Social Anxiety: The Untold Story


Provided as a community service by Jonathan Berent and AKFSA.



It is estimated that 1 in 8 people suffer from social anxiety.  It is a universal problem that affects people of all ages, genders, cultures, religions and socioeconomic strata.  Social anxiety includes an extremely broad spectrum of symptoms:  from specific performance anxiety to pervasive social handicaps.  It is often a debilitating illness that can lead to a life of isolation, anguish and even suicide.   Incredibly, most people and many mental health professionals lack a functional understanding of the disorder..  Plus, little effective protocol exists due to sufferers’ innate resistance to treatment.

Social Anxiety is an overwhelming and persistent fear of social or performance situations that can significantly and dramatically limit one’s ability to live a meaningful and productive life. It causes both emotional discomfort through obsessive worry and physical suffering that emanates from the core. These symptoms are always associated with human interaction and are performance based.

Social anxiety is the third most prevalent mental health disorder behind depression and substance abuse, and is substantially co-morbid.  Current research demonstrates that very little productive clinical protocol exists.  Social anxiety is a disease of resistance, which impacts millions of all ages and all cultures.  It continues to evolve rapidly due to its dynamic core of “performance” within an increasingly competitive and technological society.  Social anxiety has numerous manifestations including social phobia, public speaking anxiety, which is the world’s number 1 phobia, selective mutism, school phobia, performance anxiety in numerous venues such as work, performing arts, sports, and relationships, as well a technology over-dependence and social skills challenges.  In addition there is a direct connection to such problems as “bullying” and positioning within the social “pecking order”, school violence, and image sickness Persons with Learning Disabilities and other special needs represent another group significantly impacted by Social Anxiety.

This DVD set will go beyond the theoretical context and provide viewers with a functional understanding of the population. It will teach a step-by-step treatment methodology including analytical, behavioral, cognitive, physiological, and family dynamics.  Follow along with these real-life client demonstrations.

—avoidance form, dependence form, emotions list, selective mutism school chart, selective mutism profile and multimodal life history inventory sample

This film series was produced by the Andrew Kukes Foundation for Social Anxiety, Inc.  Its ongoing mission is to educate mental health professionals and improve the lives of those affected by Social Anxiety.  Please visit their website at


  • Create a functional understanding of the multi-dimensional character and energy of social anxiety
  • Differentiate core clinical work vs. technique
  • Identify the architecture of social anxiety: Function, Action, Thinking, Emotion and Personality Types
  • Explain “mind state” development for patients with and without “initiative” (for healing)
  • Demonstrate a clinical model for selective mutism as early intervention for social anxiety
  • Examine a systems treatment methodology for social anxiety


Disc 1 – Andy’s Story: From Performance Anxiety to Suicide
  • A profile of obsessive-driven social anxiety (Video interview with Andy’s parents)
  • Challenging the concept of “shyness”
  • The architecture of social anxiety:
    1. F = Function (physiology)
    2. A = Action (behavior)
    3. T = Thinking (cognition)
    4. E = Emotion (feelings)
  • Co-morbidity
  • The dynamics of resistance
  • Social phobia as an “addiction to avoidance”
  • The faces of social anxiety:
    1. “Carol” (Ovarian cancer survivor-public speaking): (Audio interview)
    2. “Robert” (Executive-public speaking anxiety): (Audio interview)
    3. “Arthur” (School phobia): (Audio interview)
    4. “Mike” (Intimacy anxiety): (Audio interview)
  • The role of learning disabilities
  • Functioning levels (Video interview with Dr. Eli Ran Eliaz)
Disc 2 – Avoidance, Detachment and Dependence
  • Diagnostics: The layers of the problem
  • Neural pathways
  • Avoidant personality: ( Video interview – “Amy”)
  • The biofeedback card: Technique for attachment
  • Detachment: The “doorway” to avoidance: (Video interview – “Paul” – “Successful Salesman”
  • Dependent personality: (Audio interview – “David”)
Disc 3 – The Personalities of Social Anxiety
  • “Initiative” vs. “primitive” functioning
  • Enabling: (Video interview – “Ellen” – Mother of dependent with avoidant personality – selective mutism)
  • Obsessive personality: (Video interview – “Tripp” – Performance anxiety & fear of blushing)
  • Narcissism
  • An overview of personality types: (Video interview – Dr. Nina Goldman – clinical psychologist)
  • Intro to accessory clinical tools:
    1. Bio-card
    2. Multi-modal Life Inventory
    3. Emotions list
    4. Avoidance profile
    5. Dependence profile
    6. Selective mutism intake form

