Today I asked myself a question: do I suffer from social anxiety or social phobia?
The question stems from my occasional inability to start a conversation with particular persons, and that is often accompanied by a cascade of debilitating physiological responses. For instance, N is a respected musician/photographer that I bump into frequently at local band concerts. In the past 2 years, N and I conversed many times and exchanged photographic ideas via facebook. Yet, whenever I see him in real person, I remain silent at a distance just to combat my palpitations.
Colleagues from the medical profession would be familiar with the ICD-10, a guideline published by WHO for diagnosing psyhiatric illness. To answer the above question, I quickly reviewed the relevant chapter. Well, my symptoms are insufficient to make a diagnosis, but it is still striking that I fulfill a number of them. Unfortunately, the guideline does not offer any sort of advice.
An interesting point to note; Social Phobia is associated with a few peculiar symptoms in the feared situations: (i) fear of vomiting and (ii) Urgency or fear of micturition or defecation. That is a horrible kind of fear.