s just public speaking that triggers it. Other times, it’s nearly every social interaction—meeting new people, eating in public, walking into a room.

There’s no single cause.

It can stem from negative experiences, critical environments, or just how someone’s wired. But what often keeps it going is the same cycle: avoiding situations, assuming the worst, and believing every misstep is a disaster.

Social anxiety disorder is common and treatable. With the right therapy, medication, or a mix of both, many people learn to manage symptoms and build confidence in social settings.

What Causes Social Anxiety?

There’s no single cause behind social anxiety disorder. It’s usually the result of several factors working together—genetics, brain chemistry, personality traits, and life experiences.

1. Genetics plays a role

People with a family history of anxiety disorders are more likely to develop social anxiety themselves. While no single gene causes it, a genetic predisposition can make someone more prone to fear-based responses.

2. Temperament matters, too

Children who are naturally shy, cautious, or behaviorally inhibited are at higher risk. This temperament, especially when combined with high sensitivity to criticism, can carry over into adulthood.

3. Negative life experiences

This includes bullying, rejection, ridicule, or abuse. Being overly criticized or humiliated as a child, especially in front of others, can leave a lasting impact on how safe someone feels in social settings.

4. Parenting style

Overprotective, controlling, or overly critical parenting may prevent children from building confidence in social situations.

5. Brain function is another factor

An overactive amygdala—the brain’s fear center—can heighten the body’s response to perceived threats, making social situations feel more dangerous than they really are.

It’s important to note that none of these factors guarantees someone will develop social anxiety disorder. But when several are present, the risk increases.

Self-Help Strategies and Lifestyle Support

You don’t always need therapy or medication to manage social anxiety disorder (SAD). Here are some simple, practical strategies you can try:

1. Breathing Exercises

Slow, deep breathing helps calm your body and reduce anxiety. Try breathing in for 4 seconds, holding for 4 seconds, and exhaling for 4 seconds. This can help you stay grounded in stressful situations.

2. Limit Caffeine

Caffeine can make anxiety worse, causing physical symptoms like a racing heart or shaking. Cutting back can help keep your anxiety in check.

3. Gradual Exposure

Start small. Practice social interactions like greeting a neighbor or making brief eye contact with a stranger. Gradually work your way up to more challenging situations, and your anxiety will lessen over time.

4. Join Support Groups

Connecting with others who understand your experience can help you feel less alone. Support groups are a great place to share struggles and coping strategies.

5. Journaling

Write down your thoughts to better understand your anxiety. It can help you track progress, process emotions, and celebrate small wins.

6. Mindfulness Practices

Techniques like meditation or focusing on your breath can help shift your attention away from anxious thoughts and bring you back to the present.

Final Words

Learning how social anxiety works can help you take the first step toward feeling better. Each small change—like slowing your breath, joining a group, or limiting caffeine—can build strength over time. With patience and practice, the fear starts to shrink, and confidence grows in its place. You're not stuck. Things can change.

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The stories shared below are not written by Buoy employees. Buoy does not endorse any of the information in these stories. Whenever you have questions or concerns about a medical condition, you should always contact your doctor or a healthcare provider.
Jeff brings to Buoy over 20 years of clinical experience as a physician assistant in urgent care and internal medicine. He also has extensive experience in healthcare administration, most recently as developer and director of an urgent care center. While completing his doctorate in Health Sciences at A.T. Still University, Jeff studied population health, healthcare systems, and evidence-based medi...
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