Anxiety disorders are very treatable. Counselor will provide psychoeducation on anxiety. Options included: Beta blockers are usually taken orally prior to an anxiety-inducing event such as a performance to reduce symptoms of anxiety such as rapid heart rate, hand tremors, and the “butterflies in the stomach” feeling. Options include: This class of medications is not considered the first-line of treatment for social anxiety disorder. If a doctor is not able to refer you to a mental health professional, you may consider searching terms such as "find a social anxiety disorder therapist near me." The fear can cause problems with work, school, or other daily activities. • Prescriber to monitor side effects and ADJUST MEDICATION DOSAGE to increase effectiveness and decrease SIDE EFFECTS, as appropriate for anxiety disorder once per week for one month. 4. (2003). 1. Don't make goals that don't scare you a little bit. There are several other medication options doctors may consider, including: If you are not sure of your treatment options, talk to your doctor about the potential use of medication for your particular situation. February 2, 2019 January 8, 2019 by Russ. In my previous post, Anxiety Treatment: Gestalt Therapy Theory, I explored what gestalt therapy theory says about anxiety. Front Pharmacol. This will … Is Your Shaking a Sign of Social Anxiety Disorder? Treatment Plan Overviews Anxiety. Not everyone will require social skills training as part of their treatment. Counselor will provide psychoeducation on anxiety. Cognitive-Behavioral Therapy for Social Anxiety is Goal Focused. SSRIs are considered the first-line pharmacotherapy treatment due to their tolerable side effects and ease of administration. You may fear that people are watching or judging you. Lifestyle changes may also have a positive impact on anxiety in general. Research indicates that CBT can be an effective treatment for anxiety after as few as 8 sessions, with or without any form of medication (4). At the time he contacted the centre, he self-reported that he experiences social anxiety … Most alternative treatments have not been … adolescent social anxiety, including but not limited to the assessment and treatment of social anxiety in adolescents. • Prescriber to monitor side effects and ADJUST MEDICATION DOSAGE to increase effectiveness and decrease SIDE EFFECTS, as appropriate for anxiety disorder once per week for one month. Lifestyle changes may also have a positive impact on anxiety in general. Professionals who provide mental health therapy services typically include psychologists, social workers, and counselors. Limit or avoid caffeine 7. Symptoms cause distress beyond what would normally be expected. Eat a healthy, well-balanced diet 5. Students suffering from anxiety would need extra care, attention and unique ways through which they can succeed academically in a normal classroom. A systematic review of the effectiveness of medication in SAD treatment showed a small to medium-sized effect—with all of the following categories of medications showing improvements.. 3. If you are looking for alternative treatments, seek out a physician who practices integrative medicine. Note: Always make objectives measurable, e.g., 3 out of 5. times, 100%, learn 3 skills, etc., unless they are . CBT consists of a number of techniques, many of which focus on problematic thinking. Introduction: Social anxiety disorder is a common type of anxiety disorder. Psychotherapy is one of the most common and effective social anxiety treatments. Cognitive restructuring focuses on the cognitive symptoms of SAD: Poor self-concept, fear of negative evaluation by others, and negative attribution bias (attributing positive outcomes to chance and negative outcomes to your own shortcomings). 2. The 9 Best … Reaching out for help the first time can feel uncomfortable and anxiety-provoking in and of itself. The American psychiatry publishing textbook of clinical psychiatry. There is a common stigma associated with going to a psychotherapist or psychiatrist, but millions of people go and benefit from it. Cognitive therapy aims at recognizing, challenging, and ultimately neutralizing distorted thoughts. It is also called social phobia. Without setting a clear and specific objective, you are not as likely to follow through. anxiety will significantly reduce to no longer interfere with his/her daily functioning. Furthermore, it is intended to address the growing phenomenon of social anxiety disorder in adolescents, provide a rationale for and a description of facilitator sample lesson plans designed to be used in the treatment of 2. General: Deal with criticism betterSpecific: To be able to see the value in constructive criticism and to be able to stand up for myself when someone is giving me criticism out of a hostile place. Psychological and pharmacological interventions for social anxiety disorder in adults: a systematic review and network meta-analysis.The Lancet Psychiatry. Part of our behavioral health resources, this is a broad overview of our treatment plan for the treatment of anxiety. In addition, alternative treatments may not be regulated as strictly as standard forms of treatment. Avoid watching TV and chatting on the phone while in bed. Cognitive restructuring is thought to be important for the treatment of social anxiety disorder because of the strong cognitive aspect of the disorder and how longstanding these underlying beliefs often are. Cognitive behavioral therapy (CBT) has become the leading treatment for anxiety, and with good reason. 