Social Anxiety and Addiction Treatment in Tennessee | Brooks Healing Center
Amanda Stevens
Social anxiety, characterized by intense fear and avoidance of social interactions, can significantly impact your quality of life, leading to increased isolation and distress. When combined with addiction, this type of anxiety can make the recovery process seem daunting.
At Brooks Healing Center, we specialize in addressing these often-related issues with comprehensive treatment strategies for both social anxiety and addiction. Our expert team provides personalized care to help our patients break free from this cycle and achieve long-lasting recovery.
Table of Contents
Key Points
- Social anxiety disorder, affecting approximately 15 million American adults in the US, is characterized by intense fear and avoidance of social situations, often leading to significant distress and impairment.
- The interplay between social anxiety and drug addiction is complex, with each condition potentially exacerbating the other – people with social anxiety may misuse substances to self-medicate, while addiction can worsen anxiety symptoms.
- Common substances used by those struggling with social anxiety include alcohol, benzodiazepines, stimulants, cannabis, and opioids, each providing temporary relief but leading to potential dependence and worsened anxiety over time.
- Brooks Healing Center in Tennessee offers a comprehensive approach to treating co-occurring social anxiety and addiction, including detoxification, residential care, and various therapeutic modalities such as CBT, experiential therapy, trauma-informed care, brainspotting, and the 12-Step Program.
What is Social Anxiety?
Social anxiety, also known as social anxiety disorder (SAD), is an intense fear of social situations where you might be scrutinized or judged.[1] People with social anxiety often experience overwhelming apprehension about interacting with others, leading to avoidance of social interactions or enduring them with significant distress. This condition can manifest in various ways, such as fear of public speaking, eating in front of others, or participating in group activities. The roots of social anxiety can be complex, involving a combination of factors.[2] It often begins in adolescence or early adulthood and can be triggered or exacerbated by stressful life events, negative past experiences, or personality traits. Symptoms of social anxiety typically include physical signs like sweating, trembling, or a rapid heartbeat, along with psychological symptoms such as excessive worry, self-consciousness, and a constant fear of embarrassment or humiliation. Social anxiety disorder affects approximately fifteen million American adults, representing about seven percent of the total adult population.[3] Those struggling with social anxiety are also at a heightened risk for developing substance use disorders and major depressive disorder, as the overwhelming fear and avoidance associated with SAD can drive people to seek relief through substances or lead to severe emotional distress.
Drug Addiction and Social Anxiety
Substance abuse and social anxiety can be related, with each condition potentially worsening the other.[4] Social anxiety can lead people to seek out substances as a form of self-medication, using drugs or alcohol to temporarily alleviate the intense discomfort and fear associated with social interactions. This reliance on substances may provide momentary relief but often leads to a pattern of abuse, where the person increasingly depends on drugs to manage their anxiety. As addiction develops, it can create additional problems, such as impaired judgment, risky behaviors, and further social withdrawal, which may intensify feelings of isolation and make underlying social anxiety worse. Conversely, drug addiction can worsen social anxiety by altering the way your brain works, making it more difficult for people to manage their fears and anxieties effectively.[5] The negative consequences of addiction, including strained relationships, financial issues, and legal troubles, can compound feelings of shame and inadequacy, deepening the experience of social anxiety.
What Are Some Common Substances People Use When Struggling with Social Anxiety?
People struggling with social anxiety may turn to various substances in an attempt to manage their overwhelming fear and discomfort in social situations. These substances can provide temporary relief but often lead to further complications and potential dependence:[6]
- Alcohol: Often used for its calming effects, alcohol can temporarily reduce social inhibitions and anxiety. However, social anxiety and alcohol are not a healthy pairing. Regular use can lead to increased tolerance and dependence, worsening social anxiety over time.
- Cannabis: Marijuana is often used for its relaxing effects, which may help manage social anxiety in the short term. However, high-potency forms or chronic use can lead to heightened anxiety and cognitive impairments.
- Benzodiazepines: Prescription medications like Valium, Xanax, and Ativan are sometimes used for their sedative properties. While they can reduce anxiety in the short term, they carry a risk of addiction and can lead to dependency if used excessively.[7]
Treatment Program Options in Tennessee for Co-Occurring Social Anxiety and Addiction
Brooks Healing Center offers Tennessee residents (and patients from surrounding states) a truly comprehensive approach to treatment designed to address dual diagnosis concerns, including social anxiety and addiction. The process typically begins with detoxification, where patients safely withdraw from substances under medical supervision. Detox is crucial for managing withdrawal symptoms and preparing your body for further treatment. Following detox, many patients transition to residential care at Brooks, where they receive intensive, structured support in a supportive environment designed to promote recovery and personal growth. Brooks Healing Center employs a variety of evidence-based and holistic treatment modalities to effectively address co-occurring social anxiety and addiction as well:
- Cognitive Behavioral Therapy (CBT): This structured talk therapy helps patients identify and modify negative thought patterns and behaviors associated with both social anxiety and substance use. CBT focuses on developing healthier coping strategies and improving overall emotional regulation.
- Experiential Therapy: Using activities and experiences, this modality aids clients in processing emotions and developing new coping skills. It can be particularly beneficial for addressing the emotional and psychological aspects of social anxiety and addiction.
