How to Deal With Social Anxiety, Social Phobia and Depression: Guest post by CBT Toronto

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(image: the Funny Beaver)

Millions of people around the world suffer from social anxiety, social phobia, and depression. Unfortunately, due to the stigma that is still associated with mental illness around the world, many people try to hide their problems and suffer in silence. Left untreated, social anxiety, social phobia, and depression can lead to isolation, physical health problems, and even suicide. 

Fortunately, there are many treatment modalities available,. This can help sufferers obtain the support and relief that they need and deserve. Here, we will focus on some simple yet effective ways that you, or someone that you love, can alleviate social anxiety, social phobia, and depressive symptoms with tact, integrity, and verve.

 

Risks of Having Social Anxiety Disorder and Depression

Certain individuals may be genetically predisposed to social anxiety disorders or clinical depression, as well as seasonal affective disorder, chronic stress, anger, and generalized anxiety disorder. However, other non-genetic factors may influence whether or not a person develops a social anxiety disorder or depression in their lifetime.

For instance, if you are currently dealing with substance abuse issues, such as excess consumption of alcohol or narcotics, then you may be at an increased risk of developing a social anxiety disorder or chronic depression. Unfortunately, many people will turn to drugs and alcohol in an attempt to numb their pain. This puts their bodies at risk of developing a tolerance or resistance to such illicit substances; which can lead those individuals down a path of destruction.

If you are having trouble communicating with others, whether at home or work or are having trouble being productive in your day-to-day life, then you may be suffering from a cognitive impairment or mental health disorder. If you notice that you are not responding to the treatment that your doctor or mental health care professional has prescribed, whether it be cognitive behavioural therapy, psychotherapy, or medication. 

If so, please speak to your doctor, as they may need to adjust your treatment or try a new treatment method. Suicidal ideation is also a serious red flag, and if you have suddenly developed severe thoughts of harming yourself, please seek immediate medical attention.  

What Prevents Social Anxiety Disorder Patients From Accessing Mental Health Care?

Many people who suffer from social anxiety ,blame themselves for their issues. As such, they may refuse to seek outside help to address and rectify their health problems. Furthermore, many people who suffer from SAD are actually unaware that such a condition exists, or may not know who to turn to in order to receive the necessary treatment. 

In fact, it can be argued that many doctors, and most of the general public, are unaware of SAD or how to best tackle the matter. As such, there may be very little help available to those who suffer from the disorder; whether it be medical, moral, or emotional.

 

Does Social Phobia Run in Families?

There have been studies conducted indicating that a person’s risk of developing a social phobia disorder may be elevated if someone in their family has or had the same issue. Moreover, the correlation vs causation interplay between psychiatric and serotonin disorders is also something that many medical experts in the field are aware of. 

That is, while most agree that there is a marked connection between SAD, depression, and serotonin, medical experts are uncertain about which comes first in terms of driving said correlation between the disorders.

 

How to Deal With Social Anxiety Disorder

SAD can often be overcome by getting moral support from friends and family. The key is to interact with loved ones in a respectful and supportive environment so that the person can overcome their problem. Also, it should be noted that many people who suffer from chronic depression do not actually understand why they feel the way they do. 

In other words, many of the feelings or behaviours that they exhibit are automatic and deeply ingrained into their thought process and psyche. It is the responsibility of their loved ones to care and support them by sympathizing with their condition and helping them process their emotions in a safe and healthy manner.

In addition, many studies have found that patients with SAD who undergo cognitive behaviour therapy report a significant improvement in their anxious or depressive symptoms. In some cases, patients may be treated with a combination of cognitive behaviour therapy and medications. This could include Busperione, Remeron, Paxil, Celexa, Trintalex, or other medicines that are commonly used to help those who suffer from anxiety or depressive disorders.

Also, if your symptoms are relatively minor, then there are techniques that you can implement yourself to obtain near-immediate relief. For instance, if you find yourself in a situation that elevates your stress and anxiety levels, then you can practice deep-breathing exercises before the situation escalates.  

