Maybe in part. I think I'm a good person and don't feel I criticize my own work too harshly, but I feel like people are dangerous and I always have to make just the right moves around them. This is especially true in business where I recognize that people have a lot of power to cause trouble for me.
Worrying about just how to phrase things in order to come off as friendly, wondering if I'm hearing people with thick accents right, etc, is a nightmare even now that the worst of anxiety is over. How much I like myself doesn't matter at all if other people decide they don't like me and won't help me, hire me, or let me just do my own thing.
People in general are a nightmare. If I talk about good grades, I might be hated for making others feel insecure. If I improve a bad habit, people who felt comfortable around me because they shared that bad habit might look at me as an outsider or an enemy. If I don't open up fast enough, I'm denying people the opportunity to get to know me and may come across as suspicious or snobby. I can't win.