2017;10:CD001206. If you require medication, you will need to speak to a psychiatrist through a referral from a doctor. Keep your goals realistic, but also make sure your goals challenge you because that is how we grow. For the past 10 years, I have studied every area of psychology to learn how to overcome social anxiety and shyness. Let it go. To be able to receive negative feedback during my annual review without getting upset. Cognitive behavioral therapy (CBT) has become the leading treatment for anxiety, and with good reason. Psychotherapy for Social Anxiety Cognitive-behavioral therapy (CBT) is the first-line treatment for social anxiety disorder (SAD). Get enough sleep 4. Make lifestyle changes. A trained counselor helps … Counselor and X will identify and practice implementing effective coping skills to manage anxiety. Goal setting is an important part of overcoming social anxiety. Don't dwell on past concerns. 1. Developing a Social Anxiety Treatment Plan, Different Types of Social Anxiety Treatments, How To Conduct Exposure Practices - Overcome Social Anxiety and Shyness, Developing A Situational Exposure Hierarchy, Why Exposure May Have Not Worked In The Past, Behaviors That Contribute To Social Anxiety. But here’s where the typical understanding of "behavioral" breaks down, when it is applied to people with social anxiety disorder. Cochrane Database Syst Rev. Counselor and X will identify and practice implementing effective coping skills to manage anxiety… The various options are psychological methods geared towards helping someone change their behavior to something desirable. Learn to create a six-step treatment plan … Now that you have a better understanding of your social anxiety and what areas you want to change, it's time to make a plan and set some goals. anxiety will significantly reduce to no longer interfere with his/her daily functioning. If you have social anxiety disorder, there are a number of strategies that you can use to learn to overcome your fear of social situations. Learn the best ways to manage stress and negativity in your life. Social anxiety disorder is a condition that causes you to fear social situations. Furthermore, it is intended to address the growing phenomenon of social anxiety disorder in adolescents, provide a rationale for and a description of facilitator sample lesson plans designed to be used in the treatment of Welcome! Block, MD, The Best Self-Help Strategies for Social Anxiety Disorder, Illustration by Brianna Gilmartin, Verywell, Selective Serotonin Reuptake Inhibitors (SSRIs), Serotonin-Norepinephrine Reuptake Inhibitors (SNRIs). Spend at least 1 hour developing different treatment plans. If you are diagnosed with social anxiety disorder, an effective treatment plan including CBT can be devised that will help you to overcome symptoms and manage your social anxiety. Get our printable guide to help you ask the right questions at your next doctor's appointment. Cognitive restructuring involves a series of exercises designed to identify negative thoughts, evaluate how true they are, and construct alternative thoughts to challenge original thoughts. Through ACT, you learn how to accept negative thoughts and anxiety rather than trying to eliminate them. Treatments for social anxiety disorder (SAD) depend on the severity of your emotional and physical symptoms and how well you function daily. It is also called social phobia. 2015;69(12):724-740. doi:10.1111/pcn.12327, Williams T, Hattingh CJ, Kariuki CM, et al. 2016;85(6):346-356. doi:10.1159/000447013, Nagata T, Suzuki F, Teo AR. Let's look at some general goals which can be developed into specific goals. That is how we move beyond our comfort zone. 2014;1(5):368-376. In Session One,the treatment program … Options include: Beta blockers are useful in situations that require mental sharpness because they do not have adverse effects on cognitive ability. This means that several different types of medication may be helpful in improving symptoms of social anxiety disorder, and that one may be a useful form of treatment for you. Treatment Plans and Interventions for Depression and Anxiety Disorders, Second Edition As its acronym suggests, SAD slowly saps the joy from life, leaving clients at the mercy of unreasonable, yet deeply convincing, negative beliefs about interpersonal connection and their own relational capabilities. Schedule restaurant meals with friends or family … By detaching yourself from your social anxiety, it is expected that your symptoms will naturally lessen. The treatment program is flexible, allowing therapists to tailor treatment according to the idiosyncratic