[amelius]

I think in many cases there is a negative reinforcing aspect to anxiety that needs to be addressed. For example, anxiety can trigger certain physical symptoms like sweating excessively, tension leading to e.g. reduced loudness and loss of voice, clumsiness. This can spiral down and eventually the anxiety can be almost entirely about those physical aspects.

This is just a different way of looking at it. What you do by addressing what you call dread is basically putting a halt to this feedback loop.

(disclaimer: IANAMD)

[lukaslalinsky]

I was stuttering for my entire life, still dealing with it at 42. Kids in basic school gave me all kinds of abuse due to my speech. So I obviously developed social anxiety. The nastiest part about stuttering is, the more anxious you are, the more you stutter. I was given a lot of advice to just go to kids and talk. It only reinforced the anxiety and confirmed that if I really want to say something, it's impossible to say it. The only realistic solution came much later in life, when I realized I just can't give a fuck about whether people understand me. People who are interested will ask me again. People who are not, will just go away. That attitude lessened the problem, but didn't get rid of it completely. But it also requires me to give up on many things.