What You Should Know About Social Anxiety Disorder
Whether you have always been prone to social anxiety or only recently developed the condition, you know the feelings of intense fear, worry, embarrassment, humiliation, or agitation that come with it. You may have had to bow out of social functions, such as a child’s high school graduation, a grandchild’s school play, or meeting friends at the movies.
Social anxiety disorder disrupts relationships and daily activities. The good news? You can overcome the symptoms of social anxiety.
What is social anxiety disorder?
Social anxiety disorder is a mental condition that encompasses intense fear and worry about social situations. It could be attending a concert, going out to eat at a restaurant, catching a movie at the theater, speaking in public, attending a Bible study, or just meeting friends for dinner and shopping. Someone with social anxiety can experience symptoms while thinking about the upcoming event.
Causes of Social Anxiety Disorder
There are various causes for social anxiety disorder:
- Problems with neurotransmitters
- Environmental factors
- Trauma, abuse, or neglect
- Family history or genetics
- Bullying and other negative experiences
Social anxiety disorder impacts your ability to connect with others. It affects your ability to attend social functions for close friends and family, and even for yourself. Eventually, it becomes difficult to participate in regular services like church and going to work. Many people suffering from social anxiety disorder choose remote jobs, but this may only reinforce their isolation.
Cognitive Behavioral Therapy and Exposure Therapy
Psychology has come a long way with treatments for social anxiety. Cognitive Behavioral Therapy (CBT) and Exposure Therapy are two of the most well-known and effective forms of therapy.
Cognitive Behavioral Therapy is used for a wide range of mental conditions, such as anxiety, depression, eating disorders, Post-Traumatic Stress Disorder (PTSD), Obsessive Compulsive Disorder (OCD), bipolar disorder, phobias, panic disorders, and schizophrenia. Many people use CBT methods to change negative behaviors.
Cognitive Behavioral Therapy addresses the cognitive triangle, which connects thoughts, emotions, and behaviors. For example, a negative thought can lead to an unwanted emotion, resulting in a negative behavior.
The triangle also works backward, as a bad habit (behavior) can lead to negative thoughts and emotions. CBT works to break the cycle by inserting and reframing thoughts and behaviors. Changing emotions first is typically challenging, so most CBT practitioners work on reframing thoughts and behaviors.
Exposure Therapy is a controlled exercise that gradually exposes you to social situations. A counselor typically sets the parameters and prepares you for the event. Depending on the severity of your social anxiety, your treatment may start with a five-minute stop at a small grocery store.
As you progress through treatment, the stops will become longer and contain more people. After every exercise, you will report your progress to the counselor and discuss what occurred, how you felt, and what thoughts went through your mind. If an outing did not work out as planned, you will discuss what could have gone better and regroup to try again.
The only way you can “fail” at therapy is if you do not put any effort in at all. The goal never changes, only the means change. If something doesn’t work the first time, your counselor will help you pivot to another strategy. You will notice that you will build confidence the more you follow CBT and exposure therapy methods.
Tips for Moving Past Social Anxiety
Social anxiety is an anxiety disorder, and you can overcome the symptoms. Often, making small changes can make a big difference over time. Practicing how to handle social situations will prepare you for the actual event.
Don’t underestimate the power of lifestyle. How you live can worsen anxiety symptoms. Be sure to initiate changes in your lifestyle for your physical and mental health.
Start with a few of the following suggestions:
- Eat healthier meals
- Eat at home more often to control ingredients
- Avoid ultra-processed food, alcohol, nicotine, and drugs
- Limit caffeine
- Drink plenty of water
- Exercise most days of the week
- Take a brisk walk daily
- Prioritize sleep hygiene
- Care for your body
- Enjoy a hobby
- Call a friend or family member
As you progress through therapy, reconnect with old friends and form new friendships. Social connection is a wonderful way to lower stress, and we want you to experience that through overcoming social anxiety disorder.
Say positive affirmations
Positive affirmations are phrases that help to encourage and empower. The more you say these daily affirmations, the more you will believe them to be true. When you believe something, whether true or false, it becomes true for you.
For example, many people have false beliefs because of the words spoken to them during childhood. These beliefs are true for them only because it is what they choose to believe. If a woman is told she is unattractive her entire life, it doesn’t matter how many people tell her she is beautiful; she will not believe it until she changes how she thinks about it.
The following are examples of positive affirmations to help you through social anxiety:
- I can do hard things
- I am made in God’s image and likeness, and He is never afraid
- This, too, shall pass
- I am loved
- I am accepted
- I need not fear. My God is with me
- I do my best, and God does the rest
- It is well with my soul
- I am safe
- I am blessed and have favor with God
- I am set apart for God’s purpose
- I can do this. I will do this
- I am at ease with other people
- I will enjoy this moment
Some of the examples above can also be used as mantras during a stressful time. A mantra is a word or phrase you repeat to calm your mind and pull yourself back into the present moment. Try silently repeating, “I can do hard things,” in the middle of a crowd. Do you feel a mindset shift? Practice daily positive affirmations and mantras to see how they work for you.