If you suffer from social anxiety, then you should try to slowly cultivate your social connections. Doing so can not only help you eventually overcome your social anxiety but may also help alleviate feelings of depression that often result from social isolation. This is known as exposure therapy and can be helpful.

There are other ways to help deal with anxiety and depression. For instance, studies have found that listening to music that you enjoy releases hormones that help promote relaxation. Exercise has many mental as well as physical health benefits. The release of oxytocin and endorphins can help counteract the release of cortisol and other harmful hormones that can exacerbate anxiety and depression.  A healthy and balanced diet can help rectify certain hormonal balances and nutritional deficiencies that can cause lethargy, depression, irritability, and anxiety in some people.

Most importantly get help from a GP doctor or therapist if things are getting too much. Don’t be ashamed to ask for help.

This guest post is by CBT Toronto, based in Canada.

If you would like to learn more about social anxiety treatments in Toronto or would like to obtain social anxiety treatments in Toronto, then please visit our website or give us a call at 416-817-8925. We specialize in PTSD, OCD, BDD, depression, couples therapy, and anxiety disorders.

 

How Floatation Tanks can help those with Anxiety: Sponsored by I-Sopod

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(image: I-Sopod)

What is Floatation?

Floatation, also known as Restricted Environmental Stimulation Therapy (REST) and sensory deprivation, is the act of relaxing in a floatation tank – a lightless, soundless tank filled with highly concentrated Epsom saltwater heated to skin temperature.

In a floatation tank, you are deprived of all external environmental stimuli – you are completely isolated from sound, sight, smell and touch. You lie in a large soundless, lightless egg-shaped pod filled with around 10 inches of water and 850lbs of Epsom salts (magnesium sulphate), which causes you to float without effort or discomfort, creating a sense of weightlessness as your body feels free from gravity. The water is heated to the same temperature as your skin, so you lose where the body ends and the water begins.

 

History of Floatation Tanks

The floatation tank was originally invented in the 1950s by John C Lilly, a neuroscientist who liked to experiment with states of consciousness. However, he did not conduct any scientific research and mainly wrote about his experiences of taking hallucinogens whilst in the tank.

In the 1970s, commercial float tanks were created and were starting to be studied for health benefits.

Today, commercial floatation tanks are gaining in popularity and many float centres and spas offering float therapy are popping up across the country. This is in part due to an increase in scientific evidence to the psychological and physiological benefits of floating.

 

What to Expect During a Float Session

During your floatation session, you will remove all clothing or change into your swim gear then shower to ensure you are clean before entering the pod. You will then enter the pod, close the lid, and press a button to turn off the light. Some pods allow you to adjust the height of the roof if you feel claustrophobic. Once in the pod, try to find a way to lie comfortably – this can take some getting used to. Music may play for the first couple of minutes to help you relax and then will fade out to complete silence. You will then float for an hour before getting out and getting dressed.

Whilst in the floatation tank, all external stimuli is eliminated. You can’t see anything or feel anything. You feel weightless and free from the strains of gravity. Everything is silent, still, and peaceful in the darkness. You have shut off the world. You’ve lost all sense of time. You feel calm as you start to enter a liminal, half-sleep state. Your heart rate slows and your conscious mind switches off. Your brain reaches its Alpha State – you are lucid, not thinking. You then reach the Theta State, a deep state of relaxation reached just before drifting to sleep or waking up. Your overactive mind slows down and your racing, stressful, anxious thoughts dissipate.

Floatation eases anxiety by activating the parasympathetic nervous system and decreasing the sympathetic nervous system, which slows heart rate, lowers blood pressure and cortisol, and lets you enter relaxation mode.

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(image: I-Sopod)

How Floatation Can Help Ease Anxiety

There are many studies that demonstrate how floatation can help with anxiety.

Feinstein is a clinical neuropsychologist studying the impact of floatation on anxiety with the Float Clinic and Research Center at the Laureate Institute for Brain Research in Tulsa, Oklahoma. In Feinstein’s study, he scanned the brains of healthy people using an MRI. He then split the subjects into two groups – half spent 90 minutes floating and half spent 90 minutes relaxing in a reclining chair in a dark room. After the third session, he scanned all the subject’s brains again and compared the images. He found that floaters had lower anxiety and greater serenity as opposed to those in the chair.

