How to Handle Friendships when you have Anxiety

Lets explore a little bit about friendship anxiety, which is somewhat related to Social Anxiety, what that means, and how it can impact relationships. Friendships are an essential aspect of our lives, providing support, companionship, and a sense of belonging. However, for some individuals, the concept of friendship can be accompanied by a sense of anxiety known as friendship anxiety. Friendship anxiety in a nutshell is the fear, worry, or unease experienced in social interactions and the maintenance of friendships. It can manifest as an overwhelming concern about being judged, rejected, or not living up to the expectations of others. This type of anxiety can significantly impact relationships, leading to avoidance, self-doubt, and strained connections. 

Friendship anxiety can take a toll on relationships and mental health in various ways. Firstly, individuals with friendship anxiety may hesitate to initiate or maintain new friendships due to a fear of rejection. This fear can lead to missed opportunities for meaningful connections and a limited social circle. Additionally, existing friendships may suffer as the anxious individual constantly doubts themselves and their worthiness as a friend. They may second-guess their actions, overanalyze conversations, or become excessively clingy, ultimately straining the relationship and creating an imbalance. Over time, this anxiety can erode trust and create a barrier to open communication, impeding the growth and longevity of the friendship.

Recognizing and addressing friendship anxiety is important because if it is left to fester, it can greatly hinder healthy relationships. The first step is self-awareness. Acknowledge and understand your anxiety, recognizing that it is a common experience that can be managed. Seek support from trusted friends or family members who can provide a listening ear and offer reassurance. Maybe look into counseling or therapy for mental health treatment to address both the anxiety and the other feelings that can occur from the anxiety. Developing self-compassion and practicing self-care can also help reduce anxiety levels. Engaging in activities that promote relaxation, such as meditation or exercise, can be beneficial. Friendship anxiety can significantly impact relationships, leading to missed opportunities, strained connections, and decreased overall well-being. It is important to remember that anxiety is a common experience, and you are not alone in your struggles. By recognizing and addressing friendship anxiety, seeking support, and practicing self-care, it is possible to build and maintain meaningful connections. Embrace the journey of self-discovery, be patient with yourself, and remember that friendships are built on understanding, trust, and acceptance.

So lets look at some specific ways to handle friendship anxiety and some questions to ask ourselves about our experience with it.

Reflect on your Friendship Anxiety:

  • Take a moment to explore your own experiences with friendship anxiety. What are the specific fears or concerns that arise when it comes to forming or maintaining friendships? How has friendship anxiety affected your past or current relationships? Reflect on any patterns or triggers that contribute to your anxiety. Allow yourself to delve deep into your emotions and thoughts surrounding friendship anxiety, understanding its impact on your life.  Consider the idea that your brian is “lying” to you in regards to this anxiety, how does it feel to consider that and what implications does that have on what’s going on in your friendships?

Identifying Coping Skills:

  • Consider the strategies or techniques that have helped you navigate friendship anxiety in the past. What coping mechanisms or self-care practices have provided relief or a sense of calm? Are there any specific affirmations or positive self-talk that have helped counter negative thoughts or beliefs? Reflect on the people or resources that provide support and encouragement during times of friendship anxiety. What steps can you take to ensure you have a strong support system in place?

Cultivating Self-Compassion and Self-Care:

  • Friendship anxiety often stems from self-doubt and fear of judgment. Explore ways in which you can cultivate self-compassion and acceptance. How can you be kinder and more forgiving toward yourself when experiencing friendship anxiety? Are there self-care activities or self-reflection exercises that can help you build a stronger sense of self-worth? Consider how practicing self-compassion can positively impact your ability to form and maintain healthy friendships.

Setting Boundaries and Communication:

  • Reflect on your current approach to setting boundaries and communicating your needs within friendships. Are you comfortable expressing your feelings and concerns? How do you handle conflicts or disagreements? Explore ways in which you can improve your communication skills to alleviate friendship anxiety. Consider assertiveness techniques or strategies that can help you navigate challenging situations while maintaining the integrity of your relationships.

