Is your athlete showing excessive avoidance in terms of participation in activities/sport or attending school? Is he easily upset and is his distress out of proportion to the situation? Do you spend a lot of time comforting and urging them to participate? Is their family functioning being disrupted by the child’s fears and worries? The physical symptoms that accompany these feelings include heart palpitations, trembling, dry mouth, dizziness, nausea and diarrhea.
Cognitive behavioral therapy (CBT), which helps people overcome social anxiety through a variety of cognitive and behavioral techniques. Techniques used in CBT include:
Cognitive restructuring
Learning to think in a different and more positive way about other people and about oneself. Many people with social anxiety feel that they are not good at anything and that they will always fail, so there is no point in trying.
Exposure
Gradually and repeatedly exposing the person to the feared situation, until the person is no longer afraid of the situation. For example, someone who is afraid to talk to teachers might start by talking to the teacher after class, privately, and then work up to being able to talk to the teacher during class with others around. Exposure is done using a ‘hierarchy’, a step-by-step
approach starting with easy behaviours and working up to more challenging behaviours.
Role play
Where a person practices new ways of responding to situations that are scary. For example, a child who is anxious about talking to other children might practice a pretend situation with a family member or therapist.
Social skills training
Where a person is explicitly taught the steps and rules of effective social interaction. Because individuals with social anxiety avoid social situations, they often do not have the same opportunities to learn social skills as others might have. Thus, it may be helpful to explicitly learn what to do.
Problem solving
Working together with the child to figure out what problems are getting in the way of the child. The individual is taught how to solve problems systematically by brainstorming, estimating the advantages and disadvantages of various possible solutions to a problem, and planning the steps involved in implementing the best solution. It is important for the child to learn how to go through this process whenever he or she faces a problem, not simply to learn how to solve one immediate problem.
Expand the Reach is a web based resource for coaches, athletes of all levels, parents and community organizations to support Mental Wellness, and early intervention for better performance in sport & life.