1. Know what SAD is… and isn’t.

According to the National Institute of Mental Health, SAD is “characterized by persistent fear of one or more social or performance situations in which the person is exposed to unfamiliar people or to possible scrutiny by others.”

Symptoms of social anxiety include:

• Worrying about being judged negatively or humiliated
• Intense fear of interacting with strangers
• Avoidance of social events or talking to people
• Self-evaluation and self-criticism during and after social situations
• Worrying for days or weeks before an event
• Sweating, trembling, blushing, and/or rapid heart beat in social situations
• Stomach aches, nausea, muscle tension or disrupted sleep

Social Anxiety Disorder is not the same as being introverted or shy or preferring a small group of friends. The key is to recognize when symptoms become unmanageable, stopping your teen from having a fulfilling social life or doing things they really want to do. When teens avoid every anxiety-provoking situation, they miss opportunities to learn social skills and build confidence, thus fulfilling their fears of embarrassment.

2. Let them know they’re not alone.

Teens with social anxiety feel overwhelmingly self-conscious and like they’re the only ones with a problem. Talking honestly about social anxiety helps them normalize their feelings, understand that everyone experiences some anxiety in social situations and create more self-acceptance and self-compassion. Talk with your teen about your own experiences and be willing to listen. And for more persistent problems, look for a therapist-led teen support group that targets social anxiety.

3. Teach them how to breathe. 

Researchers agree that one of the most effective strategies for managing anxiety is mindful breathing. A simple exercise that’s easy to teach teens is box breathing: exhaling to a count of four, pausing for a count of four, inhaling to a count of four, and holding air in the lungs for a count of four, then repeating. Teens can also visualize tracing the sides of a square box or a big balloon inflating and deflating as they breathe. This and other breathing techniques activate the parasympathetic nervous system and counteract the body’s stress response, which is responsible for shallow breathing, fast heartbeat and other physical signs of anxiety.

4. Help them uplevel their self-talk.

Teens with social anxiety may not even notice the steady stream of self-judgment and self-criticism they’re likely engaging in,for example, thoughts like, “You’re so stupid! Everybody is laughing at you! You’re going to screw up again!” But most social anxiety is accompanied and made worse by negative self-talk. You can help your teen become aware of the voice inside their head and realize that they can decide whether or not to believe the self-defeating thoughts. Teach your teen how to acknowledge their fears and counteract them with positive self-talk: “Yes, I’m really nervous right now, but I’ve been practicing and I know I’ve got this.” For more suggestions, see our post on Turning Negative Self-talk Into Confidence.

5. Support them in facing their fears at their own pace.

Perhaps the most heartbreaking aspect of social anxiety is that teens’ phantom fears have a very real impact by keeping them from being and doing all the great things they’re capable of. Most anxious teens are painfully aware that they’re missing out, but facing their fears all at once feels too overwhelming. Instead, help your teen set realistic social goals – like making a new friend or joining a club at school – based on what matters most to them. Then identify micro-goals they can accomplish step-by-step. Make sure they’re equipped with strategies for self-compassion, remind them that practice makes perfect, and celebrate their successes with them. With the right mix of acceptance and persistence, teens can tackle social anxiety and emerge as confident, capable young adults.

Social Anxiety

Symptoms of social anxiety include:

• Worry about being judged negatively or humiliated
• Intense fear of interacting with strangers
• Avoidance of social events, talking to people, or doing things out of fear of embarrassment
• Self-criticism after social situations

First of all, know that shyness, introversion and preferring a smaller circle of friends are not signs of social anxiety. Some nervousness in social situations is completely normal, and a little anxiety can even help teens steer clear of unsafe situations. But if anxiety is preventing your teen from enjoying their social life or doing things they want to do, it’s time to tackle it. If they avoid every anxiety-provoking situation, they\’ll miss opportunities to learn social skills and build confidence, fulfilling their fears of embarrassment.

To overcome social anxiety, help your teen gradually expand their comfort zone to include more interaction with others. Encourage them to order for themselves at restaurants and ask for assistance when shopping. If they’re open to help, work together to pick a social goal – like joining a club or making a new friend – and plan baby-steps they can take towards meeting it. Help them create a simple ritual for when their anxiety is triggered– like taking three deep breaths and silently saying “I’ve got this” before going into a new or potentially anxiety-provoking situation. Let them know that a little discomfort is a sign of growth and it’s good to lean into it– and that it’s ok to take their time. Praise them each time they challenge themselves and whenever you see them acting with more confidence.

Perfectionism

Perfectionism and anxiety are closely linked in teens, especially in high achievers. Some of the signs to watch for include:

• Fear of taking risks and trying new things
• Procrastination and being anxiously indecisive
• Constant self-criticism and frustration about mistakes
• Being overly concerned about the opinions of others

Again, a little anxiety can motivate teens to work hard and do their best. But if your teen’s sense of self-worth is based on what they do and not who they are, they need help to calm their fears of failure.

Lots of anxious teens say they feel pressure from parents to be perfect, so even if you think it’s obvious, remind your teen that their worth and your love for them have nothing to do with their achievements. Help them get more comfortable taking risks and trying things they’re not already good at. Perfectionist teens often have trouble setting boundaries and taking time for self-care. Help them get organized and assess which activities are the most important and rewarding so they can put those things first. Teach them how to recognize the emotional and physical signs of stress – like getting frustrated or struggling with sleep – and know those signs mean it’s time to take a break. Perfectionist teens also get big benefits from anxiety-reducing exercise, creative hobbies, and time in nature or with friends.

Test Anxiety

Teens with test anxiety experience some or all of the following when preparing for or taking a test:

• Sweating, shaking, racing heartbeat, feeling faint
• Mind going blank
• Negative thoughts about past poor performances or future failure
• Self-judgment and criticism, feeling inadequate

A little nervousness before an exam is normal and can motivate teens to study and be well-prepared. But too much test anxiety causes smart, capable teens to suffer and even struggle academically.

To help your teen, talk through their sources of stress. Is the material challenging? Is it their lack of preparation or disorganization? Or is the pressure of test-taking too intense? A lot of teen test anxiety can be reduced with good study skills and prioritized  preparation. Help teens schedule study time well in advance and break it down into smaller, spaced-out chunks– no cramming the night before the test! Work with them to figure out which study methods work best for their learning style. Encourage them to open up to their teacher or school counselor, too. Just saying “I’m studying hard but I’m dealing with test anxiety– do you have any suggestions?” can release the pressure teens feel and prompt teachers to offer support. A calming fidget or worry stone in their pocket helps ease anxiety. And stress-reducing mindfulness techniques– like box breathing and progressive muscle relaxation– empower teens to relax their bodies and minds, feel more in control, and face their fears.