Anxiety

Freshman Year of College: Life Transitions & Mental Wellness

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Freshman Year of College: Life Transitions & Mental Wellness

By: Kristen Thauer

Everyone who has attended college or university knows that the first year can be daunting. For many American teenagers, the transition to college has become increasingly fraught with anxiety. Some are excited to meet new people, attend interesting classes and move away from home. Others may worry about the financial hardships and potential isolation that comes with moving away from friends and family. Tuition costs have skyrocketed over the past few decades. The college experience our parents or even grandparents had seems like a distant memory.

While college is an incredible opportunity for growth, not only academically but socially and emotionally, many do struggle with the transition. Transferring colleges has become increasingly common as many students end up feeling as though their first choice was not the right fit. These experiences can sometimes make it more difficult to foster new friendships and a sense of community on campus. Unfortunately, many colleges have seen a dip in student engagement since COVID-19, meaning less and less students are going to club meetings, sporting events and even class.

 Many of these hardships students are facing today are caused by an uptick in mental health concerns. According to the American College Health Association’s database, 36% of college students have been diagnosed with depression and 26% of students have been diagnosed with anxiety. Regardless of the many factors that may be at play, students need mental health support both on and off campus. Reaching out for therapy in your college years can be a helpful and transformative experience as you navigate this life transition. There is no reason to suffer alone!

https://www.acha.org/ACHA/Resources/Topics/MentalHealth.aspx

If you or someone you know is struggling with their mental health, please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit https://aristapsychiatrypsychotherapy.com/

Domestic Violence and Sports

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Vector illustration

Domestic Violence and Sports
By: Camillia Ghavami


When we watch sports games many of us feel passionate about whether our teams win or lose. Many find excitement in watching their favorite teams battle it out for the win, others may be terrified.


Tubi’s famous Super Bowl commercial in 2023, that made it seem like someone was changing the channel, is an example of the fear many women live in while watching sports games. Some may have laughed the prank off with their families, while those in more aggressive households were met with terrifying outbursts of violence. One woman described her experience with her boyfriend violently screaming at her to find the remote and then punching a hole in a wall. Another woman who worked at a sports bar described the whole bar screaming profanities at her.

The reaction to this commercial is bringing to light a relationship few know about between sports and domestic violence. More and more studies are showing that there is a relationship between domestic violence and the wins and losses of professional football teams. Empirical analyses show that in the US, there are more domestic violence arrests on Sundays when there are NFL games than on Sundays when there are no games played. This relationship is not just found in the US. In England, domestic violence reports rose by 38% when the national soccer team lost. Even when the team won, domestic violence still rose by 26%. The biggest cause of this rise in domestic violence might have to do with whether the team wins or loses. One study found upset losses (a team loses when it was predicted to win by 4 or more points) led to a 10% increase in domestic violence by men while the rise in violence after other types of losses (like when the games were expected to be close) were small. This rise in violence is even larger when the games are more important.

The problem of domestic abuse is an epidemic that runs rampant in this country. 1 in 3 women and 1 in 4 men have experienced any form of physical violence done by an intimate partner. Additionally, 1 in 7 women and 1 in 25 men have been injured by an intimate partner. While of course all these instances were not done in reaction to a sports game, imagine if during the next big sports game, famous athletes came together and denounced domestic violence. Maybe this would lead to a new turn in our culture, where the possibility of someone changing the channel during the Super Bowl is not met with violence.


If you or someone you know is suffering from domestic violence, please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit http://www.counselingpsychotherapynjny.com/

References:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3712874/
https://www.psychologytoday.com/us/blog/making-sense-chaos/202009/nfl-losses-are-associated-increased-domestic-violence
https://trinitonian.com/2023/03/02/how-sports-culture-is-connected-to-domestic-violence-and-abuse/#:~:text=According%20to%20a%20study%20conducted,when%20no%20games%20are%20played
https://ncadv.org/STATISTICS
https://www.themarysue.com/that-viral-tubi-superbowl-commercial-had-some-real-life-consequences-that-cant-be-ignored/


Throwing Up: The Fear of Throw Up

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By Caroline Buchanan

The fear of throw up, also referred to as emetophobia, is a specific phobia that revolves around the fear of vomiting, seeing vomit, watching other people vomit, or feeling sick. Emetophobia tends to leave people in a state of anxiety, overtaking their thoughts and engaging in behaviors that impact their everyday life. For example, you may avoid crowded places, traveling, eating out, or closely monitor your own health in an attempt to reduce the distress you may feel. While this anxiety can feel overwhelming and unbearable at times, this condition can be managed by a therapist.

