
Social anxiety in teens
When worry takes up too much space in your child’s life, it can affect sleep, school, and friendships. You may not know where to start — but you’re already on the right path.
We offer treatment for separation, social, and general anxiety, specific phobias, panic disorder, and selective mutism. Addressing the issue helps your child or teen understand what might be contributing to the cycle and how to move into a place of bravery and balance.
Understanding your child’s worries is the first step to helping them build bravery, know themselves, and feel stronger. Our compassionate care combines with exposure and growth to help anxious kids feel safe and supported.

If you’re seeing some of these anxious behaviors (or others) at home, we can help you understand why and address them.

Worries and fears that make it difficult to concentrate
Physical symptoms like racing heart, sweating, breathing issues, and tense muscles
Feeling nervous, edgy, or afraid
Avoidance of things they need or want to do

Care begins with a diagnostic evaluation, which at Brightline is a series of three appointments. These appointments are vital to helping us get to know you and your child. They give you clarity and build the foundation for care — we will deeply understand your concerns, explore any related needs, and create a care plan that is evidence-based, individualized, and geared towards progress.
Our goal is to schedule these sessions as close together as possible for continuity, engagement, and convenience.
The first two of the three sessions involve you and your child in largely separate conversations. The third appointment is the feedback appointment. This is a highly interactive and collaborative opportunity to share our impressions and discuss what we know about concerns and treatment options based on research.

Care begins with a diagnostic evaluation, which at Brightline is a series of three appointments. These appointments are vital to helping us get to know you and your child. They give you clarity and build the foundation for care — we will deeply understand your concerns, explore any related needs, and create a care plan that is evidence-based, individualized, and geared towards progress.
Our goal is to schedule these sessions as close together as possible for continuity, engagement, and convenience.
The first two of the three sessions involve you and your child in largely separate conversations. The third appointment is the feedback appointment. This is a highly interactive and collaborative opportunity to share our impressions and discuss what we know about concerns and treatment options based on research.
Initially, treatment focuses on continuing to help your child learn about themselves and the anxiety they’re experiencing. We may enhance their exposure plan, identify ways to track progress, and create reinforcement plans.
We work with you and your child to practice skills in session, and set practice plans for between sessions where you and your child practice using skills in your everyday life. Eventually, those skills and that growth will sustain your child independently and they will “graduate” from care.
We continually address any barriers and co-occurring conditions as we build trust with your family and your child. We are also working closely with you, the parent, and any other outside providers you might be collaborating with on your child’s care.
The length of care hinges on how care is progressing, especially if we’re addressing multiple needs. You as the parent (and our partner) will help us rank the top problems and will complete standardized questionnaires as one way of providing feedback about how you feel treatment is progressing. Progress is measured weekly and monthly.
The decision to wrap-up care is made collaboratively between you, your child, and your provider(s). During this time, we work together to reinforce the skills your child has learned, celebrate successes, discuss relapse prevention strategies, and create a “what if” plan for when a return to care might be needed.
Therapy sessions are usually 55 minutes long and psychiatry sessions are 30 minutes long.
“Working with our Brightline therapist has given my son new confidence that he can manage his anxiety through the different techniques given. He also has really benefitted from having an adult (who is not a parent) to talk through his emotions and experiences.”

It’s important to remember that every person experiences anxiety — it’s a common human emotion. It’s when the anxiety starts to affect everyday life and activities that it needs to be addressed. When anxiety becomes a problem, our expert therapists rely on cognitive behavioral therapy, with a focus on exposures. You can’t eliminate the anxiety (and again, it’s a natural, and at times a helpful, part of life). So, the important thing is for kids to learn to face their fears. Kids are taught how to identify helpful ways to manage their anxiety, and they learn not only how to live with anxiety, but how to do so much more than their anxiety tells them they’re capable of. Each plan created for kids in our anxiety program is individualized — we work closely with parents and the child (and sometimes other important adults like teachers) to design the plan for them that will work. Much of how we treat anxiety is proven effective for kids with OCD as well.
Kids with anxiety might have frequent anxious thoughts, stomachaches, difficulty sleeping, or avoidance of the things that make them feel worried. Sometimes avoidance can be tricky — kids may avoid an outcome they fear by overdoing a different behavior (e.g., overdoing their homework to avoid failure).
Our evaluation is the first step in care. It identifies what’s contributing to your child’s anxiety and helps us learn what to do about it. It also helps clarify whether the patterns or signs of anxiety you see and your child experiences are indications of anxiety or something else.
When anxiety becomes a problem, our expert therapists rely on cognitive behavioral therapy, with a focus on exposures. Anxiety as an emotion can’t be eliminated altogether — it’s actually a natural, and at times a helpful, part of life. So, the important thing is for kids and teens to learn to face their fears, learn to tolerate anxiety, and retrain their response in these situations. Kids are taught how to identify helpful ways to manage their anxiety, and they learn not only how to live with it, but how to do so much more than their anxiety tells them they’re capable of. Each plan created for kids in our anxiety program is individualized — we work closely with parents and the child (and sometimes other important adults like teachers) to design the plan that will work for them. Much of how we treat anxiety is proven effective for kids with OCD as well.
Sometimes problems managing anxiety improve with minimal support. But persistent concerns often need guidance. An evaluation helps determine whether intervention is necessary — and allows us to understand and recommend what will help the most.
Many anxious children internalize their feelings. Through observation, exploration, and input from adults in their life (like parents, teachers, coaches, and family members), we are able to uncover subtle but common signs others might miss.
It can. Anxiety often masks itself through irritability or avoidance. Our clinicians are trained to look beyond the behavior to understand the emotions — and true causes — driving it.
We help kids and teens reframe their sensitivity and find a way for them to see power in their abilities. Many anxious kids are thoughtful, empathetic, and observant. We nurture these qualities while helping them build the resilience to feel safe and steady inside their own skin.
We approach every child with patience and confidence. Our clinicians are able to slow down the process, explain what’s happening, and create a supportive space — so your child always feels respected, safe, and in control.
It's okay if you don't know the root of the issue or are unsure what to say. We've been there — and now we're here for you.