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Areas › Worry and anxiety › Facing it a step at a time
Sending someone into a peer group without the ordinary moves risks a genuinely bad afternoon, which then teaches exactly the wrong lesson. Practise the mechanics first. An opening line, something to do with your hands, a way out. Then the exposure is testing a fear rather than testing a skill nobody ever gave them.
Facing a fear in steps works, and it works best with someone guiding the ladder. Read this as an explanation of how it works, and take the steps themselves to a therapist.
so that they may understand my words (Quran 20:28). What Moses asks for is to be understood, which is a practical aim and a good deal kinder than being impressive.
Translation: M.A.S. Abdel Haleem, The Qur'an, Oxford University Press, 2004.
A meta-analysis of twenty nine randomised studies found that psychological treatments for social anxiety disorder produce moderate to large effects. Social skills work sits inside some of those packages alongside exposure and cognitive work, so the pooled figure is evidence for the combination rather than for skills training taken on its own.
Acarturk C, Cuijpers P, van Straten A, de Graaf R. (2009). Psychological treatment of social anxiety disorder: a meta-analysis.. Psychological medicine doi
Strength of evidence: one line of research. A single study, or a theoretical account.
A step goes wrong for real reasons when the skills it needs were never learned.
It helps to have one small set of moves you use whatever the worry is wearing today. Not a fresh technique for each fear, just the same few steps, learned well enough to reach for without thinking.
Stay with a step until it stops being interesting. Not until you have survived it once, but until it is ordinary, and then move up.
Put a number on each step, nought to ten, and let it be your number. Two people facing the same school will not agree about which part is worst, and the ladder has to belong to the person climbing it.