Anxiety: Is It Just Nervousness or a Deeper Issue?

Anxiety Disorder

Hello! I have been very afraid to go outside since I was 12 years old.
For the past few years, I have only left the house to go to school, and I often feel like I am not as good as others, especially in terms of clothing.
I feel that my clothes are very outdated and terrible! However, I am too afraid to go shopping because I always think that the people in the store are looking at me and judging me.
I also get very anxious about talking to strangers; I can't even make phone calls to inquire about certain issues.
However, I can speak freely with my family and familiar friends without feeling the same way I do with strangers.
Sometimes, I feel like I have a dual personality because I seem like two different people at school and at home—one is quiet and reserved, while the other is talkative and cheerful.
Is there something wrong with me? Is this anxiety disorder, or is it what people refer to as mental tension?

Jing Er, 10~19 year old female. Ask Date: 2004/04/19

Dr. Chen Wenke reply Psychiatry

Hello Jing-er, regarding your issue, I believe you do have a problem that should be addressed with treatment.
Essentially, your condition is a type of anxiety disorder known as a phobia or social anxiety disorder.
These types of disorders are actually quite common, though the severity can vary.
Some people feel nervous when they go on stage, while others may feel anxious when speaking with others.
There are also different types of phobias; for example, some individuals experience fear and anxiety when at heights, or when they see mice or insects.
Since your condition is already affecting your social behavior, I would recommend seeking treatment from a psychiatrist, as it can lead to significant improvement.
Wishing you good health.

Reply Date: 2004/04/19

More Info

It sounds like you are experiencing significant anxiety, which is affecting your daily life and interactions. From what you've described, your fear of going out, feeling inferior to others, and difficulty speaking with strangers are common symptoms of social anxiety disorder (SAD). This condition can manifest as an intense fear of social situations where you might be judged or scrutinized by others.
Social anxiety often leads to avoidance behaviors, such as staying home instead of engaging in social activities or even simple tasks like shopping. The feelings of inadequacy regarding your appearance and the belief that others are looking down on you can further exacerbate these feelings of anxiety. It's also noteworthy that you feel more comfortable expressing yourself with family and close friends, which is typical for individuals with social anxiety, as they often find it easier to interact in familiar environments.

The notion of having a "dual personality" where you behave differently in various settings is not uncommon among those with anxiety disorders. This can be a coping mechanism where you adapt your behavior based on your comfort level and the perceived judgment of others. However, it can also lead to confusion about your identity and how you relate to the world around you.

It's important to recognize that these feelings and behaviors are not just "nervousness" or typical shyness; they can indicate a deeper issue that may require professional help. Anxiety disorders, including social anxiety, can significantly impact your quality of life, leading to isolation and distress.
If you are feeling overwhelmed by these symptoms, it would be beneficial to seek help from a mental health professional. They can provide a proper assessment and help you understand whether you meet the criteria for an anxiety disorder or if there are other underlying issues at play. Treatment options may include therapy, such as cognitive-behavioral therapy (CBT), which is effective for anxiety disorders, or medication if deemed necessary.

Additionally, it might be helpful to gradually expose yourself to social situations in a controlled manner. This could involve starting with small interactions, such as greeting a neighbor or making small talk with a cashier, and gradually increasing the complexity of these interactions as you become more comfortable.

In summary, your experiences suggest that you may be dealing with social anxiety disorder rather than just typical nervousness. Seeking professional help can provide you with the tools and support needed to manage your anxiety and improve your overall well-being. Remember, you are not alone in this, and many people experience similar challenges. Taking the first step to seek help is a courageous and important move towards feeling better.

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