Why do you have hard time getting out of bed? How many hours do you sleep on average? I watched once a documentary about social anxiety, and there was this woman who was dying to go to work because of her anxiety. I skip many activities because of my shyness/social anxiety. Luckily, my work doesn't demand mingling with people or to be on time. But still it affects my self-esteem.

Anxiety ---> social withdrawal ----> Loneliness ----> Depression -----> Work less effective ----> Bad self-image ----> Low self-esteem.

Hope you'll find the answer.