Succeed as a Student, Bounce Back Joyce Chong Succeed as a Student, Bounce Back Joyce Chong

The Life of a Socially-Anxious Student

Living with social anxiety as a student can be challenging - speaking up in class, group assignments, public speaking, gaining work experience, making friends … the list of social situations is endless. But there’s no need to suffer further…read on to find how to go from surviving to thriving in your studies.

Tips for social anxiety treatment for students - The Skill Collective psychologists and counselling in Subiaco Perth

The life of a socially-anxious student

by Olivia Kingsley

 

Life as a socially-anxious student can be challenging. There are so many study-related situations that have a social component – public speaking, being called on unexpectedly in class, introducing yourself to someone new, forming friendships and working relationships, talking to teachers and lecturers, and so on.[1] These alone can cause discomfort, however for students with social anxiety, the discomfort is amplified to fear and dread. The fear of negative evaluation can be so overwhelming that they avoid situations altogether or endure them with high levels of distress. [2].  Needless to say, experiencing a constant state of anxiety can hamper your studies by affecting your ability to focus on what your teachers and lecturers are saying, on learning the topic at hand. So, let’s dive deeper into what social anxiety is, and how students with social anxiety can go from enduring and surviving, to thriving at university.

  

Shyness vs. social anxiety in students: What’s the difference?

Let’s first clarify the distinction between shyness and social anxiety and how they manifest in students. Being shy and having social anxiety disorder are not the same thing, and yet the two are often used interchangeably. Unfortunately, even those who suffer from social anxiety disorder may dismiss their symptoms as extreme shyness. So what are some of the key symptoms of social anxiety, and how do they differ from shyness?

According to the DSM-5, social anxiety disorder is an intense fear of social situations where one feels like they are in danger of being negatively judged by others [2]. Whilst interactions such as meeting new people, talking in meetings, going to work or school, or being seen in public can cause discomfort to someone who is shy, social anxiety features when the anxiety is disproportionate to the situation and interferes with the ability to function as a student (e.g. stops them from turning up to class or affects their marks because they won’t speak up in class) or simply the act of functioning as a student causes significant distress.

 

Let’s take a look at Matt and Alex’s situations:

Matt has just started university, and is nervous about attending his first tutorial and meeting new people. In the lead up to it he is concerned about not knowing what to say or how to act as he wants to make a good first impression. When it comes time for Matt’s first class, he notices his heart rate is a bit elevated and his palms feel sweaty. However, over time he notices others are like him and he feels more comfortable in class and even contributes to class discussion. He ends up having a 100% attendance rate, and fulfills his class participation requirement.

Alex has also just started university, and like Matt, is very nervous about going to tutorial classes and meeting new people. Alex has all of the same worries as Matt about knowing what to say or act, and also wants to make a good impression. However, Alex assumes that others will think negatively of him, and is constantly on the lookout for signs that others disapprove of what he says or does. Alex is also worried that because he feels anxious, others can see right through him. Due to the intense anxiety that he experiences, Alex avoids going to class and only gets 30% attendance, and fails his class participation mark.

 

Some of the key differences between Matt, who is shy, and Alex, who has social anxiety, are:

  • The ability to challenge negative thoughts and check in with what is happening in reality

  • The intensity of the distress/anxiety experienced

  • The level of avoidance

  • The negative impact the anxiety has on academic performance

In other words, Alex is focused on his inner experience (physical sensations, fear, thoughts) and not noticing what is actually happening around him. Both students share the same concerns about being in a new social situation, but Matt is able to evaluate the situation and manage his distress so that it does not interfere with his performance.


 How is social anxiety maintained?

Social anxiety is maintained through various factors. Models of social anxiety suggest a central role for anxious cognitions, including unhelpful core beliefs and assumptions, interpretations, and thinking styles. Regarding unhelpful core beliefs and assumptions:

  • People with social anxiety have negative beliefs about themselves and their ability to handle social interactions. Examples include “I’m odd/weird”, “I’m different”, “I’m unattractive” or “I don’t have the skills to cope with giving a talk on my topic.”

  • People with social anxiety may have excessively high standards for their social performance, for example, “I must get everyone to like me”; “I must always be funny and witty”;I must never let anyone see that I am anxious.” These unrealistic standards cause anxiety as they are often impossible to achieve, and lead to the perception of constantly failing in social situations.

