Can Anxiety Cause Psychosis? | The Link Between Mental Health & Wellness

Can Anxiety Cause Psychosis?
Anxiety vs Psychosis
Helpful Products

Can Anxiety Cause Psychosis?
No, anxiety itself does not directly cause psychosis. However, severe or prolonged anxiety can contribute to conditions or states of mind where someone might experience symptoms that are similar to psychosis.

Anxiety is a mental health condition characterized by feelings of worry, anxiety, or fear that are strong enough to interfere with one's daily activities. Examples of anxiety disorders include panic attacks, obsessive-compulsive disorder, and post-traumatic stress disorder.

Psychosis is a serious mental disorder characterized by a disconnection from reality. People experiencing psychosis may have hallucinations (seeing or hearing things that are not there) or delusions (firmly held beliefs in things that are not true). Their thoughts and speech might be disorganized, making it hard to understand them.

Symptoms Of An Anxiety-Induced Psychosis
- Hallucinations
- Delusions
- Paranoia
- Mania or mixed episodes
- Disorganized speech and behavior

Treatment Of Anxiety-Induced Psychosis
- Cognitive behavioral therapy (CBT)
- Dialectical behavior therapy (DBT)
- Interpersonal Therapy (IPT)
- Family-oriented therapy

Can anxiety cause psychosis?

Anxiety disorder and psychosis are both mental disorders that can interrupt a person's life. Both can cause distress, confusion, and trouble for their sufferers. People often wonder if anxiety can lead to the symptoms of psychosis or vice versa. This article will examine the relationship between anxiety and psychosis in order to understand better how they may be connected.

A woman suffering from anxiety in a post about can anxiety cause psychosis

What Is Anxiety?

Anxiety is an emotion characterized by feelings of worry, fear, unease, or dread. It is an evolutionary adaptation that helps us identify and respond to danger. Anxiety can be short-term when it is an appropriate reaction to a stressful event or long-term in the case of childhood trauma.

When it becomes a chronic condition, having an anxiety attack affects daily functioning. Anxiety disorders include social anxiety disorder, obsessive-compulsive disorder (OCD), panic disorder, post-traumatic stress disorder (PTSD), and generalized anxiety disorder (GAD).

What is psychosis?

Psychosis is characterized by altered thinking, behavior, and perception. People with psychotic disorders may experience delusions, hallucinations, disorganized speech or behavior, and impaired cognitive functioning. The most common psychotic disorders are schizophrenia and schizoaffective disorder. People with psychosis often lack insight into their symptoms and may be unaware that their beliefs and perceptions are distorted.

Treatment is often necessary to help manage symptoms, reduce the risk of relapse, and promote recovery. In short, Psychosis is a symptom and not an illness. Psychosis can be triggered by extreme stress, trauma, or a mental or physical illness.

Psychotic Symptoms and Related Conditions in a post about

The relationship between anxiety and psychosis

Studies have shown that anxiety is closely linked to psychosis. [1] People with anxiety disorders and major depression are more likely to develop some serious mental illness, like psychotic disorders, including schizophrenia, bipolar disorder, and schizoaffective disorder. In fact, around 27% of patients with Anxiety and Depression show one or more psychotic symptoms. [1] And those who show psychotic symptoms tend to have a more severe Anxiety/ Depression condition.

Psychosis and anxiety can have a complex relationship. In some cases, psychosis may lead to depressive and anxiety disorders which can also be triggered by a mental illness. [3] This is especially true for young adults and people with schizophrenia and bipolar disorder, as episodes of psychotic symptoms can be very frightening and stressful. On the other hand, having a problem with mental health issues such as Anxiety or Depression can put someone at greater risk of developing a psychotic disorder.

People with Major Depressive Disorder may be more likely to experience hallucinations and delusions due to changes in brain chemistry.[2]

Symptoms of anxiety-induced psychosis

Other than anxiety-related symptoms, people who suffer from anxiety disorder may also have a depressed mood and show psychiatric symptoms such as;

In severe cases, people with anxiety may experience auditory or visual hallucinations, delusions of persecution/ grandeur, paranoia, or mania. This could be a sign that their anxiety has progressed to a psychotic disorder such as schizophrenia. People who suffer from extreme stress often struggle to control their thoughts and feelings, making it difficult to differentiate between reality and delusions.

If anxiety attacks are left untreated, anxiety-induced psychosis can lead to greater social isolation, major depressive disorders, and suicidal ideation.

An anxiety patient experiencing psychotic symptoms in a post about can anxiety cause psychosis

Treatment options

To manage the symptoms of anxiety-induced psychosis, psychiatrists generally prescribe medications like antidepressants or antipsychotics. Additionally, psychotherapy can be instrumental in supporting those living with this disorder. Examples include:


Psychosis is often seen as a severe condition in anxiety sufferers. Hence, it should be addressed before it becomes unmanageable. The right treatment plan should be tailored to the individual’s needs. Additionally, you can seek help from online therapy services and support groups or engage in self-care activities to help manage anxiety and reduce the risk of psychosis. With proper treatment and care, anxiety-induced psychosis can be managed, and you can lead a healthier and better life.


Which type of anxiety causes psychotic behavior?

Psychotic episodes are only seen in severe panic attacks.[4] However, once the patient enters a state of psychosis, it can reoccur 10 to 15 times per day. Further, psychotic symptoms can worsen the anxiety symptoms, leading to further distress and possible hospitalization.

How do I know if I have anxiety or psychosis?

The truth is, you can not easily distinguish between the two. Psychosis and anxiety share common symptoms, such as insomnia, restlessness, racing thoughts, or feeling overwhelmed. If you’re experiencing any of these problematic anxiety symptoms, it’s important to seek help from a professional who can assess your situation and provide the treatment you need.


