His experience has shown that an effective treatment for social anxiety is a form of exposure therapy: to put people in their worst-case scenario, where they are guaranteed to be repeatedly rejected. For instance, he might instruct a patient to stand on the side of the road and sing really loudly. Or he’ll have another patient approach one hundred strangers on the train and ask them for $400. Or have someone spill a cup of coffee all over themselves at a very public place, every day.