What causes emetophobia?

Specific phobias tend to develop after a specific incident. As a result of this incident, an association is created between a thing – an object, situation, or an event – and a fear (Psych Central). Specifically in the context of emetophobia, this could involve getting sick in public, someone vomiting on you, having a bad case of food poisoning, or seeing someone else throw up. Emetophobia can also develop without a clear cause, causing experts to believe that genetics and the environment play a role. Regardless of whether you can pinpoint an incident or not, this anxiety can still be managed.

How can emetophobia be managed?

Exposure therapy is considered to be one of the most effective treatments. In this type of therapy, your therapist will expose you to your fear at a slow rate. This could involve trying a new food at a restaurant or spinning around until you feel nauseous. With these actions, you will be provided with techniques to help you cope with these feelings of anxiety. The goal is that the more you are exposed to your fear, the more you feel comfortable with it. Talk therapy and cognitive behavioral therapy (CBT)can also be used to help learn how to identify and challenge negative thought patterns in your anxiety. While it may take some time to find the right therapist and techniques for you, it is worth it to alleviate the distress in your life.

If you or someone you know is suffering from emetophobia, please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit http://www.counselingpsychotherapynjny.com/

https://www.healthline.com/health/emetophobia#outlook

Agoraphobia: Locked Inside

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Agoraphobia: Locked Inside

By: Camillia Ghavami

                Agoraphobia is an often misunderstood and unacknowledged anxiety disorder. It is characterized by feelings of intense anxiety and avoidance of situations or places that are believed to be hard to escape. Agoraphobia is most often developed after having one or more panic attacks, leading to a fear of having another attack and thus avoidance of places that are thought to trigger these attacks. This anxiety is caused because of a fear that if a panic attack were to occur, there would be no easy way to escape or get help. These situations can include being in a car or airplane, being alone outside the home, or in crowded areas. While relatively ignored, this disorder affected 0.9% of US adults in the last year and 1.3% of US adults are expected to develop agoraphobia over the course of their lifetime. Adolescents show higher rates of agoraphobia with 2.4% of US adolescents aged 13-18 having the disorder. Additionally, while there is no gender differences of agoraphobia prevalence for adults, adolescent females tend to be afflicted by this disorder more so than men, 3.4% and 1.4% respectively.  

                Treatment for this disorder is similar to treatment for most anxiety disorders. First, psychotherapy, including cognitive behavioral therapy (CBT), has been shown to be effective in treating anxiety disorders. CBT teaches people how to be less anxious by altering their thoughts, reactions, and behaviors to situations. An example of this that can be effective for agoraphobia is exposure therapy. Exposure therapy allows people to confront their fears and helps people engage in activities they had been avoiding due to anxiety. Secondly, agoraphobia can also be treated with medications, with the most common being antidepressants, anti-anxiety medications, and beta blockers. There are many ways to treat anxiety, and a health care provider can help you choose the best treatment.

If you or someone you know is suffering from agoraphobia, please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit http://www.counselingpsychotherapynjny.com/

References:

https://www.mayoclinic.org/diseases-conditions/agoraphobia/symptoms-causes/syc-20355987

https://www.nimh.nih.gov/health/statistics/agoraphobia#part_2666

https://www.nimh.nih.gov/health/topics/anxiety-disorders#part_2223

https://adaa.org/learn-from-us/from-the-experts/blog-posts/consumer/overcoming-agoraphobia-qa

Social Anxiety: The Surprising Ways Parents Contribute to Social Anxiety in Their Kids

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Social Anxiety: The Surprising Ways Parents Contribute to Social Anxiety in Their Kids

By, Maro Mikhaeil

Being a parent means you will have a defining influence on your child’s emotional and social development. From an early age, your child’s distinct temperament will control how they would respond to the environment. Temperament refers to personality traits that determine individuals’ interactions with their environment. While some children are ready for new experiences, others may demonstrate shyness or uneasiness when faced with unpredictable events. Shyness is a feature of childhood; however, children whose shyness, hesitation to engage in social interactions, or other inhibited behaviors are consistent from infancy to adolescence are more likely to be diagnosed with anxiety disorders such as social anxiety in their teenage years. Discovering this connection could aid you in nurturing your child’s emotional health from birth.

Moreover, a child that shows signs of shyness may hesitate when contacting new people and places, only look down or ignore other children or adults they do not know, and feel uncomfortable to express themselves when participating in social activities. Although, shyness can be temporary, the occurrence of shy behavior in several stages of childhood may mean that there is a need for such a child to have some extra support in their social skills.