  1. Evidence That Psychotic Symptoms Are Prevalent in Disorders of Anxiety and Depression
  2. Brain changes in depression - PMC
  3. Frontiers | Case report: From anxiety disorders to psychosis, a continuum in transitional age youth?
  4. Panic attacks with psychotic features - PubMed

⚠️ Disclaimer: The content of this article is for informational purposes only and is not a substitute for professional medical advice or treatment. Consult a qualified health professional for any medical concerns.

How To Deal With Social Anxiety At School

Deal With Social Anxiety
Helpful Products

Strategies On How To Overcome Love Addiction
- Talk to your child's teacher
- Foster a positive outlook at home
- Encourage your child to make friends outside of school
- Promote positive self-talk
- Teach your child relaxation techniques
- Don't put pressure on your child

Causes of Social Anxiety In School
- Negative experiences
- Low self-esteem
- Pressure to fit in
- Learning difficulties

"How can you help your child who is struggling with social anxiety at school?" Social anxiety is a debilitating mental health condition for children, particularly in a school environment filled with peers and interaction expectations.

As a parent, witnessing your child's struggle can be distressing. Fortunately, there are effective methods to assist them. We'll explore various approaches on how to deal with social anxiety at school', including communication with teachers and counselors, and developing healthy coping strategies.

7 Ways To Help Your Child Overcome Social Anxiety At School

Overcoming social anxiety can help calm physical reactions that make your child feel socially awkward in certain situations. Here are seven ways to help your kid overcome social anxiety disorder at school:

1. Talk to your child's teacher

Your child’s teacher can provide valuable insight into their social interactions in the classroom and help you develop a plan to address any issues that may arise.

Be sure to mention your child's social anxiety, so they know what to look out for.

Also, you should ask if there are any particular strategies they can use to help your child feel more comfortable in class.

The teacher may suggest activities that encourage positive interactions between students or provide an alternative way for your child to participate without putting them in an uncomfortable situation.

2. Foster a positive outlook at home

It’s essential to create an atmosphere of acceptance and understanding for your child so that they can feel safe and secure. Here are some tips:

A positive outlook at home is essential for helping your child manage social anxiety at school. It allows them to feel accepted and supported, reducing fear and anxiety when interacting with peers. For more on fostering a positive environment, consider reading about hormones that cause anxiety and how to manage them.

3. Encourage your child to make friends outside of school

Making friends outside of school can be an excellent way for children with a social anxiety disorder to feel more comfortable in a social situation.

This could involve joining a local sports team, participating in group therapy or support groups at the local community center, or even finding a friend to hang out with.

Also, you can encourage your child to attend events such as birthday parties, movie nights, and other social gatherings to help them practice social skills in a safe, low-pressure setting. For more tips on making friends with social anxiety, check out How To Make Friends When You Have Social Anxiety.

4. Promote positive self-talk

Positive self-talk can help your child to build confidence and tackle their social anxiety symptoms. You can encourage your child to practice positive self-talk by praising their successes, no matter how small.

Create positive mantras they can repeat to themselves while taking a few deep breaths to reduce the anxious feelings that come randomly.

Also, remind them that it's okay to make mistakes and that it doesn’t define them. Most of all, ensure you provide them with constant love and support. They may not be able to conquer their social anxiety overnight, but with your help and support, they can learn to cope and thrive at school.

5. Teach your child relaxation techniques

Relaxation exercises are crucial for managing physical symptoms like increased heart rate and shallow breathing caused by social anxiety. [1] For more relaxation techniques, consider exploring resources on movies with social anxiety for relatable content and relaxation ideas.

Here are some activities you can teach your child:

  1. Physical exercise and Progressive muscle relaxation reduce the tension in the body. Ask your child to slowly tense and relax different muscle groups, starting with their feet and moving up their body.
  2. Guided imagery: Have your child imagine a peaceful, calming scene like a beach or forest.
  3. Deep breathing: Have your child take deep breaths in and out of their stomach to slow down their heart rate and help them feel more relaxed.
  4. Mindfulness: Help your child focus on current events and practice being mindful of their thoughts and feelings without judgment.
  5. Positive affirmations: Encourage your child to repeat positive affirmations to themselves, such as “I am strong” or “I am capable.”

6. Seek help from a mental health professional

If your child's social anxiety impacts their daily life, it might be time to get help from an Online Therapist. Therapists can help your child learn how to identify and challenge the negative thoughts causing them to experience social phobia.

Treatments like CBT (Cognitive Behavioral Therapy) can be very helpful for those dealing with social anxiety. During therapy sessions, the patient works together with their therapist to understand the cause of their anxiety and find ways to cope with it effectively. [2]

Through small talk and role-play, patients can practice positive thought patterns and behaviors that can replace the self-conscious ones contributing to severe social anxiety.

Additionally, they can teach your child coping skills that will enable them to manage their anxiety in different social situations and build relationships in social settings.

Furthermore, a therapist can recommend a psychiatrist that'll prescribe medication for social anxiety disorders. Your family member or child's everyday life can improve with psychological and pharmacological interventions.

7. Don't put pressure on your child

It's understandable to want your child to cope with the demands of school, but it's also important to recognize that this isn't something that can be forced.

Putting too much pressure on a child can increase anxiety rather than help them overcome it.

Instead of pressuring your child to make friends or act a certain way, encourage them to take small steps.

Allow your child to approach things at their own pace and focus on building their confidence. This may mean they need more time to adjust to new environments or try out different activities before settling in.

Sometimes children may need space and reassurance. If you are worried about your child, offering support and guidance is vital, rather than pushing them to do something they are not ready for.

