Cognitive Behavioral Therapy With Gradual Exposure
CBT, or cognitive behavioral therapy, is Drift's foundation for social anxiety treatment. Cognitive therapy begins with predictions ("everyone will notice me shaking"). You test each prediction against reality. One kind of CBT used at Drift is exposure therapy. You and your therapist create a "ladder" of situations. Your first step may be low-stress, like saying hi to a neighbor. Progressing steps may be more difficult, like speaking up in a meeting. Repeat each step until you master it before moving up.
Group Therapy as a Safe Place to Practice
Group therapy is what it sounds like at Drift. You meet in small groups with clinicians and peers who get fearful. Groups provide what one-on-one therapy doesn't: An audience of people who get it. If you answer a question or politely disagree, that's exposure work. Hearing another member share about a racing heart you've experienced demystifies fear. Group facilitators guide the conversation and keep things moving at a comfortable pace.
Individual Therapy for Social Anxiety
Individual therapy is where you practice things you aren't ready to attempt in front of the group. The therapist helps you create concrete goals like ordering coffee without scripting out the sentence. You evaluate your attempt vs. your prediction after each try. The therapist charts your progress versus goals you set initially.
Psychiatric Evaluation and Medication Management
A psychiatric evaluation with one of our nurse practitioners begins with a history of the situations that frighten you most. It also checks your symptoms against DSM-5 criteria. Mention any alcohol or other substance use at this visit, because it affects medication choices. Drinking before social events is one common pattern, and dual diagnosis care treats both conditions together. If medication fits, you'll hear about the benefits and side effects before deciding. Follow-up visits track how it is working, and your provider adjusts the plan with you.