Future of Leadership

What Should I Say to the Waitress?

Ute Thomas

Social anxiety doesn't grow out of you when you get promoted. An executive coach on what it really looks like at leadership level — and the practical coaching toolkit that actually helps.

A young professional man in a suit looking up at a smiling waitress in a café setting — illustrating social anxiety in everyday professional interactions

I was sitting at the kitchen table with my 18-year-old son this weekend. He is packing up his life, getting ready to head off to university in a few weeks, and amid the chaos of buying too many kitchen utensils and getting things ready, he admitted something that gave me pause.

He told me he is concerned about social anxiety.

We had a long, honest chat about the pressure of walking into a new environment, the fear of being judged, and the overwhelming weight of having to “perform” socially. And as we were talking, I realised that this topic is a familiar one.

We often treat social anxiety as a young person’s issue — a phase of adolescence or early adulthood that you eventually grow out of once you get a degree or land a proper job.

Here is the truth. You don’t just grow out of it. If it is not managed, it packs its bags and moves straight into the boardroom with you.

In my executive coaching practice, I see this every single week. There is a massive misconception in the corporate world that social anxiety looks like extreme shyness — the quiet graduate hiding in the corner of the office, avoiding eye contact.

In reality, that is rarely what it looks like at the leadership level.

More often than not, it looks like the highly competent, recently promoted manager who over-prepares for every single meeting to the point of absolute exhaustion. It looks like the emerging leader who is brilliant in one-to-one settings but physically freezes when asked to present to the senior leadership team. It looks like the professional who spends three hours drafting a five-line email because they are worried of being “found out.”


The Data: A Silent Epidemic

If you are noticing this more often in your teams, or perhaps feeling it yourself, you are not imagining things. The landscape has shifted fundamentally.

Look at the numbers — they are staggering. According to the Office for National Statistics (ONS), roughly 1 in 4 adults in the UK consistently report feeling high levels of anxiety. The Mental Health Foundation notes that anxiety disorders affect over 8 million people in the UK alone. It costs the UK economy over £117 billion annually, and crucially, most of that cost comes from presenteeism — people turning up to work, exhausted and overwhelmed, masking their anxiety whilst not performing to their optimum potential.

This isn’t just a British issue. Across the EU, an estimated 84 million people suffer from anxiety disorders. In the US, the National Institute of Mental Health estimates 12.1% of adults will experience Social Anxiety Disorder in their lifetimes.

But here is the statistic that I found most jarring, especially thinking of my son. A landmark 2020 study published in PLOS One surveyed young adults across seven countries. They found that a staggering 36% met the clinical threshold for Social Anxiety Disorder based on self-reported symptoms.


Why Emerging Leaders Are Most at Risk

So, what happens to that 36% when they enter the workforce? They learn to adapt. They put on the corporate mask.

But the real danger zone hits precisely when they transition into management. The clinical age of onset for social anxiety is usually between 11 and 35. This perfectly overlaps with the window where professionals transition from individual contributors into emerging leaders.

Stepping into management strips away your old coping mechanisms. Suddenly, you have to chair the meetings. You have to give critical feedback. You are highly visible. If you have a baseline of social anxiety, this transition acts as a massive amplifier. The stakes are higher, the audience is larger, and the fear of negative evaluation spikes.


How It Actually Shows Up (When It Is Wearing a Suit)

Social anxiety is not just “shyness.” The DSM-5 defines it as an intense, persistent fear of being watched and judged by others, leading to a fear that one will act in a way that is humiliating.

When you are earning a senior salary, this presents in some very specific, destructive behaviours.

1. The Post-Mortem

This is a classic hallmark. After a standard team meeting, the individual will spend hours ruthlessly reviewing their own performance. They magnify tiny perceived flaws. “I sounded stupid when I answered that finance question,” or “They definitely noticed my voice shaking.” It is an exhausting cognitive loop.

