How to Transform Social Anxiety/Phobia by Lewis McDonnell at Phobia Support Forum

April 19, 2022 ~ Eleanor Segall ~ 1 Comment

Social anxiety is quite common but it affects people in different ways, situations and circumstances. Some people may find they have anticipatory anxiety before certain events, like interview days, big events like weddings and public speaking. But for those that suffer with everyday social anxiety this can be equally debilitating.

Living with social anxiety can be tough because it literally affects everything we do. From the choices we make, activities we participate in, opportunities that are presented to us and naturally, the way we live our lives. It can also have a huge impact on the direction of our life and how it unfolds.

For many people living with social anxiety, it can range from mild to very extreme. It’s often triggered due to particular circumstances. Big events such as:–

Going on a date
Meeting new friends
New job interview.

It can also be triggered by everyday events. For example:-

Going to the supermarkets or the shops
Speaking with the cash register assistant
Asking for directions
Walking around in public places.

In order to address the many challenges of social anxiety, we need to understand the specific causes.

Causes

Social anxiety manifests itself as tension in the body, elevated heart rate, paranoia, awkwardness, inhibition, not being able to express ourselves in certain moments where we want/need to. This is often caused by the beliefs and the ideas that we hold in our mind. When these are triggered, or we are provoked/threatened by the particular circumstance, this is when the anxiety kicks in.

In our everyday existence, we have two types of thinking.

One type of thinking is known as logistical thinking. This is simply our organisational logical thinking such as, today, I need to get the train. Or we may have thought when we go to the shop, I’m going to buy apples today, they are on the list, together with potatoes and rice. It’s very logistical. This kind of thinking holds no real emotion and is more matter of fact.

However, most people living with social anxiety describe themselves as self-conscious and this is an accurate description of the second kind of thinking, known as self-referential thinking.

Self-referential thinking is where we are referring back to ourselves.

For example… we might have the logistical thought, OK, I need to get the train. But then self-referential thinking would come in, making us consider, what happens if I miss the train? What happens if I’m late for work? What happens if the train is delayed? What will people on the train think of me? Should I be getting the train to work rather than driving?

This is where we apply personal meaning to our circumstances and to the logistical tasks of the day. We give it meaning that relates back to our self-image and identity. Within this, self-referential thinking is where a lot of anxiety is created.

Examples of self-referential thinking

Note: everyone is unique and everyone has their own thought patterns, leanings and identity. Here are some examples of self-referential thinking that can provoke anxiety in people:-

What will people think of me?
What if they don’t like me?
I hope I don’t come across as being awkward.
What if I embarrass myself?
Are they looking at me?
What if I make a mistake?

All of these thoughts can be considered seeds. The first domino in the sequence triggers the momentum of catastrophizing self-referential thinking. This can lead to a sense of anxiety, dread, panic or embarrassment.

Struggle with social anxiety

I actually used to really struggle with social anxiety and this would prevent me from speaking in front of groups. It would make me feel very self-conscious and on edge when I was in supermarkets, when I was around people in public places. I’d often worry about what other people were thinking of me or how I was coming across and I really used to beat myself up over this. It made me feel as though I was somehow inferior or there was something wrong with me.

In my quest to beat social anxiety, I tried a lot of things to try and overcome this. Some of the things I found most impactful were part of my own professional therapy training.

During our practice sessions with my colleagues, we would get to work through many of our fears and anxieties. That provided me with a great deal of relief and clarity.

Another thing that really helped me was the concept of self-acceptance. Because it’s often the things that we reject about ourselves that we then project onto other people. So if we don’t like the shape of our body or the way we look, we will assume that perhaps other people won’t like that either. But that is a projection of our mind onto these people.

It’s none of our business what other people think, it matters more about what we think and self-acceptance is a beautiful concept. A practice where we draw in the things that we feel such great resistance to. Then we seek to embrace it, accept it and claim ownership over it. That way we take back our power and finally give ourselves permission to exist as we are, without judgement or criticism.

After all, this is about reclaiming your sovereignty, your identity, your freedom from these thoughts, insecurities and worries. These are the things holding you back from living your best life, enjoying your life and fulfilling your potential.

Comedians have social confidence

Take comedians for example, they often talk about embarrassing moments and they talk about all the taboo topics such as farting and other awkward encounters whilst everyone in the audience cringes with laughter at the shock factor.

But whilst the audience cringes with laughter, the comedian stands there proudly and boldly, proclaiming to the world. They take ownership of their so-called insecurity or embarrassing moments and they do so with confidence. That’s because a confident person is a self-accepting person. They have claimed ownership over their embarrassing moments and taken their power back from them.

Bringing self-awareness into your thoughts

The first stage of transforming your anxiety is bringing self-awareness to your thought process. The question you need to ask yourself is: What is making me feel anxious?

Some people are afraid of judgement, criticism, embarrassment, drawing attention to themselves, being the odd one out, being rejected.

Whatever it is to you will be unique and if you spend time thinking about this, you will begin to get a clearer understanding of what’s really generating all of this anxiety. It can be helpful to use a notepad and pen for this exercise.

Social anxiety is just a symptom of an unconscious behavioural response. The good news is that it can be changed because all behaviours can be changed. This isn’t something that you’re born with. This isn’t something that you’re destined to live with for the rest of your life. It is something that can be resolved and there are many ways to do this.

Taking the right path for you

Some people feel inspired to take the route of exposure and setting themselves social challenges. This is done in the way of, OK, if I’m afraid of talking to people or more afraid of what people think, I’ll set myself a challenge. Every time I go out in a social situation, I’ll ask someone for the time or ask the shop assistant, how are you doing today?

But whilst that’s all very well for a lot of people living with social anxiety, it can be very intense and confronting, even just getting to that stage can be challenging. So for that reason, professional one to one therapy can be really helpful for this.

Some recommendations would be to first find a therapist that you trust, that you feel a genuine connection with them. Always check to see if they have a proven track record for helping people get results, and that they really are an expert in their field.

Once you find that connection, build that trust and learn to enjoy your unique character, your anxiety levels will fall as you take back control.

Social anxiety is an unconscious behavioural response that’s generated by our beliefs and thought processes, all of which can be challenged and changed..

Conclusion

At some point in our lives, the vast majority of humans on this earth will experience a degree of anxiety in certain social settings. How we react, adapt and behave within these settings is dictated by our attitude and perception of the experience.

This article was written by Lewis McDonnell from the Phobia Support Forum.

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

December 19, 2019December 18, 2019 ~ Eleanor Segall ~ 2 Comments

(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.

The Social Anxiety Diaries by Eleanor

October 3, 2018 ~ Eleanor Segall ~ 6 Comments

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