When you have social anxiety disorder, almost any social situation can provoke thoughts like, “They’ll think I don’t measure up” and “If I make even the smallest mistake, people will reject me.”
We all want to feel liked and accepted. It’s what leads us to seek and maintain relationships, and it allows us to fully develop who we are in the world. But for people with social anxiety disorder , the ability to engage fully in life can take a drastic detour.
And we can’t overcome over fears if we hide from them. People with SAD avoid social opportunities and any circumstance that might make them experience the uncomfortable “flight or fight” response. But the very situations that they’re avoiding are their best chance to build the social skills that would help put them more at ease.
They also tend to elaborate their beliefs by creating a narrative or story about how they’ll mess up and people won’t like them. This might lead them to interpret events and information in a way that confirms that story, so that social signals that are actually neutral are misperceived as actual threats, raising anxiety further. All of this can create a snowball effect.In Ryan’s case, as a child he developed stomachaches and felt sick when it was time for school.
Graduated exposure and relaxation training therapy used to develop an individualized hierarchy of anxiety-provoking social scenarios and then learning relaxation techniques for each fearful situation.
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