
How NYC Intensifies Social Anxiety – Expert Insights and Solutions
New York City magnifies social pressure in ways most cities don’t. So many people report how difficult it is to build a sense of community in NYC. Multiply that difficulty by tenfold when you’re grappling with significant social anxiety. Since New York city amplifies social discomfort, it takes a clear understanding of your specific triggers and a strategic approach to living more comfortably in your own mind and body among others in the big city.
As a psychologist in private practice who works with ambitious, high-achieving clients, I’ve learned a few things about what appears to exacerbate social nervousness and what brings relief.
I’m going to share with you some reasons why NYC makes people with social anxiety suffer more than other places. I’ll also offer some tips for feeling better about your “New York social self.”
How NYC Triggers Social Anxiety
Here are some factors that make New York City even more challenging for New Yorkers with social anxiety:
1. The culture of “confidence”
New York City is an intimidating place. People tend to put on a performative outer shell and it’s believable! You might say to yourself, ““I feel like everyone here is confident, successful, social, and unfazed… except me.”
From an idealized perspective, NYC rewards charisma, boldness, and being visibly self-assured. Social anxiety makes you feel like everyone else has it all figured out — except you.
New York City is a place where comparison is unavoidable, strangers feel intimidating, and social interactions can feel more like performances than connections. Even people who don’t typically struggle with social anxiety feel it rise here; for those who already feel sensitive to judgment, NYC can feel like a pressure cooker.
Theoretically, showing the world your true, flawed, beautiful self should be enough, but in NYC, people often feel pressure to be interesting, successful sharp, funny and busy. Social interactions can feel like mini auditions. Even casual conversations feel like you’re being evaluated. This amplifies the core fear of social anxiety: “I am being judged.”
From my work with New Yorkers with social anxiety, the thought that tends to plague people the worst is “What if they see my anxiety?” Sometimes people experience symptoms of panic in social settings when they feel found out and there’s no easy way to escape the situation. Anxiety can start as mild discomfort and build into something much more intolerable because of a hyper-focus on how it feels, combined with a sense of being stuck in a specific social setting and under scrutiny. CBT therapy can be helpful in preventing anxiety from converting into panic.
2. Constant comparison
It’s easy to slip into a constant state of comparison you’re surrounded by people who look very financially and socially successful. It’s hard to remember in NYC that you’re only seeing the outside of their lives, not the part that may be just as uncertain or anxious as yours.
It’s standard for New Yorkers to perpetually grapple with self-deprecating thoughts like “Why aren’t I doing more?” and “Why does it seem like everyone else can handle the city except me?” People with social anxiety tend to have next-level self-judgment before, during and after social engagements.
Among acquaintances, friends or colleagues, the socially anxious mind may revert to looping thoughts like “Am I being perceived as boring?” The internal, critical voice might be asking the following questions:
“Why does it seem like people have interesting things to talk about and I’m the only one with nothing to say?”
“What if they see that I’m not contributing to the discussion”
“Do I look good? Why does everyone else seem more put together than me?”
“What if they notice that I’m so anxious?”
“How is everyone else so comfortable with each other?”
“Do people know each other better than they know me? What if I look like the odd one of the group?”
Social referencing, or the habit of comparing yourself to your peers’ social, romantic, financial and professional accomplishments, gets amplified in NYC. Socially anxious New Yorkers tend to fall for the cognitive distortion of perceiving that other people are doing better or are ahead of them. This social comparison bias adds a layer of shame, disappointment and exposure when anxiety is high around peers.
3. Networking as a lifestyle
In New York, professional and personal worlds overlap. People with social anxiety tend to feel totally exposed to the point where their anxiety, thoughts and negative traits are on display. NYC adds a constancy to this fear of being evaluated. Letting your guard down feels like it’s just not an option when you’re potentially going to meet people who have something to offer your career, even when it’s in a purely social situation.
When a true networking opportunity occurs, the pressure to convey competence, expertise and success can be unbearable. Many people feel pressure to socialize not just for fun, but to maintain momentum in their careers.
If you have social anxiety, a simple conversation may feel like a test you could fail. When you decide your career can benefit from a conversation with a new person, that pressure worsens.
4. Narcissism Central
New York City attracts a lot of talented people. Some of these people are the product of talented parents who experienced a lot of success on Wall Street, in entertainment or with their own business. Narcissistic people tend to be successful in their career in terms of achieving accolades and money, not necessarily from social perspective. In fact, people with strong narcissistic tendencies tend to lack close, meaningful friendships. However, they may present as having the most superficial relationships and social media “friends” of anyone.
