Social Anxiety Disorder: How to Manage and How to Thrive
Imagine being caught in a riptide. Your breath hitches and heart starts beating so loudly that you can’t hear the crashing waves. You are paralyzed and don’t know whether you will sink or swim. Suddenly, you feel energy flood your body and every hair on your back and arms stand up with anticipation.
You begin to swim, focused on nothing else except the beach. All of this takes less than 15 seconds, but when you get out of the current, you feel like you’ve been swimming for 15 hours.
This example of a flight-or-fight response is similar to the ones people experience in most dangerous, life-threatening situations. Our brain assesses the risk and tells our body how to respond
It is called an automatic stress response to danger, and under it, the body moves faster, bleeds less, and floods muscles with energy hormones while the brain disengages from all other input other than the main threat. This response is instinctual and meant to aid in survival.
But what if this happened every time you had to talk with someone new? Or every time you went to class, or church, or a party? What if this automatic stress response kicked in at coffee shops and shopping malls and yoga studios, and it always seemed like you were being swept out to sea, even when you were on a business call? This kind of survival response can be exhausting when triggered all the time, and can seriously affect a person’s quality of life.
Social anxiety disorder is like this. People with social anxiety fear embarrassment, being judged and evaluated negatively by others, and finding themselves in situations where they could be scrutinized. This fear leads to the avoidance of social situations altogether. Newport Beach Christian Counseling can help individuals address these fears, build confidence, and develop effective coping strategies to manage social anxiety and participate more fully in life.
Sometimes this anxiety can be overwhelming. Social anxiety disorders correlate with a low quality of life. There is a greater risk of dropping out of school, experiencing lower work productivity, and receiving a lower income (Edmund Bourne, Ph.D. 2015). For this to be a clinical diagnosis, however, this fear or anxiety must stick around for six months or longer.
Humans crave connection and we are created for community and positive interaction. Social interaction is necessary for people to thrive. Just as food helps fuel the body, social interaction helps fuel the brain. When a social anxiety disorder is ignored, it puts a person at risk for unhealthy thoughts and behaviors.
While anxiety in itself can be helpful (it typically serves as a prompt to grow or change), paralyzing anxiety can be dangerous. The key is to learn how to manage the anxiety so that it is not so overwhelming that the person is unable to function.
Planning Recovery
Several interventions exist for addressing and treating social anxiety, but the most important thing to know is: ask for help. Help can look different for each person but exists in many forms. Read a book on different treatment approaches, enlist the support of family and/or friends, or meet with a therapist. Just take the first step!
We hope this post will provide you with an overview of successful interventions and give you examples of common treatment plans for this disorder. The four following approaches can help people cope with their social anxiety:
1. Relaxation Training
2. Core Belief Transformation
3. Exposure Tasking
4. Personal Assertiveness Practice
While these four things aren’t the totality of intervention for a social anxiety disorder, they give a good overview of what a therapist might do to help someone manage their diagnosis.
Relaxation Training
We tend to perform best when we feel relaxed. We are more alert and energized, and willing to approach uncomfortable situations. With an anxiety disorder, however, relaxation seems out of reach. This is partly because the fight-or-flight response is antithetical to the relaxation response.
It takes practice. Relaxation training decreases an overactive heart rate, respiration, high blood pressure, muscle tension, and oxygen consumption. It calms the overly analytical brain and increases skin resistance and alpha wave activity in the brain. (Edmund Bourne, Anxiety and Phobia Workbook, 2015).
Since people with social anxiety disorders often have past negative social experiences, they avoid future experiences in an attempt to mitigate any humiliation or degradation they might perceive. This avoidance ultimately strengthens the anxiety response to social situations. With mastery of relaxation techniques, the same person can gain confidence in social situations (even if they had past negative experiences).
Relaxation training can take the form of guided imagery, yoga, progressive muscle relaxation, and abdominal breathing. The method one chooses isn’t as important as the frequency with which they practice their chosen method. Twenty to thirty minutes a day can produce positive, life-changing results.
This is typically the first step to overcoming social anxiety. If you can relax, you can better assess risks. Relaxation helps free a person to face the situation they have previously learned to avoid.
Core Belief Transformation
Our thoughts are powerful, and when they are unhelpful, they can be powerful barriers to overcoming social anxiety. Our willingness to participate in social activities is directly related to how we think about ourselves, about others, about the situation, etc. Negative thoughts lead to increased anxiety.
We find that the more intense the thoughts are, the more intense the feelings are. The goal of managing any anxiety disorder is to reduce anxiety levels so that one is free to engage their social world. For example, someone with a social anxiety disorder might think and believe that they will look foolish if they speak in a meeting.
The more they think this, the higher their anxiety climbs, making it almost impossible for them to speak up. If they can change their belief that they are “foolish” and switch it to something less intense, like “I’m concerned others won’t like my ideas,” they are freer to explore ways to challenge that thought and speak up.
