Understanding Social Anxiety

It is common to feel a bit of anxiety around other people from time to time. If the anxiety is more severe than regular shyness, and interferes with an individual’s ability to live their life, they may be suffering from social anxiety: one of the most common anxiety disorders. It is thought that between 2 and 7 people out of every 100 experience social anxiety disorder every year. The good news is that Cognitive Behavioral Therapy (CBT) is an effective psychological treatment for social anxiety disorder. 

The Understanding Social Anxiety guide is designed to help clients with social anxiety to understand more about their condition. As well as a clear description of symptoms and treatments, the guide explores key maintenance factors for social anxiety including:

• Self-image / self-impression.
• Beliefs and assumptions.
• Negative automatic thoughts (NATs) and images.
• Self-consciousness and self-focused attention.
• Safety behaviors and avoidance.
• Anticipatory anxiety and worry.
• ‘Replaying’

• Scaffold knowledge. The guides are perfect during early stages of therapy to help your clients understand how their symptoms fit together and make sense.
• Reassure and encourage optimism. Many clients find it hugely reassuring to know there is a name for what they are experiencing, and that there are evidence-based psychological models and treatments specifically designed to help.
• De-mystify the therapy process. To increase your client’s knowledge of the therapy process and the ingredients that it is likely to involve. If you can help your clients to understand why an intervention is important (think exposure!) it can help encourage them to engage.
• Signposting. If you’re just seeing a client briefly for assessment, or you have a curious client who wants to know more, these resources can be a helpful part of guiding them to the right service.
• Waiting time not

• Bjornsson, A. S., Hardarson, J. P., Valdimarsdottir, A. G., Guðmundsdottir, K., Tryggvadottir, A., Thorarinsdottir, K., ... & Thorisdottir, A. S. (2020). Social trauma and its association with post-traumatic stress disorder and social anxiety disorder. Journal of Anxiety Disorders, 102228.
• Clarke, A., Thompson, A. R., Jenkinson, E., Rumsey, N., & Newell, R. (2013). CBT for appearance anxiety: Psychosocial interventions for anxiety due to visible difference. John Wiley & Sons.
• Clark, D. M., & Wells, A. (1995). A cognitive model of social phobia. In R. Heimberg, M. Liebowitz, D. A. Hope, & F. R. Schneier (Eds.), Social phobia: Diagnosis, assessment and treatment (pp. 69–93). New York: Guildford Press.
• Fox, N. A., Henderson, H. A., Marshall, P. J., Nichols, K. E., & Ghera, M. M. (2005). Behavioral inhibition: Linking biology and behavior within a developmental framework. Annual Review of Psychology, 56, 235-262.
• Kessler, R. C., Chiu, W. T., Demler, O., & Walters,