Research highlights the crucial role of early intervention as children with shy or cautious natures during their early years have a higher chance of developing social anxiety disorder in their teenage years (Chronis-Tuscano et al., 2009). Researchers considered the possibility that kids who have been shy or anxious from infancy through childhood are more likely to develop anxiety disorders as teenagers (Chronis-Tuscano et al., 2009).

In a similar study, Poole and other researchers followed a group of infants from the age of four months. They monitored their social and emotional development until they were 13 years old. They wanted to know if the infants’ type of response to new situations (positive, negative, or neutral) would influence their behavior and social skills in the future as they grow older. Their research outlined how social anxiety can evolve and how early characteristics may influence these paths (Poole et al., 2022).

For example, if your child’s shyness is why they cannot participate in activities that are part of their day-to-day life or make friends. Then, it may be time to seek the help of a pediatrician or a clinical psychologist. The early intervention could assist in identifying any anxiety that might be the root cause of the problem, and your child will be equipped with the required abilities for a better future. Knowing that temperament from early on can influence mental health later on, one can take active roles in building the child’s development. It’s important to work out open communication with your child and make sure that you pay attention to their emotional needs. The more you do, the better it will be for your child to build these skills and establish valuable social interactions to help children reach their full potential.

If you or someone you know is struggling with social anxiety or mental health, please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit http://www.counselingpsychotherapynjny.com/

References:

https://kidsinfinitelearning.com/social-anxiety-in-kids/

Chronis-Tuscano, A., Degnan, K. A., Pine, D. S., Perez-Edgar, K., Henderson, H. A., Diaz, Y., Raggi, V. L., & Fox, N. A. (2009). Stable early maternal report of behavioral inhibition predicts lifetime social anxiety disorder in adolescence. Journal of the American Academy of Child & Adolescent Psychiatry, 48(9), 928–935. https://doi.org/10.1097/chi.0b013e3181ae09df

Poole, K. L., Degnan, K. A., Harrewijn, A., Almas, A., Fox, N. A., & Henderson, H. A. (2022).Trajectories of socially anxious behavior from age 5 to 13: Temperamental and sociocognitive pathways. Child Development, 93(5), 1334–1346. https://doi.org/10.1111/cdev.13767

Social Anxiety in Kids: Common Symptoms & Helpful Tips

Panic Attacks vs. Anxiety Attacks: Understanding the Differences and Seeking Help

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Panic Attacks vs. Anxiety Attacks: Understanding the Differences and Seeking Help

By, Maro Mikhaeil

Have you ever felt your heart racing and felt completely detached from the world? Chances are, you may be experiencing a panic attack. Or have you ever felt so irritable and restless to the point where it’s disrupting your sleep? Well, in that case, you may be experiencing anxiety or an anxiety attack. Don’t get the two confused, as there are differences between them.

Panic attacks are intense, unexpected feelings of terror, fear, or discomfort. They are unexpected because they aren’t triggered by specific events and may occur without reason. Panic attacks are typically brief and only last several minutes. Physical symptoms include trembling, tingling, rapid heart rate, chest pain, feeling tightening in arms and hands, chills, etc. Symptoms vary from person to person, but these are the most common.

Anxiety attacks or anxiety are characterized by feeling restless and fearful that something is going to happen. Unlike panic attacks, anxiety attacks are triggered by specific events. Some physical symptoms include feeling lightheaded, dizzy, stomach knots, rapid heart rate, heavy breathing, hot flashes, nausea, headaches, backaches, and frequent sweating. Frequent anxiety attacks can indicate a type of anxiety disorder. Anxiety may not always be rational and may just occur because of fearing something bad is going to happen, even though it may just be all in your head.

It’s important to understand how you can differentiate between the two and to seek help when you need it. Often people don’t want to seek help, which can cause symptoms to worsen. Don’t be afraid to seek help, as there are many options available, such as therapy, medication, and lifestyle changes. It’s important to prioritize your mental health and take care of yourself. Remember that you are not alone, and many others have experienced similar symptoms. It’s okay to ask for help and take the steps necessary to manage your anxiety or panic attacks. With the right treatment and support, you can overcome these challenges and live a fulfilling life.