Socially anxious people, just like the rest of the NYC population, are faced with the challenge of navigating around narcissists. However, social anxiety and narcissism go together in an unfortunate way. It’s as though people with narcissism can sense who is socially anxious and bring them under their influence. The allure of the pathologically-certain, well-put-together narcissist who is decked out in multiple symbols of success has the power to attract almost anyone. When social anxiety creates a need to be liked, valued and approved of, the attention or blessing of the narcissist has much added value.
In addition to my work with people who suffer from social anxiety, I have developed an expertise in helping people who have endured narcissistic abuse. I have also worked in depth with people who have narcissistic traits. I see how influential narcissistic people can be over the socially anxious. The most important thing I can say here is that behind the veil of narcissism is a person who feels fragile, vulnerable and in need of validation. Narcissists are NOT in love with themselves. In fact, an argument can be made that they need your love and admiration more than you need theirs. They live in a constant state of needing a supply of validation. You need to see through the armor of charm, charisma and attractiveness that many narcissists present with. They will promise you the world and offer things that will short circuit your brain. It’s called future faking. Don’t fall for it. Stay away if you can.
I recommend that you study narcissism and be able to identify narcissists when you see them. Here are two articles I’ve written, one on true love and narcissism and the other on trusting yourself again after narcissistic abuse. to familiarize yourself with the dynamics. Also start paying attention to TV. series and movies that show a character with narcissistic tendencies. Consider doing a deep research dive by watching Dr. Ramani Durvasula’s videos on narcissism to learn all about the many presentations and effects of narcissism. narcissists have scary power over people with social anxiety. They can instantly make you feel powerful, almost like you’re merging with their greatness. You might suddenly feel a burst of enhanced social value by association with their social and/or financial success. It’s a common. phenomenon, but trust me…it’s challenging to back out of a relationship with a narcissist.
Boundaries become very important in your social interactions with people with narcissistic tendencies. They will push you to go outside your comfort zone, which might seem intoxicating at first, but eventually it changes. At some point you will find yourself feeling more anxious than ever as you serve the narcissists needs. All of the social benefits that you first basked in will slowly dissipate and you’re likely to feel stuck. With solid social support (and potentially professional help), you can distance yourself from the narcissist and reclaim your life. I know this all sounds extreme, but I see on a daily basis how people with social anxiety fall prey to narcissists. And in NYC you are walking amongst them everywhere.
5. The noise and pace of New York City
NYC moves quickly, and social interactions often follow that same rhythm. Brunch begins the partying and socializing early in day. Then there’s the afternoon-weekend plan and the night plan. Socially anxious people often take more time to recover from social situations. When the social battery empties early in the day, the thought of heading out to the next social engagement can feel so overwhelming. The expectation of keeping a packed social schedule or there’s something wrong with you, creates unrealistic pressure. You may feel like you need to keep up, respond fast, or be “on,” which is exhausting.
My clients have taught me that the constant noise, both in the outside environment and inside the mind of the socially anxious New Yorker, gives added necessity to the act retreating to the confines of your apartment. All of the kinds of pressure I’ve outlined above makes recharging/hiding out at home the only way to live in NYC when you’re constantly trying to keep up, as well as get through every social encounter without embarrassing yourself.
The NYC apartment can become a safe space when social anxiety makes you avoid social interaction. In my work with clients who are grappling with social anxiety, a large part of the therapy process tends to involve working on the muscle of avoidance. People with social anxiety tend to conduct the most self-critical and painful post-mortem evaluations of a social experience. They rarely give themselves a free pass. When a punishing self-evaluation of social behavior tends to be the default mode following constant social interaction, the city can feel like it’s just….too….much. The city apartment then becomes a place to hide. Quite often, for the socially anxious New Yorker, future social opportunities are skipped in favor of the comfort of home. Social avoidance is correlated with depression and withdrawal. In my experience as a psychologist, CBT therapy can counter the influence of depression on social avoidance and the tendency to follow social experiences with extreme negative self-evaluation and rumination over social failures.
6. The impact of remote work in NYC
Of course, remote work is not unique to NYC, but in a highly competitive environment that puts a premium on polished social performance, working remotely on a regular basis can create a host of mental health challenges.
Many of us bask have basked in the convenience of remote work, a lasting remainder of the covid pandemic. However, too much time at home promotes fewer opportunities for social engagement and feedback. Remote work is likely to promote social avoidance, a greater sense of job insecurity and increased anxiety. People can feel more insecure when they work remotely, especially when they are worried about layoffs. The feedback you get from regular face-to-face social exposure with coworkers and managers offers a greater sense of knowing where you stand.
It’s harder to build relationships when you’re working remotely in NYC. The hybrid work model can negate some of the negative effects of reduced social exposure, but for the socially anxious individual, an ongoing sense of connection to coworkers counts for a lot. The relief many socially anxious people experience from not having to perform in person during remote work can end up making in-person work more challenging.