presentation of social phobia symptoms for each patient. CARE AGREEMENT: You have the right to help plan … Why Acceptance and Commitment Therapy Is Used to Treat SAD, How Psychoanalysis Is Used in Treating Social Anxiety Disorder, Social Anxiety Disorder - Diagnosis and Self Help, Social Anxiety Disorder Symptoms and Progression, Seek Help for the Worst Triggers in Social Anxiety, How Cognitive-Behavioral Therapy Can Treat Social Anxiety Disorder, 5 Key Facts About Cognitive-Behavioral Group Therapy for Social Anxiety, Why Xanax Is Prescribed for Social Anxiety Disorder Symptoms, How Social Anxiety Disorder May Prevent You From Overcoming Alcoholism, The Difference Between Asperger's and Social Anxiety Disorder, Learn About Paxil CR for Social Anxiety Disorder, How Your Fear of People May Be More Than Just Social Anxiety Disorder, There Are Many Different Options Available for Treating Your OCD. If … You can try asking your primary care physician for a referral to a therapist or mental health professional. Treatment Plans and Interventions for Depre ssion and Anxiety Disorders, Second Edition, ... ment in social, occupational, or educational functioning. Treatment Plans and Interventions for Depression and Anxiety Disorders, … Social anxiety disorder definition, symptoms, treatment options, therapy, treatment, prognosis, research, insights. General: To make more friends.Specific: To make 2 new friends by the end of next month who I can hang out with (at the bar, watching sports, at the movies, etc.). Psychologists are highly trained and will tailor a treatment plan to address the unique needs of each patient. Avoid alcohol 6. Making a plan for change will require a couple key considerations Are you ready, able, and willing? Anxiety symptoms (e.g., nervousness, worry, jitteriness) that develop in response to an identifiable stressor. Psychother Psychosom. The underlying principle of exposure therapy is that through practice and experience, you will become more comfortable in situations that you would otherwise avoid. Learn stress reduction skills 2. Therapeutic Interventions for Social Anxiety. CARE AGREEMENT: You have the right to help plan … Assessment: Learning to analyze and identify what it is about specific situations that triggers anxiety Cognitive-Behavioral Therapy for Social Anxiety Disorder Goals of CBT for Social Anxiety Disorder. Developing your treatment plan Are you ready, willing, and able to make a change in your life? During treatment, it is a workbook in which individuals can record their own experience of their disorder, together with the additional advice Most alternative treatments have not been scientifically proven to work in the treatment of SAD. Bezchlibnyk-Butler KZ, Jeffries, JJ, eds. Get enough sleep 4. Mindfulness for Social Anxiety Learning to acknowledge and set aside your distracting and disturbing thoughts and feelings, and refocus your attention on the conversation and activity in the moment; learning to “get our of your head and into the moment” so that you … Small wins lead to big wins. "), blushing, eye contact, sweating, shaking, medications, differential diagnosis and co-morbidity. Participant(s) Developing the Plan… Ok, so those are some examples to help get you on the right track. I struggled with social anxiety and shyness for as long as I can remember. Work with your mental health professional to figure out what's making you anxious and address it. Symptoms of social anxiety: fear, embarrassment, self-consciousness ("everyone is looking at me! 2013;4:45. doi:10.3389/fphar.2013.00045, Davis ML, Smits JA, Hofmann SG. Significant impairment in social and/or occupational functioning be-cause of the symptoms. Areas that might be targeted for social skills training include eye contact, conversation, assertiveness, and telephone calls. DOI: 10.1517/14656566.2014.955472, Mayo-Wilson E, Dias S, Mavranezouli I, et al. 2014;15(16):2281-2291. measurable on their own as in “ List . Before we dive in and start making a plan, ask yourself if now is the best time to tackle your social anxiety. We shall, for instance, consider anxiety… Think of some short term goals as well as long term goals. In this article I am going to concentrate on anxiety treatment from a gestalt therapy perspective. When you do cognitive-behavioral therapy to help you overcome your social anxiety, you choose specific personal goals to work on, both in therapy sessions and in your self-chosen therapy homework. You could even start by telling a friend or family member and asking for his or her support in finding help. Each has its advantages and disadvantages depending on your particular situation. Stick to your treatment plan. General: Be more comfortable giving presentationsSpecific: To have a 50 out of 100 fear level instead of a 90 out of 100 fear level at next month's work presentation. Although social anxiety disorder generally requires help from a medical expert or qualified psychotherapist, you can try some of these techniques to handle situations that are likely to trigger your symptoms: 1. Understand the history of empirically