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


As I write this, I am on a bus traveling from San José, Costa Rica, to Managua, Nicaragua. Lots of people travel to Nicaragua on vacation; although very poor, it's also a beautiful country. However, that is not the purpose of my trip. As per my Costa Rican tourist visa, I am required to leave Costa Rica every 90 days for at least 72 hours. This is the third time I've done this, as I have actually been living in Costa Rica for nine months.

For the past nine months, I have been teaching English at a school called Intercultura in Heredia, Costa Rica. I have been living in a house with two Brazilians, a French girl, and two other Americans. I have been dating a Costa Rican woman for 4 months. I've been improving my Spanish tremendously and, for the first time in my life, I'm actually doing well in--and enjoying--my job. I have hope that teaching English could be my career. I'm even cooking for myself.

How did all this happen? Well, it has a lot to do with the social anxiety classes that I took with Larry Cohen in DC, and the straight-forward cognitive-behavioral therapy I learned in these classes.

Five years ago, I discovered the term "social anxiety". I had been having difficulty relating to my friends and family members around my age. They were in successful relationships and some were having children. They had careers they were pursuing and, although they may not have been overjoyed in their jobs, they were making enough money to live independently. Meanwhile, I was single and feeling pretty lonely, had low self-confidence, was completely dependent on my parents, and had tremendous anxiety and ruminating thoughts about how much of a failure I believed I was. I felt like I was the black sheep of my family and friends.  One day, I was researching "social anxiety" when I saw a Google ad for Social Anxiety Help. I clicked it, and shortly thereafter I was sitting on a couch in Larry's home office requesting a spot in his social anxiety therapy group. 

The class was five months long. It was 180 degrees from the type of talk therapy I'd been used to, having been to my share of therapists for my clinically severe depression. In cognitive-behavioral therapy, I was in complete control at all times. I decided how much progress I wanted to make between sessions, and from my group I received the support I needed when I excelled and when I faltered. By the end, I definitely saw a change in myself. But I wasn't yet where I wanted to be. I felt like I had more potential; so, I took the class a second time. By the end of my second "semester," I had internalized the methods: from mindfulness to restructuring my thoughts to expressing myself more openly and without judgment.

I finally had the courage to do things I'd always hoped I'd be able to do. I was approaching "pretty women” and going out on dates. I was comfortable with friends again, and I was confident in new social situations, like parties. I had a new job, though it was very stressful. I was living in a house with three other people, about an hour from my parents' house. I was able to do these things: not because the anxiety had disappeared, but because I'd had so much practice with how to handle the anxiety.

But there was still a lot missing. I wasn't where I wanted to be. I just wasn't doing what I really wanted to do. Actually, I didn't even know what I wanted.

That's when I happened to read something that one of my friends had posted on Facebook. It said: "What do you love to do? And why aren't you doing it?"

Good question!

The one thing I'd always known I'd loved was Spanish. I decided I was going to improve my Spanish. How? By living in a Spanish-speaking country. To do that, I'd need a way to make a living while I was there. I took a course in DC on how to teach English. The course wasn't terrific, but it motivated me to take the next step: to take another teaching course in the country where I wanted to teach. For a variety of reasons, I chose Costa Rica. At the end of the program, they gave me a list of schools I should submit my resume to. Three weeks later, I was working at Intercultura.

The first semester at Intercultura was super-difficult for me. I was disorganized, not keeping up to date with my lesson plans, not bothering to put student attendance or grades into the database system, and just falling on my face a lot. Sometimes literally: one night I was walking home and there was a hole in the sidewalk that I didn't see and I fell right into it. Each semester, teachers at Intercultura are required to take a grammar test to ensure they're teaching the grammar correctly. I didn't show up to take the test! I had to reschedule. My second attempt at the test, I only did half of it! The director sat down to talk with me about all the challenges I'd been having. I told her I was scared. I didn't know why, but I was scared of doing things the right way, of taking responsibility for myself. She looked at me very sincerely and said, "I'm going to keep you on for another semester because the teaching is the most important thing, and the students like you. Do you think you can get everything else together next semester?" I said I could.

And I've done just that. This semester, my whole attitude has changed. I'm up to date with my attendance and grades; I'm working harder and with more creativity; and, I'm volunteering to help with a nonprofit English education program that Intercultura offers single mothers. One of the head teachers shook my hand and told me he'd noticed how much I'd improved.

If I've learned anything from this experience, it's that improvement--not perfection--must always be the goal. It was true in Larry's social anxiety groups, it's true at Intercultura, and it will continue to be true throughout the rest of my life. Larry always stressed this point in his classes, but for me things take time before they click in. And I'm okay with that.

Thanks, Larry.



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."

D's Story

37-year-old white, male writer
Colombia, South America
(formerly of Washington, DC)

"I struggled with shyness and low self-esteem,
specifically with regard to my physical appearance and feelings of attractiveness."

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."

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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