- Trauma-Informed Care: This approach recognizes the impact of trauma on mental health and addiction, ensuring that all aspects of treatment are sensitive to past traumas and focused on creating a safe and supportive environment for healing.
- Brainspotting (BSP): Brainspotting helps individuals process and resolve deep-seated trauma and emotional issues by targeting specific eye positions associated with traumatic memories.
- 12-Step Program: 12-step programming provides a structured approach to addiction recovery while offering community support and guidance. It can be an integral part of a holistic treatment plan for those recovering from both social anxiety and addiction.
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Frequently Asked Questions About Social Anxiety and Substance Abuse Treatment
How does social anxiety impact recovery from substance abuse?
Social anxiety can significantly impact recovery from substance abuse by creating barriers to engaging in social interactions, which are often crucial for building a supportive network and participating in group therapy. People with social anxiety may struggle with feelings of discomfort or fear in social settings, making it challenging to attend meetings, connect with peers, or seek help when needed.
This isolation can exacerbate feelings of loneliness and increase the risk of relapse. Addressing social anxiety effectively within the recovery process is important to help you build confidence, improve social skills, and grow meaningful connections that support long-term sobriety.
How can I cope with anxiety and cravings during treatment?
Coping with anxiety and cravings during treatment involves utilizing a variety of strategies and tools learned in therapy. Techniques such as mindfulness, deep breathing exercises, and relaxation practices can help manage immediate anxiety and stress.
Developing and practicing healthy coping skills, such as engaging in physical activities, pursuing hobbies, or connecting with supportive friends and family, can also reduce cravings and provide positive distractions. Additionally, regular participation in therapy can offer ongoing support and practical strategies for dealing with both anxiety and cravings, helping you to stay focused on your recovery goals.
What are the benefits of residential treatment over outpatient care?
Residential treatment offers several benefits over outpatient care, particularly for those with severe conditions or those requiring intensive support. In a residential setting, patients have access to a structured environment with round-the-clock care, which helps ensure adherence to the treatment plan and provides a controlled setting free from daily life distractions.
This immersive approach allows for comprehensive therapy and support. Additionally, the residential environment gives you a sense of community and accountability, which can be crucial for those struggling with complex issues related to both social anxiety and substance abuse.
Are there support groups specifically for people with social anxiety and substance abuse issues?
Yes, there are support groups specifically designed for those dealing with both social anxiety and substance abuse issues. These support groups provide a safe and understanding space where participants can share their experiences, challenges, and successes with others facing similar struggles.
They offer valuable peer support, encouragement, and practical advice tailored to managing co-occurring disorders, the challenges of social anxiety, and substance abuse. Engaging in these groups can help individuals build a supportive network, learn new coping strategies, and feel less isolated in their recovery journey.
How can I measure progress in treatment for both social anxiety and substance abuse?
Measuring progress in treatment for both social anxiety and substance abuse involves evaluating several things. Reduction in anxiety symptoms and substance use, improvements in mood and behavior, and enhanced ability to manage daily responsibilities are important markers of progress.
Additionally, achieving personal goals related to social interactions and substance use, as well as successfully applying coping strategies learned in therapy, can signal positive development. Regular assessments by treatment professionals and self-reflection on the improvements in quality of life and overall well-being also help gauge progress and adjust the treatment plan as needed.
Sources
[1] National Institute of Mental Health. (2022). Social anxiety disorder: More than just shyness. National Institute of Mental Health; National Institute of Mental Health. https://www.nimh.nih.gov/health/publications/social-anxiety-disorder-more-than-just-shyness on August 28, 2024
[2] Yale Medicine. (n.d.). Social Anxiety Disorder. Yale Medicine. https://www.yalemedicine.org/conditions/social-anxiety-disorder on August 28, 2024
[3] Anxiety and Depression Association of America. (2022, October 28). Anxiety disorders – facts & statistics. Anxiety and Depression Association of America; ADAA. https://adaa.org/understanding-anxiety/facts-statistics on August 28, 2024
[4] Lemyre, A., Gauthier-Légaré, A., & Bélanger, R. E. (2018). Shyness, social anxiety, social anxiety disorder, and substance use among normative adolescent populations: A systematic review. The American Journal of Drug and Alcohol Abuse, 45(3), 230–247. https://pubmed.ncbi.nlm.nih.gov/30422012/ on August 28, 2024
[5] NIDA. (2020). Drugs and the Brain. National Institute on Drug Abuse. https://nida.nih.gov/publications/drugs-brains-behavior-science-addiction/drugs-brain on August 28, 2024
[6] Walukevich-Dienst, K., Calhoun, B. H., Fairlie, A. M., Cadigan, J. M., Patrick, M. E., & Lee, C. M. (2022). Using substances to cope with social anxiety: Associations with use and consequences in daily life. Psychology of Addictive Behaviors. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10225016/ on August 28, 2024
[7] Posternak, M. A., & Mueller, T. I. (2001). Assessing the risks and benefits of benzodiazepines for anxiety disorders in patients with a history of substance abuse or dependence. The American journal on addictions, 10(1), 48–68. https://doi.org/10.1080/105504901750160484 on August 28, 2024