Recognize triggers
You can develop social anxiety disorder later in life, especially if you have experienced trauma. According to the World Health Organization (WHO), the pandemic increased the prevalence of anxiety and depression by 25%. Many people still struggle with anxiety and social anxiety that began in 2020.
When you recognize your triggers, you can better prepare yourself for a social function. For example, you may experience symptoms when you agree to an event where you might be the speaker or have people’s attention.
Consider the following tips to help you prepare for a social outing:
- Learn about the social function and your role there. Are you going to watch, or are you expected to participate?
- Think about topic conversations. People love to talk about themselves, so practice active listening and ask questions. You can use the FORM method: ask about their family, occupation, recreation and hobbies, what motivates them, and what their passions are. They will like you because you are genuinely interested in their lives.
- Wear comfortable clothing and, if allowed, bring someone with you for support. Decide in advance when to arrive and when to exit.
- Visualize having fun.
- Practice your affirmations and mantras.
If you can, start gradually exposing yourself to social situations. Maybe that means returning a book to the library by walking inside and saying hello instead of using the book drop. Or committing to a dinner out with friends for a chance to practice your new skills. Go slowly and reassess what worked and what didn’t. Then, do it again.
Help for Social Anxiety
Social anxiety disorder is treatable using a wide range of therapies. Contact our office today to schedule an appointment with a counselor to discuss therapies such as talk therapy, Cognitive Behavioral Therapy, and Exposure Therapy. We would love to get you back to enjoying social functions with your family and friends.
Photos:
“Family Dinner”, Courtesy of Curated Lifestyle, Unsplash.com, Unsplash+ License; “Counseling”, Courtesy of Andrej Lišakov, Unsplash.com, Unsplash+ License; “Morning Run”, Courtesy of Jenny Hill, Unsplash.com, CC0 License; “Cross”, Courtesy of Yannick Pulver, Unsplash.com, CC0 License

Time is an important aspect of our lives. Spouses might want alone time to pursue their hobbies, and also time for shared activities. To promote a healthy work-life balance, a couple may need to establish boundaries between work and life, for instance, by not checking work emails after 5 pm.
The term ‘codependency’ is one that’s gained currency in the last decade or so. It describes a variety of unhealthy relationship behaviors that can be caused in several ways. However, at the heart of codependency is an underdeveloped or poor sense of self. If a person doesn’t develop a clear sense of who they are, their values, and their boundaries, they are more prone to developing codependent patterns of behavior in relationships with others.
There isn’t a single and straightforward path toward codependency. A person develops a poor sense of self and has difficulty maintaining healthy boundaries with others for a variety of reasons. The process of developing a healthy sense of self was often disrupted by experiences such as childhood trauma or experiences such as abandonment, or neglect. These can be in the form of a parent dying, parental divorce, or being literally abandoned.
Depending on your situation, societal or cultural expectations can also play a role in nurturing codependency. If, for instance, there’s more of an emphasis on the collective – society, your local community, or the family – over the individual, that may lead to codependent behaviors. While it’s important to look out for others and love them well, it can be detrimental to do so without regard to personal well-being.
A friendship, even a good friendship, can be overcome by codependent dynamics. If a friend is in trouble and you bail them out, that’s one thing. However, if you begin to fall into that pattern of relating to each other, a codependent dynamic can develop. A healthy friendship can become codependent in several ways, or it might commence between two people with codependent tendencies and patterns of behavior. Recovery, however, is possible.
Prayer with a life coach can reveal areas of need, provide emotional grounding, and prepare clients to combine the truths of the Scriptures with the experience of the life coach, motivating them to act. Similarly, certain spiritual practices like fasting, solitude, generosity, and sabbath taking may be taught as a model of healthy life balance passed down from Old Testament heroes, from Jesus, and the early church.
The fear of mortality is also known as ‘thanatophobia’, or the fear of death. This fear or anxiety is rooted in a keen awareness of the fact that life will inevitably end, and that awareness can range from subtle to a blaring and ever-present reality that intrudes into everyday life. It can linger in the quiet moments as you reflect on your day, or it can manifest as severe panic attacks or obsessive behaviors designed to help avoid thoughts of death.
Personal experiences As a person ages, they become more aware that our life under the sun isn’t forever; it is impermanent. Experiencing the death or serious illness of a loved one or having a near-death encounter can all trigger fears about mortality and our limitations. Experiences of trauma, abuse, or neglect can also contribute to fears about mortality.
