More than worry

Mental Health Treatment for Anxiety

Anxiety can range from unease in social situations to overwhelming fear and panic attacks. Effective treatment exists — and too many people who need it struggle in silence instead.

A friend comforting a woman struggling with anxiety

About this condition

Anxiety treatment

The Anxiety and Depression Association of America estimates that approximately 15 million American adults — about 7.1% of the population — live with social anxiety disorder. It typically begins around age 13 and affects men and women fairly equally. Many people deal with the symptoms for years without professional support.

Anxiety is a natural stress response. When it becomes excessive or uncontrollable, it changes brain chemistry, feeds physical symptoms, and narrows life. Treatment works on both fronts: the thought patterns underneath the fear and the toll constant worry takes on the body.

Anxiety treatment at Ambrosia runs at two levels of care: residential treatment with round-the-clock support from a multidisciplinary team, and a partial hospitalization program with full treatment days and the flexibility to go home at night or stay in an on-campus residence.

How anxiety affects the brain and body

Chronic anxiety is linked to imbalances in neurotransmitters such as serotonin, dopamine, and norepinephrine — the chemicals that regulate mood and emotion. Studies have shown chronic stress can also change brain areas responsible for processing emotions and decision-making, affecting memory and emotional regulation.

The body keeps score too. Stress hormones like cortisol and adrenaline drive muscle tension, headaches, fatigue, digestive problems, and appetite changes. Over time, that same hormonal load can weaken the immune system, disrupt sleep, and raise the risk of problems like heart disease — which is why recognizing when anxiety has become overwhelming, and getting help, matters.

Signs of social anxiety

The warning signs can be subtle, and a person may live with the disorder for years before seeking treatment. Physical symptoms include upset stomach, dizziness, shortness of breath, muscle spasms, shakiness, rapid heart rate, and excessive sweating. Behavioral and emotional signs include:

  • Social withdrawal and passiveness
  • A constant need for reassurance
  • Avoiding eye contact
  • Excessive apologizing
  • Extreme self-consciousness
  • A tendency toward perfectionism
  • Intense focus on flaws and imperfections
  • Emotional reasoning

What causes anxiety disorders

  • Genetics

    People with a family history of anxiety are more likely to develop the condition themselves.

  • Brain chemistry

    Imbalances in neurotransmitters such as serotonin and dopamine, which regulate mood and emotion, have been linked to anxiety.

  • Trauma and stress

    Traumatic life events — abuse, neglect, the death of a loved one — and prolonged exposure to stress can both trigger anxiety.

  • Medical conditions

    Certain conditions, such as thyroid problems or heart disease, can cause symptoms of anxiety.

  • Substance use

    Long-term drug and alcohol abuse has been linked to an increased risk of developing anxiety.

  • Personality traits

    Being overly self-critical or having low self-esteem may make a person more susceptible.

Anxiety and addiction

Social anxiety and addiction often go hand in hand. The fear of social situations can be debilitating, and some people self-medicate with drugs or alcohol to feel more comfortable — or to fit in. Substance use then worsens the anxiety it was meant to quiet, creating a cycle that can end in addiction.

The connection runs both ways: substance abuse can alter brain chemistry, heighten anxiety and paranoia, damage relationships, and deepen isolation. When both conditions are present, dual-diagnosis treatment addresses the anxiety and the underlying causes of the addiction together.

How we treat anxiety

Treatment begins with individual counseling, where a therapist helps identify triggers and build coping mechanisms. Along the way, people gain new coping skills, learn to manage symptoms, grow more comfortable in social situations, and build the social skills that meaningful relationships depend on.

  • Cognitive behavioral therapy (CBT)

    Challenging the negative thought patterns and beliefs attached to social situations, and building new ways to cope with them.

  • Exposure therapy

    Gradual, guided exposure to feared social situations in a safe and controlled environment — learning firsthand that the anxiety is manageable.

  • Medication support

    Antidepressants such as SSRIs can reduce anxiety symptoms by balancing the brain chemicals that feed fear and worry.

  • Group therapy

    Practicing connection with people working through the same fears, with a therapist in the room.

Ready to talk with admissions?

Admissions is available 24/7 to answer questions about mental health and substance use treatment options.