A new 24-year-old male client presents to the PMHNP for an evaluation. He reports symptoms of a marked and persistent fear of public speaking, which is frequently required for his new job. He is terrified of embarrassing himself. Which of the following is NOT a characteristic of social anxiety disorder?

Choice A reason: Low self-esteem is common in social anxiety disorder as individuals perceive themselves negatively in social situations. Choice B reason: Sensitivity to rejection is a hallmark, as patients fear social disapproval or negative evaluation. Choice C reason: Hypersensitivity to criticism drives avoidance of social interactions and contributes to distress. Choice D reason: Individuals with social anxiety disorder typically do not experience significant reduction in anxiety merely by being accompanied by someone trusted; the disorder is situation-focused, and anxiety remains despite support.