Key takeaways:
- Social anxiety is a common mental health condition affecting 7.5% of people worldwide, causing persistent fear of being watched or judged in everyday situations.
- Hypnosis is a highly focused, absorbed state of attention, not mind control, in which you stay in control while becoming more receptive to new ideas and perspectives.
- Many published studies support hypnosis as an effective treatment tool for social anxiety, often combined with other approaches, and it can improve the effectiveness of CBT.
- Access options include hypnotherapists, more affordable hypnotherapy apps, and self-hypnosis; consult a mental health professional first if you have any concerns.
What is social anxiety?
Social anxiety, also known as social phobia, is a mental health condition that causes persistent fear of social situations. The disorder is common and affects 7.5% of people worldwide, often beginning in adolescence.
If you think you have social anxiety disorder, you likely have an intense fear of being watched or judged. Those with the disorder feel uncomfortable in everyday situations, such as speaking with friends, meeting new people, or even eating in front of others.
The burden of social anxiety can be significant, and it may impact your experiences at work, when you’re out socializing, and in some of your day-to-day activities.
For many, it’s so difficult to make and keep friendships going that you avoid social situations altogether.
Social anxiety signs and symptoms
Social anxiety disorder comes with a range of symptoms.
Some of these include:
• feeling self-conscious and afraid others will judge you
• staying away from social situations where lots of people gather
• avoiding eye contact and speaking with a soft voice
• difficulty sleeping
• dizziness
• chest pain
• restlessness
• nausea.
Social anxiety and panic attacks
For some, the fear of participating in a social situation can escalate from mild anxiety to a full panic attack.
Panic attacks may last several minutes or even hours (though keep in mind that this is rare).
These attacks can cause physical symptoms, such as:
• nausea
• trembling
• sweating
• heart palpitations.
Although panic attacks can be incredibly distressing to experience, these symptoms are generally transient and aren’t likely to cause you any long-term physical harm.
How is social anxiety disorder diagnosed?
Like other mental health conditions, social anxiety disorder is diagnosed based on criteria set out in the Diagnostic and Statistical Manual of Mental Disorders or International Classification of Diseases.
The criteria for social anxiety disorder includes:
• a persistent fear of social situations
• a fear of being exposed to unfamiliar people or scrutiny by others
• a fear of acting in a humiliating or embarrassing way
• a fear that impacts your normal routine, functioning, and relationships
• a fear that isn’t due to an existing mental disorder or substance e.g. drugs.
Social contact limitations
People with social anxiety often feel conflicted about interacting with others, maybe you’re instinctively leaning away and avoiding interactions like starting conversations, chatting on the phone, or sharing a meal with people, fearing it will only lead to embarrassment or humiliation.
Those feelings of low self-worth can be so overwhelming that some people with social anxiety quit their job, experience a marriage breakdown, or stop socializing with friends altogether.
What causes social anxiety disorder?
The exact cause of social anxiety is not known. However, as with many mental health conditions, genetic predispositions and environmental factors are thought to be involved.
Several factors thought to increase the risk of social anxiety include:
• a family history of social anxiety
• a tendency to misread other people’s behaviors as threatening
• having overprotective or highly critical parents
• having underdeveloped social skills and lack of confidence.
How does hypnosis work?
No matter what you’ve seen on YouTube, where hypnosis is often treated as some kind of mind control technique played out for laughs, it’s simply about entering a highly focused, deeply absorbed state of attention, you are always in control during hypnosis.
Either an in-person hypnotherapist or listening to a recording of a hypnotherapy session on an app will help you become relaxed and focused.
Both would guide you towards reducing distracting thoughts and feelings that trigger your fear response to social situations. At the same time, you’ll be encouraged to become more receptive to new ideas and perspectives, which will help reduce your social phobia to a more manageable level.
Hypnosis can also help you develop new social skills and relaxation strategies that become tools you can use effortlessly via a process called automaticity, this is when you carry out a behavior or mental process automatically, barely realizing what you’re doing or thinking.
What does the science say?
Many published studies support hypnosis as an effective treatment tool for social anxiety, often when used in combination with other approaches.
Hypnotherapy has also been shown to be helpful for a range of anxiety disorders and phobias, such as:
• generalized anxiety disorder
• post-traumatic stress disorder (PTSD).
Hypnotherapy has also been shown to improve the effectiveness of cognitive behavioral therapy (CBT).