Be patient and don’t set expectations – your child will eventually reach their milestones in their own time.

What causes social anxiety in school?

Social anxiety in school can be caused by a variety of factors, including:

  1. Negative experiences: If a student has had negative experiences with social interactions in the past, such as being bullied or rejected, it can create a fear of future social situations.
  2. Low self-esteem: Students with poor self-esteem may feel inadequate or inferior to their peers, leading them to avoid social situations or feel anxious when interacting with others.
  3. Pressure to fit in: School environments can be highly competitive, and students may feel pressure to fit in with their peers to be accepted.
  4. Learning difficulties: Students struggling academically may feel embarrassed or ashamed, leading to social anxiety in the classroom.
  5. Family or home life: Family problems or difficult home environments can also contribute to social anxiety in school. [3]


Social anxiety is a mental illness that can be challenging and distressing for pupils and students. However, by implementing some effective strategies, parents can help their children manage the condition and reduce its symptoms.

These strategies include encouraging them to practice mindfulness meditation, regular exercise, deep breathing exercises, including herbs in their diet, and seeking professional help if necessary.

Parents of children with social anxiety need to understand that they're not alone and that social anxiety is a common issue that many people face.

By taking these steps socially anxious individuals can feel more confident and comfortable in social situations, and enjoy their school experience.

Remember, it's okay to ask for help and support, and taking care of one's mental health is just as important as taking care of their physical health.

You can take this quick anxiety test to confirm if your child has social anxiety.


Can social anxiety disorder be cured naturally?

While there is no known cure for social anxiety disorder, there are natural ways to manage and reduce its symptoms. These include exercise, mindfulness meditation, deep breathing, herbal remedies, and a healthy diet. Regular physical activity can help reduce anxiety and stress and boost mood. Similarly, mindfulness meditation is a technique that involves focusing on the present moment and accepting thoughts and feelings without judgment. It can help reduce anxiety.


  1. Relaxation Techniques
  2. Cognitive behavioral therapy in the treatment of social phobia
  3. Parental and Peer Predictors of Social Anxiety in Youth

Hormones That Cause Anxiety - Understanding and Managing Hormonal Imbalances

Hormones That Cause Anxiety
Helpful Products

- Cortisol: The Stress Hormone
- Adrenaline: The Fight or Flight Hormone
- Thyroid Hormones: T3 and T4
- Sex Hormones: Estrogen, Progesterone, and Testosterone
- Oxytocin
- Serotonin

Have you ever experienced heightened anxiety or even panic attacks and wondered if hormones could be the culprit? Hormonal imbalances can indeed trigger anxiety disorders, and it's important to understand how hormones affect anxiety and mental and physical health. In this article, we'll explore the hormones that can cause anxiety and hormonal imbalances and how to manage them.

Hormones that Contribute to Anxiety

Cortisol: The Stress Hormone

Cortisol is a well-known hormone that has been firmly linked to anxiety disorder. Produced by the adrenal gland in response to stress, cortisol serves an important purpose; however, too much of this hormone can lead to increased levels of anxiousness. Research indicates that those with anxiety disorders tend to have higher concentrations of cortisol compared with individuals who are not diagnosed with such ailments.[1]

Helpful tip

Making friends when you have social anxiety? Start small by joining supportive groups or engaging in hobbies you enjoy. Take it at your own pace and be kind to yourself.

Adrenaline: The Fight or Flight Hormone

A woman who suffer from anxiety

Adrenaline is another vital hormone released by the adrenal gland during stressful events. While it plays a crucial role in keeping us safe and alive, overwhelming amounts can be detrimental - resulting in physical symptoms like rapid heartbeat, chest pain, perspiration, trembling or shaking body parts, and difficulty breathing, as reported by Ohio State University. Moreover, it may also induce feelings of fear or panic.[2] In this case, you might need to see a doctor as it may be an adrenal tumor called pheochromocytoma.

Thyroid Hormones: T3 and T4

The thyroid gland produces hormones called T3, T4, and THS, which play a critical role in regulating metabolism. According to PubMed, there is a mutual relationship between thyroid hormone levels and anxiety [3]. An underactive and/or overactive thyroid gland can trigger anxiety symptoms, such as heightened anxiety, nervousness, and weight gain or weight loss.

Sex Hormones: Estrogen, Progesterone, and Testosterone

Sex hormones also play a vital role in our hormonal balance, and imbalances in sex hormones can contribute to anxiety disorders. According to studies, fluctuations of estrogen, progesterone, or testosterone can cause symptoms such as anxiety, depression, mood swings, and low libido both in women and men [4]. Hormonal fluctuations during the menstrual cycle (periods) or menopause can also trigger hormonal changes that affect mood and lead to anxiety.


Oxytocin is a hormone that's often referred to as the "love hormone" or "cuddle hormone." It's produced by the hypothalamus and released during physical contact, such as hugs or sex. Oxytocin has been shown to reduce stress, anxiety, and depression[5]. Conversely, low levels of oxytocin have been linked to increases in anxiety[6].

Interesting tip

Curious about the journey of anxiety recovery? Explore the 6 anxiety recovery stages: awareness, acceptance, education, self-care, coping skills, and growth.


Serotonin is a vital neurotransmitter that helps keep our mood, sleep, and appetite in balance. It's often referred to as the "happiness hormone," with lower levels being linked to anxiety and depression. [7]. Increasing serotonin levels can boost mood, reduce anxiety and improve sleep patterns.

