5 Common Symptoms of Social Anxiety Disorder & How Therapy Can Help

Posted: May 21, 2025

Occasional nervousness or anxiety before a presentation or a first date, for example, is a natural bodily response to stress. But Social Anxiety Disorder is a persistent mental health condition that causes intense levels of fear and self-consciousness in social situations. People with social anxiety often worry excessively about being judged, embarrassed, or rejected — and these fears can make everyday interactions feel overwhelming.

Recognizing the signs of social anxiety, in addition to seeking help, are the first steps in overcoming social fears, leading to a freeing and more fulfilling life. In this blog, we’ll look at five common symptoms of Social Anxiety Disorder and how therapy for anxiety can help.

1. Fear of Being Judged or Criticized

One of the most prominent signs of social anxiety disorder is a constant fear of judgement. This might show up as worry over saying the wrong thing, making a mistake, or being the center of attention. Even in low-stakes situations like ordering food or making small talk, individuals may fear that others are watching and judging their every move.

2. Avoidance of Social Situations

People with social anxiety may go out of their way to avoid situations that involve social interaction. This could include declining invitations, skipping class or work meetings, or avoiding eye contact in public. While avoiding these situations might provide temporary relief, it often reinforces anxiety in the long term and can lead to feelings of isolation.

3. Physical Symptoms in Social Settings

Social anxiety can cause a variety of physical reactions, especially when someone is faced with a triggering situation. These may include:

Rapid heartbeat
Sweating or trembling
Nausea or upset stomach
Blushing
Shaky voice or dry mouth

These physical symptoms are not imagined. They are real responses to anxiety and can intensify the distress a person feels.

4. Excessive Worry About Future Social Events

In the days or even weeks leading up to a social event, individuals with social anxiety may ruminate on what could go wrong. They might overanalyze potential conversations, fear embarrassment, or imagine being rejected or laughed at. This anticipatory anxiety can be exhausting and often prevents people from enjoying or even attending events altogether.

5. Harsh Self-Criticism After Social Interactions

After a social event, someone with social anxiety may replay the interaction over and over, criticizing themselves for perceived mistakes or awkward moments. Even if others didn’t notice anything unusual, the person may fixate on every word or gesture, convinced they embarrassed themselves. This cycle of self-criticism can further erode confidence and increase future anxiety.

Seeking Support for Social Anxiety

If you or someone you love is experiencing symptoms of Social Anxiety Disorder, it's important to know that support is available and no one has to face it alone.

Therapy can help individuals overcome the challenges of social anxiety with compassion and evidence-based tools. Your therapist will work with you to understand the root of your anxiety disorder, develop practical coping strategies, and build confidence in social situations.