He also found that the amygdala was shutting of post-float – the amygdala is the part of the brain that controls emotion and fight or flight survival instincts. He then compared the brain imaging of those who had floated with those who had taken an anti-anxiety drug, Ativan, and found the same dampening of the amygdala. Hence, floating has the same impact on the brain as anti-anxiety drugs. Feinstein is gathering more data but wants floatation to become a treatment for anxiety.

In 2018, Feinstein conducted a study on the impact of floating for patients suffering from anxiety and depression. 50 patients with anxiety-related disorders underwent a 1-hour session in a float tank. He found that floating can significantly provide short-term relief from stress and anxiety symptoms across a range of conditions including Post-Traumatic Stress Disorder (PTSD), Panic Disorder, Agoraphobia, Social Anxiety Disorder, and Generalized Anxiety Disorder. Floating also enhanced mental wellness and serenity.

A 2006 study published in the International Journal of Stress Management aimed to investigate the long-term effects of the flotation-REST 4 months after treatment. Patients with stress-related pain underwent 12 float sessions and found that floating reduced pain, stress, anxiety, and depression and improved sleep and optimism. These positive effects were maintained 4 months after treatment.

A 2016 study by Kjellgren and Jonsson from the Department of Psychology at Karlstad University in Sweden assessed floatation as a treatment for generalised anxiety disorder (GAD). 46 people took part, with 24 in treatment and 22 as control. Undergoing 12 sessions over a 4 month period, the study found that floatation reduced symptoms of GAD including depression, insomnia, and fatigue and 37% reached full remission from GAD symptoms post-treatment.

A 2014 study by Kjellgren investigated the beneficial effects of sensory isolation and floatation tank treatment as a preventive healthcare intervention. Healthy volunteers took part in 12 float sessions over 7 weeks. The study found that stress, depression, anxiety, and pain decreased and optimism and sleep quality increased.

These studies demonstrate the positive impact floatation can have on treating anxiety and how REST helps reduce the body’s stress response. More research is needed, particularly into long-term effects, but floatation could play a major role in helping soothe anxiety in the future. Try out a floatation tank today to see if it helps calm your anxiety – many feel more stress-free from just one session.

 

This sponsored post was written by i-sopod, a revolutionary float pod manufacturer and market-leading supplier to float centres in the UK, USA, Europe and Australia .

 

Anxiety, Low mood,Winter and Me. By Eleanor

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(image: Istock)

I have sat down many times in the past few weeks to try and compose this blog and I havn’t felt able, the weight of it felt too much to put down on ‘paper’. The past month has been a lot more challenging for me, I have had an increase in my anxiety, particularly the social anxiety, fear of judgement and the world in general.

This has meant I have had to cancel media appearances and my book launch for friends and family and I sadly missed an old friend’s beautiful wedding and another old friend’s hen weekend 😦  (as well as missing going to the theatre to see Waitress with a wonderful friend). I have been having panic attacks again about socialising when feeling so vulnerable. This has been really, really hard because I hate letting anyone down, I have just been feeling ill at times and having to cope with the heightened anxiety and its ‘fun’  accompaniment (insomnia, racing thoughts, negative thoughts and chest pain).

My book got published and while that was amazing and a lifelong dream, it also felt exposing as I revealed a lot about my life that many wouldn’t know. So I felt like hiding away because it felt scary (social anxiety again).

Additionally, I started therapy 7 weeks ago to give me tools to a) understand but b) deal with the underlying anxiety about life and while it is helping (I am doing a type of trauma therapy called EMDR), I think it might be bringing issues I have buried to the surface from past trauma. This could be why I am getting triggered in social situations at present. I have a fear of negative judgement and also of crowds. I am working on this in therapy as I have been through a lot so far in my 31 years on this planet!

