Why Behavioral Therapy Alone Does Not Work for Social Anxiety

By Dr. Richards, director of Social Anxiety Institute

*I found this handout yesterday and it gave me an aha as to why my progress was not moving faster. We need the cognitive material really, really sunk into our brains before going out and doing extreme high exposure. Hopefully this will give you some insight into how CBT works.

(HUGS!) to everybody who needs one.

Duration : 0:3:58


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25 Responses to “Why Behavioral Therapy Alone Does Not Work for Social Anxiety”

  1. boesenata Says:

    I recently …
    I recently discovered, I got SA, like for about 2 month ago… I never knew, what was “wrong” with me all the time….thank you very much for loading up all the stuff about it and for sharing your experiences… it really helps some people, I just wanted to say…
    greets from germany

  2. RedFlower26 Says:

    @BellaaMarlene


    @BellaaMarlene

    Yeah, and then they tell you that you’re making excuses for yourself when you disagree with them on that. Been there.

  3. Jzend001 Says:

    I decided to stick …
    I decided to stick it out though and I started taking baby steps to recovery. I had anxiety attacks every night for a few weeks straight, but I started doing deep breathing and tried to relax every time this happend. Eventually I stop having anxiety attacks. I joined a club which was the scariest thing ever. Now I have friends that I hang out with. Its hard to fit everything I want to say into these comments. SA can be overcome by taking baby steps to recovery. Never ever feel hopeless!

  4. Jzend001 Says:

    I just want to add …
    I just want to add that overcoming social anxiety will always make you feel extremely uncomfortable at first. I took a huge step and forced myself to move into the college dorms. I nearly had a mental breakdown in the first week. I literally called my mom at midnight crying about it. Then the next day, I burst into tears during my first conversation with my new roomate. I thought I was going to die.

  5. Jzend001 Says:

    overcoming social …
    overcoming social anxiety is all about controlling your thoughts and then taking a step that reinforces your new thoughts. i am overcoming social anxiety right now and its ALL about POSITIVE THINKING. You have to tell yourself to shut up when negative thoughts come into your head. I agree that many people dont understand, however, they are partially right. Taking those steps to face a fear coupled with positive thinking is necessary. You need to change your thinking and then act on it.

  6. MsMalice17 Says:

    i have Anxiety, I …
    i have Anxiety, I have made myself thrown up before from it…

  7. MrJuggy2009 Says:

    try and do ‘the …
    try and do ‘the work’ by katie byrin

  8. inachu Says:

    LOL I do not have …
    LOL I do not have SA but I do not need friends.
    I live with my landlord and her son and that initself is way too much interaction!
    But I do have social bursts of needing to be OUT THERE but I love the caveman staying in my room as well. I like both sides of social but neither love or hate one or the other. The driving force to be in a cave is crappy drivers on the road and I refuse to get out on busy choked road days.

  9. exc0n Says:

    you can join a …
    you can join a toastmasters club

  10. BellaaMarlene Says:

    i hate when …
    i hate when counselors tell a very shy, fearful person with no friends to “start making friends”
    they dont understand

  11. TheLilacglows Says:

    Thank you so much, …
    Thank you so much, I needed to hear that. I’ve had CBT in the past, it worked really well for me. At the time and don’t think I took full advantage of the techniques and used them through time. Five years later I’m back where I started, but a little older and wiser. I’m going to revisit the therapy, thanks for being my confirmation.

  12. epakerd Says:

    where can you get …
    where can you get training on public speaking?

  13. wauzi123 Says:

    Yes, this is sooooo …
    Yes, this is sooooo true ! ! ! Great video.

  14. JoshC1116 Says:

    couldn’t be more …
    couldn’t be more true, exposure does work, but its a matter of controlling/limiting the negative reinforcement you put yourself through before during and after social situations, ie changing your thought process just like she’s saying. this means using CBT to limit things like fortune telling, avoidance tactics, as well as reviewing and critiquing your “performance” after a social situation. these videos are great…. you;re awesome!

