Social Anxiety Treatment in Dallas & Online
What if you could speak up and make geniuine connections with confidence?
Social anxiety is more than shyness. It's the meeting where you rehearse your response for five minutes before saying it. The invitation you say yes to and then quietly dread for a week. The conversation you replay that night, certain you sounded strange, even though no one else remembers it.
Social anxiety works by making connection feel like performance. Over time, the effort of managing how you come across can become more exhausting than the interaction itself — even when things go fine on the outside.
Most people with social anxiety know their fear of judgment is disproportionate to the actual risk. That awareness doesn't make the fear go away. What changes it is treatment — structured, evidence-based, and practiced in real situations.
Living with social anxiety doesn't have to be your normal. Whether you’ve been living with it for 6 months to 16 years, we can help. At Tella Psychology, we specialize in evidence-based social anxiety treatment for teens and adults, in Dallas and online across 42 states, including individual therapy and a structured group program. Most people see meaningful improvement in six sessions and complete treatment in 12 to 20.
Common Social Anxiety Experiences We Treat
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Presentations, meetings, or even speaking up in a group can trigger intense dread, physical symptoms, trouble sleeping or relaxing, and avoidance — even for people who are highly competent once they start.
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Anxiety tied specifically to being observed or evaluated — presentations, auditions, athletic competition, high-stakes professional tasks, being watched while working, or eating/writing in front of others.
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Difficulty initiating conversations, attending events alone, or entering unfamiliar social settings, often accompanied by over-rehearsing what to say.
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Wanting closer friendships but staying at a surface level out of fear of being fully seen, judged, or rejected once someone gets to know you better.
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Anxiety around asking someone out, first dates, or vulnerability in a developing relationship, sometimes leading to avoiding dating altogether.
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Classes, meetings, team activities, or group projects that require visible participation, contribution, or being observed by multiple people at once.
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Phone calls, using a restroom in public, eating or drinking in front of others, or writing/signing something while someone watches.
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Difficulty saying no, disagreeing, setting boundaries, or asking for something you need, out of fear of conflict or being disliked.
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This is not a complete list. If social anxiety is affecting your daily life, relationships, or work, it's worth a conversation.
Social anxiety is not simply shyness or a personality trait to push through. It's a conditioned fear response to social evaluation that can limit daily routines, relationships, career growth, and overall quality of life. Even when someone knows their fear is out of proportion, their body may still react as if the social threat is real and immediate.
That is why effective social anxiety treatment focuses on more than reassurance or "just being more confident." The goal is to understand what is maintaining the fear, reduce avoidance and safety behaviors, and build real, practiced experience tolerating social discomfort.
At Tella Psychology, we work with social anxiety across a range of presentations. Treatment is tailored to your specific situation, whether that's individual therapy, our structured a Social Anxiety Group, or both together.
During your consultation, we will talk through what social anxiety looks like for you, how it's affecting your life, and which treatment approach — individual, group, or combined — may be the best fit.
How Social Anxiety Treatment Works
Social anxiety treatment at Tella Psychology is not about being pushed into situations before you're ready. It is collaborative, paced, and tailored to your specific triggers, history, and goals. We draw on evidence-based approaches, depending on your needs and preferences.
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CBT is the most well-researched treatment for social anxiety. It works by identifying the anxious thoughts, avoidance patterns, and safety behaviors (like over-preparing or staying quiet) that keep social anxiety in place. A core part of CBT for social anxiety is exposure therapy — gradually and supportively practicing social situations that feel difficult, starting with what's manageable and building from there, so your nervous system learns through direct experience that the feared outcome doesn't happen.
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Many social fears are connected to a specific memory, image, or experience that became encoded as a threat — even if the original event wasn't objectively dangerous, or even if you can't quite name or locate it. EMDR (Eye Movement Desensitization and Reprocessing) works by helping the brain reprocess that stored memory so it loses its emotional charge. After EMDR, the social trigger can be encountered without setting off the same automatic fear response. The memory doesn't disappear — it just stops feeling like an active threat. EMDR is particularly effective for social anxiety tied to a specific incident: being laughed at during a presentation, a humiliating moment in front of peers, being excluded or rejected by a group, a harsh public correction. If you can trace your social anxiety to a moment like one of these, EMDR may offer an efficient path to relief. What makes this work feel different here is that EMDR is delivered within a framework built specifically around anxiety — how it works, why it persists, and what the nervous system actually needs to shift. You're getting EMDR from someone who understands anxiety from the inside out.