In my role as a psychologist, I’ve seen people with social phobia really struggle to find their place at work when the job is mostly remote. Navigating office politics and forging alliances are extra tricky. For example, post-Zoom meeting self-judgment can worsen because you get less feedback as compared to still being present in the office to process the interaction organically with a trusted coworker at the water cooler. The nuances of social engagement also become a bit blurry when you’re working from home. There’s just less organic feedback available when most communication is through a screen.
7. The use of AI for social connection and answers in NYC
An increasing amount of socially anxious people are relying on artificial intelligence for social connection. Back and forth dialogue with an AI companion or chatbot offers a lighter social interaction full of acceptance and fake connection. I would argue that dependency upon AI chatbots like ChatGPT and Gemini make New Yorkers more socially uncomfortable. Within the comfy confines of a relationship with an AI companion or chatbot, you might feel a sense of ease that you can’t get easily from actual social interaction. Reliance upon AI can make you feel less social anxiety in the moment, but it impacts your thought process in real life, the effects of which we are just beginning to understand as a society.
First, there have been documented cases of AI companions and chatbots giving dangerous advice. Second, and more relevant to managing social anxiety in NYC, the over-reliance upon AI for social engagement makes actual social interaction more anxiety inducing. Given the demands of the NYC social life, including all of the social pressures mentioned above, people with limited social exposure (with live humans) and a propensity toward social avoidance will only feel more evaluated, awkward and vulnerable in actual social interactions. AI social interactions create a false sense of belonging and alter social norms and expectations. Picture going from a cozy at-home session during the daytime with an AI companion (online socializing) to a night out in NYC where you have to navigate through ambiguous social encounters (offline socializing.) In this scenario, socially nervous individuals could experience a foggy and uncomfortable sense of confusion and disconnection around real people.
I completely understand how people might start to develop a tendency toward social avoidance and choose “safer” virtual options such as AI social media and gaming interaction, especially given how overwhelmed and uncomfortable they can feel before, during and after time spent in the intense and unforgiving NYC social culture. Why choose to subject yourself to an uncomfortable state of being negatively evaluated under the critical microscope of the NYC social and dating scene when you can retreat to a safer world of social options at home? I totally get it, but what happens when these options only give you temporary relief and you start longing for real, live, in-person social connection in NYC? Your social anxiety might say stay away, but the human need to belong, to be seen, to feel valued by another, to feel like you’re getting the most from living in the greatest city in the world is hard to suppress.
What should you do to manage your social needs when you’re living in NYC?
Solutions for Socially Anxious New Yorkers
Social Anxiety Therapy for New Yorkers
In my biased opinion as a clinical psychologist, I believe that therapy with the right therapist can help you manage all of the social challenges posed by NYC.
Social anxiety often comes from a harsh internal voice. Therapy can help you soften that voice and build a healthier, more compassionate self-view. When you can identify what situations set off your anxiety (and why), you can predict them instead of being blindsided. Therapy assists in the development of tools you can use at work meetings, social events, restaurants, or even on the subway.
You can also learn to feel more comfortable in your own body. Psychotherapy can help with the physical symptoms of anxiety, including the racing heart, tight chest and shaky voice so you don’t feel trapped by your own nervous system.
The idea is that you build confidence gradually. You don’t have to jump into big social situations. We take small, manageable steps that build self-trust.
Socially anxious people tend to be overly critical and punishing when it comes to evaluating how a social event or conversation played out. They tend to pick on one or two things they said (or omitted) and put themselves on trial for their mistakes. This intensely negative, ruminating, post-mortem about one’s social performance can lead to social avoidance. I work with socially anxious people to break the cycle.
Practical Tips for Managing Social Anxiety in New York City
(Necessary disclaimer: These nuggets of advice are general. They do not constitute or imply a therapeutic with this writer. They are merely suggestions.)
1) Strive to develop a more realistic understanding and acceptance of your strengths and weaknesses.
When you’re more accepting of the areas in which you struggle, it triggers less shame and avoidance. What if you’re not as socially agile as your coworker, even if your coworker seems to be more liked by management? You have your undeniable strengths as well. If you’re unclear about your strengths, ask a trusted friend or family member for their sense of how you show up for them and what they admire about you. Learning to talk about your relative weaknesses while feeling less shame goes a long way toward feeling more socially comfortable in NYC.
2) Move toward understanding that most social appearances are just that — appearances, not reality.
This is a general tip, but you can practice seeing through false appearances on social media. Not only does excessive social media use indirectly promote social anxiety and self-loathing, but it teaches you over and over again that you’re not enough!
