Social Anxiety Treatment

Guest Author: Leah Wyatt

I’ve experienced the discomforts of social anxiety* throughout my life. Who hasn’t? Very few people are impervious to social anxiety. Social situations can feel very stressful! 

Here’s an embarrassing anecdote from my past: as a teenager, speaking to strangers on the phone used to give me so much social anxiety that I would write out a script for myself to follow prior to making really basic calls. 

We all have our different coping strategies, some of which can be unhealthy. Alcohol is a big one for many-I personally have leaned on having a couple drinks in social situations to “loosen me up.” 

I’m also guilty of clinging to the side of a friend or husband during group events. Others may feel so anxious that they avoid social situations completely, which lessens anxiety immediately but reinforces avoidance as a pattern.

While my social anxiety has diminished over the years, there are some strategies for social anxiety treatment that have helped me (not counting the less ideal: a glass of wine, velcroing myself to my husband, or writing down talking points before making calls).

Control your breathing to tame your anxious feelings: breathing too quickly can throw off the oxygen/carbon dioxide balance in our bodies, increasing anxious sensations. Breathing slowly, deeply and evenly can bring anxiety symptoms back under control. I try to practice deep, even breathing during moments of idle time which has helped me readily recall the habit when I’m feeling stressed.

 Shift your focus to others: Excessive self focus makes us more aware of our nervous feelings, worsening our anxiety, and shifting my attention to others has been a really helpful strategy for me. In social situations, take a minute to look around and imagine how others nearby might be feeling. Ask lots of questions (have a list ready in your head if that helps). Focus closely on listening to and absorbing what is being said. 

 
 

Identify/challenge the underlying negative thought: If you are worried about a party, that thought might be “everyone will think I’m awkward and boring.” But, thoughts aren’t real! Why do you feel the way that you do? Did a specific but isolated incident in the past inform this thought? A negative childhood experience?

Our brains like adhering to patterns, and it's helpful to be aware of damaging thought patterns that may be enhancing your anxiety:

  • Mind reading: assuming you know the thoughts of others when in fact, you are not a mind reader and cannot predict how people will think. 

  • Personalizing: believing that other people’s issues and behaviors have to do with you. Possibly, the person who walked away quickly was stressed about something else and not reacting to you personally.

  • Fortune telling: predicting the future, and usually assuming that the worst case scenario. The party you are worried about might not actually be terrible.

  • Catastrophizing: Blowing matters out of proportion. If someone notices that you are nervous, is that truly such a terrible thing?

General lifestyle changes can also help provide social anxiety treatment. These tips are predictable, but effective: exercise regularly, avoid caffeine and alcohol, and try to get enough sleep. 

 
Pictured: the owner, Mandy Barbee

Pictured: the owner, Mandy Barbee

 

*For the purposes of this post, we are discussing general social anxiety. Those who may be experiencing Social Anxiety Disorder, which heavily interferes with daily life, should seek help from a licensed professional.