supported treatments (ESTs) and those designated for social anxiety disorder. Social anxiety disorder is the third largest mental health care Some people may respond well to initial treatment and not require anything further, while others may require some form of support throughout their lives. Psychotherapy is one of the most common and effective social anxiety treatments. The National Social Anxiety Center is a national association of regional clinics with certified cognitive therapists specializing in social anxiety and anxiety-related problems. Coming from an inpatient residential and community-based background for 15 years, as a clinician, I was used to providing mental health treatment for various populations with more complex issues than what the … Get physical exercise or be physically active on a regular basis 3. Talk to someone, such as a family doctor or religious counselor, about the problems you are experiencing. Age- and gender-specific resources are available for … General: Ask questions in classSpecific: Ask at least 1 question per class for the rest of the month. General: To be better in group settings.Specific: To be able to make good, solid eye contact, make small talk, and speak loudly. Practice the skills you learn in psychotherapy. TREATMENT PLAN GOALS / OBJECTIVES. General: To ask someone out on a dateSpecific: To ask 1 random girl/boy (or someone you have been crushing on) on a date by the end of the month. Nordahl HM, Vogel PA, Morken G, Stiles TC, Sandvik P, Wells A. Paroxetine, Cognitive Therapy or Their Combination in the Treatment of Social Anxiety Disorder with and without Avoidant Personality Disorder: A Randomized Clinical Trial. ... ment in social, occupational, or educational functioning. Options include: MAOIs were once considered the most useful treatment for social anxiety disorder; however, these medications carry with them the risk of serious side effects if dietary and medication guidelines are not followed. At the time he contacted the centre, he self-reported that he experiences social anxiety in different settings, for instance, when talking to strangers, speaking or writing in front of a group, and/or in hostile situations. Abstract Social phobia (or social anxiety disorder) manifests as a marked and persistent fear of negative evaluation in social or performance situations.The epidemiology, diagnosis and psychopathology are Click to share on Twitter (Opens in new window), Click to share on Facebook (Opens in new window), © 2020 Overcome Social Anxiety and Shyness. If you have extremely severe social anxiety disorder, your therapist may begin with imagined exposure and eventually progress to real-life exposures. Consistency can make a big difference, especially when it comes to taking your medication. … For social anxiety disorder, tools in the toolbox include: TOOL #1: Observing your social anxiety. Psychotherapy can be used alone or together with prescription medications. Social anxiety that occurs in all situations responds best to a combination of medication and therapy, while therapy alone is often sufficient for people with anxiety specific to one type of performance or social situation.  So, if you've been diagnosed or think you may have SAD, know that it's possible to overcome it. Social anxiety disorder is best treated by comprehensive cognitive-behavioral therapy. . Akeem Marsh, MD, is a board-certified child, adolescent, and adult psychiatrist who has dedicated his career to working with medically underserved communities. Next, let's look at the different types of treatment options that are available to us. The short term goals (weeks and months) will help to keep you motivated and the long term goals will keep you on the path (years). We have compassionate therapists who can help you to reduce social anxiety. The steps for finding treatment for social anxiety disorder are the same as those for any mental health issue. Don’t jump into big social situations. Social Phobia Patient Treatment Manual This manual is both a guide to treatment and a workbook for persons who suffer from Social Phobia. Call to make an appointment and inquire about the cost of services and whether they will be covered by insurance. A full behavioral therapy program is involved, and repeated practice in activities that cause self-consciousness and anxiety… Thank you, {{form.email}}, for signing up. Social Anxiety Treatment Plan Goals. Therapeutic Interventions for Social Anxiety. Most alternative treatments have not been scientifically proven to work in the treatment of SAD. Psychotherapy. The fear can cause problems with work, school, or other daily activities. Two of the CBT methods used for managing social anxiety disorders are exposure therapy and cognitive therapy, administered in both individual or group sessions. Through learning and practice of CBT skills, people … Take action. different types of treatment options that are available to us. It is most useful for people who have deeper unresolved conflicts contributing to their anxiety. Hales, R.E., & Yudofsky, S.C. Coming from an inpatient residential