Look at any post across platforms and process the post on two levels. Ask yourself, “What is this person trying to appear as or convince me of?” Then think about what the post brings out in you. Does the post make you feel not good enough? Does it compel you to want someone else’s life, belongings, money, body, partner or job? Essentially, this exercise when repeated helps you to avoid falling for the intense power of social media to make you feel like you need something different than you already have. Pay attention to how posts make you feel deficient, defective and in need of change.
Don’t be fooled by social media. Monitor your use of social media because there is a tipping point in terms of sheer usage beyond which social media promotes social withdrawal, languishing and self-loathing for New Yorkers.
3) Do you know what social values matter most to you?
New York City pulls people in the direction of worshipping social success, material wealth and perfection. The following recommendation is meant to counter this influence so you can decide for yourself what really matters to you.
Identify 3-5 of the personal values that relate to your social self. Social values dictate what matters to you in social interactions. Some examples of social values are humor, giving, listening for the gold in people and acceptance.
No one can question your social values if they resonate strongly with you. Don’t choose values that you should manifest. That will only promote shame. Choose values that fit your personality and make life seem more meaningful.
In fact, values serve as a roadmap that guides you toward a more fulfilling and purposeful life. In terms of social anxiety, values are a grounding force that makes you question your decisions and judgment less. If you live according to your values, you will feel a protective sense of security and self-assurance. If you can conclude that you strived to behave in accordance with your social values, even if the actual manifestation wasn’t exactly as planned, you won’t be so critical of yourself in your post-mortem evaluation of your behavior in a social interaction.
I offer values-based CBT therapy for my clients. I have noticed the positive impact that this therapeutic focus has on people.
4) Study your relationship with money and the concept of success.
So many people in NYC seem to make decisions that are influenced more by their relationship with money than their relationship with sound mental health.
I’m asking you to consider your mental health more in your decisions. For people who tend to make impulsive decisions, such as adults with ADHD and social anxiety, consider having an ongoing phone communication with a friend who can talk through decisions with you in a non-shame-inducing way before making a choice that will tank your mental health. For example, if you tend to drink to excess to cope with social interactions, come up with a plan with a friend so that you’re better to your mind and body when you next socialize. Have your friend hold you socially accountable and review what happened with your friend by phone after the social outing.
Given how many symbols of wealth and success there are in NYC, it takes a lot of perspective to keep in mind what really matters to you. If you can better understand your relationship with money, you will be less influenced by your triggers. People often fantasize about what wealth will bring them. When you have too many fantasies of this variety, it’s correlated with overall life dissatisfaction and a sense of deprivation.
What does success mean to you? This will determine how negatively influenced you are by people who appear to be successful when you’re navigating through a social situation. The goal is to see through the veil of the appearance of perfection in others.
Conclusion
New York City can pose so many unique challenges to people who tend to question their own value. A deepening of your understanding of how and why your triggers lead you to feel socially anxious can go a long way in reducing their impact.
Ultimately, for the socially anxious New Yorker, you need to monitor how all of the influences of living in New York City promote social avoidance and distortions in your thoughts about yourself, your relationships and your future. I am a strong believer in CBT therapy as a way to ease the social stress made worse by NYC culture and all of the unreasonable expectations it can burden us with to perform, keep up and be socially successful.
I wish you all the best! And please feel free to reach out to me if you have any questions about therapy for social anxiety in NYC.
Gregory Kushnick, Psy.D.
Tel. 917-566-7312
Chelsea/Flatiron Office
138 West 25th St.
Suite 802-B4
New York, NY 10001
FiDi/Wall St. Office
30 Broad St.
Suite 1433
New York, NY 10004
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Social Anxiety Treatment in NYC: Your Questions Answered
Hi there. I’m Dr. Greg Kushnick, a psychologist in NYC who treats clients with social anxiety on a daily basis. I truly enjoy helping my clients to overcome their social struggles and I strive to offer the most effective methods for treatment of social anxiety. I hope you learn something new from the information provided below. Please don’t hesitate to contact me with any questions. All the best!
All About Social Anxiety Treatment: Questions and Answers
Do I have social anxiety?
Do you often avoid social situations? Are you mentally uncomfortable when you’re socializing, to the point where you’re preoccupied with saying the wrong thing, making a fool of yourself, being rejected or becoming revealed as a fraud? Do you often beat yourself up after socializing and find yourself ruminating about something you said that may have been interpreted the wrong way? Do you need to drink alcohol every tine you socialize? A “yes” to any of the above-mentioned questions suggests that social anxiety might be preventing you from living a more fulfilling life. Here is a short screening for social anxiety.