For others, it can result in being risk-averse. Some people take excessive caution, not wanting to risk that something might happen. Trying new things might also get taken off the menu, as that could be too risky. They might become preoccupied with health to address any and all issues, leading to constantly monitoring every health indicator and seeking medical attention for minor concerns.
Reassurance from Scripture Passages like 1 Corinthians 15, Romans 8, John 11-12, Revelation 21-22, Philippians 1:18-26, 1 Thessalonians 4, and 2 Corinthians 5 all help believers reframe their understanding of life and death. God is sovereign over death, and the resurrection of Jesus changes absolutely everything. There is hope, even when it all seems dark and lifeless.
However, it’s also true that our emotions serve a purpose, and that includes anger. It’s quite likely that you’ve experienced someone expressing their anger before, except that you probably missed it because it was a healthy expression of anger. A person can assert themselves and their feelings of anger in a calm and collected manner. These expressions of anger aren’t sensational, and they often go unnoticed.
Legal problems In the same vein, being angry and expressing it by shouting, cursing, hitting, or acting out anger on people or their property leads to trouble. That trouble could be in the form of getting arrested for causing injury to others or property. If a person gets into legal trouble for things they did because of anger, that strongly points to anger problems.
Your loved one’s anger affects them, but that anger doesn’t stay contained; it also affects you, in subtle as well as other ways. To begin with, anger affects your loved one’s health and well-being. The strain that anger puts on the human body can be problematic if a person is chronically angry. Anger can increase stress levels, the risk of heart disease, and the risk of conditions like diabetes, etc.
In the main, the role you can play in your loved one’s life is as a support. You can help them by gently and lovingly pointing out the problem to them. You can encourage them to talk about what’s going on and allow them to communicate their angry feelings. This should be done within limits; for instance, they can share how they feel, but that doesn’t mean they can shout at you and be abusive.
A devastating loss There are times that the loss of a family member can cause a family to become estranged and broken. When there is a loss it affects every person in different ways. When the family faces the loss they must learn a new dynamic. This isn’t always easy. Grief can cause many emotions and until it is processed it is hard to understand how to navigate healing as a broken family.
Having a hard conversation about what happened is the place to start. Without understanding what happened there is no way to understand what needs to be done to repair the damage. Honest and open communication is the best way to accomplish this conversation. This conversation includes listening as much as speaking. Be intentional about the conversation.
Just as families can find themselves out of harmony with each other, they can restore that peace. It takes work on the part of each individual in the family. This requires motivation, knowledge, persistence, and acknowledgment of the reality that no one is perfect. When the balance is restored the trust will likely be restored as well. Remember, something that becomes broken won’t look like it did before the damage. This doesn’t mean it can’t be fixed.
When a family member chooses to end a relationship the only thing that you are in control of is your reaction to that decision. You must understand that you aren’t to blame for their choice. Once you have pursued the avenue of forgiveness, it is up to them whether or not they receive that extended hand of forgiveness.
The answer this theory offers, is to hold our emotions hand-in-hand with logic and cold hard realities, and find a middle ground of wise behavior called “wise mind” thinking, which listens to the feelings, needs, and urges of the emotional side and balances them with acceptance of fact, to synthesizes them into a new, more adaptive way of thinking. In this theory, neither trying to medicate away feelings nor accepting reality without feeling would benefit healing.
Providing a safe and loving home The child you’re adopting can come from any number of circumstances and family history. Every child deserves the love of a family. One of the joys of being an adoptive parent is in providing a welcoming, lifelong home to a child. Being able to provide a safe household with loving parents is a huge blessing that the child is being made part of.
People’s unhelpful or inappropriate questions When your adoptive child doesn’t look like you or your partner, your family may be exposed to questions that run the gamut from well-intentioned, to malicious, and from mildly inappropriate and uncomfortable to way over the line.
One of the gifts a parent can pass on to their child is the gift of the gospel. The Lord places children in our care so that we can nurture them and mold their character. A person’s personality is shaped by their DNA, but their character and whether they are people of virtue is determined by nurture. The child in your care, whether they are there by adoption or by birth, has the opportunity to know the Lord Jesus through you and how you nurture them.
Through open communication with your child, and by being supportive, consistent, present, and curious, you can set your family up for success. Having consistent routines, building new family traditions, and embracing and retelling your story as a complex family can all help you appreciate the family the Lord has given you.
Although people with high-functioning autism may understand the rules of grammar and have a good vocabulary, for instance, they have difficulty discerning other people’s feelings and reactions; take things literally and have trouble understanding figurative speech, jokes, or sarcasm; are unable to recognize social cues or interpret facial expressions or body language; and have difficulty initiating or maintaining conversations.