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Social anxiety and specific phobias: living around a fear

A fear of speaking up, of being judged, of flying or of needles can quietly reshape a life. These fears are common, understandable and respond well to structured psychological work.

  • 4 min readReading time
  • October 2026Published
  • Clinical Psychologist Elif Nur SularAuthor

Most people feel tense before a presentation or uneasy somewhere high. A phobia differs in degree: the fear is intense, appears every time and leads to avoiding the situation even when that has a real cost.

At the heart of social anxiety is a fear of being watched, judged or embarrassed. Specific phobias focus on a particular object or situation, such as flying, heights, animals, blood or medical procedures.

How does social anxiety show itself?

People with social anxiety often worry for days before an event, monitor themselves closely during it and afterwards replay the moment again and again, focusing on what went wrong. Blushing, trembling or a shaky voice feels highly visible, even when others barely notice.

Over time, meetings, phone calls, eating in public or meeting new people may be avoided. Opportunities at work and in relationships can be missed — not through lack of ability, but because of fear.

Why does avoidance make fear grow?

Avoiding a feared situation brings instant relief, which makes avoiding it again more likely next time. Because the situation is never faced, there is no chance to learn that it can be managed, and the fear stays as strong as before — or grows.

Small safety behaviours, such as rehearsing every sentence in advance or avoiding eye contact, work the same way and keep the fear alive.

How psychotherapy helps

Cognitive Behavioural Therapy looks at the predictions behind the fear and tests them in practice. A step-by-step plan is built together, starting with situations that cause only mild discomfort and gradually moving to harder ones.

For specific phobias this gradual approach is often effective within a limited number of sessions. For social anxiety, work on self-critical thoughts and on where attention goes in social situations is added; the schemas underlying oversensitivity to criticism can also be addressed.

When to seek support

If a fear stops you from doing things you need or want to do — travelling, working, having a medical procedure, meeting people — it is worth getting support. You do not have to wait for the fear to become overwhelming.

In the first session, when the fear started, the situations in which it appears and how it affects daily life are assessed together, and the plan is shaped accordingly.

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This article is for general information only and does not replace a consultation with a specialist or an individual assessment.