Social anxiety is extremely common in the US, with more than 200,000 cases per year. What’s the difference between social anxiety and the disorder of social anxiety? Some social anxiety is normal. If it distresses us too much that it ends up interfering with our ability to do things, it becomes a disorder. Social anxiety can have multiple contributing factors including genetics, culture, and biology. Many people turn to substances, especially alcohol, to help quiet social anxiety, yet it often contributes to it even more. Explore ways to begin to manage social anxiety.