Disc 4 – Creating The Ego-Graph
  • Transactional analysis
  • Identifying the “mind states”:
    1. “Nurturing Parent”
    2. “Critical Parent”
    3. “Adult”
    4. “Adapted Child”
    5. “Natural Child”
  • Mind state identification exercise: (Video interview – “Tripp” – Obsession and hyper-hidrosis)
  • “Tiger Mother”: The internal critical script ( Video interview – Alice Hong, M.D.)
  • Ego-graph: Social Anxiety
  • The “High Performance Mind”: (Video interview – Kirk Rueter-major league baseball pitcher)
  • Ego-graph: Social Anxiety Resolved
Disc 5 – Creating The High Performance Mind
  • Social phobia “cured”: (Audio interview – “Arthur”)
  • Strategies for building the “nurturing parent”, “adult”, and “natural child” mind states
  • Brain Health: The” hardware of the soul”
  • Self-regulation: (Video – Biofeedback Demonstration)
  • Alcohol insights: (Audio interview – “Sam” – DWI and social anxiety resolved)
  • The physiology of performance
  • The adrenaline control methodology
  • Creating a behavioral strategy
  • “Self-nurturing”: (Audio interview – “Richard”)
  • Journaling
Disc 6 – Resolving Anger, Shame, and Embarrassment
  • Variables for the therapeutic learning curve
  • The core issue: Repressed anger and rage
  • The “Sarnow” concept: The “reservoir” of repressed content
  • The “energy of rage”: (Audio interview – “Anonymous”)
  • Perfectionism and narcissism: (Audio interview – “Robert” – gifted salesman)
  • Bridging the intellectual to the emotional mind
  • Hyper-vigilance: (Audio interview – “Tom” – The “passion” of adrenaline)
  • Embarrassment-logic exercise
  • “Anger Under the Microscope” exercise
  • Anger and mind states
  • Masochism: Self-destructive personality
  • Core work: The relationship of the brain to physical symptoms
Disc 7 – Selective Mutism (Part 1)
  • The selective mutism profile: The layers of the disorder
  • Understanding selective mutism as a variation of O.C.D.
  • “Core” treatment vs. “bridging” technique
  • The selectively mute adult: (Video interview – “Mike”)
  • The selectively mute adult: (Audio interview – “Mike #2)
  • Treatment methodology for the SM adolescent: (Audio interview: Parents & Teen)
  • Treatment methodology for children: (Video interview – part 1: “Karla”)
  • Teaching a parenting treatment methodology
Disc 8 – Selective Mutism (Part 2)
  • Teaching a parenting treatment methodology for SM children (continued)
  • A non-enabling strategy
  • “Attachment” vs. delusion
  • The “freeze the moment” technique
  • “Processing” with the SM child: Challenging the “I don’t know disease”
  • “Processing” : (Audio interview – Parent and 7 year old)
  • 3-step method for teaching emotional vocabulary
  • Using the bio-card: Intro to mind-body awareness for the SM child
  • Psycho-pharmacology: (Video interview – Matthew Lorber, M.D. – Pediatric Psychiatrist)
  • A methodology for school intervention
Disc 9 – Treating the Resistant Adult
  • The homeostasis of “primitive” functioning
  • Dependent pathology: (Audio interview – Mother of 38 yr. old with psych degree)
  • Resistance resolved: Initiative attained: (Audio interview-long term patient)
  • A treatment methodology for parents of resistant adults
  • Restructuring “mind states” for the resistant adult
  • The culture of the family with the resistant adult
  • Atypical social anxiety: A case study with Dr. Nina Goldman (Audio interview)
Disc 10 – The Psycho-Pharmacology of Social Anxiety
  • Video interview: In-depth discussion with Seth Mandel, M.D. (Psychiatrist)
  • Assessing the patient for medicine
  • Co-existing disorders
  • SSRI’s
  • SNRI’s
  • Benzodiazepines
  • Anti-psychotics
  • Contraindications
  • Titration

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COUNSELORS: CMI Education Institute, Inc. is recognized by the National Board for Certified Counselors to offer continuing education for National Certified Counselors. Provider #: 5637. We adhere to NBCC Continuing Education Guidelines. This self-study package qualifies for 10.75 contact hours.SOCIAL WORKERS: CMI Education Institute, Inc., 1062, is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB), 400 South Ridge Parkway, Suite B, Culpeper VA 22701. CMI Education Institute, Inc. maintains responsibility for the program. Licensed Social Workers should contact their regulatory board to determine course approval. Social Workers will receive 10.75 (Clinical) continuing education clock hours for completing this self-study package. Course Level: All Levels. PSYCHOLOGISTS: CMI Education Institute, Inc. is approved by the American Psychological Association to sponsor continuing education for psychologists. CMI Education Institute, Inc. maintains responsibility for these materials and their content. CMI Education Institute, Inc. is offering these self-study materials for 10.5 hours of continuing education credit.MARRIAGE & FAMILY THERAPISTS: This activity consists of 10.75 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from the activity and contact your state board or organization to determine specific filing requirements.

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