…But isn’t it normal to be anxious before and during social situations?
It is certainly normal– up to a point. We all experience nervousness before and during certain social situations. It really depends on how much the anxiety leads to avoidance, rumination, self-loathing and an inability to gain a sense of connection and fulfillment from your social engagements. Everyone has a weak spot when it comes to socializing. For example, you might be comfortable in most social situations, but when it comes to connecting with your high school or college friends, you feel extreme anxiety and discomfort. Social anxiety is considered a problem if it leads to significant and chronic avoidance of social opportunities or extreme anxiety that doesn’t subside while socializing, and it gets in the way of feeling connected to people and socially fulfilled.
Can my social anxiety really be helped by therapy?
What is important to know about coping with social anxiety in New York City?
New York City culture celebrates social performance. That translates into pressure. Pressure to seem like you have your life figured out, pressure to succeed and keep up with your peers, pressure to make lots of money. It’s so easy to slip into the mindset that everyone else is doing better than you are. That’s a typical cognitive distortion. Relieving yourself of some amount of social pressure can help you feel less anxious.
What is the best therapy for social anxiety?
In my experience, the best treatment for social anxiety is an approach that includes Cognitive Behavioral Therapy (CBT), which includes gradual exposure therapy. In my 25 years of experience, insight-oriented therapy for the treatment of social anxiety tends to be less effective. Insight alone will most likely do very little for social avoidance and negative beliefs about oneself. You need a behavioral component for therapy to be effective when you’re trying to improve your social success. CBT allows you to challenge problematic belief systems and use the therapy as a launching point for testing out new personal theories and beliefs in the real world.
Can you self treat social anxiety?
You can self treat social anxiety if it is mild and doesn’t compel you to avoid many social situations. At minimum, treat your social anxiety by talking openly with a friend who understands you and around whom you can be yourself. Check in regularly with this friend after social experiences and evaluate what went well and awry. Share any self-critical thoughts post-socialization. Keep checking in with this friend to remain accountable. Again, this is the minimum you can do for your social anxiety besides educating yourself about this issue. I recommend therapy because social anxiety is highly treatable with the right therapist.
How do therapists fix social anxiety?
I can only speak from my own experience as a CBT psychologist in New York. You can overcome social anxiety by altering your belief system, learning to dispute irrational beliefs, acquiring new social strategies and coping skills to feel more prepared with more options in social settings and testing reality by applying new skills and information in new social experiences.
How do you calm down social anxiety?
The goal is to feel more prepared in social settings. CBT therapy allows you to acquire skills and perspectives that give you more control over your anxiety. Therapy for Social anxiety can be relieved by learning how to manage a self-critical and self-loathing internal voice.
What happens if social anxiety is left untreated?
Untreated social anxiety that is considered moderate to severe is likely to lead to increasing levels of social avoidance, with fuels the power of negative thoughts about the self to guide your choices and dictate your mood.
What is the best exercise for social anxiety?
Where do you meet people with social anxiety in NYC?
Where should I go if I have social anxiety?
How do I tell if I’m socially anxious, depressed, or both?
Well, one distinction that some people find helpful is to think of anxiety as the anticipation that a catastrophe will occur in the future, as opposed to depression, which is the sense that a catastrophe has already occurred in the past. Do you tend to worry that something bad will happen to you, or that something has been already lost? The truth is that anxiety and depression often coexist. This is because social avoidance tends to lead to rumination, which tends to include thoughts about failure, embarrassment, shame and negative self-worth.
These negative thoughts and feelings promote more avoidance. Also, people justify social avoidance by the relief they believe they will feel by steering clear of a chance to have negative beliefs verified through negative social interaction. No one wants proof of their darkest thoughts about themselves, so avoidance serves a powerful short-term purpose. Long term, however, depression can set in if social engagements are chronically avoided, as a sense of helplessness and negative self-worth can take over if there isn’t positive social feedback or appropriate outlets to gain a healthy perspective about how social anxiety makes you think, feel and act.
Many people are just anxious or just depressed. Some people give themselves enough social wins and opportunities for connectedness to avoid getting depressed, despite their intense social discomfort. If you have low self-worth and you frequently interpret social interactions in the service of verifying your negative beliefs, then chances are you will develop depressive tendencies over time. If you frequently leave social situations feeling like a failure, embarrassed or shamed, the tendency to avoid will promote depression, and the tendency to push forward and keep striving for better experiences will be a buffer against depression.
Perfectionistic tendencies can also play a role in social anxiety and depression. (See below.)
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CBT for Social Anxiety in New York City
We all have a need to connect with others. This basic human need can be a source of mental discomfort if we have obstacles preventing us from placing ourselves in opportunities to gain social fulfillment.
