A Q&A with Barry Schreier and Michael Fletcher

In collaboration with the Division of Student Life, we asked two campus experts for their insights on student stress and mental health. 

  • Barry A. Schreier, Ph.D., H.S.P., is director of the higher education program in the Scanlan Center for School Mental Health and professor of counseling psychology in the College of Education.
  • Michael A. Fletcher, Psy.D. LMHC, LCPC, HS-BCP, is the director of University Counseling Services (UCS) and co-chair of the University of Iowa’s Suicide Prevention Coalition.

Mental-Health Informed Teaching Strategies

Curious about specific teaching strategies to support student mental health?

As mental health professionals, what are you noticing about students that instructors should be aware of?

Michael: Anecdotally, we’re observing a paradox trend emerging for colleges students whose critical social development phase was impacted by the COVID pandemic. Many students feel isolated and have a desire for connection; at the same time, students report elevated stress and anxiety in social situations, making it harder to initiate or maintain relationships. Additionally, perfectionism and fear of judgment may play a significant role. Students may worry about making mistakes or being evaluated by peers or instructors, leading to social withdrawal and disengagement in academic work. Instructors may see students skipping classes (especially relevant in performance-based or discussion-heavy courses), staying silent in class discussions, or not utilizing resources like office hours.

Barry: Our students are such resilient people! They are smart, worldly, and connected in ways my generation never dreamed of being. While they struggle, they also flourish in numbers greater than in which they struggle. We overly focus on the struggles of our students even when it is always this proverbial two-sided coin. Much like us, our students can both struggle and do well at the same time. The importance of this is that our students are diligently working in difficult times and are often having reasonable responses to often unreasonable situations. When they are upset, unhappy, or feeling badly, it is often due to them responding to the highly challenging things in front of them. The thing I most notice is that while our students can struggle they are so resilient in ways that are truly impressive! Remind them of this as much as you check in on your concerns about them.

What exactly is social anxiety, and how might it play out in a course? 

Barry: I caution about the term “social anxiety.” Anxiety Disorders are a category of diagnoses, and in this case, this one is more accurately termed “social phobia.” The number of those who have a diagnosis of social phobia on this campus is in the 5% range. What we are really talking about is the “stressfulness” that comes with unknown situations, difficult situations, complex situations, pressures of performing socially, the high stakes of social settings, and so on. Scaling this as “stress” makes it more reasonable as social situations can simply be stressful. Thinking about this as stressfulness rather than anxiety leaves us better positioned to see we are usually responding reasonably (even if it doesn’t feel good) to the difficult, challenging, or provoking things we have to manage. As soon as we think it’s anxiety, we can much more easily drift towards asking “what is wrong with me” and then things only get more difficult. Frankly, there is nothing wrong with us. We are simply responding to the challenging things in life, which can be taxing.

Michael: When we hear the term “social anxiety” in everyday conversation, people often mean “feeling anxious in social situations,” not necessarily Social Anxiety Disorder, which is a specific clinical diagnosis. Social Anxiety Disorder (Social Phobia), as defined by the DSM-5-TR, goes far beyond simple shyness. It involves an intense fear or anxiety in situations where a person might be scrutinized by others. These situations often include social interactions (like meeting new people or having a conversation), being observed (such as eating in public), or performing in front of others (like giving a speech).

Social anxiety is particularly challenging because it is not just emotional; it is physical and cognitive too. Students may experience sweating, trembling, a racing heartbeat, and intrusive thoughts like, “What if I embarrass myself?” or “Everyone will think I am incompetent.” These fears often lead to avoidance behaviors.

In the classroom, this can look like:

  • Avoiding speaking up in discussions or asking questions even when they know the answer.
  • Withdrawing from group projects, contributing minimally, or skipping meetings altogether.
  • Experiencing panic symptoms before presentations or trying to avoid them entirely.
  • Hesitating to approach instructors or peers for help, fearing judgment.

The impact goes beyond participation. Anxiety can interfere with focus and memory, making it harder to perform academically, even when the student understands the material. In severe cases, students may skip classes, especially those requiring heavy interaction.

What advice do you have for instructors about easing their own stress or social anxiety in the classroom?

