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

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.
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.
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.
For those who follow Christ, the meaning of spiritual development is more specific. According to Acts 17:28, “… in him we live and move and have our being.” Our core nature, desire for significance and purpose, and our sense of belonging are derived from God himself, as he transforms us through Jesus Christ and his infallible, unchanging Word.
When a Christian is first born again, this stage can be called spiritual infancy. It is characterized, just as in Erikson’s model, by the tension between trust and mistrust, or a strong faith in God vs. despair and sadness, and a feeling that God is unreliable. For a believer, this tension is resolved by embracing hope in Christ through faith, which will last a lifetime.
Again, we must remember that sanctification is a process. God’s love compels Christians to “press on toward the goal to win the prize for which God has called [us] heavenward in Christ Jesus” (Philippians 3:14). This is both our eternal destiny and our temporal pursuit.
Calling is defined as follows: “A calling is a transcendent summons, experienced as originating beyond the self, to approach a particular life role in a manner oriented toward demonstrating or deriving a sense of purpose or meaningfulness and that holds other-oriented values and goals as primary sources of motivation” (Dik & Duffy, 2009, p. 427).
Eating disorders develop from a range of different areas. When a parent has an unhealthy relationship with food, this relationship can be passed down to their children. If your mom is constantly counting calories or obsessing about each morsel consumed, you might begin to imitate this as well. Whatever the case may be, eating disorders often run in families.
If you know someone who has an eating disorder, you can educate yourself on the specific disorder, let your friend know you are there to support them and encourage them to make use of individual or family counseling.
In a time of need, we need friends willing to do whatever it takes to see us get well. It’s important to surround yourself with a team of people who will walk alongside you during your recovery journey.
God’s love is neverending. There’s nothing we can do to exhaust His love for us. It’s natural to drift away from God, to struggle to feel His presence or to forget His promises for our lives. Here are some scripture verses to meditate on during your recovery.
The brain plays a part in every addiction. Certain activities (e.g. watching porn, shopping, gambling) engage the reward center of our brain which releases the chemical dopamine, giving the individual a sort of natural high. This substantially increases the likelihood that the activity will be repeated, creating a threshold for addiction. Over time, the neural pathway in the brain becomes so strong that it becomes harder and harder to stop the behavior.
Recovery is an all-out battle and calls for unprecedented vigilance. Most of us try to overcome our addictions with increased will-power or vows to do better next time, all to no avail. We cannot do battle alone. Every morning, pray that God will give you His strength to fight.
Addictions often plunge people into isolation, so connecting with other people is essential while in recovery. In the same way that soldiers fight in battalions, we are not created to do battle with addiction alone.
Just as you pray for strength at the start of your day, recovering addicts should end the day with a prayer of confession and thanks.

For believers in Christ, death is more than a natural event. We were actually created to be immortal but as a result of sin, death comes upon mankind. We not only die but we also go through the pain of watching loved ones die.
Naturally, the loss will hit the left spouse harder than it will hit other people. When the initial shock of the loss of a loved one begins to fade off, at a time when they would really do with more specific support, the support almost always declines. This is an ideal time to pursue Christian grief counseling at
The “need to be needed” fuel’s the life of a codependent. In the book, Codependence: Healing the Human Condition, Charles L. Whitfield calls codependence a “disease of lost selfhood.”
Codependents love to help. This is most often the case because they believe people are incapable of taking care of themselves.
Codependents worry about everything and everybody to the point of obsession. They become enmeshed with others and are often anxious about other’s problems. They focus all their energy on someone else as a result of their deeply ingrained dependency. Often, they can’t let go of a relationship because of their obsession with that person.
11. Lack of trust
Most people have struggled with some level of fear of being ‘abandoned.’ For many of us, this may be intrinsic to our thinking. We can often feel as if we are inadequate for the people that we are in a relationship with, and we may worry that they will suddenly leave us because of this.
But a perpetual state of clinginess is not healthy and may indicate that you are harboring a deeper issue related to abandonment. Clingy people can be overly demanding, and their relationships are likely to be dysfunctional.
Does the worst-case scenario always seem like the most likely outcome to you? Do you constantly think that those closest to you harbor ulterior motives as to why they want to spend time with you?
Do you make excuses for your partner’s poor behavior because you fear the consequences that standing up to them or pointing out any of their faults would bring? Do you constantly feel as if you must prove your worth in the relationship? Inevitably, this leads to an unhealthy relationship.