2. Invisible Over-functioning

Anxious leaders compensate by working twice as hard. They will script out a basic internal update word-for-word to avoid stumbling. They confuse extreme preparation with safety.

3. The Authority Freeze

I see this often in retail and operations. An area manager might be brilliantly confident with their store teams on the shop floor. But put them in a regional team or annual review meeting, and they experience a physical freeze — blushing, shaking, mind going completely blank.

4. Avoidance Disguised as Delegation

Finding “strategic” excuses to avoid networking, public speaking, or confrontational feedback sessions — delaying future career steps because of this avoidance of high-visibility leadership opportunities.


The Elephant in the Room: Coaching vs. Therapy

Now, let me be completely clear about something critical.

As an executive coach, I am not a therapist. Social Anxiety Disorder is a clinical diagnosis, and I do not treat it. If your anxiety is rooted in deep trauma, or if it is preventing you from functioning in your basic daily life, the most important step you can take is to engage a trained clinical therapist.

So, how does leadership coaching help if I am not a therapist?

It comes down to understanding the boundary between the Why and the How.

Therapy investigates the Why. A therapist looks at your past, your history, and the root causes of the anxiety to heal the individual.

Coaching focuses entirely on the How. I acknowledge the anxiety, but we focus on the future.

How do we get you through next Tuesday’s board meeting successfully? How do you show up at your best in the next team meeting? How do you assertively communicate with colleagues?

Coaching is not about curing a disorder; it is about managing workplace visibility, performance pressure, and the behavioural symptoms that hold you back.


The Coaching Toolkit: What Actually Works

If telling a socially anxious leader to “just be more confident” actually worked, I would be out of a job. It is terrible advice.

Instead, we use practical, evidence-based performance strategies to change the behaviour. Here is what that looks like in practice.

Shifting the Spotlight: Social anxiety forces you to look inward. You monitor your own heartbeat, your hands, your tone of voice. You are entirely focused on you. In coaching, we practise the mechanical skill of forcing your focus outward. Instead of asking, “How am I performing?” we train your brain to ask, “What does the audience need from me right now to understand this data?”

Designing Micro-Exposures: Avoidance feeds anxiety. The longer you avoid speaking up, the heavier the fear becomes. But we don’t start by putting you on a stage in front of 500 people. We design behavioural experiments. A micro-exposure might simply be committing to asking one pre-planned question in the first five minutes of a safe internal meeting. We build the tolerance muscle slowly.

Testing Assumptions: Anxiety is a phenomenal liar. It tells you that if you stumble over a slide, your credibility is destroyed. We actively challenge these cognitive distortions. We look for objective data. Where is the actual evidence that your team thinks you are incompetent?

Building the Prep Framework: We tackle the over-functioning head-on. We build strict, time-boxed frameworks for meeting preparation. You learn to stop when the preparation is “good enough,” rather than burning your energy trying to make it bulletproof.


A Final Thought for Emerging Leaders

Talking to my son this weekend, my main goal was to normalise what he was feeling. The greatest power social anxiety holds over us is shame — the belief that we are the only ones in the room feeling this way, and that everyone else has it figured out.

They don’t.

Some of the most empathetic, deeply analytical, and commercially brilliant leaders I have worked with over the last two decades have navigated profound social anxiety.

The goal of coaching — and of professional development in general — is not to magically ensure you never feel anxious again. The goal is to build the tools, the self-compassion, and the boundaries so that when the anxiety does inevitably show up, it is no longer allowed to sit in the driver’s seat of your career.

If you are an emerging leader stepping into the spotlight, or a senior executive who has been masking this for years, know this: your anxiety is not a career ceiling.

Have you noticed these behaviours in yourself or your teams as the pressure mounts? Let’s get the conversation started.


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About the Author

Ute Thomas - Executive Leadership Coach

Ute Thomas is a former Regional Director at Lidl with 20+ years of retail operations experience. ILM Level 7 certified, she specialises in burnout prevention, operational resilience, and female leadership advancement.

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