PCOS & Social Anxiety: How To Rock Confidence & Drop The Worry

For many women with PCOS (polycystic ovary syndrome), anxiety can feel like a lingering confirmation that everything isn’t okay. My anxiety constantly challenged my femininity and identity as a woman.


At one point, I gained so much weight that I developed social anxiety and actually feared going out in public. Whenever my friends would invite me out to events I would panic.
What if they notice all the weight I’ve gained?
What if I can’t fit any of my clothes?
What if I don’t have time to remove the hair from my chin?  

PCOS and Social Anxiety

Social anxiety is extreme worry and fear of being looked upon negatively or judged by others in social settings. Women with PCOS are more susceptible to mental health issues like anxiety and depression due to stressors related to difficulty conceiving, excessive hair growth, weight gain, difficulty losing weight, hormonal imbalances and menstrual cycle abnormalities.

Anxiety is a common effect of PCOS and women with PCOS are more likely to suffer from anxiety than women without PCOS.

Below is my guide to dropping the worry and rocking confidence with social anxiety and PCOS.

Start on the inside

In order to rock confidence you have to be confident. Take some time to really celebrate the woman that you are. Make a list of everything good about yourself. What are your strengths? Your self-image is the foundation to your confidence.

Learn your anxiety triggers

Before you can learn skills to manage social anxiety related to PCOS you have to be aware of your habits. Use exposure techniques to identify your reactions to anxiety stressors. Pay attention to your body’s reaction when at the grocery store or work. Do you sweat? Do you tend to talk fast? Do you look down? Keep track of negative and positive habits so that you can add them to your anxiety coping skills plan.

Have an anxiety coping skills plan

Creating an anxiety plan means identifying your triggers and selecting coping skills to combat those triggers.

My favorite and most useful coping skill is mindfulness deep breathing. By engaging in mindfulness activities, women with PCOS can release negative feelings associated with anxiety, depression, and stress. Deep breathing doesn’t take long and you can do it anywhere. Mindful deep breathing helps you stay in the now.

Start by closing your eyes and taking a deep breath in through your nose, breathe all the way through your belly, and hold your breath for two seconds as you visualize all of your unpleasant thoughts being gathered together in a bubble. As you breathe out through your mouth, blow the bubble out and clear your brain space. Repeat 3-4 times or until you feel yourself calming down.
Preparation is key with anxiety because during an anxious moment or panic attack it can be easy to succumb to negative feelings and thoughts.

Let a friend in on your plan so that they can offer support if you start to panic.

Be comfortable

Make sure that you feel comfortable with yourself before your next outing. Wear something that you have room to move in, save your facial hair removal methods for the day of the event to avoid shadows and stubble, and don’t forget to smile.

Manage your PCOS and balance your hormones

The best way to manage anxiety symptoms that come along with PCOS is to commit to managing the root causes of your PCOS. Eat clean and whole, exercise regularly, supplement vitamin deficiencies and take care of your mental health.

Remember that you are awesome and you have the power to kick some PCOS butt!