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Social Anxiety Can Be a Hidden Problem in College

Woman giving report to class

Public speaking is generally not a favorite activity of most people—in fact many people seem to fear public speaking or at least avoid it when they can. But most people are also not crippled with embarrassment or anxiety when they have to present in front of a class or when they are called on to answer a question. For students with social anxiety, being put into the spotlight occasionally during class presentations or participation is enough to make them avoid those classes altogether.

New research from the University of Plymouth and University of the West of England (UWE) Bristol looked at the impact of social anxiety in higher education, and psychologist Phil Topham estimates that “10% of university students experience significant social anxiety,” according to a news release from UWE Bristol.

Social anxiety disorder or social phobia is defined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) as “a marked and persistent fear of social or performance situations in which embarrassment may occur.” There are several other diagnostic criteria, including that “the social or performance situation is avoided, although it is sometimes endured with dread.” People are diagnosed with the disorder only if their life is significantly negatively impacted.

Out of more than 1,500 students who were surveyed, some students experienced “frequent anxiety in learning situations that involved interacting with students and staff.” To cope with this anxiety, students would not participate in lectures and presentations or would even skip class. Other students wouldn’t take any classes that involved presenting at some point, according to the news release.

The researchers conclude that students who experience social anxiety “could be missing out on learning opportunities and may be distracted from attending to academic information by excessively focusing on their anxieties.”

Although the researchers don’t believe students should be treated as potentially fragile and coddled, there needs to be more support available for students with social anxiety without further stigmatizing these students or making them feel like their “flaws” are exposed. The researchers even give some suggestions for support in the university, including “not singling out students for questioning in lectures or setting assessed presentations in their first term,” and “sensitive appreciation of the shame and conflict caused in students by the desire to succeed and the fear of failure.”

Basically, college professors need to take into consideration the styles of all college students—some love the spotlight, others have social anxiety, so it’s best to ease students into participating and presenting during class.

Mental health experts have some tips on how to succeed in high school and college despite having social anxiety.

Nerina Garcia-Arcement, a clinical assistant professor at NYU School of Medicine and a licensed clinical psychologist, gave one major suggestion in an email to help students who are experiencing social anxiety.

“Do not avoid what you fear,” Garcia-Arcement said. “The more you avoid, you are creating evidence that it is more comfortable to not do something. Instead, if you face what you fear you can slowly prove that your worst fears will not be realized.”

She also suggests that students follow these four steps to take control of their anxiety:

  1. Stop and evaluate what you are feeling (i.e., butterflies in your stomach, sweating, trouble breathing, heart racing).
  2. Stop and evaluate what are you thinking (i.e., “people will laugh at me,” “I will fail,” “I will look ridiculous.”)
  3. Practice activities that will reduce the physical symptoms, such as deep breathing, muscle relaxation exercises and imagining yourself in a safe place.
  4. Challenge your negative thoughts by stopping the critical belief and instead replace it with a positive thought such as “people have never laughed before,” “I can do this,” “looking silly is the point of this activity, and if I do look silly so what.”

There are effective treatment options for students who have access to a mental health professional.

“Talk therapy is extremely effective for social anxiety, especially cognitive behavioral therapy. Medication can be taken in severe cases, Garcia-Arcement said. “Learning to manage the physical anxiety symptoms and stopping and controlling the negative thoughts is essential to controlling social anxiety. Sometimes people can do it on their own, sometimes they need help with monitoring thoughts and feelings and figuring out what gets in the way of using these new skills.”

She has three other tips for students who are trying to decrease their social anxiety:

  1. Practice deep breathing, meditation, yoga, and exercise. These help manage and control anxiety.
  2. Ease into social activities, first with smaller groups and eventually, as you feel comfortable, with larger groups.
  3. Practice what you fear in a controlled environment. First practice the presentation or talking to a stranger in front of a mirror, later practice in front of someone you trust such as a friend or parent, then go into the real situation.

Scott Carroll, a child psychiatrist who works at the University of New Mexico, said that part of the problem can be that some students don’t realize they have an issue that needs to be worked on.

