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Social anxiety disorder can significantly impair daily functioning, particularly in occupational and academic settings. Individuals with this disorder often experience intense fear and apprehension in social situations, which can hinder their ability to participate in activities that require interaction with others, such as presentations or group work. This overwhelming anxiety can lead to avoidance behaviors, where individuals may skip important events, avoid networking opportunities, or underperform due to their fear of judgment or embarrassment. Consequently, their academic achievements and career progress can suffer, resulting in decreased opportunities for advancement and fulfillment.

The other options are less representative of the realities faced by individuals with social anxiety disorder. For instance, social skills are usually not enhanced; instead, social interactions are often avoided, and self-esteem may decrease rather than increase, as individuals struggle with feelings of inadequacy in social contexts.