Telehealth & In-Person · Winchester, MA · Licensed in Massachusetts

Social Anxiety Disorder
Treatment in Massachusetts

Social anxiety is far more than shyness. It's a persistent, intense fear of being judged, embarrassed, or humiliated in social situations — and it can quietly shrink your world to a fraction of what it should be. Effective treatment exists, and it works.

📅 Same-Week Appointments 💻 Telehealth + In-Person ✅ Accepting New Patients 🏥 Most Major Insurance
Understanding Social Anxiety

Not Shyness. Not a Personality Trait.

Social Anxiety Disorder (SAD) is the third most common mental health condition in the United States, affecting an estimated 15 million adults. Yet it remains one of the most underdiagnosed — largely because people assume their intense social fear is simply "who they are."

It isn't. Social anxiety disorder is a medical condition in which the brain's threat-detection system responds to social situations as if they were genuinely dangerous. The fear is disproportionate, persistent, and tied specifically to the possibility of negative evaluation by others — not just general nervousness.

Left untreated, social anxiety tends to worsen over time as avoidance becomes more entrenched. The good news: it responds very well to treatment, and telehealth makes it especially accessible — no crowded waiting rooms required.

Common Signs of Social Anxiety Disorder

Intense fear of being judged, embarrassed, or humiliated
Avoiding social situations — parties, meetings, phone calls
Dreading events days or weeks in advance
Physical symptoms in social settings: blushing, sweating, trembling, nausea
Difficulty making eye contact or speaking up in groups
Replaying social interactions afterward, focusing on perceived mistakes
Fear of eating, drinking, or writing in public
Significant interference with work, school, or relationships

Social anxiety can look different in different people. Some struggle primarily in performance situations — public speaking, presentations. Others find all social interaction difficult. Both are social anxiety disorder, and both are treatable. Read more: How to Know If You're Suffering from Social Anxiety Disorder →

Shyness vs. Social Anxiety

Is It Shyness or Social Anxiety Disorder?

ShynessMild discomfort in unfamiliar social situations. Tends to ease once you warm up. Doesn't significantly impact daily functioning.
Social Anxiety DisorderIntense, persistent fear that doesn't ease with familiarity. Leads to avoidance that meaningfully limits work, relationships, and life.
Shyness — DurationSituational and temporary. Goes away as comfort with people or settings increases.
SAD — DurationPersistent across many situations and relationships, often for years. The fear doesn't naturally resolve.
Shyness — ImpactMinor inconvenience. Life remains largely unrestricted.
SAD — ImpactTurns down promotions, avoids relationships, skips medical appointments, limits activities to prevent potential judgment.

Social anxiety frequently co-occurs with depression, GAD, and panic disorder. Our evaluation addresses the full picture.

Our Approach

How We Treat Social Anxiety at Bedre Health

Social anxiety disorder has among the highest treatment response rates of any anxiety condition — when treated with the right combination of medication and therapy. Our approach is thorough, non-judgmental, and designed to help you rebuild your life on your own terms.

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Comprehensive Evaluation

A full 60-minute consultation assessing the scope, severity, and impact of your social anxiety — including specific triggers, avoidance patterns, and any co-occurring conditions that need to be addressed alongside SAD.

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Medication Management

SSRIs and SNRIs are the first-line medications for social anxiety disorder and can significantly reduce both the fear response and anticipatory anxiety. We prescribe, monitor, and adjust carefully. Learn more.

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CBT Therapy Coordination

Cognitive Behavioral Therapy — particularly exposure-based approaches — is the most evidence-supported psychological treatment for social anxiety. We coordinate with CBT therapists to ensure your medication and therapy reinforce each other.

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Telehealth — A Natural Fit

For many people with social anxiety, the idea of sitting in a waiting room full of strangers is itself a barrier to care. Telehealth removes that barrier entirely — you get the same quality care from the comfort and privacy of your own home.

Common Questions

Frequently Asked Questions

How do I know if I have social anxiety disorder or am just introverted?

Introversion is a personality trait — a preference for quieter, less stimulating environments. It's not distressing and doesn't drive avoidance. Social anxiety disorder involves genuine fear of negative evaluation that causes significant distress and leads to avoiding situations you'd actually like to participate in. Many introverts have no social anxiety whatsoever; many extroverts do have it.

Can social anxiety disorder be treated successfully?

Yes — social anxiety disorder has one of the best treatment response rates of any anxiety condition. A combination of medication (typically SSRIs) and Cognitive Behavioral Therapy, particularly exposure-based approaches, produces significant improvement in the majority of people who receive proper treatment.

Is telehealth effective for social anxiety treatment?

Yes, and for many people with social anxiety it's actually a more accessible starting point than in-person care. Research shows telehealth psychiatric care produces equivalent outcomes to in-person care for anxiety disorders. The privacy and comfort of attending from home can make it easier to open up — especially early in treatment.

Can I get social anxiety treatment via telehealth in Massachusetts?

Yes. Bedre Health provides social anxiety disorder evaluation and medication management via HIPAA-compliant telehealth to patients anywhere in Massachusetts and other licensed states including New Hampshire, Vermont, and Florida.

What if my social anxiety has led to depression?

This is very common — the isolation and missed opportunities caused by social anxiety frequently contribute to depression. We assess and treat both conditions together as part of a coordinated care plan.

How quickly can I get a social anxiety appointment?

We typically offer same-week appointments for new patients. No referral is needed to get started.

What insurance do you accept?

Aetna, Blue Cross Blue Shield, Point32 (Harvard Pilgrim / Tufts Health), OPTUM, Evernorth, Mass General Brigham Health Plan, and Medicare. We verify your coverage before your first appointment — no billing surprises.

Serving Massachusetts & Beyond

Your World Doesn't Have to Keep Shrinking

New patient appointments are available now.
No referral needed. First consultation is free.

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✉️ Email Us or call (781) 488-6163