Conquering the Room: Social Anxiety, Explained and Tackled

Let’s start with a thought experiment. Imagine walking into a room full of strangers. Some people feel a spark of excitement; others feel as though their very existence is under a magnifying glass. If you fall into the latter category, this article is for you. Social anxiety is a beast.

Social anxiety disorder, also known as social phobia, affects roughly 7% of Australians annually. For some, it’s the fear of public speaking (as if anyone truly enjoys that). For others, it’s the dread of everyday interactions like ordering coffee or making small talk at a party. The good news? Social anxiety disorder treatment has come a long way—and no, it doesn’t involve pretending you’re fine while sweating through your shirt.

What Is Social Anxiety, Really?

At its core, social anxiety is the fear of being judged, embarrassed, or rejected in social situations. It’s like having an overzealous inner critic that’s turned the volume all the way up. While it’s normal to feel nervous in high-stakes situations (job interviews, weddings, karaoke nights), social anxiety takes that nervousness and magnifies it, often to the point of avoidance.

The Science of Beating Social Anxiety

Modern psychology offers a trio of heavyweight therapies for social anxiety disorder treatment: Cognitive Behavioural Therapy (CBT), Acceptance and Commitment Therapy (ACT), and Schema Therapy. Let’s break them down.

1. CBT for Social Anxiety

Cognitive Behavioural Therapy is the gold standard for social phobia treatment. Why? Because it tackles both the thoughts and behaviours that keep social anxiety alive. CBT for social anxiety often involves:

  • Cognitive restructuring: Challenging the belief that everyone at the party is secretly judging your choice of shoes.
  • Exposure therapy for social anxiety: Gradually confronting feared situations, like speaking up in a meeting, until they lose their terror-inducing powers. Think of it as anxiety boot camp.

Studies show that CBT can significantly reduce symptoms of social anxiety, with effects often lasting long after treatment ends. It’s like a mental tune-up that sticks.

2. ACT: Making Peace with Discomfort

Acceptance and Commitment Therapy takes a different approach. Instead of trying to change your thoughts, ACT encourages you to accept them. (Yes, even the cringey ones.) The goal is to build a rich, meaningful life despite anxiety. Key ACT techniques include:

  • Mindfulness: Noticing anxious thoughts without letting them hijack your actions.
  • Values-based living: Choosing to attend that networking event because it aligns with your career goals, even if your palms are sweaty.

ACT is like the chill, zen cousin of CBT, and for many people, it’s a game-changer.

3. Schema Therapy: Digging Deeper

While CBT and ACT focus on the here and now, schema therapy dives into the past. It’s based on the idea that unhelpful patterns (or “schemas”) from childhood shape how we see ourselves and others. If you grew up with harsh criticism or neglect, you might carry a “defectiveness schema” that fuels social anxiety. Schema therapy helps you identify and heal these patterns. It’s deep work, but the payoff can be profound.

Building Social Skills for Anxiety Recovery

Here’s a secret: most people aren’t born with amazing social skills. They’re learned. Social skills for anxiety recovery might include practicing small talk, active listening, or assertiveness. Think of it as training for a marathon—except the finish line is a life where you can confidently tell that colleague from another team who you bumped into on your lunch break in the kitchen–and whose name you can’t remember–about your weekend without considering just running out of the building with your leftover curry still in the microwave and quitting.

Why Community Matters

Community support for social anxiety is another crucial piece of the puzzle. Joining a support group or even just talking openly with friends can help you feel less alone. You might discover that the extrovert at work who seems to “have it all together” also feels like hiding in the bathroom during office parties.

Real-Life Inspiration: Bill Hader’s Story

Even those who make us laugh for a living aren’t immune to anxiety. Comedian and actor Bill Hader, known for Saturday Night Live and Barry, has openly discussed his struggles with anxiety and panic attacks. During his time on SNL, Hader experienced intense stage fright, often retreating to a bathroom stall to manage overwhelming emotions.

A pivotal moment came in 2010, when Hader’s anxiety peaked during a sketch. Jeff Bridges, the episode’s host, offered him advice: “Make your anxiety your buddy.” This shift in perspective helped Hader accept his nerves rather than resist them. He also found solace in creating the beloved character Stefon, using his anxiety as a source of creative energy rather than a hindrance.

Beyond comedy, Hader credits therapy and techniques like Transcendental Meditation with helping him manage anxiety more effectively. His story is a reminder that even the most successful people can face internal battles—and that seeking help is a sign of strength, not weakness.

