Social Anxiety Disorder: A High School Student's Struggle

Social Anxiety Disorder

Hello, doctor.
I am currently a high school sophomore.
Since I was young, I have been more introverted.
Whenever relatives or my parents' friends come over, I tend to hide.
I avoid answering phone calls from unknown numbers because I am quite afraid of talking to strangers.
I struggled to communicate and play with other children when I was little.
However, things improved a bit in elementary school, but the situation gradually returned in middle school.
Now, I don’t talk much with my classmates at school and usually spend my breaks alone, with only two or three friends.
When a teacher tries to talk to me, I feel anxious, my gaze becomes stiff, and I have difficulty making eye contact.
During presentations, I get nervous, stutter, and even experience noticeable hand tremors (which I have had since childhood).
I don’t have many friends, and whether at home or in tutoring classes, I am usually by myself.
I feel tense and insecure in crowded places and often want to escape, but usually, if I put on headphones and listen to music, my anxiety decreases.
My dad controls my social interactions; he doesn’t allow me to go out with friends on weekends and insists that I return home quickly after school, prohibiting me from hanging out outside.
Therefore, aside from school events, I have never gone out with classmates or visited anyone's home.
I also lack the desire to make friends or participate in school activities because I fear talking to others.
Doctor, I have one more question: if I want to seek medical help, where should I go? My dad would definitely not accept it, so I might have to go by myself.
Thank you, doctor.

Ye Tongxue, 10~19 year old female. Ask Date: 2019/09/22

Dr. Liu Shikai reply Psychiatry

Dear Student Yeh,
Based on the symptoms you described, it is indeed necessary to consider the possibility of social anxiety disorder.
Currently, the available treatment options include medication or psychotherapy.
Due to the legal regulations in Taiwan, minors require consent or authorization from a guardian for medical treatment, especially for invasive procedures such as surgery or injections.
The use of psychiatric medications and psychotherapy is generally also considered to require parental consent or authorization from a representative.
Therefore, I recommend that you first reach a consensus with your parents and then have them accompany you for a medical evaluation to determine the treatment approach.
If there are significant difficulties, you might consider seeking assistance from school counseling professionals to facilitate communication, or check if your local education bureau offers school-based counseling services in collaboration with medical institutions that you can utilize initially.
Dr.
Liu Shikai

Reply Date: 2019/09/22

More Info

Social Anxiety Disorder (SAD) is a common mental health issue that can significantly impact a person's daily life, especially during the formative years of adolescence. Your experiences as a high school student reflect many of the challenges faced by individuals with this condition. It's important to understand that you are not alone in this struggle, and there are ways to manage and overcome these feelings.

From your description, it seems that your anxiety manifests in various social situations, such as speaking with teachers, participating in class, and interacting with peers. This is a hallmark of social anxiety, where the fear of being judged or embarrassed in social settings can lead to avoidance behaviors. You mentioned feeling more comfortable when listening to music, which is a common coping mechanism that can provide temporary relief from anxiety. However, relying solely on avoidance strategies can reinforce the anxiety over time.

The fact that you have a limited number of friends and often find yourself alone during breaks indicates a level of social isolation that can exacerbate feelings of loneliness and low self-esteem. It's crucial to recognize that building social connections is a gradual process, and it's okay to take small steps toward engaging with others. Participating in school activities, even in a limited capacity, can help you practice social skills in a supportive environment.

Your father's strict control over your social interactions may also contribute to your anxiety. It’s essential to communicate openly with him about your feelings and the importance of socializing for your mental health. If direct communication feels challenging, consider writing a letter or seeking the help of a trusted adult who can advocate for you.

Regarding seeking professional help, it’s commendable that you are considering this option. If you feel that your father would not support this decision, you might explore the following avenues:
1. School Counseling Services: Many high schools have counselors or psychologists who are trained to help students with anxiety and other mental health issues. They can provide a safe space for you to discuss your feelings and develop coping strategies.

2. Community Mental Health Centers: Look for local mental health clinics that offer services to adolescents. These centers often have sliding scale fees based on income, making them more accessible.

3. Online Therapy: If in-person visits are challenging, consider online therapy options. Many platforms connect individuals with licensed therapists who can provide support remotely.

4. Support Groups: Joining a support group for teens with anxiety can help you connect with others who share similar experiences. This can be a valuable way to gain insights and encouragement.

5. Hotlines: If you need immediate support, consider reaching out to a mental health hotline. They can provide guidance and resources for finding help.

It's important to remember that seeking help is a sign of strength, not weakness. Therapy can provide you with tools to manage your anxiety, improve your social skills, and build confidence in social situations. Cognitive-behavioral therapy (CBT) is particularly effective for social anxiety, as it focuses on changing negative thought patterns and behaviors.

In conclusion, your journey with social anxiety is valid, and there are paths to improvement. By taking proactive steps to seek help and gradually challenge your fears, you can work toward a more fulfilling social life. Remember, progress takes time, and it's okay to move at your own pace. Surround yourself with supportive individuals, whether they are friends, family, or professionals, and take the first steps toward a more confident you.

Similar Q&A

Overcoming Social Anxiety: A High School Student's Struggle

I am currently a sophomore in high school. I've been experiencing these issues since I was in seventh grade. Whenever I interact with strangers, regardless of the number of people, I feel like they are judging me, which makes me very anxious and uncomfortable. I experience d...

Dr. Song Chengxian reply Psychiatry
Hello, classmate: Your current condition is no longer just simple nervousness and shyness; it has become a psychological issue. I recommend that you seek an appointment with a psychiatrist as soon as possible. I believe you can overcome this low period soon! Sincerely, Dr. Song.

Overcoming Social Anxiety: A High School Student's Journey to Confidence

I am a high school student who easily gets nervous and shy. I blush when talking to unfamiliar people, and I often fidget with my fingers, even struggling to make eye contact with them. During my third year of junior high, there were times when I spoke less than ten sentences at ...

Dr. Chen Wenke reply Psychiatry
Hello, your concerns clearly indicate that you are experiencing social anxiety disorder, which is an anxiety disorder. Since it has significantly impacted your normal social activities, I recommend that you consult a professional psychiatrist to discuss your issues. Currently, a ...

Overcoming Social Anxiety: A Journey from Isolation to Confidence

In elementary school, I had a good social circle in grades 1-4, but in grades 5-6, even though I participated in the dodgeball team, I was hesitant to talk to my classmates. Instead, I became good friends with the younger students. My social interactions in junior high were okay,...

Dr. Peng Liyun reply Psychiatry
Dear Sir/Madam, From your letter, I can sense the emotions and stress you are currently experiencing due to changes in your mood, thoughts, and daily life. It seems you may have been feeling down, which can significantly impact your emotional well-being and daily activities, esp...

Understanding Social Withdrawal: Overcoming Anxiety and Building Connections

I have researched online and found that my situation resembles social withdrawal disorder. I am afraid to initiate conversations and interactions with others. I fear rejection and worry about being criticized behind my back. I believe that if I take the initiative to engage with ...

Dr. Liang Sunyuan reply Psychiatry
Hello Qianqian: Your situation may indeed be related to social anxiety. It's important to be patient, as this condition has the potential to improve. You have your own goals and dreams, and you can truly appreciate and understand the hard work your mother has put in. However...