Speaking as someone who’s had severe social anxiety since a very early age, some people appear to just be that way. Like all psychological disorders, the current consensus is that it is a product of both genetic and environmental factors. I’m other words, it’s nature **and** nurture.
And to echo what’s been said by others, anxiety (as a group of disorders) is generally much more severe than people think. I don’t just get a little nervous in crowds or other overwhelming social situations. I have a panic attack. Once the adrenaline hits my system, I absolutely will do anything necessary to get out of that place. I will go over or through people to get out. If I can’t, I will generally pass out or at least shut down more or less completely. It’s a full-on fight or flight response no different than the one you might see from a drowning man or on a battlefield.
The good news is that, with the right medication and therapy, I can generally get through it without it coming to that. I might not enjoy being at a party or concert. I might even leave early or more likely just not go. I won’t, however, have a panic attack that could see me hurt myself or others. I’ve even gotten to the point where I enjoy public speaking and giving presentations in meetings and so forth.
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