Michael: Just like we help students manage social anxiety, instructors can support themselves too. Teaching can feel intimidating, especially when facing a room full of expectant faces, but there are strategies to ease that anxiety. 

Start with preparation. A clear lesson plan and backup activities reduce uncertainty, one of the biggest anxiety triggers. Practice transitions and anticipate common questions so you feel confident and ready. Then, reframe negative thoughts. Instead of thinking, “Students will think I am incompetent,” try, “Students are here to learn, not judge.” Remind yourself that mistakes happen, and they are normal and can even make you more relatable.

Normalize the experience. Remember anxiety does not define your ability or worth. Many instructors feel nervous, especially early in their careers. Talking with peers or mentors can reduce isolation and provide helpful coping tips.

Practice self-compassion and grounding techniques. Before class, take a few slow breaths or try a grounding exercise like noticing five things in the room. These simple steps calm physical symptoms such as a racing heart or shaky voice. The bottom line is you are not alone, and anxiety is manageable. With preparation, reframing, and self-care, instructors can create a calmer, more confident classroom experience for themselves and their students.

Barry: What works for students works for us!

Mental-Health Informed Teaching Strategies

Explore these strategies that make a big difference for students with social anxiety. For more support about teaching strategies, contact the Center for Teaching.

Barry Schreier, PhD. H.S.P.

Director of Higher Education Program in the Scanlan Center for School Mental Health, Professor of Counseling Psychology

Build Familiarity 
Start with small and predictable activities (e.g., brief partner discussions or “think-pair-share” exercises and give students roles to fulfill; one is the timekeeper, one is the note taker, and so on) to provide opportunities for practice. Keep structure consistent so students know what to expect from activity to activity.

Provide Opportunities to Practice in a Manageable Portions 
Use role-playing or simulation exercises for common social scenarios (e.g., group projects, presentations) and begin with low-pressure practice rounds before graded or public activities.

Offer Reassurance and Normalize Stress
Share with students that feeling stress is common and temporary: “It’s okay to feel this way—many people do, and it gets easier with practice and experience.” Instructors can also share examples of how others successfully managed similar situations or share your own examples. 

Help Students with Perspective Keeping 
Encourage students to think ahead of time about a situation before they get to it: “What’s the worst that could happen? What’s the best?”. Instructors can remind students that most peers are focused on their own performance and not paying any attention to them. It's also helpful to remind students to see challenges as growth opportunities rather than threats. We are here to learn.

Introduce Alternative Ways of Thinking 
Teach self-talk strategies so rather than: “I’ll embarrass myself,” it can instead be, “I’m learning, and mistakes are an inevitable part of the learning experience.” I always love “curiosity over judgment” so students can view social interactions as chances to learn, even if it doesn’t always go well, rather than tests of self-worth.

Michael Fletcher, Psy.D. LMHC, LCPC, HS-BCP

Director of University Counseling Services and co-chair of the University of Iowa’s Suicide Prevention Coalition

Provide clear structure and expectations. 
Predictability reduces uncertainty, a major anxiety trigger. When students know what’s coming, they can prepare with confidence. Offer detailed syllabi, rubrics, and examples, and avoid surprise participation requirements.

Offer multiple modes of participation. 
Not every student feels comfortable speaking up. Give options like written responses, online discussion boards, or polls. Make sure these alternatives carry equal weight. Communicate that all contributions matter. 

Use small groups. 
Low-stakes interactions help students build confidence gradually. Keep groups small (2–3 students) and provide clear roles or prompts to avoid awkward silence. 

Leverage anonymous input tools. Tools like Padlet or polls allow students to share ideas without fear of judgment. The more you use them, the more they feel like a normal part of learning, not a special accommodation. 

Gradual exposure to speaking. 
Start small. Ask students to read a sentence aloud before moving to full presentations. This builds tolerance and confidence over time.

Give positive, non-evaluative feedback. 
Focus on ideas, not delivery. Reinforce effort and avoid public criticism. When needed, give constructive feedback privately. 

Communicate Safety. 
Explicitly state that mistakes are part of learning and will not affect respect or grades. This reassurance goes a long way in reducing fear.