Social anxiety is a common experience, but for many New Yorkers, especially people who lean toward a high achievement/high control-type of personality, social anxiousness can reach incredibly uncomfortable levels that promote avoidance of potentially satisfying experiences and relationships. Social anxiety disorder (SAD), also referred to as social phobia, is a label that is given when the anxiety has a debilitating impact on your life. I’m not a huge fan of labels, but sometimes they are helpful for making distinctions and identifying the best course of treatment. Social phobia is sometimes used to refer to unrealistic fears regarding a specific social scenario.
The tricky part of social anxiety is that avoidance often becomes the default way of coping. Of course, mild avoidance of social situations can be helpful, as it allows for time to sit with one’s thoughts and recover from a stressful week or a particularly exhausting experience. However, more persistent avoidance of social situations leads to a vicious cycle of greater avoidance and self-loathing/self-criticism.
When you actively avoid social situations (or use significant amounts of alcohol to cope with social situations), you experience relief from the feared scenario of having to endure extreme discomfort, a panic attack, potential rejection or failure. However, for many people there is also an equally uncomfortable or even worse feeling of discomfort that comes with the failure to socialize.
People often judge themselves harshly and feel remorse about missing an opportunity. Taking away opportunities for social connection only reinforces negative beliefs about the self. In addition, I have found that chronic social avoidance caused by social anxiety also leads to varying amounts of depression, ranging from a mild case of the blues to more severe and debilitating depressive experiences that affect daily life in profound ways.
CBT Therapy for Social Anxiety
The good news is that therapy for social anxiety can be very effective. I find that clients seem to benefit more when I incorporate cognitive behavioral therapy (or CBT therapy for short) tools into my approach. Exposure therapy for social anxiety disorder is added to the treatment as needed.
Put another way, successful treatment of social anxiety via CBT therapy requires a few components:
- A cognitive approach that emphasizes altering thinking errors and unrealistic self-standards, and reduces self-criticism and rumination.
- A behavioral/coaching approach that focuses on reducing unhelpful emotional responses and increasing exposure to social situations, while using feedback gleaned from new social experiences to inform efforts to alter problematic beliefs and standards.
Managing Social Anxiety in NYC
New York City culture amplifies the importance of social success and performance. The most socially successful people are celebrated in real life and on social media, which creates pressure, shame, FOMO, fears of losing one’s job, and a lot of other uncomfortable thoughts for many people.
Frankly, it’s just a whole lot of pressure to be social in NYC.
Since the pandemic ended, I have seen a significant increase in the number of clients requesting CBT therapy for social anxiety/phobia. It seems as though the stakes are even higher in a post-pandemic NYC where many people are working remotely at least part of the workweek, which limits opportunities for true social connection and places people in their own heads for a greater portion of the day, as opposed to directing energy toward others.
This closed system of chewing on your own thoughts in place of in-person social exposure appears to make thoughts of self-doubt, rejection and avoidance run wild.
Effective Social Anxiety Treatment in NYC
I’m here to help you with your social anxiety. If you’re searching for a psychologist for yourself or for a loved one, an experienced CBT therapist can make a huge difference in helping to reduce social anxiety and avoidance.
Feel free to reach out with any questions regarding therapy for social anxiety. I love what I do and I am happy to work with you or your loved one.
All the best,
Greg Kushnick
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The Starting Point for Managing Anxiety
As a psychologist in New York City who has conducted thousands of sessions helping clients manage their anxiety, I have come to understand that there is one key to managing your worries. This key unlocks your ability to gain a sense of control over anxious moods and thought patterns. What I’m proposing also helps with an intense fear of something specific, such as a work presentation, medical test results or childbirth.
Just to clarify, when I use the term “anxiety,” I am referring to persistent worry and severe concern in response to an event that may or may not happen, the very uncomfortable anticipation of negative things to come. Anxiety involves a response to something in the future that is less likely to happen. Sometimes we feel anxious without any conscious awareness of what we’re anxious about.
We can all relate to the looping repeat of uncomfortable thoughts that accompany anxiety. Anxious moods steal our ability to focus on work, relax, bond with loved ones and get sound sleep.
My success with helping clients who are grappling with anxiety has depended on establishing the proper starting point for gaining a sense of mental control. In essence, the stage must be set before the band can start playing a relaxing tune.
Managing Anxiety Starts Here
The key to managing anxiety is gaining a sense of hardiness, or faith in your ability to cope with the unknown. Having this faith allows you to know that you’ll be ok no matter what happens. Hardiness is not easy to achieve, but the presence of just a drop of faith goes a long way.
