You “know the drill.” People all around you are smiling, laughing, talking, and enjoying each other’s company, but you can’t force yourself to participate – you have social anxiety. But while you are feeling so alone, you should understand that your condition is shared by one out of every ten people in this country.

So, here’s a little exercise. As you walk down the street today or tomorrow, count off the first ten people you pass by; one of them probably has social anxiety too. The other thing you need to know is this: you are not crazy – some of your thoughts are irrational, yes, but so are the thoughts of impulsive people and billionaires at times. None of us is immune to them.

Nevertheless, you have specific issues that no one else can really understand, and here are the most common things.

1. Your idea of going out for dinner is to get takeout or go through the drive-thru.

You either bring the food home, or, in the case of the drive-thru, you eat in your car in the parking lot. You just don’t want to walk in, take a table, and be around all those people and that noise. You envy the pleasant interactions that others have with each other and even with strangers, but you cannot bring yourself to become the initiator of social conversation.

2. Your idea of a great evening is staying at home with television, a book, or the Internet.

You seem to be able to communicate on Facebook or Pinterest, but in person, you just can’t find the words. It’s so easy to communicate when you don’t have to do it face-to-face, and you do not understand why this is so.

3. You are always forced to attend a party.

You arrive, certain that everyone is judging and evaluating you, and find an excuse to leave early or, unable to do that, you find a corner where you can be by yourself. If you are introduced to someone, you cannot find the words to strike up a conversation with that person and if s/he attempts to, you respond with one-word or short phrase answers. That person soon leaves for more interesting conversation elsewhere, and you feel left out and shunned.

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4. You only have 1-2 friends, don’t really want any more, and do not seek new relationships of any kind.

You are fine if you don’t see those 1-2 friends often, even though you do enjoy them. They invite you to social gatherings, but you invent excuses for not being able to attend. You only want to be with them when it is just the few of you.

5. You take your lunch to work.

Not because it’s cheaper, but because you need an excuse not to go out to lunch with your co-workers. When you are invited to happy hour, you find an excuse not to be able to attend, and eventually they stop inviting you. People come to view you as anti-social when, in fact, you are really just fearful, and you cannot explain why.

6. You are unable to contribute to conversations that are occurring around you.

Even when you might have something good to add to the discussion, because you are afraid that someone will think your contribution unworthy or might criticize it.

7. You seem to be tired all of the time.

This is not because you have engaged in any strenuous activity, but, rather is a result of living in a continued stressful state. Chronic anxiety is exhausting, and soon you’ll see sleep as an escape.

8. You experience rapid heartbeat, sweating, and heavy breathing when you are in uncomfortable social situations.

These are physical reactions to your anxiety and you cannot control them. You are certain that everyone around you notices these physical responses, and that makes you want to remove yourself from a situation even more.

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9. You are overwhelmed when there are more than just a few people in a room.

Every noise, light, smell, and action is taken in, and you cannot process it all or filter things out. It is as if you are being bombarded by too much at once, and the result is that you go into “flight” mode and find any way to remove yourself from the situation.

10. You tune out when several people are speaking.

You go into your comfort zone in which you are at least temporarily safe. You shut everything out, and people around you are confused by your behavior. Sometimes, they may think of you as aloof or rude, even though you have a strong desire to be a part of the social experience.

11. You are overly concerned about your hair, your complexion, your dress and your look in general.

Because you are certain that everyone is judging and evaluating you on these things. In fact, most people really do have their own issues, their own priorities, and their minds are not on you. It’s impossible for you to accept this, even though you actually realize that your thinking is irrational at that moment.

12. You engage in bruxism.

Grinding your teeth or clenching your jaw, and it is almost as if this is a completely unconscious behavior (and in many cases it is). You are unable to stop it, even though you know it is unhealthy, and you are certain that others are noticing and think there is something wrong with you. However, don’ t be depressed! You are not alone! What is more important – there is a way to bring some relief and make your life more comfortable.

13. You lose sleep or daydream, imagining the worst possible scenarios.

Even though you understand that those things will probably never happen. This activity only serves to increase your anxiety level and your continued need to isolate yourself. Again, you understand that your thinking is negative, but you don’t have the tools to turn it off and think of the positive things in your life.

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14. You are prone to panic attacks.

Events that immobilize you and cause you to seek medical help when the real culprit is just your anxiety. There is nothing physically wrong with you, but you are convinced there is. An astute medical professional will perhaps pick up on the issue and recommend a counselor or therapist who may be able to help you. Take this as a gesture of kindness, not as an affront.

15. You cannot think of anything to say on a date.

And you do not get asked out again because that person assumes you are just not interested. You really would like to have a relationship, but you cannot bring yourself to talk about your social anxiety and begin to think that you will simply not have a romantic relationship. This thinking creates more anxiety, and perhaps depression. Fortunately, if you find the right doctor, there are medications available that may help. You have to find the courage to seek help, however, even that is difficult because you are so certain that you will be judged for your “weakness.”

16. You panic when your phone rings at odd hours.

The same goes when there is a knock on your door and you are not yet dressed for the day. While others would just laugh such a thing off, you go into a tailspin because you are certain you are being judged for the way you look or for being so lazy that you are not “prepared” for your day yet.

17. You do want others to understand your anxiety, but you have a difficult time explaining it to them.

You don’t want to show that kind of weakness for fear you will be judged or quietly criticized. In fact, most people are empathetic and understanding if you would give them the chance, but your fear always seems to get in the way.

18. You can’t explain why you want to be alone, even though others keep asking you or pressuring to engage in social activities with them.

Eventually, they stop asking you to join in, and this reinforces your belief that you are not liked. When you go to a restaurant by yourself, you take a book, or “work,” or your laptop in with you, so that people will “think” you are busy and will thus not “disturb” you by striking up a conversation. Even the waitress/waiter will quickly take your order and retreat. This isolation is preferable to you, because your social anxiety will not show – everyone will simply think you are a very busy person who must have a “working” lunch or dinner.

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19. You build your “social” life around family members, because they are “safe.”

They know you, and because you have grown up among them, you can actually converse. If a sister brings a boyfriend, however, you will avoid him and spend more time in the kitchen with your mom or other siblings.

20. You tend to have a pet, usually a dog or a cat.

You can safely care for that animal, talk to it, cuddle it, and have an emotional attachment that you are unable to have with people.

21. You rarely travel for pleasure, unless it is with a family or 1-2 of those really close friends.

And, though you enjoy the experience with these people, if strangers insert themselves in hotels, on the beach or at the pool, or any other time, you “clam up,” unable to enjoy their company. You will avoid vacations that involve cruises, tours, and other things that will “throw you in” with others.

22. You may see an acquaintance from a distance, and, because you do not know what to say, you go out of your way to not be seen.

If you are seen, and that person comes up to you, you have a very short conversation and indicate that you have an appointment and must go.