Overcoming Social Anxiety: Managing Persistent Throat Sensations - Psychiatry

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Overcoming social anxiety, especially when it manifests as persistent throat sensations, can be a challenging journey. Your experience of feeling as though there is something stuck in your throat, particularly during conversations, is not uncommon among individuals dealing with social anxiety. This sensation can lead to increased anxiety, making social interactions even more daunting.
Firstly, it’s essential to understand that what you are experiencing may be linked to a combination of physical and psychological factors. The throat sensations you describe could be a manifestation of anxiety, often referred to as "globus sensation" or "globus pharyngeus." This condition is characterized by the feeling of a lump or tightness in the throat, which can be exacerbated by stress or anxiety. The increased salivation you mentioned may also be a physiological response to anxiety, where the body prepares for a perceived threat, leading to heightened awareness of bodily sensations.

Given that this issue has persisted for four years and has worsened recently, it is advisable to seek professional help. A healthcare provider, particularly one specializing in mental health, can conduct a thorough evaluation to determine the underlying causes of your symptoms. They may consider whether your throat sensations are purely anxiety-related or if there are other medical conditions at play, such as gastroesophageal reflux disease (GERD) or allergies, which could contribute to your discomfort.

In terms of treatment, there are both pharmacological and non-pharmacological approaches that can be beneficial. Medication options may include selective serotonin reuptake inhibitors (SSRIs), which are commonly prescribed for anxiety disorders, or benzodiazepines for short-term relief. However, it’s crucial to discuss these options with a psychiatrist who can tailor the treatment to your specific needs and monitor for any potential side effects or dependency issues.

Cognitive Behavioral Therapy (CBT) is another effective treatment for social anxiety. CBT focuses on identifying and challenging irrational thoughts and beliefs that contribute to anxiety. It can help you develop coping strategies to manage your symptoms and improve your social interactions. Exposure therapy, a component of CBT, gradually exposes you to social situations in a controlled manner, helping to desensitize you to the anxiety-provoking stimuli.

Additionally, mindfulness and relaxation techniques can be beneficial. Practices such as deep breathing, progressive muscle relaxation, or mindfulness meditation can help reduce overall anxiety levels and improve your ability to cope with uncomfortable sensations during social interactions.
You mentioned trying self-hypnosis and reflecting on your past self. While self-hypnosis can be a useful tool for some, it may not be sufficient on its own to address the complexities of social anxiety. It might be more effective when combined with professional therapy.

Lastly, consider joining a support group for individuals with social anxiety. Connecting with others who share similar experiences can provide validation and encouragement, making you feel less isolated in your struggles.

In summary, your symptoms are significant and warrant professional evaluation and treatment. A combination of therapy, possibly medication, and self-help strategies can help you manage your social anxiety and improve your quality of life. Remember, seeking help is a sign of strength, and with the right support, you can work towards overcoming these challenges.