Edmund Bourne, Ph.D., recommends five questions for lowering the intensity of negative thoughts and challenging mistaken beliefs:
1. What objective evidence do you have for this belief?
2. Does this belief ALWAYS hold true for you?
3. Does this belief take into account the negative and positive outcomes? (Does it look at the whole picture?)
4. Does this belief give you peace of mind or promote your well-being?
5. Did you choose this belief on your own, or did it come from your experience growing up in your family?
Asking these questions will better help a person develop new thoughts that are less anxiety-provoking. While difficult to do at first, a supportive therapist can help those with social anxiety challenge their core beliefs so they can engage their social world without fear.
Exposure Tasking
Social anxiety disorder acts like a phobia. When you are afraid of something, you tend to avoid it. People with social anxiety disorder avoid social situations. They experience anxiety when confronted with particular stimuli (speaking in public, taking public transportation, attending parties, etc.), and when they avoid that stimulus, their anxiety is reduced.
The avoidance is like a reward-system and the more it happens, the more it creates a pathway in the brain to allow it to happen. The brain starts making the connection automatically, and the avoidance becomes second-nature. When anxiety reactions get hardwired into a person’s brain, it can be difficult to re-route.
However, our brains are built to adapt, change, and form new connections. This is called neuroplasticity. This rewiring process is also called exposure and exposure helps people unlearn “the connection between anxiety and a particular situation.” (Bourne, 2015).
Exposure tasking allows a person to enter a scary situation, feel their anxiety rise, endure the anxiety, and realize they can survive it. This ultimately allows that person to unlearn their anxiety response and gain confidence in their ability to handle it.
The key to doing this is to break down the exposure tasks into manageable chunks. The anxiety can be mastered in successive stages instead of all at once.
For example:
Fred is afraid of public speaking. He chooses exposure tasking to help him conquer his fear. He first imagines himself on stage speaking in front of a crowd. While doing this, he acknowledges all his thoughts and feelings.
If they are negative, he replaces them with positive. Next, he practices in front of a mirror. After he feels comfortable, he gathers a group of friends. On this goes until he is able to face the anxiety-provoking situation, literally rewiring his brain.
Personal Assertiveness Practice
The final approach that can help someone cope with social anxiety is assertive communication. This is a direct, non-reactive, clear, and honest form of self-expression that allows a person to interact with others in a non-anxious way.
The key elements of assertive communication include the following:
- Identifying personal needs;
- Describing facts;
- Sharing personal feelings;
- Making personal requests;
- Providing positive reasons for need.
For example, if Fred was angry at a friend who always canceled plans, his first step would be to figure out his need. His need would be reliability. After identifying this need, he would sit down with his friend to discuss the facts in a non-emotional way. “You have canceled plans the past 5 times we’ve made them.”
Then he’d share his feelings. “This makes me feel unsure and confused.” Finally, he’d make his request by providing positive reasons for it. “I need you to keep plans when we make them or not make plans until you know for sure that you can go. It will help me feel confident in our relationship and give me assurance that we are in a good place.”
Even if Fred’s friend did not respond well, Fred has demonstrated that he can stand up for himself and not let his anxiety rule his friendships or create unhealthy relationships. Practicing this is key to being able to do this in everyday situations.
Conclusion
These four areas of intervention are just a small overview of what treatment looks like for social anxiety disorder. This is not a substantial how-to, as much as it is an informative look at what needs to happen when approaching this diagnosis.
There is help, intervention, and healing for social anxiety. Recovery is achievable, and with the right supports in place, it is a journey worth taking. Newport Beach Christian Counseling offers a supportive environment to guide individuals through their recovery, helping them build confidence, overcome fears, and embrace social interactions with greater ease.
“Blue Sea”, Courtesy of Clem Onojeghuo, Pexels.com; CC0 License; “Relaxation,” courtesy of Kosal Ley, unsplash.com, CC0 License; “Time to Think,” courtesy of Enrico, Flickr Creative Commons; “Group Therapy”, Courtesy of Rudamese, Pixabay.com; CC0 License

It should come as no surprise that the answer is yes, but that its relative success depends entirely on both parties’ level of dedication both to each other and the counseling process.
Making the decision together to seek help from a marriage counselor is a hopeful sign for the future. This simple action proclaims that overcoming your problems and finding a new and better way to relate, encourage emotional growth, and encourage relational health is possible.
When a marriage fails, it never does so in a vacuum. Every single relationship that the couple has is impacted. It goes without saying that the failure usually causes devastation to both partners, and in more ways than one. Any children involved can be so heavily damaged by it that it can destroy their capacity for trust in relationships and affect their ability to commit to marriage, themselves.
Sadly, some couples don’t try to get counseling until they are way past the point of no return. If communication has deteriorated to the point that words are only being used as weapons, no progress can be made in or out of counseling.
Simply put, there is no one right path of grief, and you should never feel under pressure to conform to one particular way. David Kessler, an expert on grief, writes that the stages of grief “are a part of the framework that makes up our learning to live with the one we lost. They are tools to help us frame and identify what we may be feeling.”
Grief is a process and should be viewed in the long-term. Too often, we look for a “quick fix” or the ability to rush through the prescribed “stages of grief,” failing to give ourselves ample time. It is important to note, however, that even with all the time in the world, the pain may never fully leave you.
