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 commonly associated with social anxiety disorder, contributing to excessive fear of negative evaluation. Choice B reason: Sensitivity to rejection is typical in social anxiety disorder and may drive avoidance of social situations. Choice C reason: Hypersensitivity to criticism is characteristic of social anxiety disorder, reinforcing fear and avoidance of social interactions. Choice D reason: Social anxiety disorder does not typically resolve in the presence of a trusted companion; anxiety may persist regardless of supportive presence. Therefore, decreased anxiety with companionship is not a defining feature.