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Notice: This profile is a fictional composite based on common clinical patterns. It does not describe a real person. It does not replace professional diagnosis or treatment.
Social anxiety Intensity: moderate 14 days

Tomás, 23

engineering student, Mexico City, Mexico

Tomás had failed a course because he couldn’t give the final presentation. Technically he was ready — he had prepared, he knew the material. But when he walked to the front of the room, his body decided not to cooperate.

Where he started

It wasn’t the first time. Since high school, Tomás had avoided situations where he had to speak in front of others. In university he managed it with workarounds: back rows, written participation, individual projects. But third year brought seminars, team presentations, and project defenses. There was nowhere left to hide.

The problem wasn’t the content. It was the mental script his mind constructed before every presentation: he would stutter, forget everything, his classmates would realize he didn’t know what he was doing, the professor would call him out. The prediction was always catastrophic. And even though it never played out exactly that way, the fear before the next one was just as intense.

The first days

On day 2, Tomás built his exposure hierarchy: a list of social situations ordered from least to most threatening. At the bottom: answering a question in class when he already knew the answer. At the top: a fifteen-minute oral defense before a panel. He started at the bottom.

Day 4 was the first attempt: he answered a question in a class of twenty. It wasn’t smooth. But he did it. That night, the post-event processing module asked him to review how it had actually gone versus how he had predicted it would go. The gap was significant.

The turning point

Day 7 introduced cognitive restructuring using Clark’s (1995) model: social anxiety is fed by selective self-focused attention during the situation, not by the situation itself. Tomás read it twice. When he spoke in public, his entire attention was on his own body, his voice, his hands. Almost nothing on the actual audience.

The exercise on day 8 asked him to do the opposite: in the next social situation, direct attention outward. Tomás tried it in a team meeting. It worked differently than he expected — it didn’t eliminate the anxiety, but it reduced it to something manageable.

Where he is now

By day 14, Tomás had made three voluntary contributions in class and given one short presentation in a seminar. None were perfect. In all of them, the fear before was bigger than the actual problem during. That was useful information now.

Post-event processing was still the hardest part — reviewing how it went meant neither exaggerating the errors nor minimizing them. He was learning.

Techniques that helped

Next step

See the program: Explore techniques for Social anxiety

Other Social anxiety stories

This profile is a fictional composite based on common clinical patterns. It does not describe a real person. It does not replace professional diagnosis or treatment.