Social Anxiety: Overcoming Communication Barriers in Treatment

Social Anxiety Disorder

I experienced some events in middle school that made me dislike unnecessary interactions with others and led me to stop making friends.
I find that avoiding social contact has no negative effects and is actually quite relaxing.
Recently, I applied for a night shift job at a convenience store.
In the past, my family thought I was too introverted and encouraged me to interact more with people, so I learned to communicate mechanically.
Although I still feel suppressed and nauseous, I believe I can complete the job.
However, my previous interactions were brief, like just buying something and leaving, which allowed those feelings of suppression and nausea to dissipate quickly.
Now, I need to engage with people continuously for several hours, and the feelings of suppression and nausea cannot be alleviated.
At times, I even experience shaking hands and dizziness, so I decided to see a doctor.
However, I find myself resistant to answering some questions posed by the doctor.
I know what my situation is and that I should answer honestly to receive effective treatment, but I just can't seem to express it; it feels like my throat is being constricted when I try to speak.
1.
I researched online and concluded that I have severe social anxiety, yet I can engage in some simple interactions.
Is this normal?
2.
What should I do if I cannot answer the doctor's questions honestly?
3.
Will the medication prescribed by the doctor be problematic in this situation? It seems to be anxiety medication (like Yongkangxu, Chuyouding, and Anbening).
4.
If I inherently resist treatment, will it affect the treatment's effectiveness?

Wei, 30~39 year old female. Ask Date: 2022/06/02

Dr. Wu Enliang reply Psychiatry

1.
I researched online and concluded that I have severe social anxiety, yet I can engage in some simple conversations.
Is this normal? A: Yes, it's normal.

2.
What should I do if I can't honestly answer questions when facing a doctor? A: You can write down your thoughts and show them to the doctor during the appointment.

3.
Is there a problem with the medication prescribed by the doctor? It seems to be anxiety medication (Yongkangxu, Chuyouding, Anberning).
A: It should be fine; the doctor will make a professional judgment.

4.
If I inherently resist treatment, will it affect the treatment outcome? A: Yes, it will.
If possible, try to maintain confidence in your treatment.
Dr.
Wu Enliang

Reply Date: 2022/06/02

More Info

Understanding and overcoming social anxiety, particularly in the context of communication barriers, is a multifaceted process that often requires a combination of therapeutic approaches, self-awareness, and support. Social anxiety disorder (SAD) can manifest in various ways, including intense fear of social interactions, avoidance of social situations, and physical symptoms such as trembling or dizziness. The journey to manage and overcome these challenges can be daunting, but with the right strategies and support, it is possible to make significant progress.

1. Understanding Your Condition: It is not uncommon for individuals with severe social anxiety to engage in some level of communication, even if it feels mechanical or forced. This can be a coping mechanism developed over time. The fact that you can manage simple interactions while still feeling anxious indicates that you are functioning despite your anxiety. This is a common experience for many people with social anxiety disorder. It’s important to recognize that your feelings of discomfort and anxiety are valid and that you are not alone in this struggle.

2. Communicating with Your Doctor: It’s understandable to feel apprehensive about being honest with your doctor. Many individuals with social anxiety experience difficulty expressing their thoughts and feelings, especially in a clinical setting. One strategy to overcome this barrier is to prepare for your appointment. You might consider writing down your thoughts, feelings, and specific concerns beforehand. This can help you articulate your experiences more clearly during the appointment. Remember, your doctor is there to help you, and being open about your challenges is crucial for effective treatment.

3. Medication Concerns: The medications prescribed for anxiety, such as the ones you mentioned (e.g., Escitalopram, Clonazepam, and Venlafaxine), are commonly used to treat anxiety disorders, including social anxiety. These medications can help alleviate symptoms, making it easier for you to engage in therapy and social situations. However, it’s essential to discuss any concerns you have about the medications with your doctor. They can provide information about how these medications work, potential side effects, and what to expect during treatment.

4. Impact of Resistance to Treatment: Resistance to treatment can indeed affect the outcome of your therapy. If you feel apprehensive about the process, it may hinder your ability to engage fully with the therapeutic techniques being offered. It’s important to address these feelings with your therapist or doctor. They can help you explore your fears and develop strategies to overcome them. Building a trusting relationship with your healthcare provider can also enhance your comfort level and willingness to engage in treatment.

5. Therapeutic Approaches: Cognitive Behavioral Therapy (CBT) is one of the most effective treatments for social anxiety disorder. CBT focuses on identifying and challenging negative thought patterns and beliefs that contribute to anxiety. It can help you develop healthier coping mechanisms and improve your social skills. Additionally, exposure therapy, a component of CBT, involves gradually facing feared social situations in a controlled manner, which can help desensitize you to anxiety triggers.

6. Self-Help Strategies: In addition to professional treatment, there are self-help strategies that can be beneficial. Practicing relaxation techniques, such as deep breathing, mindfulness, or meditation, can help reduce anxiety symptoms. Engaging in social skills training or joining support groups can also provide a safe space to practice interactions and share experiences with others facing similar challenges.

7. Long-Term Perspective: Overcoming social anxiety is often a gradual process. It’s essential to be patient with yourself and recognize that progress may come in small steps. Celebrate your achievements, no matter how minor they may seem, and continue to seek support from friends, family, or professionals.

In conclusion, while social anxiety can significantly impact your life, understanding your condition and actively seeking treatment can lead to improvement. Open communication with your healthcare provider, combined with effective therapeutic strategies and self-help techniques, can empower you to overcome communication barriers and enhance your quality of life. Remember, you are not alone in this journey, and help is available.

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