Mindfulness and the Socially Anxious Brain

Over the past few years in my work as a trauma therapist, I’ve had more conversations with my clients about social anxiety.

Not just the shakiness that spikes before a presentation or during the first few minutes of a dinner party. It’s the deeper, ongoing unease that lives in the body. It shows up when you walk into a room and feel like every set of eyes is watching. It flares up after a meeting when you replay everything you said, wondering if you overshared or didn’t say enough.

It’s the version of anxiety that feels both invisible and overwhelming. It’s the sense of dread that’s shaped by past experiences, the wiring of our nervous system, and the internalized pressure to “get it exactly right.”

Social Anxiety Doesn’t Just Affect Our Thoughts and Beliefs About Who We Are

It seeps into the body and takes over: pounding heart, tight shoulders, fluttering stomach, shaky breath. And for those of us who are highly sensitive, it can feel like a flood of overstimulation with no off switch.

A few months ago, I found myself revisiting the work of Jon Kabat-Zinn. If you’re familiar with Mindfulness-Based Stress Reduction (MBSR), you might know that he developed seven “attitudes” that serve as pillars for a mindfulness practice.

I’d studied them before, but something about reading them again through the lens of social anxiety shifted the way I understood their power.

These aren’t rigid steps or a cure for social discomfort. They’re more like small daily practices for how to meet yourself differently. Gently. Honestly. With just a little more breathing room.

1. Non-Judging + Social Anxiety

When social anxiety kicks in, our thoughts tend to spiral: “I sounded stupid”. “I came across as awkward”. “Why can’t I be more confident?” The inner critic becomes relentless.

Non-judging invites us to notice those thoughts, without letting them define us. It sounds simple, but it can be incredibly powerful.

We can’t control the first thought. But instead of falling down the rabbit hole of “Why am I such a dumpster fire?” we can pause and say “I’m feeling anxious”. That subtle shift in language can soften everything.

This doesn’t mean the thoughts stop. It just means we stop agreeing with all of them.

2. Patience + Social Anxiety

If you’ve lived with social anxiety for a while, you might be tired of it. Frustrated. Wondering why it hasn’t gone away yet.

Patience reminds us that healing doesn’t follow a clean timeline. You might have a complex conversation with a colleague that feels effortless, followed by an experience of shutting down completely with the barista at the coffee shop. That’s not failure. That’s being human.

Patience allows space for the slow unfolding of change, without so much shame.

3. Beginner’s Mind + Social Anxiety

Social anxiety thrives on prediction: “This group won’t like me”, or “That conversation will be uncomfortable”. Maybe “I always feel out of place”.

Beginner’s Mind asks us to stay open. “What if this interaction is different?” What if you don’t know yet how it’s going to go?”

Each moment offers a chance to begin again. Not because we forget the past, but because we don’t let it completely shape what’s possible now.

4. Trust + Social Anxiety

For those who have experienced social anxiety, trusting yourself can feel nearly impossible. Especially if you’ve been masking, adapting, or second-guessing yourself for years.

But trust doesn’t have to mean “I know what to say”. It can mean “I know how to come back to myself”. It can mean “I can ride this wave of discomfort without abandoning who I am”.

Trust takes practice. Each time you stay present in a moment that made you shrink into a corner in the past, that’s part of the slow process of building trust.

5. Non-Striving + Social Anxiety

This one is tricky. Social anxiety is often tied to performance. Trying to be liked, to sound smart, to say the “right thing” at exactly the right moment.

Non-striving invites us to loosen our grip on the outcome. What if you didn’t have to impress anyone? What if your only job is to show up as you are?

It’s hard. But it can also be a relief. You don’t need to optimize every interaction. You’re allowed to just be.

6. Acceptance + Social Anxiety

Acceptance is not the same as resignation. It doesn’t mean you have to love your anxiety or give up on the desire for meaningful change.

It means acknowledging what’s true in the moment: “I’m anxious right now. My chest feels tight. I’m afraid I said too much”.

Acceptance gives us the capacity to stay with what feels difficult without turning against ourselves. It creates a little more room to breathe, even when things feel messy.

7. Letting Go + Social Anxiety

This one might be the most challenging. Social anxiety is fueled by rumination: replaying the conversation, analyzing the tone, searching for signs that we’ve been rejected again or misunderstood.

Letting go doesn’t mean you stop caring. It means you stop clinging to past moments like a cold case to solve. As if finally cracking the code will teach you to DO BETTER and say something smart next time.

It’s okay to care about how we’re perceived by others, but we don’t have to be held hostage by the urge to ruminate for hours.

Letting go often starts with something small: a breath, a hand on your chest, a reminder that it’s safe to come back to the present.

Two Selves, One Nervous System

As a trauma therapist, I’ve worked with many clients who feel like they’re caught in a tug-of-war between seeking connection and wanting to hide. For many, especially those with a highly sensitive nervous systems, it’s not just a cognitive battle, it’s a full-body experience.

You want to reach out, but you freeze. You want to join the conversation, but your mind goes blank. You leave the event early, then spend the next three hours criticizing yourself for not staying longer.

This is the cycle. Mindfulness doesn’t make it disappear, but it does help you step outside of social anxiety. Even for a moment.

Mindfulness and Social Anxiety

You don’t have to be calm all the time to practice mindfulness. You don’t have to sit cross-legged in silence or chant anything. Mindfulness is simply the practice of coming back to yourself, over and over again, with curiosity instead of criticism.

If social anxiety has shaped the way you move through the world, know that you’re not broken and you’re not alone. You’re navigating a nervous system that’s trying to keep you safe, even if it doesn’t always get the signal quite right.

Sometimes all we need is a little more space between the thought and the reaction. A little more kindness and self-compassion. A breath. A pause. A step toward trust.

If You’re Struggling with Social Anxiety or Imposter Syndrome, Therapy Can Help

If you’d like to explore therapy as a way to support your healing, especially if you identify as an overthinker, a highly sensitive person, an athlete, or if you’re feeling bogged down by imposter syndrome or old traumas, I offer in-person therapy at my offices in San Francisco and Corte Madera (Marin County) and online therapy throughout California, North Carolina, and Florida. I provide EMDR, ketamine assisted psychotherapy, art therapy, and relational psychotherapy.

About the Author

Written by Dr. Amy Waldron, Licensed Marriage and Family Therapist specializing in supporting highly sensitive folks (HSPs) manage patterns of overthinking, social anxiety, imposter syndrome, and recovery from trauma. With close to 15 years of experience supporting clients at various stages of healing, Dr. Waldron now writes about the use of EMDR, ketamine assisted psychotherapy, art therapy, and relational psychotherapy based on her work with clients in the San Francisco Bay Area.