Break Free from Blushing: Innovative Surgery for Social Anxiety - Pulmonology

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Sympathetic nerve block procedure


Hello Doctor: Please take a moment to read this article! Spain has invented a surgery to treat shyness and blushing.
This report comes from our correspondent in Spain, Zhang Jinjian, dated July 15, 2008.
Source: People's Daily - "Life Times."
Many people are naturally shy, especially in public situations, where they blush as soon as they speak.
Spanish doctors believe that blushing due to shyness is a form of illness that, if severe, can lead to psychological disorders, creating an inescapable and unbearable fear that leaves patients in a constant state of insecurity, with some even contemplating suicide.
However, doctors in Spain have begun to treat the symptoms of blushing due to shyness through surgery.
As early as 1995, Spanish doctors started researching this, and over 500 individuals have undergone this surgical treatment, with a success rate of 94%.

The hospitals leading this surgical therapy, Bellvitge University Hospital and Clínico Hospital, recently held a seminar on the surgical treatment of blushing due to shyness.
Dr.
Callejas from Bellvitge Hospital stated that while there is currently a lack of statistical data on this patient population, it is estimated that 3 out of every 200 people experience blushing due to shyness.
Although not everyone who blushes from shyness requires surgery, this treatment can alleviate the suffering of many.

According to Dr.
Callejas, the surgery involves making a small incision of a few millimeters in the patient's armpit to insert an endoscope, which separates the nerve ganglia of the sympathetic nervous system located in the armpit.
These ganglia control sweating and the reddening of the face and neck.
The procedure typically lasts about 20 minutes, leaves minimal scarring, and patients are usually discharged within 24 hours.
Nevertheless, the surgery must be performed by a thoracic surgeon.

Dr.
Moya from Bellvitge Hospital recounted a case of a patient who experienced severe psychological issues due to blushing and sweating when speaking to strangers, leading to irritability, fear, and even suicidal thoughts, which could not be resolved through psychological therapy.
After the surgery, the patient quickly alleviated his "mental burden." A man who recently underwent the treatment stated, "Since the surgery, I have not experienced uncontrollable blushing.
My life has completely changed.
I go out more often, feel no fear, and no longer worry about how I should behave or where I should look; I no longer see others as a threat; I no longer keep my head down."
Currently, this surgery for treating blushing due to shyness is covered by Spain's social security system.
"Because this is not cosmetic surgery, but a common issue that affects people's health."
I have consulted a psychologist and read many articles online.
I understand that this is a personality issue, similar to the psychological problems mentioned in the article! I feel this article is talking about me! Consulting a psychologist has been useless! I...
am really unhappy and uncomfortable...
I...
want to live a normal life!
Hello Doctor: Is there currently a way to perform this type of surgery in Taiwan? This is what I need! Thank you.

333, 20~29 year old female. Ask Date: 2009/04/26

Dr. Yang Zhiyun reply Pulmonology


Regarding your question, it does not pertain to thoracic diseases.
The surgery for hyperhidrosis has been established for many years, but to determine if your issue is suitable for sympathectomy, please consult a neurologist or a thoracic surgeon.
Thank you!

Reply Date: 2009/04/26

More Info


Social anxiety disorder (SAD) is a prevalent mental health condition characterized by an intense fear of social situations, leading to avoidance behaviors and significant distress. While cognitive-behavioral therapy (CBT) is a well-established treatment for SAD, some individuals may find it challenging to implement the techniques effectively or may not experience the desired relief from symptoms. In your inquiry, you express a desire to understand how to analyze automatic thoughts, identify core beliefs, and utilize dynamic psychology to address social anxiety. Additionally, you mention the potential link between social anxiety and narcissistic complex, as well as the integration of CCRT (Core Conflictual Relationship Theme) and RE (Response to Others) observation models in your recovery process.

To begin with, analyzing automatic thoughts involves recognizing the immediate, often negative, thoughts that arise in social situations. These thoughts can be identified through self-monitoring or journaling, where you document your feelings and thoughts before, during, and after social interactions. Once you have identified these automatic thoughts, the next step is to challenge their validity. Ask yourself questions such as: "Is this thought based on facts or assumptions?" "What evidence do I have that contradicts this thought?" "How would I advise a friend who had this thought?" This process helps to reframe negative thinking patterns into more balanced and realistic perspectives.

Identifying core beliefs is crucial in understanding the underlying issues contributing to social anxiety. Core beliefs are deeply held convictions about oneself and the world, often formed in childhood. To uncover these beliefs, reflect on recurring themes in your thoughts and feelings. For example, if you frequently think, "I am unworthy of love," this may indicate a core belief of unworthiness. Techniques such as cognitive restructuring can help challenge and modify these beliefs, replacing them with healthier, more adaptive thoughts.

Dynamic psychology can provide insights into the relational patterns that contribute to social anxiety. The CCRT model focuses on understanding how individuals perceive their relationships with others and how these perceptions influence their emotional responses. By examining your interactions with others, you can identify patterns of behavior that may perpetuate your anxiety. For instance, if you often feel rejected or misunderstood in social situations, this may reflect a deeper fear of abandonment or inadequacy. Understanding these dynamics can empower you to approach relationships differently, fostering healthier connections.

Regarding the connection between social anxiety and narcissistic complex, it is essential to recognize that while these conditions may share some overlapping features, they are distinct. Individuals with social anxiety often fear negative evaluation from others, while those with narcissistic traits may seek validation and admiration. However, both conditions can lead to significant distress and impact interpersonal relationships. Exploring these connections in therapy can provide valuable insights into your experiences and help you develop more effective coping strategies.

As for the innovative surgical treatment for blushing associated with social anxiety, it is essential to approach this option with caution. While the surgery may offer relief for some individuals, it is not a universally applicable solution and may not address the underlying psychological factors contributing to social anxiety. In Taiwan, such surgical options may not be widely available or may not be recognized as a standard treatment for social anxiety. It is crucial to consult with a qualified mental health professional to explore all available treatment options, including therapy and medication, before considering surgical interventions.

In conclusion, overcoming social anxiety disorder is a multifaceted process that often requires a combination of therapeutic approaches. By actively engaging in CBT techniques, challenging automatic thoughts, identifying core beliefs, and exploring relational dynamics, you can develop a deeper understanding of your anxiety and work towards meaningful change. While surgical options may be appealing, it is vital to prioritize evidence-based psychological treatments that address the root causes of your anxiety. Seeking support from mental health professionals can provide you with the guidance and tools necessary for recovery, leading to a more fulfilling and confident life.

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