Stats That Speak Volumes

  • Around 13% of Australians will experience social anxiety at some point in their lives.
  • Without treatment, social anxiety can increase the risk of depression, substance abuse, and even unemployment.
  • Effective treatments like CBT for social anxiety have success rates as high as 75%.

FAQ: Quick Answers About Social Anxiety

Q: What are the signs of social anxiety?

  • Intense fear of social interactions, avoiding social situations, sweating, trembling, or difficulty speaking in public.

Q: How long does CBT for social anxiety take to work?

  • Typically, CBT programs last between 12-20 weeks, but many individuals notice improvements within the first few sessions.

Q: Can social skills be improved with practice?

  • Absolutely! Techniques like role-playing, joining supportive groups, and attending workshops can build confidence over time.

Ready to Take the Leap?

If social anxiety has been running the show for too long, consider seeking professional help. Whether you choose CBT, ACT, or schema therapy, the first step is often the hardest but also the most rewarding. Remember, even small wins—like making eye contact with a barista—are worth celebrating.

If you’ve read this far, congratulations. You’ve just confronted your fear of self-improvement. Now go forth and conquer that room, one small step at a time.

Suggested Links:

  National Study of Mental Health and Wellbeing – Australian Bureau of Statistics: Provides comprehensive statistics on the prevalence of mental health disorders, including social anxiety, in Australia.

  Prevalence and Impact of Mental Illness – Australian Institute of Health and Welfare: Offers insights into the prevalence and impact of mental illnesses, such as anxiety disorders, within the Australian population.

  Breaking Free of Social Anxiety – Australian Psychological Society: Discusses strategies and treatments for overcoming social anxiety, emphasizing the importance of tailored therapeutic approaches.

  DSM-IV and DSM-5 Social Anxiety Disorder in the Australian Community – Macquarie University: Examines the prevalence and diagnostic criteria of social anxiety disorder in Australia, highlighting changes over time.

  Facts and Figures: Anxiety Disorders in Australia – NPS MedicineWise: Presents key statistics and information on anxiety disorders, including social anxiety, among Australians.

Managing News Anxiety: A Practical Guide for Challenging Times

Quick Takeaways for Managing News Anxiety

Understanding News Anxiety Today

The impact of news anxiety has become one of the most significant mental health challenges in our hyperconnected world. Don Grant, PhD, President of APA’s Division 46 (Society for Media Psychology and Technology), observes that many people experience stress directly related to news consumption – often without initially recognising its impact on their mood. From climate concerns to species extinction, global conflicts to domestic crises, this constant stream of information can profoundly affect our daily wellbeing and mental health.

Signs of News Anxiety and Headline Stress

Mental health professionals have identified several terms to describe this phenomenon: “media saturation overload,” “doomscrolling,” and “headline stress disorder.” While these terms are buzzwords, the psychological impact of consuming distressing news is an issue that urgently needs examination. The steady drumbeat of headlines and related social media commentary has been relentless: pandemic updates, racial injustice, climate change, election controversies, and an ever-extending list of global challenges. These problems are real and require our attention, but it’s easy to feel overwhelmed.

Common Signs and Symptoms

Physical and Emotional Responses:

  • Intrusive thoughts about news stories throughout the day
  • Physical tension or increased pulse rate before checking news
  • Decreased interest in non-news activities
  • Reduced ability to handle daily challenges
  • Lower resilience to everyday stressors
  • Changes in alcohol consumption patterns
  • Persistent feelings of anger or helplessness
  • Difficulty with basic decision-making
  • Anxiety about checking news updates
  • Sleep disturbances and concentration issues

The Social Media Impact on News Anxiety

According to Pew Research Centre data, over half of adults regularly access news through social media. Dr Matthew Price’s research reveals a crucial finding: social media’s “limitless scrolling” design can make negative news feel all-encompassing, creating a more significant emotional impact than traditional media sources.

Price’s research specifically found a strong connection between daily exposure to pandemic news through social media and increased reports of depression and PTSD symptoms. Importantly, this correlation wasn’t found with traditional media sources like newspapers or television, suggesting something uniquely challenging about social media news consumption.

Creating Healthy News Boundaries

Steven Stosny, PhD, explains that completely avoiding news isn’t the solution: “If you try to go cold turkey, your imagination of what might be happening tends to be worse than what actually is happening.”

Comprehensive Boundary-Setting Strategies

Understanding the Smartphone’s Role

Stosny describes smartphones as drug delivery systems, incessantly delivering news and information. Research has shown that phone alerts trigger dopamine release, making them particularly compelling. This understanding can help us implement more effective boundaries with our devices and news consumption.