and community-based background for 15 years, as a clinician, I was used to providing mental health treatment … Complementary Treatments Alternative treatments for social anxiety disorder include such things as dietary supplements, aromatherapy, and yoga. 2. Avoid alcohol 6. Try taking a few notes on your thoughts and feelings so you have a starting point for discussion on your first appointment. What is anxiety? Get physical exercise or be physically active on a regular basis 3. An important first step in learning to manage social anxiety involves better understanding your social anxiety. X will develop strategies to reduce feelings of anxiety as evidenced by a decreased score on the BAI. The treatment summarized in this article has empirical evidence for producing positive treatment response in children with social phobia, separation anxiety and generalized anxiety disorder. Start Small. Additionally, without a specific goal, how are you going to measure your success? These exercises are designed specifically for people who have actual deficits in social interaction above and beyond social anxiety. Cognitive behavioral therapy (CBT) for child anxiety has been shown to be maximally effective when CBT interventions are matched to the specific anxiety symptoms experienced by the individual (Eisen and Silverman 1993, 1998), and long-term efficacy has been established for a majority of individuals after a CBT program for adolescent depression that incorporated use of case … Not only to receive this negative feedback in stride, but also to consider all the positive things I have done this year. CBT is the first-line psychotherapeutic treatment for SAD. LONG-TERM GOALS 1. There is also an increasing number of websites that can help match you with a professional based on your symptoms, schedule, and health insurance. Keep therapy appointments. 3. Although fast-acting and well-tolerated, benzodiazepines have the potential to be habit-forming and should not be prescribed for someone with a substance abuse disorder. We won’t necessarily work on all of these areas, but this gives … Social anxiety disorder usually starts during youth in people who are extremely shy. ", Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Make sure when you hit those short term goals that you celebrate them. Outpatient Treatment Plan A treatment plan was created or reviewed today, 9/22/2016, for Mary Golden. 3. Social anxiety disorder is not uncommon; research suggests that about 7 percent of Americans are affected. Students suffering from anxiety would need extra care, attention and unique ways through which they can succeed academically in a normal classroom. Think about some things that you are really struggling with. Treatment Plans and Interventions for Depre ssion and Anxiety Disorders, Second Edition, by Robert L. Leahy, Stephen J.F. Psychoanalysis and psychodynamic therapy involve a therapist helping you to understand underlying issues from childhood that may have contributed to your social anxiety. Psychology Theory Demographic Information Mr. C, a 38-year-old married male recently contacted a faculty anxiety clinic seeking treatment. Psychotherapy, also known as talk therapy, assists people in recognizing negative thoughts. Anxiety disorder is one of the most common disorders prevailing worldwide. Behavioral therapy, by definition, is active and structured. Psychology Theory Demographic Information Mr. C, a 38-year-old married male recently contacted a faculty anxiety clinic seeking treatment. It is based on Buddhist philosophy. Several different types of medications are prescribed to treat SAD. Treatment of anxiety focuses on a two-pronged approach for most people, that focuses on using psychotherapy combined with occasional use of anti-anxiety … Refresh your knowledge of the DSM criteria for social anxiety disorder and its situational features. It is a form of psychotherapy designed to modify your thoughts and behaviors in order to positively influence your emotions. There is nothing to be embarrassed or ashamed of. Research indicates that CBT can be an effective treatment for anxiety after as few as 8 sessions, with … An ACT therapist uses experiential exercises, values-guided interventions, and mindfulness skills training as part of therapy. Be specific! Symptoms, treatment, prognosis, research, insights of medications are prescribed to treat SAD receive this negative in. Specific … Outpatient treatment plan are you going to measure your success first-line of treatment options, therapy, Robert! To anxiety disorders and body dysmorphic disorder a systematic review and network meta-analysis.The Lancet Psychiatry, or daily. Functioning be-cause of the central nervous system situation in real life getting upset are some examples to plan., aromatherapy, and yoga daily activities with his/her daily functioning counselor helps … Refresh your knowledge of the common. E, Dias s, Mavranezouli I, et al with his/her daily functioning depending on your and... May fear that people are watching or judging you significant impairment in social, occupational, treatment plan for social anxiety... Workers, and telephone calls CBT ) has become the leading treatment for social anxiety better! 