Social Anxiety

Start Feeling Better Now – Call (650) 461-9026 or Text (650) 461-9026

Do social situations leave you feeling overwhelmed, self-conscious, or afraid of judgment?

Do you avoid speaking up, meeting new people, or attending events because of anxiety?

Social anxiety can make even everyday interactions feel exhausting — but with the right support, you can build confidence and feel more at ease in social settings.

Social anxiety therapy may help if you experience:

  • Excessive fear of being judged, embarrassed, or rejected
  • Avoidance of social situations, conversations, or public speaking
  • Physical symptoms like sweating, blushing, shaking, or a racing heart
  • Difficulty maintaining eye contact or starting conversations
  • Overanalyzing interactions and worrying about saying the “wrong” thing
  • Feeling paralyzed in group settings or social events
  • Strong distress before, during, or after social interactions

Engage Socially Without Fear

Call us at (650) 461-9026, text us at (650) 461-9026, or book online now – in-person and video appointments are available!

What Is Social Anxiety?

Social anxiety is more than just shyness – it’s an intense fear of social interactions where you might be judged, embarrassed, or rejected. This fear can make it feel almost impossible to engage in everyday situations, from speaking in meetings or ordering food at a restaurant to attending social gatherings or making eye contact.

Social anxiety exists on a spectrum. Some people feel nervous only in specific situations, like public speaking, while others experience discomfort in nearly all social interactions. Regardless of its severity, social anxiety can interfere with relationships, career growth, and overall well-being.

How Social Anxiety Appears in Children vs. Adults

In Children:

  • Extreme fear of being called on in class or performing in front of others
  • Avoiding birthday parties, playdates, or group activities
  • Physical complaints like stomach aches before school or social events
  • Difficulty making friends or speaking to new people
  • Seeking excessive reassurance from parents or caregiver

In Adults:

  • Avoiding networking events, meetings, or social gatherings
  • Struggling with dating, small talk, or group conversations
  • Avoiding phone calls, job interviews, or speaking in front of others
  • Feeling self-conscious in work, school, or everyday social settings
  • Experiencing intense anxiety before or after social interactions

What Causes Social Anxiety?

Social anxiety can develop from a combination of genetic, environmental, and psychological factors. Common contributors include:

  • Genetics: A family history of anxiety disorders may increase the likelihood of developing social anxiety.
  • Early Experiences: Negative social experiences, bullying, or excessive criticism in childhood can contribute to social fears.
  • Overactive Fight-or-Flight Response: An overly sensitive nervous system can make social situations feel threatening.
  • Perfectionism or High Self-Criticism: Fear of making mistakes or being judged can heighten social anxiety.
  • Lack of Social Exposure: Avoiding social situations over time can reinforce fear and make interactions feel even more intimidating.

CBT for Social Anxiety: The Gold Standard for Treatment

At Palo Alto Therapy, we specialize in Cognitive Behavioral Therapy (CBT) for social anxiety. CBT is a research-backed approach that helps individuals challenge anxious thoughts, gradually face social fears, and develop practical coping skills.

CBT for social anxiety includes:

  • Identifying and reframing negative thought patterns that fuel fear of judgment
  • Gradual exposure exercises to build confidence in social settings
  • Practical strategies for managing physical symptoms like blushing or shaking
  • Behavioral experiments to test fears and develop more balanced thinking
  • Social skills training for effective communication and connection

With structured CBT therapy, many individuals experience significant improvements in confidence and social comfort over time.

Other Therapeutic Approaches for Social Anxiety

While CBT is the leading treatment for social anxiety, other evidence-based approaches can be beneficial depending on individual needs:

  • Exposure Therapy: Helps individuals gradually face social fears in a controlled, supportive environment, reducing avoidance over time.
  • Acceptance and Commitment Therapy (ACT): Encourages accepting anxious feelings while taking steps toward meaningful social engagement.
  • Mindfulness-Based Therapy: Teaches techniques to stay present, reduce self-judgment, and manage anxious thoughts in social settings.
  • Solution-Focused Therapy: Helps individuals set specific, achievable goals to improve social confidence and interactions.
  • Play Therapy for Children: Provides a safe, age-appropriate way for children to express anxiety and develop social skills.