This time of year is also not helping me at all- the nights drawing in and the gloomy mornings. I struggle with SAD (seasonal affective disorder) and I start feeling lower this time of year. I am well medicated so my depression is mild in comparison to what it gets like when my medication doesn’t work but it is the anxiety I need to work on and expose myself to feared situations slowly.

To my friends, thank you for your kindness and for trying to support me (and coax me out) through this difficult patch again- you know who you are. If anyone wants to come round for a Disney night with chocolate- please do! 

Despite the negatives, there have been some successes in the past few weeks- seeing family, going to the cinema with Rob to see Last Christmas, going to the garden centre with my sister and bro in law, attending my therapy sessions, promoting the book online, job applying (exhausting but I’ve been doing it), speaking to friends regularly and trying to socialise even if I don’t always make it. I am working on that.

Oh and I have been volunteering for Christmas4CAMHS charity- that provide presents for ill children on mental health wards. I have been helping them gain awareness and raise funds via social media. This has been one of the most rewarding things I have managed to do in the past 2 weeks. Thank you Ro for letting me be involved and giving me some purpose to help others.

Social anxiety and depression are hard things to live with, but I know it will pass again in time and to reach for support if I need it. I am already on anti depressants and anti anxiety meds (as well as the therapy), so will have to wait and see what helps. I have an SAD lamp so need to use it when I wake in the mornings. Perhaps I should push myself to go for walks, although I am currently enjoying being a doormouse. If anyone else is struggling, please reach out- we are stronger together.

 

Why I wrote my book, ‘Bring me to Light: Embracing my Bipolar and Social Anxiety’ by Eleanor

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(image: Trigger Publishing)

This blog has been a long time coming. I have been so busy promoting my book on social media and in the press that I havn’t actually sat here and told you WHY I decided to write this book. So, here goes.

Firstly, can I just express so much gratitude to this here WordPress blog because without it, I would not have got commissioned at Metro.co.uk (thank you Yvette) or for other places online. This blog gave me the confidence to write and to expand my writing’s reach and for that I will be forever grateful.

In 2013/ early 2014, I sat on the couch, crying and living with a suicidal depression. My bipolar was unstable and all over the place- I felt so low and like there was no way out. However, as I sat and cried- a friend of mine’s face peered up from the newspaper. He was looking for the man that saved him from suicide and was launching a campaign called Find Mike to find him. That man was Jonny Benjamin (who now has an MBE). I had known Jonny for many years as a teenager through friends, but he became my inspiration and my hope that I too could do good things despite having mental illness. He very kindly has provided an endorsement too for my book- thank you Jonny!

With the help of my psychiatrist, I recovered temporarily from the depression but then spun very fast into mania and psychosis (possible due to a large dose of anti depressant). I was sectioned and in hospital for 4 months as an inpatient and a further 4 as an outpatient.

Throughout this time, I could not think about writing because my mind wasn’t stable enough. But as I pieced my life back together, started taking a new mood stabiliser to help control the bipolar episodes and started to recover slowly, I found the power of blogging about my social anxiety due to trauma of the bipolar, to be so helpful. I found that others would share their stories and would reach out to me about their mental health too.

Although life is not perfect and I am still living with an anxiety disorder, I have found a way to write and speak about mental illness. I was diagnosed with bipolar at 16 and there was a lot of shame for me about it back then in 2004. These days, I tell my story for other scared 16 year olds newly diagnosed but also to break down barriers and stigma against mental illness. To explain you can have bipolar or be sectioned or have psychosis but you can recover and you don’t need to spend life in hospital forever. To explain that while this cruel illness runs in families, that with the right healthcare, staying more stable is possible.

I started writing my book with Trigger Publishing because they believed in my story when I sent them my proposal. They are part of the mental health charity the Shaw Mind Foundation and royalties go towards the charity as well as some to me.

I hope that when you read my story, you won’t see it as a despairing ramble- but rather a story of hope, of life, of light triumphing over the darkness- but the darkness making the good times shine brighter. I also bring my bipolar to light, I share it with the world- as scary as this is, so that others can also tell theirs.

