Fear of meeting people?
I have rarely spoken since middle school, and now, over 20 years later, when someone talks to me, I feel anxious and uncomfortable.
My parents are aware of my introverted nature and lack of friends, so they do not expect me to settle down or have a career.
Doctor, what should I do?
Zhi, 30~39 year old female. Ask Date: 2020/07/25
Dr. Huang Xiaoxian reply Psychiatry
Dear A, thank you for your question.
Regarding interpersonal relationships, this is indeed a profound inquiry.
I'm not sure what factors contribute to your hesitance in initiating conversations with others.
Often, a person's behavior can be influenced by both surface-level reasons and deeper psychological subconscious factors.
If you can gain a better understanding of yourself, it may provide some direction for potential solutions.
I recommend seeking an evaluation from a mental health professional and arranging for psychological counseling to better understand yourself and identify ways to address the issues.
Wishing you all the best.
Reply Date: 2020/07/25
More Info
Overcoming social anxiety, especially after experiencing it for over two decades, can indeed be a challenging journey. However, it is important to understand that change is possible, and there are effective strategies to help you find your voice and improve your social interactions.
Firstly, it’s essential to acknowledge that social anxiety is a common issue that many people face. It often stems from a fear of judgment or negative evaluation by others, which can lead to avoidance of social situations. Your feelings of discomfort when someone speaks to you are valid and indicate that you may have developed a conditioned response to social interactions over the years. The good news is that with the right approach, you can gradually desensitize yourself to these feelings and learn to engage more comfortably with others.
Here are some strategies that may help you overcome social anxiety:
1. Cognitive Behavioral Therapy (CBT): This is a highly effective treatment for social anxiety. CBT focuses on identifying and challenging negative thought patterns and beliefs that contribute to anxiety. A therapist can help you reframe your thoughts about social situations and develop healthier coping mechanisms.
2. Gradual Exposure: Start by exposing yourself to social situations in a controlled and gradual manner. You might begin with low-pressure environments, such as speaking to a cashier or greeting a neighbor. As you become more comfortable, you can gradually increase the complexity of the interactions.
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 progressive muscle relaxation can help calm your mind and body before engaging in social situations.
4. Focus on Listening: When in conversations, try to shift your focus from how you are perceived to genuinely listening to the other person. This can alleviate some pressure and help you respond more naturally. Engaging in active listening can also make you feel more connected to the conversation.
5. Set Realistic Goals: Set small, achievable social goals for yourself. For example, aim to initiate a brief conversation with a colleague or participate in a group discussion. Celebrate your successes, no matter how small, as this will help build your confidence over time.
6. Join Support Groups: Consider joining a support group for individuals with social anxiety. Sharing experiences with others who understand what you’re going through can provide comfort and encouragement. It can also be a safe space to practice social skills.
7. Professional Help: If your anxiety feels overwhelming, seeking help from a mental health professional can be beneficial. They can provide personalized strategies and support tailored to your specific needs.
8. Self-Compassion: Be kind to yourself throughout this process. Understand that overcoming social anxiety is a journey that takes time and effort. Allow yourself to feel uncomfortable at times, and recognize that it’s a part of growth.
As for your parents’ expectations, it’s important to communicate your feelings with them. Let them know that you are working on improving your social skills and that you appreciate their support. Their understanding can create a more positive environment for your growth.
Lastly, remember that your past experiences do not define your future. While it may take time to unlearn old habits and responses, every small step you take towards engaging with others is a step towards overcoming social anxiety. Embrace the journey, and be patient with yourself as you find your voice after these years. You are capable of change, and with persistence and support, you can build the social connections you desire.
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