Overcoming Fear and Insecurity: A Guide for High School Students - Psychiatry

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Worry. Fear?


Hello, doctor! I am a high school sophomore, and I often feel that I am not as good as others.
I tend to think negatively (though sometimes I can think positively) and lack self-confidence, often hesitating and feeling dazed.
My reactions are slow, and when I encounter fear or nervousness, my first instinct is to cry.
I have been trying to figure out what kind of person I am, and recently, after confiding in those around me, I slowly realized that I lack confidence.
I discovered that this has accumulated since childhood; I tend to avoid situations easily and find it hard to trust others because I always feel that people look down on me.
Although I really want to make friends in class, there is always a wall in my heart (perhaps out of fear of others' opinions).
Even with good old friends, I often feel like I want to leave, but I don't genuinely want to go away.
I look forward to going to school, but during breaks, I really want to escape from classes, avoiding classmates and teachers.
I find it hard to be myself in front of anyone other than my family.
Every time I take the first step, like greeting a classmate, and don't receive a response, I retreat (even starting to overthink).
I want to change this tendency to escape, fear, and overthink.
I feel scared, and overthinking has become a habit.
I struggle to get along with classmates because of my personality and am overly concerned about how others perceive me.
After sharing my feelings with others, I often feel like I have found a way to improve, but I always end up overthinking out of fear, which keeps me stuck in this dead end.
I wonder if there are any methods to change this habitual fear (I often feel fear first when faced with situations).
I have tried to change before, but I still feel scared.
Should I see a psychiatrist or take medication?

anny, 10~19 year old female. Ask Date: 2016/10/15

Dr. Liang Sunyuan reply Psychiatry


Hello Anny: Everyone has different personality traits, strengths, and interests.
Just because someone is different from others doesn't mean they are inferior.
In today's social culture, the acceptance of individuals with diverse traits is increasing.
Confidence must be built gradually through small successes.
What we need to do is create opportunities for small achievements, understand our strengths and passions, and this will help us identify our goals.
Changing habits requires a period of practice, and as long as we know we are working towards our desired goals, we should not feel too anxious.
However, if feelings of anxiety and worry continue to worsen, seeking medical assistance can be beneficial.
Wishing you all the best.

Reply Date: 2016/10/15

More Info


It's clear from your description that you're experiencing significant anxiety and insecurity, which is quite common among high school students. The feelings of self-doubt, fear of judgment, and avoidance behaviors you've described can be overwhelming, but it's important to know that you're not alone and that there are effective strategies to help you cope and improve your situation.

First, let's address the core of your concerns. It seems that your anxiety stems from a combination of fear of social situations, negative self-perception, and a tendency to overthink. These feelings can create a cycle where the more you worry about how others perceive you, the more anxious you become, which in turn reinforces your negative thoughts and feelings. This is a common pattern in anxiety disorders, particularly social anxiety disorder, where individuals fear being judged or embarrassed in social situations.

One of the first steps to overcoming these feelings is to acknowledge them. Understanding that these thoughts and feelings are part of a larger pattern can help you begin to address them. It’s also essential to recognize that seeking help is a sign of strength, not weakness. Consulting with a mental health professional, such as a psychologist or psychiatrist, can provide you with the support and tools you need to manage your anxiety effectively. They can help you explore whether medication might be beneficial for you, but therapy—especially cognitive-behavioral therapy (CBT)—is often a highly effective treatment for anxiety and can help you develop coping strategies.

In addition to professional help, there are several self-help strategies you can implement:
1. Cognitive Restructuring: This involves identifying negative thought patterns and challenging them. When you catch yourself thinking negatively about a situation or yourself, try to reframe those thoughts into something more positive or realistic. For example, instead of thinking, "Everyone is judging me," you might reframe it to, "Most people are focused on themselves, and it's okay to be imperfect."
2. Gradual Exposure: Start by gradually exposing yourself to social situations that make you anxious. This could be as simple as saying hello to a classmate or participating in a small group discussion. The key is to start small and gradually increase the level of challenge as you become more comfortable.

3. Mindfulness and Relaxation Techniques: Practicing mindfulness can help you stay grounded in the present moment and reduce anxiety. Techniques such as deep breathing, meditation, or yoga can help calm your mind and body, making it easier to face social situations.

4. Building Self-Confidence: Engage in activities that make you feel good about yourself. This could be pursuing a hobby, joining a club, or volunteering. Surrounding yourself with supportive friends and family can also help reinforce positive feelings about yourself.

5. Setting Realistic Goals: Instead of aiming for perfection, set achievable goals for yourself. Celebrate small victories, whether it's initiating a conversation or participating in class. Recognizing your progress can boost your confidence over time.

6. Journaling: Writing down your thoughts and feelings can help you process them and gain clarity. It can also serve as a tool to track your progress and identify patterns in your thinking.

7. Limit Social Media: If social media contributes to your feelings of inadequacy or anxiety, consider taking a break or limiting your exposure. Social media can often create unrealistic comparisons and exacerbate feelings of insecurity.

Remember, change takes time, and it's okay to seek help along the way. You don't have to navigate this journey alone. By reaching out for support and implementing these strategies, you can gradually overcome your fears and insecurities, leading to a more fulfilling high school experience. Don't hesitate to talk to a trusted adult or mental health professional about your feelings; they can provide guidance and support tailored to your needs.

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