If you or someone you know is struggling with anxiety or panic attacks, please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit http://www.counselingpsychotherapynjny.com/

Sources:

Diagnostic and Statistical Manual of Mental Disorders Fifth Edition by the American Psychiatric Association (DSM-IV)

https://www.self.com/story/anxiety-disorder-symptoms

https://www.webmd.com/anxiety-panic/anxiety-attack-symptoms

https://www.medicalnewstoday.com/articles/307863

https://www.mayoclinic.org/diseases-conditions/anxiety/symptoms-causes/syc-20350961

Social Anxiety: How Bullying Affects The Disorder

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Social Anxiety: How Bullying affects the disorder

By, Maro Mikhaeil

Do you find yourself seeking the approval of people yet being bullied in return?  Often, we feel the need to be liked by others and we find ourselves changing who we are. When you are continuously attempting to impress others by pretending to be someone you are not or hiding your genuine self, you are manifesting a fear of rejection. Unfortunately, others may be able to notice your fears and use them against you since you are trying too hard to “fit in”.

Emotional abuse is real, and it may be just as harmful as physical abuse. Emotional abuse creates distress in the individual’s emotional or psychological state. Kids can be harsh, and the Pew Research Center reports that at least 59% of kids in the United States have been bullied. Bullying can lead to low self-esteem and increased self-consciousness. This creates a negative feedback loop in which bullied people are more inclined to suffer from social anxiety, and vice versa. Bullying can potentially escalate into physical violence, resulting in pain on both fronts.

But what is Social Anxiety?

According to the DSM-IV, Social Anxiety is defined as feeling frightened or worried in social situations, which may lead to the desire to avoid social encounters altogether. Unfortunately, bullying does not help; instead, it can worsen symptoms as anxiety sets in, when anything one does is criticized and, as a result, is emotionally abused.

What can you do about it?

First and foremost, in dealing with the disorder, you must not feed the desire to avoid social interactions. The more we care about what others think, the more we lose ourselves and suppress our genuine identities. It is crucial to remember that bullying occurs more frequently than you think and if you allow it to disrupt your life, you are merely hurting yourself.

If you or someone you know is a victim of bullying and/or experiencing social anxiety, please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our Paramus, NJ or Manhattan, NY offices respectively at  (212) 722-1920 or (201) 368-3700 to set up an appointment. For more information, please visit https://www.counselingpsychotherapynjny.com

Sources:

https://www.verywellfamily.com/bullying-and-anxiety-connection-460631#:~:text=It%20is%20not%20surprising%20that,them%20over%20and%20over%20again.

 https://www.brosix.com/blog/cyberbullying-statistic/

OCD & Obsessions

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OCD & Obsessions by Nicole Sanchez

Obsessive compulsive disorder is comprised of a pattern of unwanted thoughts and or fears known as obsessions. These obsessions lead one to do repetitive behaviors, also called obsessions. These obsessions and compulsions interfere with much of one’s daily activities and can cause a lot of distress. Ultimately, one feels driven to carry out compulsive acts to reduce their stress. Examples of common content of obsessional thoughts include the fear of contamination, disturbing sexual thoughts or images, religious and blasphemous thoughts, or ritualized hand washing. Ordering things in a particular way, repeated cleaning of objects or repeatedly checking locks, appliances etc. Compulsions can even include the need to constantly seek approval or reassurance. Often there are peole with OCD that recognize or suspect their obsessional thoughts are not realistic though some may think they could be true.  Even if they are aware of their intrusive thoughts are not realistic, people struggling with OCS have difficulty disengaging from the obsessive thoughts or stopping the compulsive behaviors.

Cognitive behavioral therapy (CBT) is a type of psychotherapy that is effective for many of those that struggle with OCD. Exposure and response prevention (ERP) is a part of CBT therapy which involves exposing a person over time to the feared object or obsession, such as dirt. Then one learns ways not to do their compulsive rituals. ERP takes time and practice, but it has been proven to help those struggling with OCD improve their life quality once they learn to manage their symptoms. Patients with mild to moderate OCD symptoms are usually treated with either CBT or medication depending on their preference. It also depends on their cognitive abilities, level of insight and the presence or absence of associated psychiatric conditions, as well as treatment availability. Hypnosis has often also been used to successfully eliminate OCD symptoms. Hypnosis is a relatively short treatment of several sessions which helps the person rid themselves of harmful, repetitive behaviors.

