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Teacher's Hidden Anxiety
- Joe Berlanga feels intense physical and mental symptoms of anxiety before adult groups despite functioning normally with her students.
- She uses deep breathing and grounding to manage those episodes and can teach effectively despite her fear.
When Normal Fear Becomes A Disorder
- Social anxiety is a disproportionate fear of judgment or rejection that becomes a disorder when it causes distress or impairment.
- Distress means suffering (sleep loss, stomachaches) and impairment means avoiding life opportunities like class participation.
Use Graded CBT Exposure
- Use cognitive behavioral therapy to challenge thoughts and change behaviors through graded exposure lists from easy to hard.
- Practice feared actions with a therapist and rank avoided activities to rebuild confidence step by step.


