By Thomas A. Richards, Ph.D.,Google+
All day, every day, life is like this. Fear. Apprehension. Avoidance. Pain. Anxiety about what you said. Fear that you said something wrong. Worry about others' disapproval. Afraid of rejection, of not fitting in. Anxious to enter a conversation, afraid you'll have nothing to talk about. Hiding what's wrong with you deep inside, putting up a defensive wall to protect your "secret". You are undergoing the daily, chronic trouble of living with this mental disorder we call social anxiety disorder.
Very few people understand the agonizing and traumatic depth of social anxiety disorder. Social anxiety makes people go inside themselves and try to "protect" this secret. Most people with social anxiety disorder try to hide it from others, especially from family and loved ones. There is fear that family members may find out they suffer from social anxiety, and then view them differently or outright reject them. This is almost never true, but the fear of this happening makes many people with social anxiety stay in their dark closet.
Social anxiety disorder (social phobia) is the third largest psychological problem in the United States today. Millions of people quietly endure this pain every day, believing there is no hope for them getting better.
A woman hates to stand in line in the grocery store because she’s afraid that everyone is watching her. She knows that it’s not really true, but she can’t shake the feeling. While she is shopping, she is conscious of the fact that people might be staring at her from the big mirrors on the inside front of the ceiling. Now, she has to talk to the person who’s checking out the groceries. She tries to smile, but her voice comes out weakly. She’s sure she’s making a fool of herself. Her self-consciousness and her anxiety rise to the roof.
Another person sits in front of the telephone and agonizes because she’s afraid to pick up the receiver and make a call. She’s even afraid to call an unknown person in a business office about the electric bill because she’s afraid she’ll be "putting someone out" and they will be upset with her. It’s very hard for her to take rejection, even over the phone, even from someone she doesn’t know. She’s especially afraid to call people she knows because she feels that she’ll be calling at the wrong time -- the other person will be busy — and they won’t want to talk with her. She feels rejected even before she makes the call. Once the call is made and over, she sits, analyzes, and ruminates about what was said, what tone it was said in, and how she was perceived by the other person....her anxiety and racing thoughts concerning the call prove to her that she "goofed" this conversation up, too, just like she always does. Sometimes she gets embarrassed just thinking about the call.
"I would freeze up every time I had to meet someone in authority...."
A man hates to go to work because a meeting is scheduled the next day. He knows that these meetings always involve co-workers talking with each other about their current projects. Just the thought of speaking in front of co-workers raises his anxiety. Sometimes he can’t sleep the night before because of the anticipatory anxiety that builds up.
Finally, the meeting is over. A big wave of relief spills over him as he begins to relax. But the memory of the meeting is still uppermost in his mind. He is convinced he made a fool of himself and that everyone in the room saw how afraid he was when he spoke and how stupid he acted in their presence. At next week’s meeting, the boss is going to be there. Even though this meeting is seven days away, his stomach turns raw with anxiety and the the fear floods over him again. He knows that in front of the boss he’ll stammer, hesitate, his face will turn red, he won’t remember what to say, and everyone will witness his embarrassment and humiliation.
He has seven miserable days of anxiety ahead of him, to think about it, ruminate over it, worry about it, overexaggerate it in his mind...over and over again.
一个学生不参加她的大学类the first day because she knows that in some classes the professor will instruct them to go around the room and introduce themselves. Just thinking about sitting there, waiting to introduce herself to a room full of strangers who will be staring at her makes her feel nauseous. She knows she won’t be able to think clearly because her anxiety will be so high, and she is sure she will leave out important details. Her voice might even quaver and she would sound scared and tentative. The anxiety is just too much to bear -- so she skips the first day of class to avoid the possibility of having to introduce herself in public.
另一个年轻人想去派对和其他社交活动 - 事实上，他非常孤独 - 但他从未去过任何地方，因为他对结识新朋友非常紧张。太多人会在那里，人群只会让他变得更糟。结识新朋友的想法吓到了他 - 他会知道该怎么说？他们会盯着他，让他感觉更微不足道吗？他们会彻底拒绝他吗？即使他们看起来很好，他们也肯定会注意到他的冰冻的外观，无法充分微笑。他们会感受到他的不舒服和张力，他们不会喜欢他 - 只有胜利就没有办法 -
"I’m always going to be an outcast," he says. And he spends the night alone, at home, watching television again. He feels comfortable at home. In fact, home is the only place he does feel comfortable. He hasn’t gone anywhere in twelve years. He has no network ofsupportto help him overcome these horrible symptoms.
"It’s just easier to avoid social situations."
"More than anything, he doesn’t want anyone to know he’s afraid...."