I wrote this book too provide a place to talk, start conversation and help heal myself through writing it but sharing that feeling of hope with others too. The book cannot change things that are so needed like urgent mental health funding of the NHS so we have parity of esteem. Yet, i hope it is a starting point about how important mental health treatment is for people to move forward in their lives.

Bring me to Light is out on 5th November 2019 in the UK and is available worldwide. It will be out in the USA in 2020. It can be purchased on Amazon, in book shops and at triggerpublishing.com

I will be sharing press articles and more about the book as it happens, but I hope this blog explains why I wrote my book. Thank you all for your ongoing love and see some of you at the book launch!

Love,

Eleanor x

 

An Increase in Anxiety: Panic attacks and Therapy thoughts.

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(image: Your Tango)

Hi friends,

It has been a while since I’ve shared a personal blog and I want to be as honest as possible.

It has been a whirlwind of a time- I got married to my wonderful husband in July- we really had the best day, I have been editing and finishing writing my book Bring me to Light and I also started a new job at a charity in May- which has meant I have been blogging less. I love my new job however I am much busier!

This has meant an increase in my anxiety levels and panic attacks in the mornings at times, related to social anxiety. I worry about the day ahead and sometimes don’t feel able to leave home. I have been trying to combat this but its been really hard and is still ongoing for me.

I have had a lot of CBT and talking therapies but believe my anxiety to be trauma based re what happened to me 5 years ago, being sectioned and in hospital. As such, I would like to have EMDR therapy, a type of therapy that helps to process trauma through focusing on images and rapid eye movement. It is hard to describe but I believe this is what I need in order to keep my anxiety disorder under control- and get rid of most of it.

In the mean time I have been leaning on my support network and have been prescribed beta blockers for when the anxiety is at its highest. I have also been referred back to psychiatry in order to get a referral for EMDR.

Except…. my NHS borough don’t fund EMDR therapy so the only route in is via a service called IAPT. It may be that I have to go privately if the NHS standard of therapy is not good enough but there we are. There is still a 2 year waiting list to even have an assessment for therapy, but via IAPT it is quicker, so I hope I can get some form of help for me. The funding for mental health in the UK is atrocious and I hope this will improve….

Having the support of my parents, Rob and family has been hugely helpful to me and my new amazing colleagues who believe in me and have been very supportive.

But, it has been exhausting.

Panic attacks make me want to sleep, blank out and sometimes you can’t do that. You have to face the day and fight. That’s where the beta blocker meds come in for me right now as they calm the body down when you need to show up to something (deep breathing doesn’t do it for me). Usually, I feel better once I don’t react to the anxiety negatively and try to dig deep and push through, but its not easy.

This week, we are going on honeymoon in Italy and I am looking forward to a relaxed, sunshiney break by and in the pool, beach and spa with Rob and eating lots of delicious Italian food. A break is desperately needed and I hope I won’t have any panic attacks on holiday, but have a restful time!

Here’s hoping I will find something that will help ease the panic. I have tried so many things for so many years and it’s still here.

Eleanor x

 

You can pre order Bring me to Light, my book on mental health, now!

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Hi friends, its now August and my book is out in the UK on October 30th and November 5th in the USA! I tell my life story with being hospitalised for bipolar disorder episodes twice, most recently in 2014 and how I found a form of recovery and have become a writer on mental health.
My book is called ‘Bring Me to Light’ because I found light in the darkness, hope where there was none. It took many years and this time was a challenge. I hope that reading my book will make you feel less alone. It talks about bipolar, psychosis, depression, anxiety and mania.
It also talks about my wonderful family and friends who have helped me along the way and teachers, doctors, psychiatrists and nurses. Team effort.
the Trigger website (my publisher). USA people you can order it on your Amazon too.
Book launches to follow later in the year, stay tuned for details!