Smart Device Management

  • Create physical distance from devices during rest times
  • Use “Do Not Disturb” features strategically
  • Establish phone-free zones and times
  • Reduce automatic notifications
  • Choose specific times for news updates

Transforming News Anxiety into Positive Action

Rather than remaining passive consumers of distressing news, experts recommend active engagement with issues you care about. This approach addresses what Stosny identifies as a fundamental challenge: “Whenever you focus on things you can’t control, you feel powerless.”

Practical Steps for Engagement

  • Join community organisations working on specific issues
  • Participate in local initiatives that address global concerns
  • Create personal action plans for manageable changes
  • Focus on achievable improvements in your sphere of influence
  • Build supportive networks for discussing and acting on issues
  • Share solution-focused stories and positive developments
  • Transform anxiety into purposeful activity

Understanding and Processing News Impact

Dr Markus Brauer emphasises that uncertainty creates a “difficult psychological state.” Managing this uncertainty requires specific strategies and understanding.

Comprehensive Processing Strategies

  1. Realistic Risk Assessment
    • Recognise media emphasis on rare events
    • Consider broader contexts and trends
    • Differentiate immediate and distant threats
    • Understand media amplification effects
    • Evaluate personal relevance objectively
  2. Active Processing Techniques
    • Write down concerning headlines to slow processing
    • Evaluate realistic probabilities of events
    • Practice reflective rather than reactive responses
    • Engage in thoughtful discussions with others
    • Journal about news-related concerns
    • Apply critical thinking to news consumption

Creating a Sustainable Approach

The goal isn’t to become uninformed but to develop a healthier relationship with news consumption. Consider:

  • Setting specific times for news updates
  • Choosing reliable news sources
  • Balancing negative news with positive stories
  • Creating structured routines for news checking
  • Building in regular breaks from news consumption
  • Developing support systems for discussing concerning news
  • Maintaining perspective on global versus local issues

Conclusion

While staying informed remains important, managing news consumption is essential for mental wellbeing. As Dr Price’s experience shows, reducing news exposure, especially on social media, can quickly reduce feelings of despair and outrage. By implementing thoughtful boundaries and healthy consumption habits, we can stay informed while protecting our mental health.

References:

https://www.apa.org/monitor/2022/11/strain-media-overload

https://www.headspace.com/stress/news-anxiety

https://www.calm.com/blog/news-anxiety

Are you okay mate? Why people in remote and rural Australia don’t seek help

The idea of the ideal Australian as a resilient larrikin who can tame the harsh landscape dates back to classic Australian poetry (think Banjo Patterson), and was partly solidified on the world stage during the First World War. Many Aussies pride themselves on this image of the resourceful bushman who can take care of themselves and anyone else who comes along. We were so isolated from the rest of the world, it paid to be self-reliant.

Nobody better personifies this image today than people living in remote or rural Australia.

It’s a romantic image with one problem: It leaves no room for vulnerability. Particularly stoic people might not even allow themselves to consider the possibility that they might be struggling with their emotions. There is a perception that people should be able to work through their own problems. You might fear that, if you reach out for help, people will see you as a “whinger” and mental health problems like depression, anxiety, or stress can be viewed as made-up concepts from people not strong enough to work through their problems and “just get on with it”.

Unfortunately, this means that the suicide rate in rural and remote Australia is almost twice that of major cities. Let that sink in a moment; There is a mental health crisis being left untreated in rural Australia. We need to ask ourselves why this is the case and what we can do to change it. What is stopping people from seeking help?

For many people struggling to cope, the solution can seem worse than the problem. The social stigma associated with seeing a psychologist can mean that they just don’t see it as an option for them.

Further adding to the problem, if you’re someone who wants to find help, there may be a serious lack of places to go. Psychologists are rare in the country and those who operate there may be unsuitable to provide treatment to you. Small towns often have a tight-knit community, meaning that many clients may know their psychologist outside of their therapeutic relationship. Additionally, many people in such areas report a perceived lack of confidentiality, due to the tight-knit community.

Loneliness and social isolation can be a problem at the best of times for people living in remote and rural Australia, but with the current restrictions in place across the country due to the COVID-19 pandemic, even visiting friends and relatives is likely off the cards.

For all of these reasons, some people can feel like they are all alone with their problems without the skills or a clear idea of how to overcome them. This is exactly the time to be seeking-help. Self-reliance and a practical approach to solutions are admirable qualities, however, these attributes don’t always translate to effective means of dealing with mental health problems, and may in fact be harmful.

