Social Anxiety: How to Overcome it, The Most Effective Therapies


It is the fear of interaction with other people, caused by self-awareness , as well as the feelings of being negatively judged and evaluated, which have as a result, the resistance to being in public places.

More specifically, social anxiety is a quasi-pathological fear of being judged and negatively evaluated by other people, thus developing feelings of inadequacy, inferiority, shame, humiliation and depression.

If a person often feels (irrationally) anxious in social situations, but seems better when alone, then “social anxiety” may be the problem.

The third biggest problem of mental health care.

Social anxiety disorder (formerly called ” social phobia “) is a much more common problem than past estimates have led us to believe

Millions of people around the world suffer from this devastating and traumatic condition, every day, either from a specific social anxiety or from a more generalized social anxiety.

In the United States, epidemiological studies have recently linked social anxiety disorder as the third largest psychological disorder in the country, after depression and alcoholism.

It is estimated that around 7% of the population suffers some form of social anxiety at present. The lifetime prevalence rate for developing social anxiety disorder is 13-14%.

Specific and generalized social anxieties.

A specific social anxiety would be the fear of speaking in front of groups (only), while people with generalized social anxiety are anxious, nervous and uncomfortable in almost all social situations.

It is much more common for people with social anxiety to have a generalized type of this disorder.

When anticipatory anxiety, worry, indecision, depression, shame, feelings of inferiority and guilt are involved in most life situations, a generalized form of social anxiety is at work.

Symptoms of social anxiety disorder.

People with social anxiety disorder often experience a significant emotional disturbance in the following situations:

  1. Be introduced to other people.
  2. Being bothered or criticized.
  3. Be in the limelight.
  4. Be watched while doing something.
  5. Meet people of authority (“important people”).
  6. Most social encounters, especially with strangers.
  7. Go through a room (or table) in a circle of people and have to say something.
  8. Interpersonal relationships, whether friendships or romantic.

This list is certainly not exhaustive or complete regarding the symptoms, as other feelings have also been associated with social anxiety.

The physiological manifestations that accompany social anxiety may include several manifestations.

Namely: intense fear, accelerated heart, flushing, excessive sweating, dry throat and mouth, tremors (fear of drinking a glass of water or using utensils to eat), swallowing with difficulty and muscular contractions, particularly around the face and neck .

Constant and intense anxiety that does not go away is the most common characteristic.

People with social anxiety disorder know that their anxiety is irrational and therefore has no rational sense; that is, cognitive. However, “knowing” something is not the same as “believing” and “feeling” something.

Thus, for people with social anxiety, thoughts and feelings of anxiety persist and show no signs of disappearing, even though socially anxious people “face their fears” every day of their lives.

Only the right treatment works to alleviate the social anxiety disorder, the biggest anxiety disorder, and the one that few know about.

Effective therapy for Social Anxiety disorder

The good news is that cognitive-behavioral therapy for social anxiety has been remarkably successful.

Both research and clinical evidence indicate that cognitive-behavioral therapy, which must be of a comprehensive nature, produces permanent changes in people’s lives.

Social anxiety disorder can be overcome, although both consistency and persistence are needed.

But, barring cognitive problems (eg, dementia, Alzheimer’s disease), everyone can progress against social anxiety using the appropriate type of cognitive-behavioral therapy.

Cognitive-behavioral therapy is applied to “integral” social anxiety disorder, to differentiate it from the general idea that cognitive concepts are simplistic and can be approached with only a few strategies.

A successful therapy program for social anxiety disorder should address dozens of cognitive methods , strategies and concepts that will allow people’s brains (ie, their brain associations or neural pathways) to literally change.

The brain is continuously learning, and irrational thoughts and beliefs can change as a result of this cognitive process.

A good therapy program will provide the necessary and specific strategies, in the same way, it will indicate to the patient how and why they need to practice, work and begin to accept rational thoughts, beliefs, emotions and perceptions.

The most important elements to overcome social anxiety are:

  1. An understanding and awareness of the problem,
  2. A commitment to carry out with cognitive-behavioral therapy even when it is repetitive and seems difficult,
  3. Practice, practice, practice to obtain that information (ie, cognitive methods, strategies and concepts) at the bottom of the brain – for these cognitive methods to become habitual and automatic,
  4. Participation in a social anxiety therapy group in which you can work slowly and gradually on problems that cause anxiety in the real world.

That is, the person who feels anxious while reading in public uses specific strategies to meet their goal.

While the person who wants to learn to make presentations and participate in small talks during social activities slowly works towards their goals.

In these therapies are used:

  • role playing games
  • performance, recorder and video camera,
  • periods of questions and answers,
  • mock job interviews.
  • and doing silly things deliberately as part of a behavioral therapy group for people with social anxiety.

Note: A scale or “hierarchy” should be used as a flexible guide in planning. It is necessary to practice, meet goals, raise expectations, meet objectives, raise expectations, until the objectives are finally achieved.