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Social Anxiety Help is a founding regional clinic of the National Social Anxiety Center (NSAC): nationalsacenter.com


My name is Dave and I'm a 37-year old straight, white male who grew up in an upper-middle-class home in the United States.

As a teenager, I struggled with shyness and low self-esteem, specifically with regard to my physical appearance and feelings of attractiveness. When my family moved to a new state when I was 15, it proved so difficult for me to come out of my shell and make friends, I did the opposite by withdrawing completely.

I told myself I'd start over in college, which I did by making some of the best male friends of my adult life in the first few days, but I continued to have little to no knowledge or experience in attracting and dating women.

This continued after college, as it only seemed to get harder in the real world. Each year that passed, I felt more and more embarrassed about my lack of experience with women. This created a negative feedback loop as it affected my self-esteem, thus making it increasingly difficult for me to gain the courage to gain the experience I so desired.

Finally, at the age of 25, I learned about social anxiety disorder when a coworker mentioned she had been living with it, and taking prescription drugs to keep her anxiety in check. She seemed completely normal to me - young, attractive, friendly.

My curiosity led me to the internet where I learned the telltale symptoms. Everything I read reminded me of myself and my experiences. Until then, I was fully aware of my introverted nature and tendency to be shy, however I was unaware of the degree to which my thoughts and perceptions had been distorted by negative self-talk.

After reading about the effectiveness of Cognitive Behavioral Therapy, I was excited to find a CBT group in Washington, DC led by Larry Cohen. Getting up the nerve to attend the free introductory session was a challenge, however the information I learned once there only made it easier for me to commit to the next 20-week class.

The therapy program was well-structured, and I learned that structure is exactly what I required to consistently work on overcoming my social anxiety. Experiments were performed on a weekly basis, and we had handouts which encouraged us to systematically record our thoughts and experiences between classes. Each member of the group was able to work at their own pace, and customize experiments to address their own particular fears. Being in a group environment allowed us to continuously provide feedback to one another. I was surprised to find how much I came to value my classmates' feedback.

We also used role playing to experience anxiety-provoking situations in a safe environment. Each week, Larry introduced us to a new technique for overcoming our anxieties. Examples include cognitive restructuring [changing our distorted thinking], visualization and relaxation techniques. Since we were exposed and encouraged to try a variety of techniques, we were each able to figure out which approach worked best. While we worked on experiments each week, later in the therapy, time was spent focusing on our core beliefs, those attitudes which define the way we see ourselves, others, and life in general. This deeper focus allowed me to greatly improve my self-esteem.

Twelve years later, I can still say my experience with Cognitive Behavior Therapy changed my life for the better. Between educating myself on social anxiety and learning proven techniques to overcome it, I left the group feeling as though I was better equipped to face my fears, and the world.

The early results manifested themselves in the workplace and amongst friends, but with additional time and effort, I began building the kind of dating life I always wanted too.

Today, my sense of self-esteem is strong, and only getting stronger. The ability to overcome social anxiety, and all the smaller fears that fed into it helped give me the courage to take big risks later in life. I left my last job and the United States at the end of 2007 for a dream trip around the world. I visited 20 countries in a little over a year, found a new home in South America, and transitioned into a new career as a travel writer and entrepreneur.

There were times in my teens and early 20s when I feared I'd never be in a relationship. Looking back, I'm beyond grateful that I never gave up on myself, nor the ability for me to create the life I desired. I only wish I'd learned about social anxiety and cognitive behavioral therapy sooner.



M's Story

31-year-old gay, white man
Washington, DC

"I can just be me....
I moved forward. I took a risk, and the result has paid itself out so many times!"

T1's Story

33-year-old African American female
Washington, DC

"I needed to present this facade of perfection.
I didn't want to be another stereotype.
For me, I was representing my entire race
at such a young age, at 14."

K's Story

33-year-old married, white woman
Maryland, suburban DC

"I felt like I didn't really fit in with most people...
I felt like I was just bad at having conversations,
that I never knew what to say."

R1's Story

30-year-old African-American woman
Washington, DC

"I was bullied by all of my classmates....
I am a good person. No one can ever make fun of that."

Liz's Story

(audio & written)
27-year-old Hispanic woman
Maryland, suburban DC
(immigrant from Peru)

"People are finally starting to see me differently.
I'm pretty confident that there are going to be more great things along the way
that are still there for me to discover later.
Social anxiety therapy has really changed my life."

S's Story

44-year-old single, female nurse
Washington, DC

"My life is different now.
I feel like I can be who I always was inside."

I's Story

(audio and written)
56-year-old gay male, retired investment banker
Washington, DC

"It is possible to find personal strength and happiness."

Mike's Story

34-year-old Jewish man
Costa Rica, Central America
(formerly of Maryland, suburban DC)

"I finally had the courage to do things I'd always hoped I'd be able to do"

C's Story

33-year-old transgender, white woman
Maryland, suburban DC

"I fell into a core belief that 
I'm fundamentally different and defective
 and that I have nothing in common with 
those I perceive to be 'normal.'"

R2's Story

26-year-old African American woman
Washington, DC

"I was living too much in my head,
instead of being mindful and in the moment in social situations."

J's Story

24-year-old gay man
Washington, DC

"Did I fit in? Was I gay enough?"

T2's Story

29-year-old South Asian man
Washington, DC

"Would people notice my nervousness?
Would I say something dumb?"

Judy's Story

(National Public Radio audio broadcast)
57-year-old white lesbian
Washington, DC

"Now it just seems like the experiments I did in the very beginning look so easy to me,
that I could do it without even thinking or without becoming at all nervous."

Justin's Story

25-year-old white man
Washington, DC

"Just having any person stopping by my cubicle at work
would bring feelings of trembling, blushing, sweating, and extreme tension."

If you have any questions or comments,
please email Larry Cohen, LICSW,
with offices in Washington, DC.

[Larry Cohen, LICSW, does not endorse any of the products or services advertised by others on this website.]

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