Struggling with Social Interaction: Anxiety and Dependence - Psychiatry

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Struggling to adapt to social interactions?


I am very dependent on my parents.
I have attended classes to learn workplace skills, but I always end up leaving early during the final sessions.
I feel uncomfortable interacting with others and often fear when people talk to me.
Sometimes, when someone speaks to me, it makes me feel very uneasy.
I tend to avoid talking whenever possible, as I prefer to be like an invisible person.
Even during my school years, I would leave right after receiving my diploma, as if I were getting off a bus at my stop.
I am concerned about how my future will develop if this continues.
I have undergone psychological therapy, but the results have not been significantly effective.
Now, I am seeking advice from a doctor to understand what to do next.
Could this be a type of mental illness, such as social anxiety disorder?

G, 40~49 year old female. Ask Date: 2021/01/17

Dr. Lin Mianzhang reply Psychiatry


Hello,
Your situation indeed resembles social anxiety disorder; however, a definitive diagnosis must be made by a physician after a consultation with you.
If it is social anxiety disorder, both pharmacotherapy and psychotherapy can be effective, and studies have shown that combining both treatments yields better results.
I am curious about how long you have been undergoing psychotherapy.
For social anxiety disorder, cognitive-behavioral therapy (CBT) has shown good efficacy, and its effects should be enhanced when used in conjunction with medication.
I recommend that you visit a psychiatrist to discuss how to improve your current difficulties.
Wishing you peace and well-being!

Reply Date: 2021/01/17

More Info


Struggling with social interaction can be a significant challenge for many individuals, particularly for those who have developed a pattern of avoidance or anxiety surrounding social situations. Your feelings of discomfort when interacting with others, along with your tendency to rely heavily on your parents, suggest that you may be experiencing social anxiety or a related condition. It’s important to recognize that you are not alone in this struggle, and there are ways to address these feelings and improve your social interactions.

Social anxiety disorder (SAD) is characterized by an intense fear of social situations where one may be judged or scrutinized by others. This can lead to avoidance behaviors, such as leaving a situation early or not participating in social activities altogether. The feelings you describe—discomfort when others speak to you, a preference for solitude, and a tendency to leave social situations as soon as possible—are common among those with social anxiety. It’s crucial to understand that these feelings are valid and can be addressed through various strategies.

One effective approach to overcoming social anxiety is cognitive-behavioral therapy (CBT). CBT focuses on identifying and changing negative thought patterns and behaviors that contribute to anxiety. Through this therapeutic process, you can learn to challenge your fears about social interactions and develop healthier coping mechanisms. If you have previously undergone therapy without noticeable improvement, it may be worth exploring different therapists or therapeutic approaches, as the effectiveness of therapy can vary significantly based on the individual and the therapeutic relationship.

Additionally, gradual exposure to social situations can be beneficial. This means intentionally placing yourself in social contexts, starting with less intimidating situations and gradually working your way up to more challenging ones. For example, you might begin by engaging in brief conversations with acquaintances or participating in small group activities. Over time, as you gain confidence and experience positive interactions, your anxiety may decrease.

Building a support system is also essential. While you may feel reliant on your parents, seeking friendships or connections with peers can help alleviate feelings of isolation. Consider joining clubs or groups that align with your interests, as shared activities can provide a natural context for social interaction. Even if it feels uncomfortable at first, having a common goal can ease the pressure of initiating conversation.

Mindfulness and relaxation techniques can also be effective in managing anxiety. Practices such as deep breathing, meditation, or yoga can help calm your mind and body, making it easier to approach social situations with a more relaxed mindset. These techniques can also assist in grounding yourself when you feel overwhelmed.

Lastly, it’s important to consult with a mental health professional if you feel that your anxiety is significantly impacting your daily life. A psychiatrist or psychologist can provide a comprehensive evaluation and discuss potential treatment options, which may include therapy, medication, or a combination of both. Remember, seeking help is a sign of strength, and addressing these feelings early on can lead to more positive outcomes in the long run.

In summary, while your struggle with social interaction and anxiety may feel overwhelming, there are effective strategies and resources available to help you navigate these challenges. By seeking professional guidance, gradually exposing yourself to social situations, and building a supportive network, you can work towards improving your social skills and overall well-being. Remember, change takes time, and it’s okay to take small steps towards your goals.

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