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I usually feel worried and paranoid of how others (even friends and family) are perceiving me while I'm engaged in a conversation with them. I use the word "engaged" loosely, as I have to try very hard to stay focused and endure a great deal of mental fatigue. I often find it hard to smile and tend to get shaky the longer the social interaction continues. It gets to the point where I wish I could turn and run away. I don't feel comfortable speaking with anyone for extended periods of time and I often take sarcastic remarks in a personal way; even when I know the said sarcasm is just a joke. I feel hopeless sometimes, and smoke to ease my nerves.