How do you build up your hardiness? It starts with telling yourself 50 times a day, “No matter what happens, I will be ok.” If fear of a specific event is overwhelming you, try gently picturing yourself in the feared scenario and then tell yourself this message 50 times as you look around experience the sights and sounds of this event.
See yourself as making it through the event if you can picture what you fear. Say to yourself, “I made it.”
If this kind of imaginary exposure feels like it’s too much for you, that’s ok! Just feed yourself the reassuring message without imagery.
Faith in your ability to cope can come from a variety of sources. There’s faith in your mind, which refers to a sense of being able to control your thoughts and a sense that you’ll be ok if you lose control of your mind. The chaos doesn’t last. It’s time limited.
You actually do have at least partial control over some things that make you anxious. For example, if you’re getting a procedure done in the hospital, can you decide which doctor will perform the procedure, or the music you listen to, or who will be with you when you’re recovering? Focus on the choices you actually CAN make. The ability to choose some of the minutia of the feared scenario really helps.
The other side of building hardiness is to accept that there are some things you can’t control, which necessitates even a mild commitment to letting go and trusting in yourself, even if you know you will suffer for a period of time. This is where faith comes in. Faith in doctors, faith in God, faith in your efforts to take care of yourself, faith in people to make good decisions and do what’s best for you.
Building Faith in Your Mind
Your ability to control stress and anxiety ultimately depends on how much you believe your mental health can absorb a difficult event.
Sometimes faith in your ability to cope has to do with recognizing what your body can do for you without conscious effort. You were built to cope and return to a comfortable baseline of body functioning. Your body always resets to achieve as close to a sense of balance and equilibrium as possible. For example, if your heart rate soars in anticipation of a catastrophe, you need to remind yourself of your body’s ability to return to a comfortable state. Mental suffering generally comes in waves or cycles, as opposed to a permanent, unrelenting negative experience.
A sense of hardiness is also connected to your immune system. If you tell yourself that you can handle something, your body can have a stronger immune response. Of course, this is not true in ALL scenarios, but feeling hardy certainly gives you a physical boost of strength. Feeling like you can’t handle something is likely to elevate your cortisol levels, which weakens your body’s healing response.
Tips for Managing Anxiety and Building Hardiness
Below are a few hardy suggestions for learning to manage your anxiety.
- Start by sharing your experience of anxiety more authentically with a trusted person in your life. Remind yourself that you have this person to lean on if needed.
- Make sure you go at least one step outside of your comfort zone. It’s ok to be a bit uncomfortable if your behavior is in the spirit of striving toward something.
- Spend time identifying what’s important to you. What are the values you live by? What kind of person are you striving to be for the world? Judge your behavior based on these commitments. Knowing your values and who you are striving to be serve as a guide for difficult choices and personal boundaries.
- Take time to evaluate your personal boundaries with others. Who makes you do things you don’t want to do? Who makes you feel badly about yourself? Consider reading the book Set Boundaries, Find Peace to get a wonderful introduction to setting healthier boundaries.
- Evaluate your expectations for how an anxiety-inducing situation is supposed to go. Do you need to spend time learning to be less perfectionistic? Do you expect too much of yourself or other people? Setting reasonable expectations promotes feeling less shocked by negative outcomes.
- Pay attention to how you use your phone to self soothe. Are you over-reliant on your phone or should you commit to bringing uncomfortable thoughts under control without a screen?
Please feel free to reach out and ask a question or if any of this information feels like something you want to work on in therapy.
Good luck to you and your hardiness!
-Dr. Kushnick
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What Does a Psychologist Do for Anxiety? An NYC Doctor Answers
1. What does a psychologist do for anxiety?
A psychologist is trained in providing a variety of methods to alleviate your anxiety. As a Manhattan psychologist who works with ambitious New Yorkers, I offer a multi-pronged approach to alleviating anxiousness. I help clients identify triggers, discover thought patterns that exacerbate anxiety, focus on here-and-now techniques to manage flareups and ultimately gain a toolbox of available techniques to apply to difficult moments. In my experience, the fast-paced life of New Yorkers leads them to have to constantly juggle multiple stressors at once, so anxiety is almost an inevitable part of the NY experience, but there is a tipping point beyond which the anxiety can take over your life. This is where therapy can be immensely helpful.
2. How do psychologists test for anxiety?
A psychologist typically assesses through detailed questioning about your current symptoms and history, including any traumatic life events that may have played a role in your anxiety. Some psychologists offer questionnaires and other formal assessment tools to better understand the nature of your anxiety.
As your psychologist I am better able to help you if I understand many of the details related to the present and the past, but I don’t dwell in the past. I am much more focused on the here and now. The beginning of therapy involves me asking you lots of questions, and then the nature of the conversation shifts into a more collaborative conversation.
