Dear Amber: Is it social phobia or agoraphobia? How long have you been existing with this? How long has it held you back? It sounds to me that you are no longer comfortable with your old way, and are now faced with "getting with the program" or getting left behind. From your comment, I take it that you're a compassionate caregiver. It is imperative to continue your education; because your employer sees you as an asset, they endorsed you to take the course. Your goal is to be a proficient caregiver, and that road is not always easy. If it were easy, everyone would be in healthcare! I have found that employing "therapeutic communication" works effectively in social situations as well as healthcare situations. How are your therapeutic communication skills? Have you identified triggers for the anxiety behavior? It sounds like you've been able to keep a handle on the anxiety by avoiding anxity-provoking situations, but now your career demands that you interact with new people and new locations.