Social phobia or social anxiety disorder is characterized by intense and excessive fear about everyday social situations. People with social phobia have more than a nervous moment or two when they interact with others. The anxiety they experience is overwhelming.

It would be difficult, if not impossible, to count all of the social encounters that most of us have each day. Imagine watching a movie of yourself as you go about your day and noting every single social interaction. Surely the number is often in the hundreds.

Now, imagine that for most of these interactions you made – every swing through the coffee drive-through, each greeting of a co-worker, or each episode of casual banter in the check-out line – you wish you could be doing anything else.

For me, social phobia is one of the more difficult psychological disorders to imagine. I’m pretty much an extrovert, and for the most part I look forward to social interactions. People just usually strike me as intriguing and enjoyable.

So, I try to think about those times when I have been immensely embarrassed – those times when what I said or did left me simply speechless or feeling like I could easily start crying.

I try to imagine having that feeling each time I call someone on the phone or see a friend approaching me across my backyard.

One of my colleagues and friends, Bob, taught me some early lessons about social phobia. Bob has been a counselor pretty much since the beginning of time and is one of the most empathic people I know.

When we worked together, I noticed Bob checking the clock several times one morning. Just as we were about to begin our first group he started to take off.

“Hey, we’re about to start,” I called.

“I know,” Bob said, “but we have a new person starting today, and she’s going to need a little extra help getting through the front door.”

I thought maybe she was in a wheelchair or something, but that was not the case.

A few minutes later, Bob and the new woman arrived. Describing her as completely pale and frightened would be understating the case. But she and Bob had planned her entire arrival over the phone the day before and developed a game plan to overcome the complete and total anxiety that she felt coming into a room with other people. Bob was calm and reassuring and talked her through her anxiety – just as they had planned.

As with many psychological problems, one of the most tragic things about social phobia is that many people never receive the help that is available.

Anxiety disorders, including social phobia, are disorders with a remarkably high rate of success in treatment. Part of treatment involves learning and practicing skills in physical relaxation. It is surprising how quickly people are able to learn how to put themselves in a calm state if they are willing to put in a little practice time each day.

Treatment also involves focusing on the internal monologue that runs through our mind each moment of each day. Often we don’t pay attention to it, but our own thoughts and interpretations play an enormous role in determining our moods and actions.

Treatment for social phobia involves listening to what you are telling yourself – and challenging those things that are not really true.

Things like “I know this person will think I’m stupid if I talk to them,” or “There is no way in the world I’ll be able to walk in there and not fall apart.”

One core strategy for treating social anxiety – and many psychological problems – involves challenging and changing those thoughts which are ultimately unhelpful if not self-defeating.

While we don’t need to blame ourselves if we struggle with anxiety or any mental health problem, we do need to take advantage of the fact that it is often our own thinking patterns and beliefs that keep us stuck in our old patterns.

Psychologist Dr. David Prescott is the director of psychology services and clinical research at The Acadia Hospital. He writes a monthly column as part of Acadia’s Because Your Mental Health Matters Campaign.