3. What type of psychologist should I see for anxiety?
A clinical psychologist is well trained to offer you tools to manage your anxiety. Some clinical psychologists are trained in multiple methods of treatment, such as cognitive behavioral therapy (CBT) or psychoanalysis. Clinical psychologists receive a doctorate in psychology and train in a variety of contexts, including hospitals, clinics and schools. Counseling psychologists represent another option, but they are less common in New York City. Please note that other mental health professionals, such as clinical social workers and mental health counselors can be just as (if not more) effective as a clinical psychologist, but Doctors of Psychology generally receive more formal training on the path to their doctoral degree. Other mental health professionals typically subject themselves to other forms of training after they receive their degree. Please note that there are many exceptions to the comments I made in this paragraph.
I am a clinical psychologist who has trained in just about every type of clinical setting. New York City has offered me so many opportunities to train with such a variety of people from diverse backgrounds and professions. Please do not hesitate to reach out with any questions. I love to talk shop!
4. Can a psychologist help with anxiety?
A psychologist can help with anxiety, but there are a lot of factors involved in determining the extent to which therapy will help. I have found that the following factors play a role in determine success with anxiety treatment for New Yorkers:
a. Timing – Success in therapy is connected to how ready you are and open to subjecting yourself to the therapeutic process. Some clients are in a place in their lives where therapy truly fits in with their life situation. Other clients are initially resistant and fearful, but slowly evolve into a state of readiness to change.
b. The presence of a Medical Condition – Sometimes medical issues slow down progress in talk therapy. Medication might be needed, but that should be determined by a psychiatrist.
c. Your investment in valuing your mental health – In my experience as a New York City psychologist, my clients who allocate a good amount of time to caring for their mental health, even outside of therapy, tend to fare much better than clients who barely make time for therapy and other wellness activities. I respect the extremely busy schedule of ambitious New Yorkers, but to truly manage your anxiety more effectively, you need to allocate time and energy.
5. Is it better to see a therapist or a psychologist?
It really depends on the amount of training of the mental health professional. Many therapists who are not clinical psychologists have undergone more training than psychologists. Look into the breath of experience and areas of expertise of the therapist to determine what works for you. Psychologists are considered one type of therapist.
6. How do I choose a psychologist for anxiety?
In the age of the pandemic, it is even harder to find a therapist because so many people are seeking mental health care. Start with the listing sites on the web, including psychologytoday.com and good therapy.org. Cross reference your findings with the list of in-network psychologists listed on your insurance company’s website. It is a frustrating process for many people to find a therapist. Plan to reach out to 10-20 therapists to find one who is available.
Google each therapist to see if they have a website and more information about their expertise and areas of interest.
If you are able to go out of network to find a therapist in New York City, you can probably find a psychologist who has tons of expertise in exactly the issues that you want to focus on. I purposely created my therapy practice website to give potential clients a lot of information about my approach to therapy and my thoughts about many topics in mental health so that people can get a sense of what I am like even before meeting me. See here for a list of articles I’ve written and expert input I’ve offered.
7. What are 3 coping skills or strategies for anxiety?
a. One coping skill for managing anxiety is to identify your triggers. When you are very aware of the exact stressor, you can work with a clinical psychologist to develop tools to take action.
b. Another coping skill is to become very aware of bodily sensations associated with anxious states. How does anxiety show up in your body? It’s different in everyone. When you have a keen understand of your physical symptoms, you’re less likely to be surprised by the way your body responds in the future. The goal is to be able to say, “Oh, my heart is racing not because I’m having a catastrophic medical issue, but because my anxiety has been triggered.
c. Distraction is king. Redirecting your attention away from your anxiety may also work to reduce symptoms.
(Disclaimer: These strategies are for informational purposes only. Please consult a medical or mental health help if you are experiencing significant anxiety.)
8. How do you calm down/ reduce anxiety?
Anxiety is reduced by developing tools to make you feel more prepared for future episodes of anxiety. It all comes down to what you tell yourself, so self-talk is crucial.
9. What triggers anxiety?
Many things can trigger anxiety, including specific environments, painful thoughts, or in some cases, medical issues.
10. Is anxiety a form of mental illness?
It’s tricky to define what constitutes mental illness. Anxiety is a mental health condition. The word “illness” is less clear to define. The DSMV-TR generally defines mental illness as emotional distress that significantly interferes with one or many aspects of your life, including social, occupational, relationship or school functioning.
11. What is anxiety?
Think of anxiety as the anticipation that a catastrophe is going to occur. Anxiety is the interpretation of an impending threat of some variety. Your mind and body react to the conscious or unconscious message that you won’t be able to handle the threat.
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