Holding such core beliefs and assumptions, it’s easy to see how evaluative situations can trigger anxiety and its associated fight/flight response. The physical symptoms from the fight/flight response, in turn, can exacerbate social anxiety as the student worries their anxiety symptoms are visible (e.g. blushing, shaking voice, sweating, shaking) and that others can see they are losing control. 

Unhelpful interpretations and unhelpful thinking styles may be also at play in social situations . These are inaccurate yet accepted as reality, and may include: [3][4]

  • Emotional reasoning wherein the student believes that because they feel embarrassed that they have embarrassed themselves (that is, believing that feelings reflect reality).

  • Mind reading in which the student assumes they know what others are thinking, for example, “Why did she look at me that way when I was talking about photosynthesis? She must think I’m an idiot.”

  • Catastrophic thinking, or assuming the worst case scenario will occur, for example, “Going to this class will be a disaster because I won’t be able to get my words out, and others will laugh at me”.

As a result of unhelpful thoughts and thinking styles, people with social anxiety can then behave in ways that maintain their anxiety about social situations. For example, they may: 

  • Avoid social situations (and the possibility of negative evaluation). Avoidance is a key factor maintaining social anxiety. While avoidance brings immediate relief, it removes any opportunity to test if negative beliefs are real, nor to experience positive social interactions.

  • Engage in safety behaviours. ‘Safety behaviours’ help reduce distress temporarily during feared social situations, but the person then comes to rely on these safety behaviours to endure subsequent social situations (thereby worsening anxiety in the longer term).  These may include avoiding eye contact, not speaking up, speaking quickly, wearing headphones to avoid initialling conversation, ‘hiding behind’ more sociable friends during conversations, or using alcohol to reduce anxiety.

In some instances, perfectionism may actually be a coping style used to help escape scrutiny and negative evaluation.


How social anxiety AFFECTS student life (and beyond)

Student life is full of social requirements - speaking up in classes and lectures, working with others in group projects, making small talk with other students, making new friends, and planning for the futures by organising work experience and job interviews. Given that most of these student situations involve an evaluative component, and that social anxiety is characterised by a fear of negative evaluation, social anxiety can indeed make thriving as a student extremely difficult. Here are some of the negative impacts of social anxiety on student life (and beyond):

 

Social anxiety and academic performance

Excessive social anxiety can negatively impact academic achievement.[5]. Being involved and engaged in social and academic activities is considered to be a key contributor to academic achievement, but this can be really challenging for someone with social anxiety [5] Ways in which social anxiety can affect academic performance include:

  • Not asking for help from tutors or lecturers when they don’t understand something, instead trying to figure it out for themselves

  • Avoiding asking someone to proofread their work

  • Avoiding sharing ideas in group projects

  • Avoiding study or peer support groups

  • Not contributing to class discussions (and thus missing out on participation marks) or avoiding classes entirely.

  • Purposefully avoiding units containing public speaking assessments or group work, despite being interested in the content.

 

Social anxiety, health and wellbeing

Students with social anxiety can often experience loneliness and isolation, and report lower levels of life satisfaction and wellbeing compared to those without social anxiety.[6]. Late teens/early twenties is also a time where many students may begin to experiment with alcohol, and this can be a slippery slope for those with social anxiety who might use alcohol to calm nerves. Indeed, research has shown that social anxiety is associated with problematic alcohol use.[7]

 

Social anxiety and life beyond your studies

Another important part of university life is setting yourself up for when you finish your studies. Establishing your career often means stepping outside of your comfort zone by attending networking events, going to job interviews, gaining work experience, and talking to people in your chosen profession. Students with social anxiety often find it difficult to take these first steps, and even if they are given the opportunity to do so, they may turn it down altogether. In fact, research has found that around 20% of people with social anxiety disorder report declining a job offer or promotion because of social fears.[8]

 

 

Tips to manage social anxiety as a student

Despite the availability of effective treatments, only about 50% of individuals with social anxiety disorder ever seek treatment, and those who do end up seeking treatment only do so after 15- 20 years. [9] Sadly, it is a very long time to live with discomfort every day, when there are effective treatments that can help. Grab our tip sheet on 7 tips for Living with Social Anxiety below, and here’s a sneak peek of what helps:

1.     Seek help from a mental health professional

Treatments such a cognitive behavioural therapy (CBT) have been shown to be effective in the treatment of social anxiety [10] and at The Skill Collective it’s something we help students with on a regular basis. Things we can help with include:

