What is Social Anxiety?
We’ve all been there, haven’t we? That sinking feeling in the pit of our stomachs as we contemplate the dreaded social situation looming ahead. The instinct to make an excuse and bow out, to avoid the potential for embarrassment or rejection. It’s a common experience, but for some of us, it’s become a daily battle.
Imagine this: You’re supposed to attend a work happy hour, but your supervisor will be there. The mere thought makes your palms sweat and your heart race. Or maybe it’s a party where you’ll know no one – the idea of walking into that room full of strangers makes you want to curl up and hide. These aren’t just passing nerves; these are the symptoms of social anxiety, a condition that can cast a dark shadow over our lives.
When our anxieties about social interactions start to hijack our everyday routines, that’s when we know we’re dealing with something more than just everyday jitters. The worries become excessive, defying all logic, and can even manifest in physical symptoms like dizziness, nausea, and trembling. Imagine feeling that way just at the thought of asking someone how their day is going. Or getting ready for a party feeling sick to your stomach, wishing you could just disappear.
You’re Not Alone: Understanding the Prevalence of Social Anxiety
It might surprise you, but social anxiety is far from rare. In fact, it’s a struggle shared by an astounding 15 million adults in the U.S.
That intense fear of being judged, rejected, or scrutinized in social situations? It’s something many of us can relate to—or live with daily.
The impact of social anxiety is far-reaching. It can rob us of life’s joys and opportunities—missed career advancements because networking feels impossible, friendships never formed, and dates never pursued. These are the moments that give life connection, meaning, and fulfillment.
Despite its profound effects, most people with social anxiety don’t seek professional help. Shockingly, only about half ever pursue treatment—and even then, it’s often after 15–20 years of silent suffering.
Why do so many hesitate to get support? Two main misconceptions stand in the way:
- “I can handle it myself.” Many of us have been told to “just put yourself out there” or “stop being shy,” which can feel dismissive and isolating.
- “It’s just my personality.” Social anxiety is often mistaken for introversion or being a “loner,” but it’s far more than a personality trait.
In truth, social anxiety is not simply preferring solitude. It’s an intense and paralyzing fear of social interactions, often accompanied by deep shame. People with social anxiety may view their struggles as a personal flaw, not recognizing it as a treatable mental health condition.
This self-judgment can create a vicious cycle, making it even harder to seek help. But breaking that cycle is possible—with the right support and understanding, no one has to endure years of isolation and fear.
Coping Techniques for Social Anxiety
Anxiety Canada recommends several effective techniques for addressing social anxiety symptoms:
- EMDR “tapping” exercise: Tapping exercises utilize bi-lateral brain stimulations of EMDR in a simple and highly effective way to help calm your nerves.
- Progressive muscle relaxation: Systematically tensing and releasing muscle groups to induce calmness.
- Calm breathing: Slow, deep breathing exercises to reduce physiological arousal.
- Realistic thinking: Challenging irrational thoughts and replacing them with more grounded perspectives.
Additionally, activities like calling a trusted friend or listening to calming music can provide relief. Friends and family may also suggest helpful coping strategies. While these techniques don’t address the root causes of anxiety, they can be invaluable in managing acute distress.
You can also find more resources and tools on The Resilient Brain Project.
Finding Relief: Treatment Options
Living with social anxiety can feel exhausting, isolating, and overwhelming. The good news? You don’t have to navigate this alone. There are effective ways to ease the grip of social anxiety and take back your life.
The first step? Getting to the root of what’s going on. A visit to your doctor can help rule out any underlying medical causes for your symptoms and guide you toward treatment options. They might even connect you with a mental health provider who specializes in anxiety disorders.
And here’s the silver lining: today, we have more tools and therapies than ever to help manage social anxiety. Let’s break down a few of them:
Cognitive Behavioral Therapy (CBT)
CBT is one of the most effective ways to tackle social anxiety head-on. Delivered by licensed therapists, this evidence-based approach helps you do three key things:
- Calm the storm. You’ll learn relaxation techniques to manage that racing heart or shortness of breath in social situations.
- Rewire your thinking. CBT teaches you how to recognize and challenge the negative thought patterns—like “Everyone’s judging me”—that fuel your anxiety.
- Face the fear. Avoiding social situations can feel safer in the moment but often reinforces the cycle of fear. CBT helps you gradually build the confidence to engage, one small step at a time.
Body-Based Therapies
Ever noticed how social anxiety doesn’t just live in your mind but also takes over your body? Stomach in knots, shaky hands, dizziness—you know the drill. Body-based therapies work on taming these physical symptoms.
Through practices like breathing exercises, mindfulness, and somatic awareness, you’ll learn to soothe your body’s over-the-top responses to social triggers. Over time, your system becomes less reactive, making social situations feel less like a battlefield and more like neutral ground.
Why It’s Worth It
Yes, opening up about social anxiety and starting treatment can feel scary. But imagine what’s on the other side: the freedom to connect with others, pursue your dreams, and live without the constant shadow of fear. That’s what these treatment options can offer—a pathway to the life you deserve.
So, if social anxiety has been running the show, maybe it’s time to take a step toward change. You’re not alone in this, and help is within reach. Let’s rewrite the story, one step at a time.
About the Authors
Erin Ross
An occupational therapist and an aspiring science writer in DC. She believes in evidence-based practice, clear communication in healthcare, and diligent inclusion of the Oxford comma.