The Inflammation Hormone: Cytokines

Cytokines are a diverse group of proteins produced by cells of the immune system, including white blood cells, macrophages, and lymphocytes. They function as messengers, relaying signals between cells to regulate immune responses, inflammation, and other physiological processes. Cytokines can be pro-inflammatory or anti-inflammatory, depending on the specific type and context in which they are released. [8]

How Hormonal Imbalance Can Lead to Anxiety

A man in distress

Hormone imbalance can disrupt the delicate balance of our body's systems, including our mood and emotions. For example, imbalances in stress hormones such as cortisol and adrenaline can trigger the "fight or flight" response, causing anxiety symptoms. Similarly, imbalances in thyroid hormones can disrupt the body's metabolism, leading to anxiety symptoms. In women, imbalances in estrogen levels can cause changes in mood and emotions, leading to anxiety symptoms.

When these imbalances occur for a longer period of time, anxiety can become chronic. Fortunately, hormonal imbalance can be managed with lifestyle changes and/or hormone replacement therapies.


Dealing with intrusive thoughts and anxiety? Remember, thoughts are not facts. Practice mindfulness, challenge your thoughts, and seek support when needed.
A woman struggling with her mental health because of a hormonal imbalance

Stress: Understanding Its Impact on Hormonal Balance and Anxiety

Stress is a natural response to challenging or threatening situations. When faced with stressors, the body releases hormones that prepare us to either fight or flee from the perceived danger.

However, chronic stress, which occurs when stressors are persistent or long-term, can have detrimental effects on hormonal balance and contribute to anxiety. This section explores the impact of chronic stress on hormones and provides effective stress management techniques to reduce anxiety.

Chronic Stress: A Disruptor of Hormonal Balance

Chronic stress can disrupt the delicate balance of hormones in the body, leading to dysregulation and increased anxiety levels. Here are some key ways chronic stress impacts hormonal balance:

  1. Cortisol: The Stress Hormone
    • Chronic stress triggers the prolonged release of cortisol, commonly known as the stress hormone.
    • Excessive cortisol production can disrupt the functioning of other hormones, such as sex hormones and thyroid hormones.
    • Cortisol dysregulation can contribute to anxiety, depression, sleep disturbances, and impaired immune function.
  2. Adrenaline (Epinephrine): The Fight-or-Flight Hormone
    • Chronic stress can lead to an overactive release of adrenaline, preparing the body for immediate action.
    • Elevated adrenaline levels can cause increased heart rate, rapid breathing, and heightened anxiety symptoms.
  3. Sex Hormones: Estrogen, Progesterone, and Testosterone
    • Chronic stress can disrupt the balance of sex hormones, leading to hormonal imbalances and associated mood changes.
    • In women, imbalances in estrogen and progesterone levels can contribute to anxiety and mood swings.
    • In men, chronic stress may result in decreased testosterone levels, potentially leading to anxiety and irritability.
  4. Thyroid Hormones: Regulators of Mood and Metabolism
    • Chronic stress can impair the functioning of the thyroid gland, leading to thyroid hormone imbalances.
    • Thyroid dysfunction can cause symptoms such as fatigue, depression, irritability, and increased susceptibility to anxiety.

Effective Stress Management Techniques to Reduce Anxiety

Managing stress effectively is crucial for restoring hormonal balance and reducing anxiety. Here are some proven techniques to help manage stress and promote emotional well-being:

  1. Mindfulness and Meditation
    • Practice mindfulness meditation to cultivate present-moment awareness and reduce stress reactivity.
    • Incorporate deep breathing exercises to promote relaxation and alleviate anxiety symptoms.
  2. Physical Exercise
    • Engage in regular physical exercise, such as walking, jogging, or yoga, to release endorphins and reduce stress hormones.
    • Aim for at least 30 minutes of moderate-intensity exercise most days of the week.
  3. Healthy Lifestyle Habits
    • Prioritize sufficient sleep to support hormonal balance and overall well-being.
    • Maintain a balanced diet rich in whole foods, fruits, vegetables, and lean proteins.
    • Limit caffeine and alcohol consumption, as they can exacerbate anxiety symptoms.
  4. Social Support and Connection
    • Seek support from friends, family, or support groups to share concerns and alleviate stress.
    • Engage in activities that foster social connection, such as spending quality time with loved ones or participating in group activities.
  5. Time Management and Prioritization
    • Organize tasks and responsibilities to avoid feeling overwhelmed.
    • Set realistic goals and break them down into smaller, manageable steps.
    • Practice effective time management techniques, such as prioritizing tasks and delegating when necessary. [9]

Managing Hormone Imbalances and Anxiety

An image of a woman deep in thought

Lifestyle Changes

Lifestyle changes such as daily exercise, stress management, a healthy diet, and adequate sleep can help regulate hormone levels and reduce anxiety symptoms. Foods rich in fiber and fermented foods can also help reduce feelings of anxiety and promote a healthy gut, which is linked to hormonal balance.

Medical Treatments

Medical treatments such as hormone replacement therapy, antidepressants, and anti-anxiety medications can help treat hormonal imbalances and alleviate anxiety symptoms. However, it is essential to consult a healthcare expert to identify the most suitable treatment plan for one's individual needs. 


Cognitive Behavioral Therapy (CBT), Mindfulness-Based Stress Reduction (MBSR), and other forms of psychotherapy can assist in recognizing triggers that cause anxiety while teaching individuals how to better manage their stress levels. These therapies enable people to gain control over their emotions, lessen feelings of nervousness, as well as motivate them to make positive lifestyle modifications which will benefit long-term health outcomes. For those who feel uneasy meeting with a therapist in person, virtual therapy sessions are available through online platforms too.