Your therapist will work with you, using the techniques that are best for your specific situation.

– Weekday, Evening, & Saturday Appointments Available –

At Palo Alto Therapy, we help kids through adults overcome challenges such as anxiety, depression, relationship difficulties, and life transitions. Our compassionate, highly-trained therapists use evidence-based techniques to create meaningful, lasting results—often without long-term counseling.

With convenient office locations in Palo Alto, Menlo Park, and San Jose, we proudly serve the entire Silicon Valley community – from Stanford University and the Peninsula to the South Bay, offering easy access for tech professionals, students, and families.

Frequently Asked Questions About Social Anxiety Therapy

Even mild social anxiety can hold you back from personal and professional opportunities. Therapy can help you build confidence, improve communication skills, and feel more comfortable in social situations before anxiety becomes a bigger issue.

Yes! Therapy is designed to meet you where you are. Avoidance strengthens social anxiety, so therapy provides gradual, step-by-step guidance to help you re-engage with the world in a manageable way.

Many people experience situational social anxiety, meaning they feel comfortable in some social settings but extremely anxious in others. Common triggers include public speaking, dating, work meetings, or group interactions. Therapy helps identify specific triggers and provides strategies to reduce fear and increase confidence in those situations.

It’s completely normal to feel anxious about seeking help. Our therapists are experienced in working with social anxiety and will create a safe, nonjudgmental space to help you progress at your own pace. Some individuals find that starting with online therapy feels more comfortable before transitioning to in-person sessions

No. Introversion is a personality trait, while social anxiety is an anxiety disorder. Introverts may enjoy solitude but don’t necessarily fear social interactions. Those with social anxiety experience intense fear of judgment and embarrassment, even if they want to engage socially.

Some children naturally become more confident with age, but for many, untreated social anxiety persists into adulthood. Therapy helps children develop lifelong social skills and confidence, preventing future challenges.

While some people experience a complete reduction in symptoms, others find that therapy helps them manage and significantly reduce their anxiety so it no longer interferes with daily life. With the right support and coping strategies, you can build lasting confidence and feel much more comfortable in social settings.

Social anxiety is specific to social situations, where a person fears judgment, embarrassment, or rejection. It typically involves avoiding social interactions, excessive self-consciousness, and distress in public settings.

Generalized anxiety disorder (GAD), on the other hand, involves persistent, excessive worry about various aspects of life, including work, health, relationships, and everyday responsibilities. While people with social anxiety may worry about social interactions, those with GAD experience broad and constant worry that is not limited to social situations.

It is possible to have both social anxiety and generalized anxiety. Therapy can help address both conditions by teaching coping strategies tailored to each type of anxiety.

The length of therapy depends on individual needs. Many people notice improvements within just a few sessions of CBT therapy, while others may benefit from ongoing support as they continue to build confidence and skills.

Recognizing Good Therapy

evidence based therapy

Evidence-Based

Specializing in Cognitive Behavioral Therapy, we provide effective & caring counseling. Our therapists are passionate in delivering high-quality therapy & enhance their skills through the latest trainings.

specialized counseling

Strong Relationships

Our relationship with you is valued & of highest importance. We are compassionate, respectful, & honest. Our professional counseling includes working side by side with you towards YOUR goals.

Short-Term & Focused

Our active therapists use tailored homework exercises to help you find relief in a timely manner. By keeping our meetings on track & targeting specific concerns we help you enjoy life again, usually in a matter of months not years.

Client Convenience

Appointments after 5pm & Saturdays, friendly administrative staff, & three locations: Palo Alto, Menlo Park, & San Jose. We help children, teens & adults, couples, & families. Video therapy available!