If you or someone you know is having mental health difficulties and/ or experiencing symptoms of OCD, please contact our psychotherapy offices in New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our offices at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit http://www.counselingpsychotherapynjny.com/

https://www.mayoclinic.org/diseases-conditions/obsessive-compulsive-disorder/symptoms-causes/syc-20354432

https://www.psychiatry.org/patients-families/obsessive-compulsive-disorder/what-is-obsessive-compulsive-disorder

https://www.webmd.com/mental-health/obsessive-compulsive-disorder

Anxiety : The Physical Symptoms

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Anxiety: The Physical Symptoms

By: Dyami Efroimson

Living with an anxiety disorder is often accompanied by experiencing persistent feelings of worry and panic over miniscule events in one’s life that are difficult to control. Alongside these feelings of worry, a variety of physical symptoms can also be experienced. Although the direct causes of anxiety are unknown, it is explained by the interaction of several factors such as genetics, the chemical makeup of the brain, and the environment.

                Some of the physical symptoms that one may experience during anxiety attacks are heart palpitations, muscle aches and pains throughout the body that have no apparent cause,  dizzy spells, and shortness of breath. These symptoms come in varying degrees of severity and can interfere with everyday life. But why do these physical symptoms occur?

                As stated before, the direct causes of anxiety have yet to be discovered; however, some symptoms can be explained. Muscle aches, for example, are a result tensing the muscles during times of heightened panic. This tensing can lead to a buildup of lactic acid that results in muscle pains almost anywhere in the body. Another result of this state of tension is ‘tension headaches’, which are pains in one’s head that are caused by heightened tension in the body.

                Commonly, those with anxiety experience pains in their chest, heart palpitations and painful tingling in their extremities. Heart palpitations occur when one becomes hyperaware of the quickness or aggression of their own heartbeat. These symptoms are most likely the result of the hyperventilation that occurs during severe anxiety attacks. Rapid breathing results in decreased blood flow, and can lead to a tingling sensation in one’s hand and feet as well as pains in the chest and change in the rate of one’s heartbeat.

                Another physical symptom experienced by those with anxiety is hypersensitivity. This is the tendency to be hyperaware of how different parts of the body feel, so the pains and discomforts that those without anxiety may be able to deal with, are exasperated. The anxious individual pays more attention to these little aches and pains, causing them to become increasingly severe and difficult to ignore.  Muscles may be tender to the touch and individuals can experience chronic pain that doctors may fail to link to a psychiatric disorder

                Living with anxiety does not simply mean feeling nervous, as some may believe. It is a disorder that affects one’s entire body, and interferes with the ability to perform day to day tasks that come easily to others. However, these symptoms can be treated with psychotherapy, CBT (cognitive behavioral therapy), and medication.

If you or someone you know is struggling with anxiety or their mental health please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrist, psychiatric nurse practitioners, or psychotherapists at Arista Counseling and Psychotherapy. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit http://www.counselingpsychotherapynjny.com/

https://www.mayoclinic.org/diseases-conditions/anxiety/symptoms-causes/syc-20350961

https://www.calmclinic.com/anxiety/signs/aches-and-pains#:~:text=Furthermore%2C%20muscle%20tension%20can%20also,The%20back

https://www.healthline.com/health/hyperventilation#:~:text=Low%20carbon%20dioxide%20levels%20lead,and%20tingling%20in%20the%20fingers.

Social Anxiety: Social Anxiety vs. Introversion

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Social Anxiety: Social Anxiety vs. Introversion

By, Maro Mikhaeil

People often find themselves confusing social anxiety with just being shy. This leaves many individuals go undiagnosed and may even worsen overtime. But what’s the difference?

First and foremost, social anxiety disorder is characterized as feeling symptoms of anxiety when it comes to social situations. Social anxiety is the feeling of being judged by others causing one to feel suppressed and feel unable to express oneself. One who feels symptoms of anxiety when presenting in front of a class or even have trouble making friends may be experiencing social anxiety.

However, introversion can certainly look the same as well. Introversion is characterized as being quiet most of the time in social situations and feeling more energy when spending time alone. An introverted individual spends time alone as a way of recharging for a social event and is a choice as opposed to individuals who experience social anxiety.

Individuals who experience social anxiety want to connect with others but feel held back because of the anxiety that is attached to the idea. They will often use alone time not to recharge themselves but as a way of protecting themselves and ultimately avoiding a social situation altogether.

If you or someone you know is struggling with their mental health, and may be experiencing social anxiety please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit http://www.counselingpsychotherapynjny.com/.

Sources:

https://www.nimh.nih.gov/health/publications/social-anxiety-disorder-more-than-just-shyness#:~:text=They%20feel%20symptoms%20of%20anxiety,of%20situations%20or%20social%20interactions.

https://www.psychologytoday.com/us/basics/shyness#what-causes-shyness

https://mhanational.org/introversion-vs-social-anxiety#:~:text=With%20social%20anxiety%2C%20avoidance%20of,care%20rather%20than%20self%2Dprotection.