In conclusion, hormonal imbalances can contribute to anxiety disorders. Understanding the link between hormones and anxiety can help us better manage our mental health. By making lifestyle changes and seeking medical treatment when necessary, we can regulate our hormones and reduce anxiety symptoms. If you're facing anxiety symptoms, it's essential to check with your healthcare provider to discover the root cause and decide on the most suitable treatment plan for your hormonal-induced anxiety. Additionally, you can test yourself with our online tool "Anxiety Test" to confirm if you suffer from Anxiety disorder.


Can hormone imbalance cause severe anxiety?

Yes, a hormone imbalance can cause severe anxiety. This is especially true if the imbalance is left untreated. If you're feeling anxious, it's essential to discuss your symptoms with a medical professional, so they can help identify what is causing the anxiety and suggest an appropriate course of treatment.

What is the biggest stress hormone?

The biggest stress hormone is cortisol, also known as the "stress hormone." When we experience pressures or anxieties, cortisol is released into our bloodstream. It's essential to maintain an adequate level of this particular hormone since too much can lead to severe health issues like depression, insomnia, and diabetes. Additionally, it could even elevate one's risk of heart disease.


  1. Salivary cortisol levels in persons with and without different anxiety disorders - PubMed
  2. Excess Adrenaline Symptoms & Treatment | OSUCCC – James
  3. Relationship between anxiety and thyroid function in patients with panic disorder - PubMed
  4. Associations Between Anxiety, Body Mass Index, and Sex Hormones in Women - PMC
  5. Roles of Oxytocin in Stress Responses, Allostasis, and Resilience - PMC
  6. Oxytocin Levels in Social Anxiety Disorder - PMC
  7. Anxiety is associated with reduced central serotonin transporter availability in unmedicated patients with unipolar major depression: a [11C]DASB PET study - PubMed
  8. Pubmed: Cytokine production capacity in depression and anxiety
  9. Research Gate: Neurobiological links between stress and anxiety

How To Make Friends When You Have Social Anxiety

How To Make Friends
Helpful Products

- Understand your social anxiety
- Set some goals for yourself
- Take baby steps
- Talk to people who make you feel comfortable
- Join a group or club
- Don't be afraid to be yourself
- Be patient
- Seek professional help if needed

Do you struggle to make friends because of your social anxiety? If so, you’re not alone.

A person suffering from a social anxiety disorder [SAD] will likely find it difficult to meet people and make new friends. Social situations can be intimidating, so breaking the ice and starting a conversation becomes difficult when you feel overwhelmed and intimidated.

However, even if you have social anxiety, you can make new friends with the help of a few tips and tricks. With patience and practice, it's easy to find new people who understand your struggles, are willing to listen to you, and are cool with becoming your friends for life.

So, how do you make friends when you have a social anxiety disorder?

Continue reading to find out.

Definition of Social Anxiety

Have you ever felt an overwhelming fear of being judged, embarrassed or humiliated in front of others? This intense worry is what characterizes social anxiety - its more than just typical shyness or introversion. When left unaddressed this fear can significantly impact a persons overall health and happiness. Those with social anxiety may feel compelled to withdraw from all forms of social interaction due to their overwhelming fears about negative evaluation.

Helpful tip: Taking an anxiety test can provide valuable insights into your mental well-being. Seek professional guidance for an accurate assessment and appropriate support.

Symptoms of Social Anxiety Social

Social anxiety can manifest through a variety of physical, emotional, and behavioral symptoms. These symptoms may vary in intensity and can be triggered by different social situations. Some common symptoms include:

Physical Symptoms:

Emotional Symptoms:

Behavioral Symptoms:

Impact on Daily Life Social

Anxiety can have a significant impact on various aspects of an individual's life, including:

Interpersonal Relationships:

Academic or Professional Life:

Emotional Well-being:

8 Guaranteed Ways To Break The Ice And Form Friendships

Social anxiety can be a significant barrier to building meaningful friendships, but it doesn’t have to be permanent. Let's explore how to make friends when you have social anxiety, from identifying triggers to implementing coping strategies:

1. Understand your social anxiety

Understand your social anxiety

One of the most critical steps to making friends is to understand the details of your social phobia. According to the National Institute Of Health, SAD is a disorder that brings about intense fear of social interaction, leading to negative thinking, depression, and self-consciousness. It's caused by experiences of being judged or humiliated in public, having difficulty communicating with others, or feeling uncomfortable in new situations. [1]

Nevertheless, you should know that these feelings are a normal part of life, and it doesn’t mean there’s something wrong with you. The more you learn about social interactions, body language, and how it affects you, the better you will face your fears and build lasting connections with others.

2. Set some goals for yourself

Making new connections becomes easy when you set small, attainable goals.

Have you ever done a personal interview? Well, you can start by setting small goals and gradually increase the difficulty as you gain more confidence. It might be as simple as joining a group or book club or talking to someone you find fascinating in public. Remember to choose something that feels comfortable and achievable for you. [2]

To make sure your goals are realistic, consider what triggers your SAD. Ask yourself if certain settings or people make you feel more or less anxious, and start making plans around those situations. Once you have identified what triggers your SAD, set a timeline for achieving each goal. This will help you trust the process and stay motivated.

3. Take baby steps

No, we don't mean you should walk like a baby.

You can start by saying hello to new people you pass by in the hallway or smiling at someone in line at the store. Little interactions like these can be an excellent first step to forming relationships with others. As you become more comfortable, try starting conversations with new people, even if they’re short and simple.

Don’t be afraid to reach out to your family. They can provide a safe space for talk therapy and practice your conversation skills with people.

