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Online Social Anxiety Therapy

Online Social Anxiety Therapy (UK-wide)

Cognitive Behaviour Therapy to reduce fear of judgement and increase your ability to do more of what matters

 

Online therapy for social anxiety across the UK, using evidence-based approaches, including CBT and ACT, to reduce the impact of anxiety and help you to take steps towards the kind of work, life, and relationships, you want to have.

Delivered via secure video

Fees - £125/60 minute session.

What social anxiety is

Social Anxiety Disorder involves a persistent fear of negative evaluation (and associated consequences such as embarrassment, rejection, humiliation) in social or performance situations. Often, it involves strategies  such as anticipatory worry before a social event, or engaging in over-rehearsing, avoiding eye contact, self-monitoring blush/sweat responses, and self-focused attention (watching yourself instead of the conversation), in an attempt to avoiding anxiety and the possibility of being negatively by others.  Unfortunately, while these strategies may have some benefit in reducing anxiety in the short-term, they tend to maintain the problem in the long-term and may actually make it worse.

What this feels like (common presentations)

  • Anticipatory dread before meetings, calls, parties, dates, presentations.

  • Physical spikes (heart rate, heat, sweating, shaking, voice “catching”) you try to hide or worry others can see.

  • Mental playbacks after interactions (“I sounded stupid,” “They noticed”).

  • Avoidance: cancelling, finding excuses to avoid, staying quiet, over-explaining, drinking to cope.

  • Life shrinks: fewer opportunities, narrower relationships, stalled career moves.

Why it persists

Before and during interactions you monitor yourself and use safety behaviours to prevent the possibility of the unwanted social consequences - such as embarrassment, rejection, or humiliation. The short-term relief these strategies provide also prevent you learning that a) the feared outcome didn't occur or b) that you could manage or cope with it, even if it did. Anxiety is maintained as your sense that the consequence is both likely and that you wouldn't have been able to cope with it, if it had occurred, is left unchallenged.  For many, engaging in post-situation rumination, looking for possible mistakes that could invite negative judgement, cements the worst possible interpretation.

Treatment flips this: face the situation, drop the safety moves, place attention outward, gather real evidence, and act by values.

The plan:

​Effective evidence-based treatment involves a cognitive behavioural approach that seeks to find new ways of responding to difficult thoughts and feelings, that allow you to take steps towards the kinds of social interactions and relationships you want to have, whilst reducing the unhelpful behaviours that are maintaining your anxiety in the present.

Format: Weekly 50-minute sessions (Stourbridge or online UK-wide).

 

What changes (realistic outcomes)

  • Less avoidance and fewer safety behaviours; more time speaking/engaging.

  • Physical symptoms may still appear; your control comes from how you respond, not from erasing them.

  • Clearer, more confident communication; broader social and work participation.

  • Progress measured by behaviour and life expansion, not by “never feeling anxious”.

Fees & logistics
  • Individual therapy: £125 per 60-minute session

  • Location: Stourbridge (West Midlands) & online across the UK

  • Availability: Daytime and limited early evenings

FAQs
  • Can exposure be done online?
    Yes—absolutely, online therapy can be as effective as face-to-face sessions, and allows people to access sessions who may otherwise face barriers to attendance.

  • Will you push me too fast?
    No—exposures are graded and agreed with your consent at all times.

  • Can work/leadership be included?
    Yes—the work is tailored to your specific goals.

  • Do I need to “be confident” before exposures?
    No. You we work on learning to respond effectively to your thoughts and feelings whilst you take action. Confidence grows from experience of doing, not the other way around.

  • Will you make me do humiliating tasks?
    No “stunt therapy.” We design real-world tasks that are relevant, graded and humane. Working with discomfort is part of the process; humiliation is not.

  • What about blushing/shaking/voice tremor?
    We train willingness to carry deal with these in service of moving forward to the life you want. When safety behaviours drop, symptoms usually matter less and fade faster. Paradoxically, the more we focus on not having these experiences, the longer they persist.  Shifting the focus towards taking action helps you break the loop that maintains your social anxiety.​

  • How long does therapy take?
    Many see real improvements in 12 sessions; long-standing avoidance may take longer. We review data and adjust pace.

  • I’m fine one-to-one, but public speaking is too much.
    We’ll build a separate ladder for performance anxiety (meetings, talks, interviews) with rehearsal rules and live practice.

Next Steps:

Book an appointment online, using the button below,

Or, if you would prefer a face-to-face appointment, you can read more about in-person appointments in Stourbridge

Tel: 01384 931 056
Email: hello@christiankhughes.com

If you are in immediate crisis or at risk of harm to yourself or others, please contact NHS 111, your GP, or attend your nearest emergency department. This is not an emergency service.

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