One of our species’ greatest strengths is our ability to work together. No single one of us can be expected to do everything on our own, and so much more can be achieved when we support each other. Psychological therapy is so much more than two people talking; it’s evidence-based treatment with clear skill-building to help you improve your life. Seeking help from a qualified professional who specialises in providing support and guiding people through their most difficult times could be the best thing for you.

Why Thinking is Overrated: What’s the Deal with Mindfulness?

Mindfulness

Think about the last time you felt stressed or low in mood. Did thinking about it help? It’s natural to feel like you can think your way out of feeling something. Thinking about things can solve our problems in the outside world, so it makes sense we get the impression that thinking about our internal problems can fix them.

The problem is, the brain doesn’t take kindly to orders. If I told you not to think about a blue basket ball right now, I can almost guarantee that’s exactly what you’ll think about. Trying to avoid a feeling or a thought only brings your attention to it. So, the more you try to tell yourself to stop feeling something, the more that feeling is going to hang around.

So what’s the solution?

Lately, mindfulness has been receiving a lot of attention, appearing in business conferences, self-help books, and cafés around the country. In August, the burger chain “Grill’d” ran a promotion called “Mindfulness Matters”.

What is mindfulness? I’m reminded of that scene from the Matrix: Nobody can be told exactly what mindfulness is. They have to experience it for themselves. That’s the idea anyway. It’s called an “experiential exercise”, meaning you have to experience it. Talking about mindfulness doesn’t help you understand what it’s really about.

Essentially, mindfulness is the mental state you get in when you focus your attention on the present moment. But it’s also more than that. It’s about not getting caught up in your thoughts and feelings. It’s about accepting whatever is happening with you in this moment, without judgement.

There are a number of reasons it’s been receiving so much attention. Firstly, I should say, mindfulness is not a new concept. In fact, it’s ancient. It dates back to at least the sixth century BC. It has been a part of Eastern philosophy for some time. So why are we all noticing it now? Well, the main reason is that the field of science has started paying attention to it. There are now a number of studies that have found strong evidence in support of mindfulness as a mental health treatment. People have also been using it as a means of engaging with their life more fully and in a way that allows them to get more from it.

Have you ever been driving when, after some time, you realise that you haven’t been paying attention? You might not even have any memory of the last few minutes driving. This is referred to as “automatic pilot” mode. It might seem like a miracle you didn’t crash. Often, you’ve been thinking about something, and you’ve completely missed out on everything that is happening around you.

As you can probably imagine, living your life in autopilot mode means you will miss out on potentially rich experiences. Our brains are designed to think about and plan for the future. The problem is that, sometimes, we can miss out on the present. In the words of John Lennon, life is what happens when you’re busy making other plans.

The problem with thinking:

Human beings have huge prefrontal cortices. This is the area of the brain that, among other things, allows us to have abstract thoughts (for example, thoughts about anything beyond what is happening here and now). When you’re thinking about what you’re going to have for dinner tonight, or whether you can afford that new car, that’s your prefrontal cortex at work. This ability has been, arguably, our greatest strength as a species. It allows us to plan for things ahead of time and helps us to work together to achieve things that would not be possible without abstract thinking. But, it could also be argued to be one of our greatest weaknesses. When you’re preparing for a speech and you keep imagining the crowd falling dead silent on a joke or judging you in some way, that’s also part of the same process.

Imagine you had to make a huge journey. You’re driving interstate. There’s a part of your brain that is like the kid in the back seat asking “are we there yet” constantly throughout the trip. In order to answer that question, you have to use your prefrontal cortex to think about your goal (arriving at your destination) and how far you are from achieving that goal (how many hours until you arrive). This is great, because it helps us complete the task better. We know how much food to bring with us in the car, how much petrol we’ll need, and when we need to start looking-out for somewhere to sleep. Our brains work great for this kind of task.

The problem is, we use this same process in unhealthy ways. Think about a long-term goal you have. Maybe you want to have a family, or to become the general manager at your workplace, or just to have a lot of money. Your brain is going to constantly compare where you are with where you want to be. Instead of being focused on what you have achieved, you will be focused on how far you are from achieving whatever else you want. In the case of the road trip, it’s telling you “you have five hours before you get there”. In the case of becoming GM at your workplace, it’s telling you “you have at least three promotions before you can get to that point and you haven’t even received one promotion yet. Plus, there are other people at your work who are better workers than you etc.”.  This is a guaranteed way to make yourself feel down or anxious.

It’s largely accepted today that our emotions are closely linked to our thoughts. Whether we are aware of it or not, the thoughts we have lead to the emotions we feel. This is where mindfulness comes in. Being mindful allows you to let your thoughts be in the background while you focus on the present moment. It is a difficult skill to master and, like physical skills, you need to practice in order to get better at it. But, once you’re able to be mindful in your daily life, you’ll find that you’re less bothered by things and better able to get the most out of life.

