Social Anxiety: The Trauma Root

Social Anxiety Often Has a Trauma Root — Understanding the Connection Can Help You Heal
Understanding that social anxiety often has a trauma root is extremely helpful, whether you're exploring this issue for yourself in a self-help manner or you're a therapist working with people with social anxiety.
Two Common Types of Root Traumas
In my experience over 20 years as a psychotherapist working with people with social anxiety, I realized that almost all my clients with social anxiety had a root trauma—an early trauma that sparked the social anxiety. Through my work with clients, I identified two distinct types:
One type of trauma happened in early childhood. This could have been a very critical caregiver, or a family and sibling structure that utilized humiliation as a tool for socialization (this means that humiliation was a way to make kids behave). This is not something I recommend at all. Unfortunately, it is used by cultures across the world and has been used for centuries. That kind of humiliation can make somebody feel like they are defective and that they are severely at risk if they are judged harshly by others.
The other type of trauma I saw involved events in middle school in particular—situations with a group of friends where the person felt humiliated or was bullied. The more dangerous the bullying, the more threatening to the person's survival, and the more that gets ingrained as a traumatic memory.
How Traumatic Memories Get Lodged in the Body
Traumatic memories get lodged in our body in a different way. They settle into some of the older parts of our brain, and they're lodged in a way that they carry all the physiological feelings of the time, linked with a particular pattern.
An Illustrative Example
Let me give you an example to explain this. Let's say you have a middle school kid who is giving a presentation and they flub it, like many middle school kids do. If they were in an environment where they were picked on or teased, that could have been a very humiliating experience.
It's completely understandable how an 11-, 12-, or 13-year-old would be completely humiliated in that situation. That memory then gets lodged so that anytime that person goes to give a presentation, all the physiological feelings of panic, anxiety, being judged, being excluded from the group—all the physiological and emotional feelings they had at the time of that event—come flooding in every time they're faced with a similar situation.
This can last well into old age if the person doesn't receive treatment.
"Big T" Versus "little t" Traumas
I want to throw in a comment here about "big T" versus "little t" traumas. Obviously, giving a presentation is not a big T trauma—it's not witnessing somebody die, not witnessing a horrible event, not going to war or major abuse.
But what trauma therapists have learned in the last couple of decades is that "little t" traumas have long-lasting effects. Particularly if "little t" traumas are repeated and a negative core belief is developed, those "little t" traumas create a major impact that is actually best treated the same way "big T" traumas are treated.
I wanted to give you the framework of big T versus little t traumas because a lot of my clients used to minimize what had happened to them. They would say to me, "No, I haven't experienced any trauma." Or, "Oh, that was just, you know, middle school bullying."
Middle school is the time in our lives where we are shifting our focus away from our parents as our main source of sense of self and shifting that toward our peers. Our peers are all insecure and uncertain about how to do this. The development of empathy starts young, but it is not fully developed by early middle school. So you have a whole bunch of insecure middle schoolers, and the behavior can be quite cruel.
So traumatic events are not only about the event itself - they can be traumatic because of the person's developmental stage and the event's impact on the sense of self.
Treatment Approaches for Social Anxiety
One reason this is really important to talk about is that the main treatment for social anxiety is cognitive behavioral therapy. The research behind CBT for social anxiety is very strong. Cognitive behavioral therapy definitely helps people with social anxiety, in particular if it has a focus on exposure techniques or not avoiding.
People with social anxiety tend to avoid events that make them anxious, and then the anxiety gets worse and worse. If you do this, you probably get temporary relief from avoiding the event, but long-term, you're telling your old brain—which is not super sophisticated—"Oh yes, that was something to be avoided. That is a very scary event. And now that I decided not to go, I feel better." So the avoidance reinforces that the event is dangerous, and then you isolate more and more and more.
Eventually, you can end up in a place where you don't feel good about yourself because you're avoiding everything. Social anxiety can impede your progress moving forward in life—for example, your ability to get meaningful work, or your ability to have meaningful relationships.
Exposure-type techniques help retrain the "old brain" to recognize that, while uncomfortable, the events are not dangerous.
Engaging in those behaviors that make you anxious and having an okay result at the end of it is one of the most helpful things for retraining your brain.
However, if there's a significant trauma root to the social anxiety, I always found that the person really needed to process that traumatic event. Here is a video that explains traumatic memory processing (click here).
To truly recover, a person whose social anxiety has a trauma root will need to resolve the trauma and change the negative core beliefs about themselves—or at least crack open a window. Crack open a window so that they can take the risks which will enable them to change behavior, which will enable them to heal.
Processing Trauma: EMDR and Beyond
In working with people as a therapist, I found that EMDR was the most effective means of helping somebody process a traumatic memory to the point where it would no longer bring up all the bells and whistles of the emotional and physiological feelings. It brings you more to a place of, "Oh yeah, I remember that happened. It really was bad, but I'm not feeling it now when I'm remembering it."
EMDR works with the concept of the negative core belief, because trauma leads us to develop these beliefs. These beliefs need to be overturned for true healing. Some examples of beliefs include: "I'm damaged," "I'm stupid," "I can't trust others," "I'm defective," "I'm not good enough" and "I'm in danger."
Self-Help Resources
I know not everybody has access to therapy, which is one reason I create self-help videos and blogs.
I also created a free PDF called Transform Your Negative Core Belief. It helps you identify what your core, deep-down belief that is keeping you stuck and it provides you with three ways to overturn that belief.
There's also an online software program called Virtual EMDR (you can click this link and enter a promo code of AWAKENJOY20 for 20% off). I've used Virtual EMDR myself and I've spoken to a number of people who've used it and found it extremely helpful. It guides you through the process of identifying the negative core belief underlying your difficult memories, and it guides you through the process of reprocessing these memories.
I also have a video about whether
it is a good idea to do self-help EMDR. Because if you tend to be somebody who gets very dysregulated, self-help EMDR can definitely be dysregulating. Learning things like diaphragmatic breathing and other ways to calm your physiology is very important.
A Note on Self-Compassion
If you have social anxiety, be easy on yourself. Don't criticize yourself for your social anxiety.
I know it can be very hard to have self-compassion, but consider how you would feel toward a friend who said, "I had horrible experiences when I was younger and now every time I'm in a social situation, I feel anxious." You would probably be very empathetic and compassionate toward that person.
I'm encouraging you to be that compassionate with yourself.
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See you next week.
Blog Author: Barbara Heffernan, LCSW, MBA. Barbara is a licensed psychotherapist and specialist in anxiety, trauma, and healthy boundaries. She had a private practice in Connecticut for twenty years before starting her popular YouTube channel designed to help people around the world live a more joyful life. Barbara has a BA from Yale University, an MBA from Columbia University and an MSW from SCSU. More info on Barbara can be found on her bio page.
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