很多时候有社交焦虑的人必须独自一人 - 衣柜 - 门后面闭合。即使他们周围熟悉的人，一个有社交恐惧症的人可能会感到不知所措，并且有人感觉别人注意到他们的每一个运动和批评他们的每一个思想。他们觉得他们正在批判性地观察，其他人正在为他们做出负面判断。
One of the worst circumstances, though, is meeting people who are "authority figures". Especially people such as bosses and supervisors at work, but including almost anyone who is seen as being "better" in some way. People with social anxiety may get a lump in their throat and their facial muscles may freeze up when they meet this person. The anxiety level is very high and they’re so focused on "not failing" and "giving themselves away" that they don’t even remember what was said. But later on, they’re sure they must have said the wrong thing...because they always do.
How is it ever possible to feel "comfortable" or "natural" under these circumstances?
To the person with social anxiety, going to a job interview is pure torture: you know your excessive anxiety will give you away. You’ll look funny, you’ll be hesitant, maybe you’ll even blush, and you won’t be able to find the right words to answer all the questions. Maybe this is the worst part of all: You know that you are going to say the wrong thing. You just know it. It is especially frustrating because you know you could do the job well if you could just get past this terrifying and intimidating interview.
Welcome to the world of the socially anxious.
社交焦虑是第三大心理problem in the United States today. This type of anxiety affects 15 million Americans in any given year. Social anxiety disorder is not endemic to the U.S., it is a worldwide, culturally inclusive disorder. Unlike some other psychological problems, social anxiety is not well understood by the general public or by medical and mental health care professionals, such as doctors, psychiatrists, psychologists, therapists, social workers, and counselors.
In fact, people with social anxiety are misdiagnosed almost 90% of the time. People coming to The Social Anxiety Institute with diagnosable DSM-IV social anxiety disorder have been mislabeled "schizophrenic", "manic-depressive", "clinically depressed", "panic disordered", and "personality disordered", among other misdiagnoses.
Because few socially-anxious people have heard of their own problem, and have never seen it discussed on any of the television talk shows, they think they are the only ones in the whole world who have these terrible症状。Therefore, they must keep quiet about them.
It would be awful if everyone realized how much anxiety they experienced in daily life.
Unfortunately, without some kind of education, knowledge andtreatment, social anxiety continues to wreak havoc throughout their lives. Adding to the dilemma, when a person with social anxiety finally gets up the nerve to seek help, the chances that they can find it are very, very slim.
Making the situation more difficult is that social anxiety does not come and go like some other physical and psychological problems. If you have social anxiety one day... you have it every day for the rest of your life, unless you receive the appropriate therapy from an experienced therapist.
As with all problems, everyone with social anxiety has slightly different symptoms. Some people, for example, cannot write in public because they fear people are watching and their hand will shake. Others are very self-conscious and they find it too difficult to hold down a job. Still others have severe anxiety about eating or drinking in the presence of other people. Blushing, sweating, and "freezing" are other physiological symptoms. Some people with social anxiety feel that a certain part of their body (such as the face or neck) are particularly "strange looking" and vulnerable to being stared at.
They understand most of the time that their thoughts and feeling are irrational, but don't know how to think and believe rationally.
One thing that all socially anxious people share is the knowledge that their thoughts and fears are basically irrational. That is, people with social anxiety know that others are really not critically judging or evaluating them all the time. They understand that people are not trying to embarrass or humiliate them. They realize that their thoughts and feelings are somewhat irrational. Yet, despite this rational knowledge, they still continue to feel that way.
The good news is that social anxiety is not only treatable, but the treatment is also successful. Social anxiety no longer needs to be a life-long, devastating condition.
It is these automatic "feelings" and thoughts that occur in social situations that must be met and conquered in therapy. Usually these feelings are tied to thoughts that are intertwined in a vicious cycle in the persons’ mind.
Don't let semantics and terminology about therapy throw you off. While it is correct and best to say we use "cognitive-behavioral" therapy, this includes a mindfulness approach to overcoming it, and it most definitely includes an acceptance of things as we continue to get better.
社会焦虑响应一个全面的计划of cognitive-behavioral therapy. To overcome social anxiety, completion of a CBT therapy group is essential. What socially-anxious people do not need is years and years of sitting around in a circle complaining about their problems. In fact, socially anxious people who are taught to "analyze" and "ruminate" over their problems make their social anxiety worse.
There is a better life for all people with social anxiety. Without treatment, social anxiety is a torturous and traumatic emotional problem. With effective treatment, its bark is worse than its bite. Add to this that the current research is clear that cognitive-behavioral therapy is highly successful in the treatment of social anxiety. In fact, people who are unsuccessful are the ones who are not persistent in their therapy and who won’t practice simple anti-anxiety strategies at home — they are the ones who give up. (This very rarely happens, thankfully).
If a person is motivated to end the years of crippling anxiety, then comprehensive cognitive-behavioral treatment provides methods, techniques, and strategies that all combine to lessen anxiety and make the world a much more enjoyable place.
我们中的许多人都经历了社会焦虑产生的伤害和持续的焦虑 - 并在另一边开展更健康和更快乐。