NCMHCE Study Guide | Clinical Mental Health Counseling Exam Prep Social Anxiety Disorder is not simply being shy. On the NCMHCE, the key is to look past the behavior and find the fear driving the avoidance. If you can identify the fear of negative evaluation at the center of a vignette, you can separate Social Anxiety Disorder from a lineup of convincing look-alikes—and pick up points that many test-takers leave on the table. This post breaks down a repeatable, exam-ready fra