Image from Ian Iott

How Happiness is Making You Sad

HappinessI know this may seem like a question with an obvious answer, but is happiness really worth pursuing?

We’re reminded about the importance of happiness everyday. We hear songs about it, we watch movies about it, and we see our happy friends on social media.

Everyone seems to have it, why shouldn’t I?

We seem to have learnt that happiness is a basic human right. The pursuit of happiness is even in the US Charter of Independence, along with “life” and “liberty”, as an “inalienable human right”.

Perhaps this isn’t surprising. Happiness is a good thing. Some of our most valued memories in life are probably of a time when we were happy. But, is happiness a worthy pursuit?

As an extreme example to make the point, imagine you could be happy your whole life, sitting alone in a room with a smile on your face. Would you look back on such a life as one that was well lived? Hopefully it’s obvious, then, that there are more important things in life than happiness. It would appear that a happy life without meaning or rich experiences is not something most people would want.

Happiness is fleeting. It has to be. If we were happy all of the time, it would stop motivating our behaviour. It would no longer serve its function.

Happiness can be a reward you get for achieving a goal, but should not be a goal in itself. It is a rewarding emotion that is associated with neural structures in the brain meant to encourage certain behaviour. It’s meant to motivate us.

That means that, if you felt happy all of the time, those certain behaviours would not be encouraged and your motivation to do anything other than sit around and breath would probably be non-existent. Happiness is a reward that’s meant to encourage functional behaviour. For example, you might feel happy when you get a promotion at work, so this reward encourages you to keep working hard and feel that rewarding emotion again.

Sometimes, this fact can be hard to remember. We often meet people who seem happy all the time. If someone asked them whether they were happy in their life, they may reply “yes”, and they may even mean it. But, generally speaking, they’re answering a different question (bear with me):

When considering whether we’re happy in our lives, most people answer by considering how close their life is to the way they want it to be. If we’re living the way we want to live, we’re more likely to say we’re happy. If our life is nothing like we want it to be, we’re less likely to say we’re happy. But, strangely enough, these answers actually have little to do with the emotion of happiness. Research suggests that, if someone asked you how happy you’ve been over the last year, you’d probably give an entirely different answer than if, over the last year, you were asked to rate how happy you felt at a given moment at random times over the day. In other words, you might feel stressed and overwhelmed moment-to-moment, but still report that, overall, you’re happy with your life because you’ve got the job / intimate partner / house you’ve always wanted. Even if you’re not actively feeling the emotion of happiness.

So what’s going on here? Nobody’s achieving ongoing happiness, but everyone feels like everyone but themselves is consistently happy. We see everyone else and we feel like happiness is something achievable. Just have a look at all the smiling faces and happy status updates on Facebook. But then, take a moment to look over your own Facebook activity and think about what people might think about you. Are there any photos of that moment you were sitting alone one night feeling like life could not possibly get any worse? Are there even any photos of your “bad side”?

So we’re all in the same boat. When people make this realisation, it can often be a relief. But then, one night, an episode of Entourage is playing in the background while you’re analysing your ex-partner’s latest holiday photos online and it’s easy to believe that life is meant to be one big party that lasts forever without any bad times. In that moment, you probably don’t feel great. This is what I mean when I say the pursuit of happiness is making you sad.

So what does all this mean?

We can never achieve an ongoing state of happiness? And is that a bad thing? Well, not if you look at the alternative. The truth is, we don’t really want to just be happy. We want to live a rich, full, and meaningful life, moment-to-moment.

Chasing things that create temporary happiness for us, or avoiding things that take away from our happiness, doesn’t make life any richer, fuller, or more meaningful. In fact, sometimes, making tough decisions or sacrifices can lead to some of our most valued experiences in life. For example, helping others can be one of the most meaningful things you can do, even if it makes you sad being exposed to a depressing aspect of our world. It will enrich your life whether or not it makes you feel happy.

The trick is to understand what your values are, and act in a way that is consistent with them. For example, if you value being a fit or active person, then eating well, exercising, or playing sports are all great goals that can help you live a rich, full, and meaningful life, without worrying about attaining that elusive happiness. It may come as a pleasant side effect, but even if it doesn’t, you probably won’t care.

I know this may seem controversial, and I’m not saying happiness is undesirable or even unattainable. It is just better thought of as an incidental part of life, rather than something we should all be chasing.

Image from Ian Iott