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WHAT IF THEY SAW HOW ANXIOUS I WAS? SOCIAL ANXIETY AND THE DESIRE TO CONCEAL IT

Learning to Hide

One of the most common fears that I see, and help individuals with high levels of social anxiety learn how to manage, is the fear of their anxiety itself being observed by others. Of course, it’s not just that some sign of one’s anxiety will be visible, but that it will be followed by some form of negative evaluation or judgment that can greatly exacerbate the distress experienced in a social situation.

Naturally, in response to this perceived threat of social judgment or rejection, one might start to develop a habit of trying to hide or conceal any sign of their anxiety being visible to others. For example, if you are worried about others being able to see that your hands are shaking, you might try to grip tightly to the cup or notebook you are holding. Or, if you are worried about your voice or facial expression betraying an anxious mood, you might inhibit or restrict your interactions or eye contact with others.

Ultimately, what often develops is a pattern of focusing on, and being preoccupied with, monitoring any sign of anxiety that might be present and trying to conceal it as a means of avoiding some dreaded social outcome. In fact, studies demonstrate that individuals with high levels of social anxiety often over-estimate the degree to which others can observe symptoms of anxiety, as well as how critical others will be of these symptoms. But, is trying to conceal signs of anxiety always a maladaptive response? And where might this behavior have served a function in our past?

Socially Anxious Ancestors?

From the standpoint of evolution, there is some evidence that self-monitoring and concealment of anxious signals might serve as a mechanism developed to advance social goals and the likelihood of advancement or dominance within a group. For example, chimpanzees have been observed concealing social signals of anxiety, such as covering their face, when approaching a more dominant member of the group. If such signals of fear were to be observed, it might jeopardize the chimpanzees claim for social status.

Translating this back to humans, there well may be certain situations in which it is more adaptive to not display signals of an underlying nervousness. The old adage of a “poker face” during a game where others are scrutinizing your non-verbal behavior would certainly apply, as would George VI performing a “King’s Speech” to inspire others during wartime.

When it comes to chronic social anxiety, it’s not that concealing signs of anxiety is necessarily maladaptive or pathological in and of itself. Rather, when the habitual preoccupation and self-monitoring of potential anxiety signals being observed and catastrophically judged escalates, it begins to be further anxiety inducing itself. Additionally, it interferes with efforts at social connection and a positive self-image.

Not only does trying to control and inhibit anxiety in this way often backfire and create more anxious thoughts, it will often exacerbate the physiological symptom itself. Trying to grip a cup of water ever tighter to prevent someone observing shakiness will likely lead to more shakiness compared to loosening and relaxing your grip over time. In situations such as these, hiding anxious signals and attempts to avoid their potential fallout becomes maladaptive. Ultimately, opportunities must be created to practice releasing efforts at concealment and test out if the feared consequences indeed occur, or if your assumptions and expectations need to be adjusted.

Testing the Waters

Knowing that a pattern of focusing on and acting to conceal signs of social anxiety only exacerbates the anxiety, designing “behavioral experiments” as part of CBT (cognitive-behavioral therapy) has shown to be an effective strategy to break this habit and test out the feared consequences of stopping self-monitoring and attempted control of anxious symptoms (which also happens to create more anxiety).

One easy way to do this is to think in terms of an “if…then” statement of what might happen if you changed this behavior. For example, “If I loosen my grip on the cup I’m holding when anxious, then my hand shaking will be visible to others at the table and they will think something is wrong with me.” Or, “If I look others in the eye, then they will see how nervous I am and think I’m weak.” Next, we need to set a specific goal to try to not focus on or try to conceal the anxious symptom in order to truly test out if a) it was even noticeably observed by others, b) if the feared consequence or judgment occurred, and c) if you were in fact able to cope effectively with the situation regardless.

As you summon the courage to follow through with your experiments, it’s important to remember to think of them as just that: experiments which you need to continue in order to repeat to gather a significant amount of data, which you will eventually draw conclusions from. Over time, continue to create these learning opportunities to test out if and how bad it will be if you don’t try to control / hide signs of anxiety, and practice mindfully shifting your focus steadily away from preoccupation with how you are presenting, and back towards the person or situation in front of you. This will allow the fear and catastrophizing of anxiety being observed and judged to diminish, and you can always reserve this strategy of concealment for the next high stakes poker game.

How to Get Help for Social Anxiety

The National Social Anxiety Center is a national association of regional clinics with certified cognitive therapists specializing in social anxiety and anxiety-related problems. We have compassionate therapists who can help you to reduce social anxiety. Currently, we have regional clinics in San Francisco, District of Columbia, Los Angeles, Pittsburgh, New York City, Chicago, Newport Beach / Orange County, Houston / Sugar Land, St. Louis, Phoenix, South Florida, Silicon Valley, Dallas, Des Moines, San Diego, Baltimore, Louisville and Philadelphia. Contact our national headquarters at (202) 656-8566 or visit our Regional Clinics contact page to find help in your local area.

Written by,

Robert Yeilding, Psy.D.

NSAC – Newport Beach / Orange County

REFERENCES:
Gilbert, Paul. Evolution and social anxiety: The role of attraction, social competition, and social hierarchies. December 2001Psychiatric Clinics of North America 24(4):723-51