Accessing hypnotherapy
Many hypnotherapists specialize in social anxiety. A more affordable option is using a hypnotherapy app like Mindset Health. These apps offer you direct access to professional hypnotherapy recordings that can be listened to from anywhere.
Another option is self-hypnosis, which involves learning to enter a deep state of relaxation before offering yourself detailed suggestions to help you manage your social anxiety more effectively.
No matter which option you choose, know that hypnotherapy is very safe, and many people describe it as a pleasant experience. Consult a mental health professional before engaging in hypnotherapy for social anxiety if you have any concerns.
The Wrap Up
Social anxiety disorder is a common mental health problem that can severely impact your quality of life. The disorder may be socially crippling and prevent you from participating in everyday activities. Fortunately, hypnotherapy is a promising tool that has been used successfully to reduce anxiety and promote easier social interaction.
References
Abramowitz, E.G., Barak, Y., Ben-Avi, I. and Knobler, H.Y., 2008. Hypnotherapy in the treatment of chronic combat-related PTSD patients suffering from insomnia: a randomized, zolpidem-controlled clinical trial. Intl. Journal of Clinical and Experimental Hypnosis, 56(3), pp.270-280. https://www.tandfonline.com/doi/abs/10.1080/00207140802039672
Aderka, I.M., Hofmann, S.G., Nickerson, A., Hermesh, H., Gilboa-Schechtman, E. and Marom, S., 2012. Functional impairment in social anxiety disorder. Journal of anxiety disorders, 26(3), pp.393-400. https://www.sciencedirect.com/science/article/abs/pii/S0887618512000084
Allison, D.B. and Faith, M.S., 1996. Hypnosis as an adjunct to cognitive-behavioral psychotherapy for obesity: A meta-analytic reappraisal. Journal of consulting and clinical psychology, 64(3), p.513. https://psycnet.apa.org/record/1996-05271-011
Brown, D.P. and Fromm, E., 2013. Hypnotherapy and hypnoanalysis. Routledge. https://www.taylorfrancis.com/books/9781315825519
Buckner, J.D., Heimberg, R.G. and Schmidt, N.B., 2011. Social anxiety and marijuana-related problems: The role of social avoidance. Addictive Behaviors, 36(1-2), pp.129-132. https://www.sciencedirect.com/science/article/abs/pii/S0306460310002510
Cartwright-Hatton, S., Tschernitz, N. and Gomersall, H., 2005. Social anxiety in children: social skills deficit, or cognitive distortion?. Behaviour research and therapy, 43(1), pp.131-141. https://www.sciencedirect.com/science/article/abs/pii/S0005796703003000
Cath, D.C., Ran, N., Smit, J.H., Van Balkom, A.J. and Comijs, H.C., 2008. Symptom overlap between autism spectrum disorder, generalized social anxiety disorder and obsessive-compulsive disorder in adults: a preliminary case-controlled study. Psychopathology, 41(2), pp.101-110. https://www.karger.com/Article/Abstract/111555
de Shazer, S., 1978. Brief hypnotherapy of two sexual dysfunctions: The crystal ball technique. American Journal of Clinical Hypnosis, 20(3), pp.203-208. https://www.tandfonline.com/doi/abs/10.1080/00029157.1978.10403931
Der, D.F. and Lewington, P., 1990. Rational self-directed hypnotherapy: A treatment for panic attacks. American Journal of Clinical Hypnosis, 32(3), pp.160-167. https://www.tandfonline.com/doi/abs/10.1080/00029157.1990.10402820
Fehm, L., Beesdo, K., Jacobi, F. and Fiedler, A., 2008. Social anxiety disorder above and below the diagnostic threshold: prevalence, comorbidity and impairment in the general population. Social psychiatry and psychiatric epidemiology, 43(4), pp.257-265. https://link.springer.com/article/10.1007/s00127-007-0299-4
Filsinger, E.E. and Wilson, M.R., 1983. Social anxiety and marital adjustment. Family Relations, pp.513-519. https://www.jstor.org/stable/583691?seq=1
Fromm, E., Brown, D.P., Hurt, S.W., Oberlander, J.Z., Boxer, A.M. and Pfeifer, G., 1981. The phenomena and characteristics of self-hypnosis. International Journal of Clinical and Experimental Hypnosis, 29(3), pp.189-246. https://www.tandfonline.com/doi/abs/10.1080/00207148108409158