  • Becoming more comfortable speaking up in class and being the focus of attention

  • Learning how to better manage public speaking anxiety (see also our public speaking anxiety program, Speaking Volumes)

  • Making small talk in a variety of situations (speaking to teachers/lecturers, other students)

  • Managing anxiety when it comes to job interviews

 

2.     Challenge your avoidance

Avoiding social situations may provide temporary relief, however it actually increases anxiety in the longer term. While it may seem like the last thing you want to do, pushing yourself out of your comfort zone and putting yourself in social situations that seem scary is the best way to realise these situations aren’t as daunting as you think!

What might challenging avoidance look like? It could be turning up to lectures in person instead of watching them online, leaving your camera on if meeting up online, attending study groups, or even saying hello to another student where you normally would stay silent - pushing yourself out of your comfort zone is an effective way to challenge your fears and to help you learn that you can cope with the discomfort. Remember, practice makes progress, so don’t expect to feel comfortable straight away.

 

3.     Take Action NOW

Please don’t be a social anxiety statistic and suffer in silence for 15-20 years before taking action. [9] That is a very long time to live in fear every single day, particularly when effective treatments for are available. Get a handle on social anxiety NOW so that its impact on your studies, social life, and future career are minimised, and you can go from surviving to thriving. Your future self will thank you for it.




References

[1] Russell, G., & Topham, P. (2012). The impact of social anxiety on student learning and well-being in higher education. Journal of Mental Health21(4), 375-385

[2] American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

[3] National Collaborating Centre for Mental Health (UK). Social Anxiety Disorder: Recognition, Assessment and Treatment. Leicester (UK): British Psychological Society; 2013. (NICE Clinical Guidelines, No. 159.) 2, SOCIAL ANXIETY DISORDER. Available from: https://www.ncbi.nlm.nih.gov/books/NBK327674/

[4] Clark, D. M. (1995). A cognitive model. Social phobia: Diagnosis, assessment, and treatment, 69-73.

[5] Beck, A. T., Emery, G., & Greenberg, R. L. (2005). Anxiety disorders and phobias: A cognitive perspective. basic Books.

[6] Brook, C.A., Willoughby, T. The Social Ties That Bind: Social Anxiety and Academic Achievement Across the University Years. J Youth Adolescence 44, 1139–1152 (2015). https://doi.org/10.1007/s10964-015-0262-8

[7] Mendlowicz, M. V., & Stein, M. B. (2000). Quality of life in individuals with anxiety disorders. American Journal of Psychiatry157(5), 669-682.

[8] Schry, A. R., & White, S. W. (2013). Understanding the relationship between social anxiety and alcohol use in college students: A meta-analysis. Addictive Behaviors38(11), 2690-2706.

[9]  Stein, M. B., & Kean, Y. M. (2000). Disability and quality of life in social phobia: epidemiologic findings. American Journal of Psychiatry157(10), 1606-1613.

[10]  Hofmann, S. G., & Otto, M. W. (2017). Cognitive behavioral therapy for social anxiety disorder: Evidence-based and disorder-specific treatment techniques. Routledge.


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Succeed as a Student, Achieve Joyce Chong Succeed as a Student, Achieve Joyce Chong

Anxiety on campus: What students need to know about anxiety and how to manage it

Anxiety is on the rise amongst university students, so what do students need to know about anxiety on campus and how to manage it?

Anxiety on Campus: What students need to know about managing anxiety

by Sylvie Seguin and Joyce Chong

 

The start of a new academic year at university is a time of fresh starts, hope, and optimism for a good year ahead. Unfortunately, students also face a range of potential stressors –pressure to perform, adjusting to a new environment and new social networks, relationship difficulties, financial strain…it’s no wonder that anxiety and other mental health difficulties are on the rise. Indeed, research out of the US suggests that 1 in 5 college students face anxiety, and closer to home a study of tertiary students indicated that around 80% of students felt their anxiety and/or stress affected their studies.


What is anxiety and how does it affect students?

Anxiety is an evolutionary response that your brain sets off so as to protect you from danger – it’s a Fight or Flight response that helps you get to safety as it quickens your heart rate and breathing rate so that the muscles that you need to get to safety or to protect yourself are working at their peak. At its extreme, anxiety can result in a heightened state of panic.