Seeking Growth Opportunities:

  • Friendship anxiety can hinder personal growth and limit social interactions. Identify areas where you feel comfortable stepping out of your comfort zone to foster new connections. How can you challenge yourself to engage in activities or join communities that align with your interests? Reflect on the potential benefits and growth opportunities that lie beyond your anxiety. Visualize the type of friendships you aspire to have and consider the steps you can take to make them a reality.

For additional thoughts on this concept, click HERE for a blog post on how to put a pause on those pesky automatic negative thoughts.

Seeking: The Perfect Counselor

So you’ve made the decision to find a therapist and you’ve already researched how to find one, but you’ve ended up with too many options and no clue where to start.  I got ya, lets do this together.

First things first, counselors know that the most important part of a successful client-therapist relationship is rapport.  There has to be a connection, a spark, a bit of trust, something.  If it’s not there, odds are the client will stop scheduling sessions or the work will feel hollow.  And how do we know if we have that vibe with our new therapist?  We interview them!  Most counselors will offer a free phone/virtual consultation so you can ask a few questions and get a feel for the kind of work they do.  This isn’t a mini session, it’s a chance for you to ask them some questions and determine how they interact with their clients.  If you don’t know what to ask, that’s ok, just say “I’m overwhelmed, can you just tell me a little bit about you and the work you do?”  Counselors know you’re overwhelmed, they won’t think it’s weird to say that, why else would you be reaching out to us in the first place?

Ok, so next up is usually “How am I going to pay for this?”  It’s a sad reality, but counseling isn’t free and insurance does a craptastic job of covering it.  Why does therapy cost so much?  Well, I’m sure many therapists have different answers and I can only answer for myself, but it’s because of how much we put into it.  You’re not just paying for the 60 minutes of your therapist’s time.  You’re paying for the multiple degrees, years of supervision, pages of experience, alphabet soup of letters after their name, and the knowledge of how to provide counseling rather than listening and giving advice.  Those things take time and money and without them your counselor would be about as effective as that random aunt in your family who keeps asking you when you’re going to have a baby.  

But I digress...there are some counselors who will take your insurance and that should cut back on the out of pocket cost to you.  You may just have a copay, or if you’re in luck, no copay at all, and the therapist submits a claim to your insurance company and gets a reimbursement for their services.  Other counselors may say they are “Out of Network” which means you pay them their full fee, but then a claim is submitted to your insurance company and a reimbursement check goes to you based on whatever your Out Of Network  (OON) benefits are.  Some therapists will help you with your OON claims and some will not, it really depends on the counselor’s personal desire to be involved with insurance at all.

What else should you look for in a therapist? Most counselors will list their specialties so finding one that seems to work with whatever you are facing is probably best.  Whether it’s relationship issues, depression, financial concerns, career changes, anxiety, or just a general feeling of ennui about life, you can search for counselors by what they treat.  You can also search for counselors who treat children/adolescents or only women or integrate faith into their treatment, or have accessible offices for people with disabilities.  Want a counselor who has specific knowledge of a certain cultural group or who is an ally of the LGBTQ+ community, they’re out there.  Or maybe one who speaks your native language? We have those too.  

In addition, every Counselor has a Theoretical Approach that they follow.  Many today will follow Cognitive Behavioral Therapy (CBT) but sometimes you’ll see they use additional theories in their work as well.  For example, I am trained in CBT but I spent a lot of time working on Family Systems and Adlerian therapy during my training years and then I went on to be trained in Person Centered and Trauma Informed on my own.  So working with me is a bit of a mish mosh, but in general I am very CBT guided.  Maybe you’re looking for a more Psychoanalytic approach or someone who does Guided Imagery, you can absolutely ask any potential therapist about their approach and the work they do before you start.  

Last but not least, I can’t say it enough, it’s the rapport that will be the most impactful.  Take a minute after you have a brief chat with a potential counselor to check in with how the conversation felt to you.  If you felt as if this person “heard” you and you think it could be a good fit, go for it.  If not, call someone else.  I’ve created a little checklist here for you to use in order to stay on track during your conversations because I know...we all know...it’s hard to make that initial call.  

Good luck!