4. Talk to people who make you feel comfortable

These can be people you already know, such as old classmates, family members, or co-workers. Even if they don't become close, they can provide a supportive environment to help you practice your social skills and build your confidence. [3]

If you don't know anyone, try conversing with someone at work or school who's willing to spend time with you. Ask open-ended questions and listen attentively to their responses. Try to be yourself and don't be afraid to show your vulnerability. You may even find that some people can relate to your experiences and help you feel more relaxed and accepted. [3]

5. Join a group or club

Support group

It can be intimidating to put yourself out there and converse with strangers, but being in a group setting gives you a chance to observe other people's interactions and see how they interact. You may also find it easier to approach someone when you already know the setting and have a common interest. [4]

When looking for a group or club to join, consider what kind of activities and conversations you are interested in. This could include book clubs, sports teams, crafting clubs, volunteer organizations, etc. Many of these groups are also available online, so even if there isn't one near you, you can still connect with others from around the world.

6. Don't be afraid to be yourself

Being yourself is essential when it comes to making friends. When you have SAD, opening up and revealing your true self to new people can be difficult. However, being open about who you are and keeping eye contact is a great way to connect with others. [5]

Try to let go of any fear or worry about what other people might think of you. It's natural to fear rejection, but remember that everyone has insecurities and flaws. You don't have to put on an act to impress others. Refrain from revealing too much too quickly. Start with the basics, like conversing about your interests or hobbies, and gradually work your way up to deeper conversations.

7. Be patient

It can take time to build up your confidence and to make meaningful connections with people, so don't expect everything to happen overnight. Take small steps and build on them over time, and don't be too hard on yourself if things don't go as planned.

Also, just have fun, rather than trying to force new friendships. Focus on joining activities that you enjoy or trying out different hobbies, as this will help you to relax and focus on the present moment. In time, you may find that you naturally start to open up to new acquaintances.

8. Seek professional help if needed

Seek professional help

If your SAD is getting in the way of making potential friends, seek help from an Online Therapist today. Talking to a qualified mental health professional can help you learn ways to manage your SAD because they'll provide support, guidance, and resources.

Seeking help is not a sign of weakness or an indication that you're “broken.” Rather, it's an important step towards improving your mental health and building meaningful connections with others. Don't hesitate to reach out to a mental health therapist today.

If you want to confirm whether you have anxiety or not, you can take this quick anxiety test.

Building and Maintaining Friendships

For people battling social anxiety, creating and upkeeping friendships may pose difficulties. However, implementing appropriate techniques while maintaining a hopeful mindset can help develop meaningful associations that stand the test of time. The following practical suggestions can lend guidance as you embark on this journey:

Nurturing Existing Friendships

  1. Regular Communication: Keep your friendship alive by staying connected with your friends through regular communication. Whether its through phone calls, text messages, or online chats making the effort to connect on a consistent basis will help keep you both feeling close and reinforce your bond.
  2. Quality Time: Plan and engage in activities with your friends that you both enjoy. It could be watching a movie, going for a walk, or having a meal together. Spending quality time together fosters deeper connections.
  3. Active Listening: Practice active listening when your friends share their thoughts, feelings, or experiences. Show genuine interest and empathy by giving them your full attention, maintaining eye contact, and asking follow-up questions.

Helpful tip: A secure attachment style forms a foundation of trust and emotional security in relationships. Nurture open communication and mutual support for lasting connections.

Overcoming the Fear of Rejection

  1. Challenge Negative Thoughts: Recognize that negative thoughts of being rejected or judged are often products of your anxiety rather than actual evidence. Challenge these thoughts by questioning their validity and replacing them with more positive and realistic beliefs.
  2. Start with Safe Social Interactions: Begin by engaging in low-pressure social interactions with people you feel comfortable around, such as close friends or family members. Gradually expose yourself to slightly more challenging social situations to build confidence.
  3. Practice Self-Compassion: Be kind to yourself and remember that making mistakes or facing rejection is a normal part of building friendships. Treat yourself with compassion and remind yourself that everyone experiences setbacks along the way.

Setting Realistic Expectations

  1. Understand Different Friendship Dynamics: Recognize that friendships come in various forms and intensities. Not all friendships will be deeply intimate, and that is okay. Each friendship can bring unique value to your life.
  2. Focus on Quality over Quantity: Instead of trying to accumulate a large number of friends, prioritize cultivating a few meaningful connections. Quality friendships provide genuine support, understanding, and companionship.
  3. Accept Individual Differences: Friends may have diverse personalities, interests, and communication styles. Embrace these differences and appreciate the unique perspectives and experiences your friends bring to the relationship.

Communicating Openly and Honestly

  1. Express Your Needs and Boundaries: Communicate openly with your friends about your social anxiety and any specific needs or boundaries you may have. Sharing your feelings and concerns can deepen understanding and foster a supportive environment.
  2. Be Authentic: Allow yourself to be vulnerable and authentic in your interactions. Sharing your true thoughts and emotions can help build trust and create a more meaningful connection with your friends.
  3. Conflict Resolution: Address conflicts or misunderstandings in a calm and respectful manner. Practice active listening, express your perspective without judgment, and work together to find mutually satisfactory resolutions.

Being a Good Listener and Offering Support

  1. Practice Empathy: Put yourself in your friends' shoes and try to understand their perspectives and emotions. Show empathy by offering support, validation, and encouragement when they face challenges or share their feelings.
  2. Be Reliable and Trustworthy: Show up for your friends and be reliable in your commitments. Respect their confidentiality and be someone they can trust and confide in.
  3. Celebrate Their Successes: Be genuinely happy for your friends' achievements and milestones. Celebrate their successes and provide them with the encouragement and support they need.


Making friends when you have SAD can be nerve-racking. It’s important to understand the source of your anxiety and how it affects you to take the necessary steps to make friends. Don’t be afraid, take one step at a time. Start with people who make you feel comfortable, join a group or club, and be patient.