“Many people with social phobia … often just think they are shy and don’t realize they may have a treatable condition,” Carroll said. “Also, if someone has been anxious their whole life, they may not realize they are significantly more anxious than other people.”

Once students do realize they have an issue, they have a variety of treatment options available to them, including individual psychotherapy (such as cognitive behavioral therapy), social skills therapy groups, and multiple types of medications.

Carroll has two other coping methods for college students who have social anxiety: positive self-talk, in which you reassure yourself that it’s OK to talk or say hello, can be helpful with milder forms; and repeated exposure, which leads to decreased anxiety, like joining Toastmasters to get comfortable with public speaking.

Jeffrey Gardere, a contributing psychologist at Healthguru.com, said in an email that it’s beneficial for students with social anxiety to have friends they can rely on to come along with them in situations that could cause more anxiety.  Sometimes self-help books can be useful as well.

“The young person with social anxiety may also want to stay away from stimulants such as energy drinks and caffeine in order to avoid becoming even more nervous,” Gardere said. “And certainly [try] to avoid liquor, marijuana or any other chemical that is a self-medication in order to feel relaxed, simply because they may be more at risk for possible addiction.”

© Copyright 2012 by www.GoodTherapy.org Miami Bureau - All Rights Reserved.

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Comments
  • connor July 19th, 2012 at 4:16 AM #1

    When I was in college we all had to take a public speaking course regardless of what our major was. I was so intimidated that I waited until I was almost in my junior year before I even signed up to take the class. I was so afraid of having to get up in front of others having to bare my soul to other peers. My professor made it okay, but it did little to help calm my nerves until I just had to suck it up and get up there and do it.

  • Meg July 19th, 2012 at 11:41 AM #2

    Where I attended school this kind of anxiety would have meant a failing grade for sure because I think that we had to do some sort of presentation for every single class I enrolled in!

  • Peter Strong July 19th, 2012 at 3:48 PM #3

    Another skill well worth learning is mindfulness. This is one of the most effective ways of working with anxiety because it teaches us how to stop reactive thinking and how to stop becoming lost in catastrophic thinking. But, Mindfulness Therapy offers much, much more than this.

  • vince July 19th, 2012 at 7:38 PM #4

    the good thing,even if you have social anxiety,is that you can overcome it with some effort.there was this guy in my class in high school who would always have trouble with social interactions and public speaking,even for obligatory purposes,was his sworn enemy.but today he is one of the best public speakers I know and can talk to an audience running into thousands without the slightest hint of anxiety.he worked over it and sought help.And if he can,then so can you!cheers! :)

  • Stephanie boyd July 20th, 2012 at 4:40 AM #5

    College students are adults, technically, so this responsibility to recognize that they have issues with social anxiety should fall on them, not their professors. Many colleges have wonderful counseling programs available to their students, so this is something that they should look for. The help is there but it might not always come right to you. You have to make the effort to go out there and find it.

  • ryan s July 21st, 2012 at 4:01 PM #6

    Having this information could really help retention offices on college campuses offer better programs to keep their students in school, because at a glance it appears that this could be a huge reason to consider if a student stops coming to class unexpectedly or changes plans and drops out of college altogether. It is at least something for these offices to consider and address when they are seeking ways to keep their numbers up and their graduation rates strong.

  • Fallon July 23rd, 2012 at 4:34 AM #7

    If you can teach people with this fear some exercises that could help them relax then they would have a much easier time with public speaking.

  • Mike November 12th, 2013 at 7:34 AM #8

    I was always paralyzed by the fear of public speaking, to the extent that during my teens I had a doctors note to excuse me all drama and presentation work.

    Years later when I returned to university as a mature student I was still gripped by the fear just as bad as I was in my teens.

    I found meditation helped immensely as it allowed me to focus on the task of preparing the presentation without focusing too much on the fear.

    On the day of the first presentation I was still terrified but having been able to produce what I knew to be a good presentation got me through it.

    It does get easier, but the fear never quite goes away.

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