  15. fixxxer928 Says:

    I’d have thought …
    I’d have thought coffee exagerates the already present anxiety. You probably experienced a placebo effect, which just goes to show you that it’s all in our heads.

  16. fixxxer928 Says:

    I went through 3 …
    I went through 3 months of CBT (Cognitive Behavioural Therapy) and it didn’t help me one bit. I understand my thoughts are irrational, which leads to my negative behaviour but simply knowing this doesn’t help. You need to be able to sincerely convince yourself these thoughts you’re having are mostly untrue by examining the evidence for and against the thoughts you have, and thus lead yourself to feel less anxious. I fail at this last part, and i don’t really know why.

  17. DarkRain9000 Says:

    LOL
    LOL

  18. doitanywayz Says:

    hmmm intestsing
    i …

    hmmm intestsing
    i knew this already after my counselling but i would say that people on the internet only talk about the cognitive side and positive thinking. as you say here the cognitive side needs to be strong positive thinking+the change in behaviour which equals new comfort zones. thats how CBT works, good video.

  19. yati84 Says:

    After watching this …
    After watching this, I finally realise why I’m still anxious after straneous training on public speaking some time ago. I was not anxious at that time. But am now. I tried drugging myself with strong coffee before any anxious related situations and it work sometimes. It made me feel ‘high’. I totally forget who I really was. Was I myself? I’m not sure. I don’t want to rely on coffee too much but recently I had it too often and my body seems not to react like it use to anymore.

  20. annetomm2 Says:

    I believe I have …
    I believe I have both, Total and Subtle.
    I skip school and all my classes constantly, i’d go a couple weeks without going back to school, I have both, i’m aware of. I do little things to avoid those situations as well. Such as being standoffish all the time … I hate this :(

  21. elxtranjero Says:

    listen to momo from …
    listen to momo from the momozone acceptance video it explains a lot. In my experience good comes from within (your thoughts), you BELEIVE but beleive means there is no room for ohh i’m stupid, i can’t do it etc… After you beleive small things that you search will be good. like for example the world has also treated my like sh/t.. but i think it’s something good because it’s just an opportunity to show them how stupid they were for not realizing how great i am..
    I’m sure you rock man!!!

  22. puddletinker Says:

    *****THIS WORKS!*** …
    *****THIS WORKS!*****
    Do this: Stuff some earplugs in ur ears and go to big crowded places, or listen to ur ipod touch while walking around. Trust me it works great u cant even hear ppl making fun of you! and soon u become immune to the reality of being around ppl. after 3 weeks of doing that everyday for a mere 1 hour, let me tell you, you will be more sociable then you ever imagined possible! Try this: for faster results do this for 7 hours a day for 3 days.
    *****THIS WORKS!*****

  23. EFT4MeDebi Says:

    Janey, When we are …
    Janey, When we are kids we sometimes take the words of adults too deeply. A parent might say “Joe ,why can’t you be good like your brother John?” Instead what we hear is “Your not good enough” Then we spend a lifetime trying to please everyone else, no confidence. As we age opportunities arrive, we don’t try 4 the better jobs, even if we are smart. Inside the head we still hear “Not good enough,why bother?” These are called false beliefs, They hold us back in life. U can get rid of them…EFT

  24. EFT4MeDebi Says:

    Janey My name is …
    Janey My name is Debi I had severe depression Anxiety/ PTSD for over 20 yrs. The worst was soaking wet nightmares. 18 months ago I learned EFT and haven’t had any symptoms, not a single nightmare etc It is free to learn Give it a try. Girlfriend I wish you the best (No more anti-depressants or anxiety meds too)

  25. cafeduneant Says:

    Thanks for sharing! …
    Thanks for sharing! This video gave me some hope. I am going to look into getting some literature on CBT for socially anxious people…

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