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The chatroom operators (ops) are fellow sufferers of social anxiety and regular users of the chatrooms, who help to maintain the chatting environment according to the above principles.
Over time, many sufferers come to avoid the situations they fear or become very inhibited or defensive in situations, often leading to depression and loneliness.
Millions of people around the world suffer from Social Anxiety Disorder (also known as Social Phobia) and related conditions.
Despite being the most common type of anxiety disorder and the cause of much impairment and suffering, it is under-recognised and under-treated.
When the social anxiety becomes this bad, sufferers could be diagnosed with Social Anxiety Disorder, also known as Social Phobia. Sufferers differ in how naturally reserved or outgoing they may be and in regard to the sorts of situations or people they might find most difficult or might be OK with.
Individuals who are particularly socially inhibited, avoidant and sensitive to criticism or rejection may meet criteria for Avoidant Personality Disorder, now seen by many as only the more extreme or generalised end of an 'SA spectrum'.