Question is – what is your brain trying to protect you from on campus? Well, contrary to what some may think, being a student really is a challenging job, with these just being a few pressures students face:

  1. Threats to academic performance (Study threats)

  • Pressure to perform, potentially to get into highly competitive postgraduate courses.

  • Identifying a career path and finding employment in your desired field in a competitive market.

    2. interpersonal threats (social threats)

  • Social anxieties ranging from meeting new people, talking to lecturers and tutors, having to contribute in tutorials, group projects, public speaking, and navigating social media.

  • Juggling relationships (friendships, family, partners) including dealing with conflict.

  • Dating and building friendships, coping with rejection.

    3. Threats to your way of life (STUDENt life threats)

  • Becoming more responsible as you ‘unlock’ the next stage of life…or, adulting!

  • Financial strain from finding money to make rent, pay for necessities, and also having enough for social engagements and self-care.

  • Looking after yourself (self-care).

  • Balancing all of the above

    4. Threats to your sense of self (Identity threats)

  • Knowing who you are.

  • Feeling comfortable in your identity.

When faced with these challenges, it’s easy to see how anxiety can set in. As part of this reaction, anxiety triggers Fight or Flight responses that negatively impact on your studies. For example:

  • Feeling anxious about speaking up in class may lead you to either over-prepare a highly rehearsed speech (Fight), or avoid speaking up altogether (Flight)

  • Feeling anxious about money so spend an excessive amount of time in paid work (Fight), potentially to the detriment of your studies, or to avoid looking at your bank balance and go shopping instead (Flight)

  • Feeling anxious about your employment prospects and so focus overly on working (Fight) to the detriment of studying, or to hope for the best and tell yourself that grades alone will get you there (Flight).

 

Tips for managing anxiety on campus – what students need to know

Even if you recognise signs of your own Fight/Flight response, all is not lost – the fact you’re aware is the first step! Here are some more tips to help you manage your anxiety better.

1.     Set yourself realistic and sustainable goals

Whether your concern is your studies, social situations, your finances…whatever they may be…making progress involves setting realistic goals that move you in the right direction. For example, having a routine where you study for 2 hours each day during the working week may be more convincing that trying to study for 8 hours each day for every single day of your degree.

 

2.     Prioritise self-care and balance

Too often, self-care is the first thing to go when stress increases because “there’s not enough time”. However, it is one of the most important things you can do for your wellbeing – time and time again, sleep, nutrition, and exercise have all been shown to be helpful. So set limits around your work, and protect some time for play (and rest!).

 

3.     Check your thoughts

Thoughts can fuel anxiety, or dampen it down – which direction do your thoughts drive you towards? Self-talk such as “I must pass…my entire future depends on it!” only serves to increase your anxiety, so choose alternative self-talk that decreases your anxiety (e.g. “I can pass this, and I’ll do my utmost to, but I also know plenty of people who have failed one unit and it hasn’t significantly affected their futures – this ONE unit is not the be all and end all.”

 

4.     Talk it out with someone – seek help, and do it sooner rather than later

Anxiety is very common amongst university students, so it’s unlikely that you’re all alone in how you feel. The problem is that stigma can get in the way of getting you back on track early on, and what may end up happening is that anxiety builds to a peak when the pressure is really on – that is, during exams.

So:

  • Speak to a trained health professional to learn practical skills to help manage anxiety. We love working with tertiary students and have extensive practical knowledge of working with them using science-backed ways that bring real change to students’ lives when it comes to living with anxiety.

  • Practice your skills regularly… no matter what skills you learn, it’s critical to practice them regularly. Time and time again we see students fall down in spite of knowing what to do…they don’t actually use what they’ve already learnt! When faced with a high stress situation, then, they’re out of practice and too overwhelmed to pick it up quickly.

In short, take action on your anxiety on campus sooner rather than later, and be sure to keep up with practice!

 


References

[1] Headspace (2017). National tertiary student wellbeing survey 2016. https://headspace.org.au/assets/Uploads/headspace-NUS-Publication-Digital.pdf

[2] Orygen, The National Centre of Excellence in Youth Mental Health (2017). Under the radar: The mental health of Australian university students. Melbourne: Orygen, The National Centre of Excellence in Youth Mental Health. https://www.orygen.org.au/Policy-Advocacy/Policy-Reports/Under-the-radar/Orygen-Under_the_radar_report.aspx?ext=.


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