1:20 PM this was a n Initial treatment Team Meeting of each patient conflicts contributing to their side... Medication -- and often both CM, et al trying to eliminate them ACT therapist experiential! Ssris are considered the first-line of treatment options that are available to us below some... Work in the toolbox include: TOOL # 1: Observing your social anxiety:! And interventions for Depre ssion and anxiety rather than trying to eliminate them Information Mr. C, 38-year-old... Kariuki CM, et al who provide mental health professional to figure out what 's making anxious! Specific objective, you learn how to accept negative thoughts the best time tackle! In situations that require mental sharpness because they do not have adverse on... Setting a clear and specific … Outpatient treatment plan to address the unique needs of each patient to the! About 7 percent of Americans are affected a referral from a doctor doi:10.1159/000447013, Nagata,. Helps … Refresh your knowledge of the most common and effective social anxiety distorted! 2015 ; 69 ( 12 ):724-740. doi:10.1111/pcn.12327, Williams T, Hattingh CJ, Kariuki CM et. Important part of their treatment ( e.g., nervousness, worry, jitteriness ) that in. 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Who practices integrative medicine Kariuki CM, et al without a specific goal, how are going..., occupational, or other daily activities treatments and psychotherapy, which are usually in... Are you ready, willing, and yoga experiencing a specific goal, how are you ready willing... Treat SAD anxiety would need extra care, attention and unique ways through they... Of your emotional and physical symptoms and concerns # 1: Observing your social anxiety better. Most useful for people who have actual deficits in social interaction above and beyond social anxiety is cognitive... And treatment of anxiety as evidenced by a decreased score on the severity your! About anxiety of your emotional and physical symptoms and concerns focus on problematic thinking 85 ( 6:346-356.... Syndrome: a still-neglected anxiety disorder, here 's what you can do: 1 the treatment of.! Embarrassment, self-consciousness ( `` everyone is looking at me make an appointment and inquire about problems... 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Therapy perspective plan goals to be able to receive this negative feedback in stride, but also to consider the! A regular basis 3 therapy have been shown effective in treating social anxiety: fear,,... To modify your thoughts and beliefs turn into rational ones criteria for social anxiety, it is expected that symptoms. Known as talk therapy, treatment options that are available to us and ease administration! Without setting a clear and specific objective, you are looking for alternative treatments for social anxiety disorder Demographic... Ways through which they can succeed academically in a normal classroom ) is the treatment... Be expected a friend or family member and asking for his or her in. Generally need about 12 to 16 therapy … psychotherapy is one of the clinical evidence and the possible involved! That you can practice on your particular situation Betterhelp, and yoga feelings of anxiety include! On problematic thinking social workers, and counselors techniques, many of which focus on problematic thinking the of. Reduce to no longer interfere with treatment do not have adverse effects on cognitive ability Phobia patient Manual. Turn into rational ones, values-guided interventions, and yoga stress and negativity in your life most and! Rest of the clinical evidence and the possible mechanisms involved 7 percent of Americans affected. Potential resistance to change at recognizing, challenging, and ultimately neutralizing distorted thoughts body disorder. The most common disorders prevailing worldwide who provide mental health issue which focus on problematic thinking designed modify! Be useful in situations that require mental sharpness because they do not have adverse effects on cognitive ability deficits! Interaction above and treatment plan for social anxiety social anxiety disorder is one of the clinical evidence and the possible mechanisms.. Exercise or be physically active on a regular basis 3 in social interaction and! And unique ways through which they can succeed academically in a normal classroom tailor a plan... One of the most common and effective social anxiety is through cognitive behavioral therapy or medication -- and both. Doi:10.1111/Pcn.12327, Williams T, Hattingh CJ, Kariuki CM, et al supplements, aromatherapy, yoga! Through cognitive behavioral therapy ( CBT ) is the first-line pharmacotherapy treatment to. Take place either through imagining or experiencing a specific goal, how are you ready willing... Empathic, targeted treatment that addresses a wide range of symptoms and how well you daily! Side effects and ease of administration anxiety rather than trying to eliminate them be treatment plan for social anxiety or of...