Most importantly, don't forget to be yourself! If you need extra support, don't be afraid to seek help. Consider exploring online therapy, where professionals can guide you in building social connections, overcoming social anxiety, and enjoying a fulfilling life. With mutual effort and support, you can build your social circle, form in-person connections, and thrive.


What is the root cause of social anxiety?

The root cause of SAD is not fully understood, but it is believed to be a combination of genetic, environmental, and psychological factors. Some possible causes of social anxiety include genetics, brain chemistry, environmental factors, learned behavior, and personality traits. [6]

Can social anxiety cause you to have no friends?

Yes, social anxiety can cause a person to have difficulty making and maintaining friends. People with social anxiety tend to experience intense fear and anxiety in social situations, which can make them avoid social situations. This can lead to feelings of loneliness, isolation, and a lack of social support.


  1. Social Anxiety Disorder: More Than Just Shyness
  2. Tips and Tricks for Overcoming Social Anxiety
  3. How to Socialize When You Have Social Anxiety Disorder
  4. 8 ways to manage Social Anxiety Disorder
  5. 6 Ways to Overcome Social Anxiety
  6. Social anxiety disorder (social phobia)

You Need To know This: Understanding the 6 Anxiety Recovery Stages

Anxiety Recovery Stages
Helpful Products

- Recognizing that you are experiencing anxiety and acknowledging its impact on your life
- Learning about anxiety, its symptoms, causes, and treatments
- Developing healthy habits to manage your anxiety
- Practicing mindfulness techniques
- Gradually exposing yourself to anxiety-provoking situations
- Continuing to practice self-care, mindfulness, and exposure techniques

Anxiety is a normal human emotion that people experience in their life to varying degrees. However, some people may experience anxiety to an extreme extent which leads to serious physical and mental health issues. Fortunately, there is hope for people suffering from anxiety disorders because recovery is possible. This article will look at the six Anxiety Recovery Stages, which provide a helpful roadmap to healing and lasting relief from debilitating symptoms.

About Anxiety Disorder

About Anxiety

Anxiety defines a group of mental health disorders that can cause feelings of fear, worry, or unease. People with anxiety may experience intrusive thoughts and physical symptoms such as sweating, difficulty breathing, and increased heart rate. From mild to severe, anxiety can take on many different forms, including panic attacks, social anxiety disorder, and phobias.

Anxiety is the most common mental illness in the US, with about 40 million adults suffering from it [1]. According to NIH, anxiety disorders can disrupt a person's life by increasing the risk of substance abuse, alcoholism, major depression, and even cardiac arrests[2]. However, a few people try to recover from it. Mentioned below are the six stages of anxiety recovery.

Note: There is no certain order to these stages. Depending on the individual, recovery may take different paths.

The 6 Anxiety Recovery Stages

Anxiety Test

Do our quick 10 question, convidential Anxiety tests and get a basic understanding of your current level of anxiety.

A woman with anxiety disorder feeling like she's walking on strings

How Anxiety Disorders Impact Daily Life

When discussing anxiety, it's critical to understand that its effects are not confined to occasional feelings of worry or stress. In reality, an anxiety disorder can permeate every aspect of a person's daily life, from work and relationships to physical health and personal well-being. Here's an in-depth look at how an anxiety disorder can impact various aspects of daily life.

Fun fact: Hormones that cause anxiety include cortisol and adrenaline, released during the fight-or-flight response, intensifying anxious feelings.

Impact on Work Performance

Decreased Productivity and Concentration

Anxiety can be incredibly distracting, making it hard to focus on tasks at hand. This could lead to decreased productivity, missed deadlines, or lower quality of work. An individual may find themselves constantly worrying, which diverts their attention from their responsibilities and duties.

Job Insecurity

The constant state of worry might also manifest in concerns about job security. A person with an anxiety disorder might constantly feel like their job is at risk, leading to additional stress and potentially exacerbating their condition.

A small family sitting together for a meal

Impact on Relationships

Communication Challenges

Anxiety can lead to communication challenges in relationships. People with anxiety may struggle to express their feelings or needs effectively, leading to misunderstandings or conflicts.

Social Withdrawal

In many cases, people with anxiety disorders may avoid social situations due to fear of judgment or criticism, leading to feelings of isolation and potentially straining relationships with friends, family, and partners.

Helpful tip: How to make friends when you have social anxiety - Start with small steps, join supportive groups or activities, and practice self-compassion to build connections gradually.

Impact on Personal Well-Being

Physical Health

Anxiety isn't just a mental condition; it can also have physical symptoms. These can include heart palpitations, headaches, digestive problems, and insomnia. Over time, these symptoms can lead to more serious health complications.

Emotional Exhaustion

Living in a constant state of worry or fear can be emotionally exhausting. This emotional drain can lead to other issues like depression, mood swings, or a general decrease in enjoyment of life.

Lack of Self-Care

People with anxiety disorders often neglect self-care. They might skip meals, have poor sleep habits, or not get enough physical activity. This lack of self-care can further exacerbate anxiety symptoms.

Here are some quick facts about the impact of anxiety on daily life:

A man with anxiety disorder and he feels like he's standing on glass

Stage 1: Acclimating & Starting the Work

The initial stage of anxiety disorder recovery involves wanting to recover the condition. In the first stage, those who are overwhelmed by anxiety symptoms will try to stop panicking and start accepting the reality of their situation. They realize however, that does not matter how hard they try, they can't control their problematic anxiety. Only then do they understand that they need help from mental health professionals and will start to look for one.