After EMDR, the social trigger can be encountered without setting off the same automatic fear response. The memory doesn't disappear — it just stops feeling like an active threat.
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For many people, social anxiety is tied to earlier experiences of criticism, exclusion, or feeling not good enough. Internal Family Systems (IFS) helps identify and work with the protective parts of you that developed the fear in the first place — so the work isn't just managing symptoms, but understanding where they came from.
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Some people benefit most from practicing social skills directly with others who are working through the same thing. Our Social Anxiety Group offers structured, supportive practice alongside individual therapy or as a standalone option.
Meet Our Psychologists
Tamaki Silver, PsyD
Adults
Dr. Silver works with adults experiencing social anxiety, self-consciousness, and difficulty feeling at ease with others. Her combined relational and CBT approach can be especially helpful when anxiety involves fear of judgment, rejection, conflict, or difficulty feeling confident and authentic in relationships.
Accepting new clients for online therapy
Jessica Klement, PhD
Teens & Adults
Dr. Klement works with adults and teens experiencing anxiety and perfectionism, including social anxiety and fear of judgment. She may be an especially good fit when social anxiety is driven by high self-expectations, overthinking, shame, or past experiences that continue to shape how you see yourself around others.
In-person in Dallas + Online
Waitlist for new individual clients
FAQs
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Introversion is a personality trait — a preference for less social stimulation. Social anxiety is a fear response — dread, physical symptoms, and avoidance driven by fear of judgment or embarrassment, even in situations you might otherwise want to be part of. If social situations cause significant distress or you're avoiding things you'd otherwise want to do, that's worth taking seriously.
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There usually isn't one single cause. Social anxiety can develop through a combination of temperament, learning experiences, relationships, painful or embarrassing social experiences, and patterns of avoidance that strengthen over time.
You don't need to know exactly why your social anxiety started for treatment to work. Therapy can help identify what's maintaining the anxiety now and what needs to change for you to feel more comfortable and free around other people.
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Cognitive Behavioral Therapy (CBT), including exposure-based strategies, is one of the most well-established treatments for social anxiety. Treatment typically involves identifying the thoughts, avoidance patterns, and safety behaviors that keep anxiety going while gradually practicing situations that have become difficult.
Depending on your history and what is contributing to the anxiety, other approaches may also be integrated into treatment.
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No. Treatment is paced to your specific situation and readiness. Exposure-based work follows a gradual hierarchy — starting with whatever feels manageable — and nothing is introduced without your informed agreement.
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It depends on your goals and comfort level. Individual therapy is a good starting point if you want to understand what's driving your anxiety one-on-one. The group is a good fit if you want structured practice with peers. Many people benefit from both — we'll help you figure out the right starting point during your consultation.
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Most people see meaningful improvement within 8–16 sessions of individual therapy, or within our 6-session group program. Duration depends on the complexity of your situation and whether social anxiety is connected to other concerns like depression or trauma.
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You don't need to feel confident enough to face your most difficult social situations before starting treatment. Exposure is gradual and collaborative, and we can begin with smaller, more manageable steps.
We can also address the thoughts, shame, memories, or protective responses that make exposure especially difficult. In some cases, approaches such as EMDR or IFS-informed therapy may be incorporated alongside CBT to help make it easier to engage in exposure-based work.
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We provide telehealth services across PSYPACT states. Individual CBT, EMDR, and IFS translate effectively to online sessions. (Note: the group program currently meets in person in Dallas.)
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Yes. Dr. Klement has training and experience working with children and teens. If you are reaching out on behalf of a younger person, we are glad to discuss what treatment might look like for their specific situation during the consultation.
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That's common, and treatment can address both. If your anxiety is accompanied by significant depression or trauma symptoms, individual therapy is usually the better starting point rather than the group program, so we can address the full picture.
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Yes. Social anxiety isn't limited to public speaking or large groups. It can make initiating friendships, dating, expressing interest, letting relationships deepen, disagreeing, setting boundaries, or allowing yourself to be genuinely known feel risky.
Treatment can help reduce avoidance and self-monitoring while building greater confidence in your ability to connect authentically with other people.
Ready to talk through your options?
Schedule a free consultation to discuss your social anxiety, ask questions about the treatment process, and find out whether this is the right fit for you.