In his book, A Grief Observed, Lewis wrote: “He will probably have recurrent pains in the stump all his life, and perhaps pretty bad ones, and he will always be a one-legged man. There will be hardly any moment when he forgets it. Bathing, dressing, sitting down and getting up again, even lying in bed, will all be different. His whole way of life will be changed. All sorts of pleasures and activities that he once took for granted will have to be simply written off.”
Though it may seem counterintuitive, anger may at times be helpful because it helps us release our emotions, instead of merely turning numb. Though the anger may be directed at any number of different things, it is always rooted in pain.
Unfortunately, they aren’t immune to anxiety. They enter this big, scary world and face many mountains of their own. Think about moving towns, changing schools or even having to participate in a spelling bee when there’s a learning or attention issue. Anxiety can be crippling at any age.
It’s easy to get overwhelmed and feel helpless when your child is facing anxiety, but when you remain steadfast and calm you can be fully present to guide your child through their everyday anxiety.
Help your child understand how the body changes when experiencing fear and anxiety, so he can begin to recognize the signs. Teach your child to talk back to their worries and fears. Imagine worry as a big bully or monster that can be conquered by telling why it isn’t welcome in your world.
Instead, you can think of it this way, “The bus driver is a professional and cares about the kids. My classmates show up every day to school without getting left somewhere else. My good friend Robby would sit with me if I asked him. My classmates even talk about how much fun it is to ride a bus.” The thoughts slowly shift to ones of excitement and confidence.
He starts looking forward to spending time with the woman, as he enjoys the company and appreciates being encouraged and built up in his abilities. He starts to think about her more and more, and begins trying to figure out a way that he can spend time with her alone.
It is worth thinking regularly about any people you might know who meet a need in your life that is not being met by your own spouse. If you realize you have been engaging in an emotional affair, don’t beat yourself up.
After being married for a while, it can be easy to fall into a pattern of feeling as if you never get your own way. Both partners should be allowed to say “No” in any given situation without a massive relational fallout.
Make a list of places you want to visit, restaurants you want to have dinner at, or walks you want to take together. Go on some dates! Reconnect in a romantic setting. Compliment your spouse when they have made an effort to look nice for you. Buy flowers, take them on surprise trips, and just make them feel special!
If you’ve ever wanted to wake up from a nightmare only to realize it’s a reality, you might have experienced a form of trauma. Often trauma comes after a life-threatening experience, but it can also develop after an incident that is perceived as life-threatening. Trauma invades our individual sense of control after a deeply terrifying circumstance. How we perceive what has happened to us is where the trauma lies.
Most people have a pretty clear and accurate idea of physical abuse, but emotional abuse is easier to miss. If your friend experienced physical abuse, bruises and scars might be left as reminders, but emotional abuse leaves invisible bruises like feelings of humiliation, shame, and depression.
Domestic violence is often hidden because it happens behind closed doors under the roof of a home. It looks like physical violence, sexual violence, or emotional abuse among adults in a relationship.
Most are aware of the term post-traumatic stress disorder, or PTSD. This can occur when someone has returned from a war zone where they experienced threats to life and other terrifying experiences. Memories are lodged in their mind and often flashbacks occur.
According to Scripture, marriage is the very first human relationship created by God. Jesus spoke of marriage according to the Old Testament as being one man and one woman united into one flesh. The Apostle Paul exhorted husbands and wives to love, respect, and submit to one another, doing so in reverence to Christ.
Not everyone is destined for marriage. This lifelong commitment comes with responsibilities, privileges, and inherent limitations. Am I truly called to this for life? Can I commit to oneness with my spouse in a partnership that includes physical, emotional, and spiritual components?
Also, consider whether you feel emotionally safe enough to be vulnerable with your partner, to speak even unpleasant truths in love. Consider whether you both have the freedom to confront one another in love.
Are we partners in our belief systems? When it comes to my relationship with God, how does this person affect that? Do I feel encouraged to become closer to God, or is it viewed as something incidental or unimportant? Do we pray together and encourage each other to put God first? Do we inspire one another to grow in our faith?
Those struggling with adult ADHD might even experience some negative emotions as a result of their condition. These may include anxiety, perpetual boredom, bouts of depression, difficulty controlling anger, forgetfulness, problems at work, low self-esteem, mood swings, procrastination, relational issues, substance abuse, addiction, and a low level of motivation.
Therapy is absolutely essential for an adult struggling with ADHD. Yes, medication can be helpful. However, the only way you will see a true and lasting difference is to combine this with the expertise of a professional therapist.
Behavior modification is an absolutely essential element of any therapy that is offered to someone dealing with ADHD, as they will likely struggle with their emotional response to certain situations. A therapist will help them unpack their thinking and will assist them in developing reactions that are more appropriate to the given situation.
In conjunction with CBT, traditional talk therapy can also help the person develop a greater understanding of their own anxiety and emotional fluctuations. Suffering from ADHD can bring with it a whole host of emotional, relational and spiritual issues. Talk therapy can help relieve some of that burden.