Mental health and the juggling act: New Job, My book and Wedding. by Eleanor

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(image: Trigger Publishing)

Nearly a month ago, I started my new job at a big Jewish charity here in London. I work in a small but lovely team in PR and Communications- helping run social media, write and distribute press releases and copywriting. I am enjoying it but its totally different from my other work and I am far less immersed in the mental health world than I was a few months ago. It is a juggling act. Trying to keep up with changes and all that’s occurring though. Hopefully soon I will find time to write articles again for my friends at Metro.co.uk and Happiful.

This has brought its own challenges as I havn’t been blogging here as much either, due to writing my book. My book  ‘Bring me to Light’  will be released in the UK on November 5th and the USA shortly after, with Trigger Publishing. The title references going from darkness to light, as I have done with my bipolar and anxiety since I was 16. I have written most of it (50,000 words!) but my very kind editor has extended the deadline for it so I can write everything I need too, whilst also doing my day job and wedding planning (!). I am really excited to see a printed copy and to promote it later this year- the hard work will be worth it I hope. I also hope you enjoy reading it and thank you all for your ongoing support.

So, wedding planning, we are 5 weeks away now until I marry Rob, my fiance. It has come round so fast especially as we have had a year and few month’s engagement, I am counting down the days until I am under the Chuppah (Jewish marriage canopy) and we are officially married in presence of those we love! This week I had my final dress fitting and it was super emotional. I still can’t believe its happening. Rob’s dad is recovering slowly at home but his condition is still serious as he has cancer.

Naturally, you will be wondering- how am I staying sane with my bipolar with everything going on and with Robs dad not being well? Firstly, as we know, stressors can make bipolar worse and trigger episodes. At the moment, my main mood stabiliser Lithium keeps me very grounded and stable. Despite the stress, I am not dipping down into  deep depression as I would have done in the past. Yes-  there are times when I might feel stressed, overwhelmed, exhausted or tired and just want to sit in my pyjamas watching Made in Chelsea or First Dates. There are also times when I am too tired to cook or do laundry and need support with those. I am lucky to have a very supportive family who look out for me too.

My work colleagues have been super supportive when I have been overwhelmed or anxious and I am finding the flexibility of my work helpful too.  I am having less anxious days now I am working too due to exposure therapy and going out a little more (taking the bus and cabs and talking to new people).

For me, I really need self care time, time to switch off and unplug. As we go into Shabbat  now is the perfect time to read and be quiet, come off my phone and computer and just be. I really promote looking after you and taking time to sleep and rest for optimum mental health and to feel better again. Sometimes it can help to let others know how you’re feeling too.

I have two weeks to give in my first book manuscript and five til my wedding day. These are dreams I have had for years and I can’t quite believe they’re happening. Staying sane while planning a wedding without a planner can be hard but we have worked as a team. Having a good cry has really helped also at times, when things get too much! But generally happy, wonderful things so not to complain. Everything at once can get a lot for anyone. Life at the moment is hectic but I am pacing myself as much as possible.

If you would like to preorder my book, you can do so on Amazon or the Trigger website and I would love to know if you do :).

Thanks for being there for me and for supporting my work too. I hope we end the stigma against mental health by talking, sharing and explaining.

Love,

Eleanor xxx

Social Anxiety: How I stopped feeling nervous about talking to others. Guest blog by David Morin

 

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(image: Yellow Co )

This is my story on how even when things look dark, there might be change just around the corner.

You see, I grew up deep inside the Swedish countryside as an only child. My parents were rather old when they had me, so people often assumed them to be my grandparents.

In school, I was an outcast. Because I had only socialised with adults, I had a hard time bonding with people my own age.

Naturally, this made me socially awkward and anxious in social settings, especially around strangers and large groups.

One time, a friend convinced me to join a party. When I finally showed up, I felt everyone’s eyes on me, like radar-tracking from all directions. I locked myself into the bathroom. Looking at the person in the mirror, I couldn’t help but wonder what was wrong with him.

Later, I learned that my awkwardness and nervousness was much more common than I had first thought. It’s just that everyone hides their chaotic inner under a calm surface (just like I did).

