This involves a pattern of social discomfort and inhibition, fear of and hypersensitivity to negative evaluation, and feelings of inadequacy. Four or more of the following must be present:

• The person avoids occupational activities that involve interpersonal contact due to fear of disapproval or rejection
• Unwilling to become involved with others unless she or he is certain of being liked
• Restrained in relationships because of fear of being ridiculed
• Preoccupied with being rejected or criticized
• Inhibited with others because of feelings of inadequacy
• Sees her or himself as inferior to others
• Reluctant to take personal risks for fear of embarrassment