Golden, W.L., 2012. Cognitive hypnotherapy for anxiety disorders. American Journal of Clinical Hypnosis, 54(4), pp.263-274. https://www.tandfonline.com/doi/abs/10.1080/00029157.2011.650333
Heimberg, R.G., Hofmann, S.G., Liebowitz, M.R., Schneier, F.R., Smits, J.A., Stein, M.B., Hinton, D.E. and Craske, M.G., 2014. Social anxiety disorder in DSM‐5. Depression and anxiety, 31(6), pp.472-479. https://repository.ubn.ru.nl/bitstream/handle/2066/133519/133519.pdf?sequence=1
Lawlor, E.D., 1976. Hypnotic intervention with “school phobic” children. The International journal of clinical and experimental hypnosis, 24(2), pp.74-86. https://www.tandfonline.com/doi/abs/10.1080/00207147608405599
Leary, M.R., Knight, P.D. and Johnson, K.A., 1987. Social anxiety and dyadic conversation: A verbal response analysis. Journal of Social and Clinical Psychology, 5(1), pp.34-50. https://guilfordjournals.com/doi/abs/10.1521/jscp.1987.5.1.34
Lochner, C., Mogotsi, M., du Toit, P.L., Kaminer, D., Niehaus, D.J. and Stein, D.J., 2003. Quality of life in anxiety disorders: a comparison of obsessive-compulsive disorder, social anxiety disorder, and panic disorder. Psychopathology, 36(5), pp.255-262. https://www.karger.com/Article/Abstract/73451
Low, N.C., Cui, L. and Merikangas, K.R., 2008. Specificity of familial transmission of anxiety and comorbid disorders. Journal of psychiatric research, 42(7), pp.596-604. https://www.sciencedirect.com/science/article/abs/pii/S0022395607001082
Miller, A., 1986. Brief reconstructive hypnotherapy for anxiety reactions: Three case reports. American Journal of Clinical Hypnosis, 28(3), pp.138-146. https://www.tandfonline.com/doi/abs/10.1080/00029157.1986.10402644
Mott, T., 1987. Adverse reactions in the use of hypnosis. https://www.tandfonline.com/doi/abs/10.1080/00029157.1987.10734343?journalCode=ujhy20
O'Brien, G.T. and Borkovec, T.D., 1977. The role of relaxation in systematic desensitization: Revisiting an unresolved issue. Journal of Behavior Therapy and Experimental Psychiatry, 8(4), pp.359-364. https://www.sciencedirect.com/science/article/pii/0005791677900039
Oakes, M., & Bor, R. (2010). The psychology of fear of flying (part II): a critical evaluation of current perspectives on approaches to treatment. Travel medicine and infectious disease, 8(6), 339–363. https://doi.org/10.1016/j.tmaid.2010.10.002
Pierce, T., 2009. Social anxiety and technology: Face-to-face communication versus technological communication among teens. Computers in Human Behavior, 25(6), pp.1367-1372. https://www.sciencedirect.com/science/article/pii/S0747563209000971
Sapp, M., 1991. Hypnotherapy and test anxiety: Two cognitive-behavioral constructs: The effects of hypnosis in reducing test anxiety and improving academic achievement in college students. Australian Journal of Clinical Hypnotherapy and Hypnosis. https://psycnet.apa.org/record/1992-24581-001
Schoenberger, N.E., 1995. Effectiveness of a cognitive-behavioral hypnotherapy for public speaking anxiety. https://www.sciencedirect.com/science/article/abs/pii/S000578949780038X
Spies, G., 1979. Desensitization of test anxiety: Hypnosis compared with biofeedback. American Journal of Clinical Hypnosis, 22(2), pp.108-111. https://www.tandfonline.com/doi/abs/10.1080/00029157.1979.10403207
Stein, D.J., Craske, M.A., Friedman, M.J. and Phillips, K.A., 2014. Anxiety disorders, obsessive-compulsive and related disorders, trauma-and stressor-related disorders, and dissociative disorders in DSM-5. American Journal of Psychiatry, 171(6), pp.611-613. https://ajp.psychiatryonline.org/doi/full/10.1176/appi.ajp.2014.14010003
Stein, M.B. and Stein, D.J., 2008. Social anxiety disorder. The lancet, 371(9618), pp.1115-1125.
Wolberg, L.R., 2013. Medical Hypnosis-Volume I-The Principles of Hypnotherapy. Read Books Ltd. https://psycnet.apa.org/record/2009-04133-000



