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.

Can something so simple really make a difference to teens? A recent study of nearly 400 11th-graders says yes. The more students practiced mindful breathing techniques, the more they reported feeling capable of managing stress. Lead researcher Deborah Schussler says that’s because mindful breathing buys teens time to take charge of their emotions. “It gives you a pause so that automatic response, which is frequently not the best response, is hijacked.” Another big plus, Schussler says, is that mindful breathing is “a portable practice that students can easily integrate anytime, anywhere.” To introduce the benefits of mindful breathing to your teen, try these four research-backed practices:

• Box Breathing 

Best for: emotional self-regulation, managing stress and anxiety

Picture a box with four equal sides. Inhale to a count of four as you mentally trace one of the sides of the box. Then hold your breath for a count of four, tracing another side. Then exhale to a count of four, and hold for a count of four. Repeat. Box breathing is used by soldiers, first responders and others to stay calm and in control in high-stress situations. It works by taming the sympathetic nervous system response, which ramps up stress hormones like cortisol as the body prepares to fight or flee. Box breathing can be used in any situation that triggers stress. It’s especially useful for teens with anxiety of any kind (like social, performance, or test anxiety) or teens who struggle to stay in control of intense emotions.

• Body Scan

Best for: relaxation, self-care, teens who have trouble winding down

A body scan meditation is usually guided by a recording, like this practice on Insight Timer. It’s a step-by-step way to relax the body by breathing deeply and focusing on one part at a time: “Bring your attention to your feet. Feel the sensations of your feet resting against the floor, the texture of your socks. Maybe wiggle your toes. Now imagine that you can send your breath down into your feet, relaxing them completely as you exhale.” When teens are tense, they tend to hold their breath. Shallow breathing stimulates the amygdala, the part of the brain that’s responsible for processing stressful stimuli, and makes it even harder for teens to calm down. Listening to a body scan helps teens relax and can even help them fall asleep. Try doing this practice as a family to give everyone a little much-needed down-time.

• Counting Breaths

Best for: focus and concentration, neurodiverse teens

The simple technique of counting breaths can help teens train their brains to boost focus and concentration. One study asked participants to track their breaths on each exhale, counting one through nine and then starting over after the ninth breath. Not surprisingly, experienced meditators found it easier to pay attention. That means the more teens practice, the more they enhance their ability to focus. All participants reported “more self-awareness, less mind wandering, better mood and less distraction.” The results suggest that counting breaths may be especially beneficial for teens with ADHD or on the autism spectrum, as well as any teen who needs help directing attention. To track concentration with your teen, try counting up to ten breaths at a time.

• Energizing Breath

Best for: energy and alertness

Does your teen struggle to stay awake in boring classes or get tired when they’re studying? This breath practice can help them regulate the flow of oxygen in their blood, which energizes the body and makes the brain more alert. Diaphragmatic breathing or “belly breathing” engages the diaphragm by relaxing the muscles of the stomach and allowing deep, full breaths. It’s the way we should be breathing all the time, but factors like stress, hunching over phones or computers, and even sucking in our stomachs to look thinner cause us to breathe shallowly. Teach teens to inhale deeply to a count of two, then exhale to a count of two. Then inhale to a count of two, and exhale to a count of three. Continue breathing in to a count of two and extending the exhale each time until they’re exhaling to a count of five. In only about one minute, teens get an almost-instant energy uplift.