If your situation relates to this stage, consider yourself lucky, as only 36.9% of anxiety patients out of 19.1% population in the US actually seek help.[1]

Stage 2: Resisting the Process

In this phase, your mind resists the idea of getting help, and you might not be able to take your situation seriously or even see the need for help. You are afraid of what change your therapy could bring. However, you must move on if you want to recover.

Stage 3: Pushing Through the Resistance and Responding to Treatment

The third stage of anxiety disorder recovery is ignoring the resistance of your mind and trying out anxiety medication given by the doctor. You might hesitate at first, but you eventually try to accept and follow through with treatment. This is a difficult stage for many patients as it usually involves confronting your fears and accepting your mental illness. This stage is so fragile that you may stop taking medications at any moment.

Tips to push through this step: Once you start getting treatments, do not stop suddenly. Otherwise, you might experience withdrawal symptoms that mimic anxiety symptoms. Practice self-care and seek support from your family and friends if negative thoughts and feelings arise. Talk to your therapist when your mind tries to resist.

Stage 4: Doing the Work and Stepping Up the Game

This is the stage where you consciously try to work through anxiety. Other than taking medications, you will set up realistic goals and take actionable steps to reach them. You will also attend therapy sessions, join support groups, or try alternative treatments like yoga and meditation. You will see progress in your condition as you work to manage and cope with it.

Tips: Passing this stage will take time and patience, and it is normal to feel overwhelmed at some point. However, stay consistent with your treatment. Also, don't forget to take regular breaks to avoid stress.

Stage 5: Creating Confidence through Mastery & Self-Advocation

You are almost recovered. You can now start whatever you want confidently. You are starting to master your condition and advocate for yourself. This means understanding your needs and boundaries, participating in activities you enjoy, and having meaningful relationships with others.

Stage 6: Demonstrating Mastery

You are now fully recovered and thriving. You have full control over your body and mental health. Now you can recognize warning signs of relapse quickly and are actively involved in self-care.

In this stage, you may also try to help others with mental health issues, which is a good sign. However, do not stop your therapy sessions unless advised by your therapist. You must also continue self-care, such as exercise, healthy eating, and relaxation techniques. Anxiety can be controlled, but there is no cure for it [3]. So, stay connected with your support system, practice mindfulness and meditation regularly, and use the coping skills you have learned as long as you can.

A man feeling anxious and struggling to stay balanced

Debunking Myths and Misconceptions About Anxiety

In order to better understand and support those struggling with anxiety disorders, it's essential to address some of the common myths and misconceptions that surround these conditions. By debunking these falsehoods, we can help remove the stigma around anxiety disorders and promote a more empathetic and informed perspective.

Myth 1: Anxiety Is Not a Real Illness

The Truth: Anxiety Is a Legitimate Mental Health Condition

Many people mistakenly believe that anxiety is just a normal part of life and not a serious mental health issue. However, anxiety disorders are real and can have a significant impact on a person's life. They are recognized medical conditions with specific diagnostic criteria and treatment options.

Myth 2: People with Anxiety Can Simply "Snap Out of It"

The Truth: Overcoming Anxiety Requires Time, Effort, and Support

One of the most common misconceptions about anxiety is that people who suffer from it can simply "snap out of it" or "think positive" to overcome their symptoms. However, managing anxiety is a complex process that often involves a combination of therapy, medication, and self-care strategies. It takes time and effort to manage anxiety effectively, and support from loved ones is crucial.

Myth 3: Anxiety Is a Sign of Weakness

The Truth: Anxiety Can Affect Anyone, Regardless of Strength or Resilience

Some people might see anxiety as a sign of weakness or a lack of resilience. However, the truth is that anxiety disorders can affect people of all ages, genders, and backgrounds. It's important to recognize that experiencing anxiety does not make someone weak; in fact, many individuals living with anxiety display incredible strength and resilience in managing their symptoms.

Interesting fact: Children of a mentally ill parent are at higher risk of developing anxiety due to genetic and environmental factors, but early intervention can significantly improve outcomes.

Myth 4: Anxiety Disorders Are Rare

The Truth: Anxiety Disorders Are Highly Prevalent

Contrary to popular belief, anxiety disorders are not rare. They are, in fact, the most common mental health disorders in the United States, affecting millions of people each year. Recognizing the prevalence of these disorders is essential for raising awareness and promoting understanding.

Myth 5: Anxiety Is Always Caused by Stress

The Truth: Anxiety Can Have Multiple Causes

While stress can undoubtedly trigger anxiety symptoms, it's important to understand that anxiety disorders can have various causes. These can include genetic factors, brain chemistry, personality traits, and life experiences. It's crucial to recognize that anxiety is a complex condition with many contributing factors. [5]

Helpful tip

If experiencing PTSD, remember that healing is a process. Seek therapy, practice self-care, connect with supportive people, and be patient with yourself on the journey to recovery.

Anxiety Treatment Options

Anxiety Treatment Options

There are various treatment options available for anxiety and depression.


Anxiety disorder is a serious condition that can dramatically affect your psychological and physical well-being. However, with the right treatment and support, it is possible to manage anxiety and improve your quality of life. Taking the first step is the hardest, but with professional help, you can step through the recovery process and regain control of your life. Good luck!


How long does it take to recover from anxiety?

Depending on the individual, it can take from a few months to several years to overcome anxiety.

Can anxiety completely go away?

Anxiety disorders usually go away with the right treatment and self-care plan. However, you can not cure the illness completely. But you can manage it and cope with the rest of the symptoms.


  1. Facts & Statistics | Anxiety and Depression
  2. Anxiety - StatPearls - NCBI Bookshelf
  3. Can Anxiety Be Cured?