Am I Experiencing Social Anxiety?

A symptom checklist to help clients reflect on symptoms of social anxiety and explore whether further psychological assessment may be helpful.

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Professional version

Offers theory, guidance, and prompts for mental health professionals. Downloads are in Fillable PDF format where appropriate.

Client version

Includes client-friendly guidance. Downloads are in Fillable PDF format where appropriate.

Overview

Social anxiety disorder is characterized by persistent fear or anxiety about social or performance situations where there is a risk of negative judgement by others. People with social anxiety often worry about being embarrassed, judged, or rejected, and may avoid situations such as public speaking, social gatherings, or being observed by others. This symptom checklist, informed by DSM-5 and ICD-11 criteria, helps clients and clinicians explore whether a person’s experiences align with the diagnostic features of social anxiety. It is not intended to provide a diagnosis or assess severity, but it can support early discussions about whether further evaluation is warranted.

Why Use This Resource?

Social anxiety is common but frequently under-recognized. This resource:

  • Encourages clients to reflect on fear of negative evaluation and social avoidance.
  • Provides an accessible way to identify common social anxiety symptoms.
  • Supports early discussion around fear, avoidance, and social functioning.
  • Helps distinguish normative shyness from clinical social anxiety disorder.

Key Benefits

Clarity

Offers a straightforward and accessible symptom checklist.

Engaging

Encourages therapeutic conversations and reflective exploration.

Supportive

Complements, but does not replace, formal clinical assessment.

Who is this for?

Social Anxiety Disorder (SAD)

For clients who fear being judged, embarrassed, or rejected in social situations.

Avoidant Behavior

For individuals avoiding conversations, public speaking, or social events due to anxiety.

Integrating it into your practice

01

Introduce

Gently introduce the possibility of social anxiety using the suggested therapeutic prompt.

02

Explore

Review the checklist collaboratively to identify common symptoms such as fear of embarrassment or avoidance.

03

Review

Consider the duration and impact of symptoms on daily life and functioning.

04

Plan

Use the responses to guide decisions about psychoeducation, formulation, or referral.

Theoretical Background & Therapist Guidance

DSM-5 criteria for social anxiety disorder include marked fear or anxiety in social situations involving possible scrutiny, with fear that one will be negatively evaluated or humiliated. The fear is typically out of proportion to the situation, persistent (lasting 6 months or more), and causes significant distress or functional impairment. Social situations are either avoided or endured with intense fear.

ICD-11 criteria similarly describe marked and excessive fear in social situations, including concern about behaving in a way that will be negatively judged. Functional impairment may be present or avoided only with great effort.

This symptom checklist is informed by both DSM-5 and ICD-11 criteria. It is not intended to provide a formal diagnosis or assess severity but may support early recognition and therapeutic exploration. Clinicians can use it to validate a client’s experiences and facilitate conversations that may lead to further assessment.

What's inside

  • A 5-item checklist reflecting key features of social anxiety.
  • A therapist prompt for initiating discussion about social anxiety.
  • Guidance to help clients interpret their responses and seek further support if needed.
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FAQs

No, it is a symptom checklist designed to indicate whether further assessment may be useful. Diagnosis should only be made by qualified professionals using validated tools.
Use this as an opportunity to validate their experience and consider discussing formal assessment or specialist referral.
Yes, social anxiety disorder involves persistent and impairing fear or avoidance, unlike situational or developmentally typical shyness.

How This Resource Improves Clinical Outcomes

This resource enhances therapy by:

  • Helping clients voice social fears that may otherwise go unexpressed.
  • Supporting early recognition of avoidance and fear-based behaviors.
  • Informing case formulation and treatment planning for social anxiety.
  • Reducing stigma and validating clients’ distressing experiences.

References And Further Reading

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.).
  • Kasper, S. (2006). Anxiety disorders: under-diagnosed and insufficiently treated. International Journal of Psychiatry in Clinical Practice, 10(sup1), 3–9.
  • Kessler, R. C., Chiu, W. T., Demler, O., & Walters, E. E. (2005). Prevalence, severity, and comorbidity of 12-month DSM-IV disorders. Archives of General Psychiatry, 62(6), 617–627.
  • Stein, D. J., Lim, C. C., Roest, A. M., De Jonge, P., Aguilar-Gaxiola, S., Al-Hamzawi, A., ... & De Girolamo, G. (2017). The cross-national epidemiology of social anxiety disorder: Data from the World Mental Health Survey Initiative. BMC Medicine, 15(1), 143.
  • Stansfeld, S., Clark, C., Bebbington, P., King, M., Jenkins, R., & Hinchliffe, S. (2016). In: McManus, S., Bebbington, P., Jenkins, R., & Brugha, T. (Eds.), Mental health and wellbeing in England: Adult Psychiatric Morbidity Survey 2014. Leeds: NHS Digital.
  • World Health Organization. (2019). ICD-11: International classification of diseases (11th revision). Retrieved from https://icd.who.int/