I started studying behavioural science. As it turned out, social anxiety often starts small in life. But when we start avoiding social settings, our anxiety snowballs into a monster.

We can’t overnight break the shackles of social anxiety. But what we CAN do, is take small steps out of what we normally do.

I started doing things slightly out of the ordinary. Instead of looking down the ground, I forced myself to hold eye contact with people I walked by on the street, if only for a split second. After a few weeks, when that felt normal, I tried to hold it a bit longer, and maybe even smile.

My smiles were forced and awkward, and I probably looked like a weirdo. But over time, I could interact with people in a warm and relaxed manner.

Thanks to taking small steps and challenging myself a little every day, I became more confident as the years went by. Not just with other people but in life in general.

7 years ago, I started a blog where I teach people how to stop being nervous. That confirmed to me that I wasn’t lonely. We’re one big nervous family all in this together. So why not help each other?

I recently got the opportunity to leave all my friends and family in Sweden and move to New York City – a place where I knew no one. If I hadn’t had the confidence I have today, I would never have dared to do it.

Challenging my anxiety was my key to living life to the fullest.

But back then, in that Swedish forest, things looked dark. Thinking back to that time taught me a lesson:

Just because things are hard at the moment, doesn’t mean that it will always be that way. Life is ever-changing, and that’s what makes it so exciting.  

 

This blog was written by writer David Morin who used exposure therapy to help his own social anxiety and find recovery.

 

The Social Anxiety Diaries by Eleanor

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This blog started as a way for me to express my innermost thoughts and feelings, the state of my mental health and write it all out on the page. I would like to continue this and so asked people on my Facebook group what they would like to hear about.

This blog on my social anxiety was voted for and here it is.

I must start by saying that I am quite a social person and love my friends. A lot of us with social anxiety are. I have lived with this form of anxiety since I was about 18 years old. It essentially is an anxiety disorder that is hard to control- and where you begin to fear being around people, crowds, small talk and socialising for fear of being exposed or judged negatively. This has impacted how I work too and sometimes how often I leave the house.

My anxiety disorder started in my teen years because my unmedicated bipolar disorder led me to act in ways I didn’t recognise. I became hyper, everything was heightened and I wasn’t my usual self. And so the fear of acting like this again or being judged for it, was what triggered my social anxiety.

11 years later, a lot has changed for me for the better. I am finally on the right medication. I have a loving partner, family and friends. However, yes I do still have social anxiety. It does cause panic attacks, especially in the mornings and it can stop me from attending work or social events. .

It is frustrating to admit this. As I have been in a lot of very helpful therapy and I have learnt what coping mechanisms can help me- but they are often hard to implement mid panic. However, I do think I will always have a certain level of panic which will restrict certain parts of my life. This is why I work freelance and from home. Writing has helped me heal.

What I do know is on the good days, I make sure to keep busy and see people/ go out as the more I do this, the fear lessens. If I am feeling low, the anxiety rears its head too. When I am depressed, I can become slightly agoraphobic and won’t want to leave the house. Its something I have to monitor and work on. Set myself achievable goals eg walk down the road, see a friend, call someone etc.

Some of my friends have been so kind and understanding about living with this and having to cancel certain arrangements. There are times I  have to force myself into doing things although it takes so much energy and can also make me have more panic attacks so its a fine line. I have to do whats best for me and my mind. If it is spiralling into panic, the rational self finds it hard to drown it out.

In general, I am doing OK but I have to do what is best for me in order to manage my anxiety disorder. If that means a night in or less time seeing people then sometimes this is what is needed.

However, I will continue to be an anxiety warrior and do all I can to expose myself to any feared situations when possible. It takes lots of energy!

What have I tried to manage this?

– Group sessions on managing anxiety, meditation and journalling
– Talking therapy for 6 months (which worked) and CBT three times (which didn’t stop the panic attacks)
– Exposure therapies with those I love helping me

Do you have this and how do you cope?

Love, Eleanor x 

Why you can overcome mental health challenges and anxiety to succeed in life: Guest post by James Kenneth

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(image: OMG Quotes)

Hi, I’m James. I’m 25. I’m a regular person just like you.