Meet Our Team of Online CBT Therapists in Palo Alto & San Jose

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Hoi Yan Nadia Lau
Hoi Yan “Nadia” Lau, LMFT
Cognitive Behavioral Therapist
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Location: Palo Alto, San Jose, Video Therapy
Ages: 8+
Type of Therapy: Individual, Children Counseling, Teen Counseling
Bella Stitt, LMFT, Therapist at Palo Alto Therapy
Bella Stitt, LMFT
Cognitive Behavioral Therapist
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Location: Palo Alto, Video Therapy
Ages: 11+
Type of Therapy: Individual, Family, Teen Counseling
Florina Petcu CBT Therapist
Florina Petcu, LMFT
Cognitive Behavioral Therapist
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Location: Video Therapy
Ages: 15+
Type of Therapy: Individual, Teen Counseling
Jacquelyn Jacqui Lewis Therapist
Jacquelyn “Jacqui” Lewis, LMFT, ATR-BC, CCTP, ACCTS
Cognitive Behavioral Therapist
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Location: Palo Alto, Video Therapy
Ages: 13+
Type of Therapy: Individual, Family, Teen Counseling
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Jen Clayman, AMFT, APCC
Cognitive Behavioral Therapist, AMFT, APCC, Under Licensed Supervision
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Location: Palo Alto
Ages: 5+
Type of Therapy: Individual, Couples, Family, Children Counseling, Teen Counseling
Lauren Timmerman, LCSW
Cognitive Behavioral Therapist
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Location: Palo Alto, Video Therapy
Ages: 5+
Type of Therapy: Individual, Children Counseling, Teen Counseling
Kitte Anderson Therapist
Kitte Anderson, AMFT
Cognitive Behavioral Therapist, AMFT, Under Licensed Supervision
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Location: Menlo Park, San Jose, Video Therapy
Ages: 15+
Type of Therapy: Individual
Nicole Brunn Therapist
Nicole Brunn, LMFT, LPCC
Cognitive Behavioral Therapist
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Location: Palo Alto, San Jose, Video Therapy
Ages: 11+
Type of Therapy: Individual, Family, Teen Counseling
Lisa Macedo, LMFT
Cognitive Behavioral Therapist
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Location: Palo Alto, Video Therapy
Ages: 18+
Type of Therapy: Individual
Amanda Bautista Therapist
Amanda Bautista, LMFT
Cognitive Behavioral Therapist
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Location: Palo Alto, Video Therapy
Ages: 14+
Type of Therapy: Individual, Teen Counseling
Jennifer Jenny Estes, LCSW, Therapist at Palo Alto Therapy
Jennifer “Jenny” Estes, LCSW
Cognitive Behavioral Therapist
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Location: Video Therapy
Ages: 12+
Type of Therapy: Individual, Family, Children Counseling, Teen Counseling
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Nancy Stephenson, LPCC
Cognitive Behavioral Therapist
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Location: Palo Alto, San Jose
Ages: 5+
Type of Therapy: Individual, Children Counseling, Teen Counseling
Deborah Coblentz, LMFT, Therapist at Palo Alto Therapy
Deborah Coblentz, LMFT
Cognitive Behavioral Therapist
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Location: Palo Alto, San Jose, Video Therapy
Ages: 4+
Type of Therapy: Individual, Family, Children Counseling, Teen Counseling
Jacqueline Eaton-Willard, LMFT
Cognitive Behavioral Therapist
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Location: Menlo Park, Palo Alto
Ages: 4+
Type of Therapy: Individual, Family, Children Counseling, Teen Counseling
Sarah Chelew, AMFT
Cognitive Behavioral Therapist, AMFT, Under Licensed Supervision
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Location: Menlo Park, Palo Alto
Ages: 4+
Type of Therapy: Individual, Family, Children Counseling, Teen Counseling
Jennifer “Jenny” Hays, LMFT
Cognitive Behavioral Therapist
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Location: Menlo Park, Palo Alto, Video Therapy
Ages: 4+
Type of Therapy: Individual, Family, Children Counseling, Teen Counseling
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Megan Taylor, LMFT, Therapist at Palo Alto Therapy
Megan Taylor, LMFT
Clinical Operations Manager
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Location: Video Therapy
Ages: 15+
Type of Therapy: Individual, Teen Counseling
Deborah Brewer San Jose Therapist
Deborah Brewer, LCSW – Clinic Director
Cognitive Behavioral Therapist
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Location: Menlo Park, Palo Alto, Video Therapy
Ages: 6+
Type of Therapy: Individual, Family, Children Counseling, Teen Counseling
Ernest Schmidt, LCSW, Therapist at Palo Alto Therapy
Ernest Schmidt, LCSW – Owner
Cognitive Behavioral Therapist
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Location: Palo Alto, Video Therapy
Ages: 18+
Type of Therapy: Individual