When Your Illness Keeps You From Treatment: Group Therapy for Social Anxiety

Before your first group session, advise the therapist that you suffer from social anxiety, tell her about your fears regarding group therapy, and let her know how you envision yourself being able to participate. At Bridges to Recovery, in-depth assessments from your clinical team will give our group therapists a complete picture of your situation that allows them to tailor a treatment program specifically suited to your needs, and understand how best to serve your interests in a group setting. The trusting relationships you form with your therapists can help them to guide the group in a way that makes you feel welcome and safe while encouraging you to participate in the way that feels right for you. For example, you may want to avoid having to speak extensively when introducing yourself to the other members. By establishing a rapport with your therapist, she or he can be sure not to ask for too much too soon, and allow you to determine your own level of engagement.

Integrate with the group at your own pace. The treatment process takes time and you are not expected to overcome your anxiety at your first session. If you don’t feel comfortable participating yet, just listen. You can learn a lot from hearing other people talk about their struggles, and there is great value in bearing witness to someone else’s therapeutic journey. As you get to know the group members, watch others share their experiences, and see the sense of support that is possible in group environments, the obstacles standing in the way of your participation may dissolve or lessen.

If your social anxiety leaves you feeling tongue-tied, write down ideas for things you want to bring up before the session starts. Having your comments in writing keeps you from being put on the spot and ensures you don’t forget important concerns you need addressed in order to move forward. The comfort of knowing that you are prepared and won’t be left speechless can help you relax and dissipate nervous energy.

Take advantage of the opportunity to practice social interaction in a safe, supportive environment. Sitting on the sidelines may be temporarily safer, but in the long term you will be more comfortable and fulfilled if you can manage the symptoms of your social anxiety and keep them from interfering with your life. The way to do this is by facing your fears and working through difficult emotions to overcome your distress. Challenge yourself to participate in order to heal from your anxiety rapidly, find relief from suffering, and live the life you want.