I suffer from clinical anxiety. I’ve had anxiety for as long as I can remember.

I’ll take you on a journey through my life experience and perhaps this, in turn, will help you on your life path.

As a child, I was rather timid – not the most sociable. I spent a lot of my time reading (which I still do). And, I was rather anxious too.

Every week, several times a week, I would wet my underwear at school because I was scared to tell the teacher that I needed the toilet. Every week without fail, several times a week, I would wet the bed at night because I was afraid to go to the toilet by myself in the night-time. All this wetting myself only stopped when I reached the age of 11, and boy was that a relief. Not just for me, but for my Mum as well – the laundry pile reduced massively.

By the time I went to secondary school, it was clear that something really wasn’t right. I wasn’t making friends, and I just felt downright awful.

My Mum, to whom I am eternally grateful, decided to put me in talking therapy. And it helped. I actually ended up being in therapy, on and off, for ten years. I’ll talk more about my experience with therapy a bit later.

At aged 14, I had a major positive breakthrough. I was on a school trip with 30 other teens. We were outside the country, in a totally different environment, away from home.

At first, I was how I’d always been – shy, worried, quiet. But then something big happened. I opened my mouth. Not only that, but people liked what I had to say. People found me fun and humorous, and  liked me. That gave me a major confidence boost. It was one of the biggest turning points in my life.

It’s all because I was determined to change, to grow. I, of my own volition, opened my mouth, took a leap, and overcame a big emotional obstacle.It wasn’t easy but it was needed.

When I was 19, I moved to a different country. Was I ready to? I was still an emotional wreck to be honest. Much more mentally healthy than I had been at age 11, but an emotional wreck nonetheless. But, thank G-d, really big positive transformation began from this point on.

The main reason – because I am, and always have been, 100% determined to totally manage and overcome my anxiety and I know I will. I was ready to make big changes.

With G-d’s grace, I searched for and acquired some fabulous mentors to help me. They aided me to deepen my self-awareness and hence overcome more emotional obstacles. It is known that awareness is often the first step towards change.

At age 21, I decided it would be a good idea to see a doctor. I was prescibed with Venlafaxine. It took 6 weeks to kick in and then wow – life changed dramatically. I was still James Kenneth, but I was calmer, more content, and level-headed. I’m not saying the medicine totally removed the anxiety, but it helped – big time.

While on the Venlafaxine, since I had a calmer mind, I was able to work even more on overcoming my emotional obstacles. And I did. I was on that medicine for a total of three years and it worked me wonders. And then I came off it when I no longer needed it.

Let’s talk more about my therapy. As the many years of therapy went by, I spoke out what was on my mind and I became increasingly self-aware. With the new self-awareness I had and the support, I was able to gradually change my way of thinking to a healthier one.

It’s funny, the reason I actually stopped therapy after 10 years of it, was because I now understood myself and what I had to work on, far better than the therapist did. It definitely gave me more insight.

Another thing that’s help me in more recent years is reading self-help books. Some of these books have really helped me on my journey of growth. I very much recommend. “The Road Less Travelled” by Dr. Scott Peck, “The Wisdom of the Enneagram” co-written by Richard Don Riso and Russ Hudson, and “The Power of Now” by Eckhart Tolle.  I recommend having a browse online and finding out more. I think they’re great!

To end, I’d like to tell you how things are now, in my current life situation. Not only am I no longer an emotional wreck – I’m a happy, self-aware individual who lives a great life. I’ve been happily married now for a year and a half. I’m not saying I no longer have any anxiety. I do. But I’m not the same person I was at age 11.

Heck, I’m not the same person I was even one year ago.

Every year I’m making leaps and bounds in managing my mental illness because I am determined to overcome it and live my best life. I believe that you can get better to, just reach out for help from others- be it medical teams, mentors, doctors or counsellors . With this help, we can recover and it is ESSENTIAL to reach for help and practise self care, kindness and compassion.

James Kenneth is a writer who has had  clinical anxiety and writes on self help.