The Relationship Between Social Anxiety and Depression by Nabiha Hasan, LMSW

Social anxiety and depression may seem like two terms which are used very loosely or commonly, but in all actuality, they are persistent conditions which often go hand in hand. According to the National Institute of Mental Health, social anxiety is characterized as the “intense, persistent fear of being watched and judged by others.” Depression, on the other hand, is defined as “severe symptoms that affect how you feel, think, and handle daily activities, such as sleeping, eating, or working.” Although they may seem like very different conditions, one’s impact on the other is quite profound; today’s topic of discussion will be viewing how the two are related.

Social anxiety. A person with social anxiety finds it nearly impossible to go out in public, to the extent that he or she may often experience physical symptoms of rapid heartbeat, queasiness, upset stomach, or even others among many. People with social anxiety are scared, fearful, and/or nervous while they may feel that they are the center of attention (even if they’re not). Symptoms of social anxiety may be normalized in particular situations, such as public speaking, but an individual who is diagnosed will present these symptoms more times that not, and in everyday situations such as going to the grocery store.

Depression. A person with depression will experience symptoms which are on a spectrum, some of which may include: excessive sleep or lack of sleep, eating too much or too little, lack of motivation, isolation, avoidance of enjoying the hobbies or activities they once enjoyed, and neglect of routine, daily tasks. An individual with depression will no longer have the desire to go out, enjoy social time, and/or participate in gatherings with other people. Something as simple as leaving one’s room to grab a coffee or run to a fast food restaurant will seem very overwhelming and cause significant distress.

Social withdrawal. Undoubtedly, the number one thing in common which both social anxiety and depression will cause is the act of socially withdrawing oneself from public events, social circles, and society as a whole. Social anxiety results in one being extremely fearful in the presence of others, and depression causes one’s mood to be so zapped of energy and motivation that individuals avoid associating with people. The combination of both disorders can result in extreme isolation and behaviors of withdrawal. It may be difficult to distinguish between the two, but with the help of a professional, you may be able to gain some insight into how they both are affecting you.

In conclusion, social anxiety and depression are closely related, and combined, can be quite debilitating. If you feel that you are being affected by social anxiety and/or depression, don’t hesitate to reach out to any of our therapists at Niyyah Counseling for support. We have highly experienced professionals who use a variety of modalities in therapy, and can help walk you through your thoughts and emotions. We are a click, tap, message, or phone call away.