Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Social anxiety assumptions and their solutions

Srini Pillay, MD
Conditions
September 20, 2010
Share
Tweet
Share

Social anxiety refers to the fear of being around people due to the threat of embarrassment.

People who are socially anxious frequently freeze and are unable to seek the very company their hearts desire.  They may make adaptations: they may decide that they “hate” being around people; they may isolate and play video games; they may absorb themselves in their work, but no matter what they do, this anxiety always exists at baseline whether they are being social or not.

The issue with social anxiety, as with most forms of anxiety, is that the anxieties and fears are not just conscious.  “Dealing” with them through avoidance may get rid of the conscious fears but the unconscious fears still wreak havoc on the human brain.  Beneath the surface, the brain is still “running the circuit” of fear, except that you cannot hear or feel it.   This circuit is still disrupting your thinking, and in fact, may be more destructive than conscious fears.  To truly deal with social anxiety, we have to ask questions beyond the surface: not just, why are you afraid of social situations, but what are your fundamental assumptions that can be corrected?

Here are some common assumptions and their corrections.

1. I cannot be in public because I am not perfect. Actually, nobody is perfect.  And you may be a victim of being in your own way with this assumption.  Self-perception is often distorted, so it perpetuates the problem to isolate.

2. People will notice my imperfections. People may notice them, but most people are so much more interested in their own projections, that they are far more interested in themselves than in your imperfections.  The reality is that it is not “people” who are always looking at your imperfections; it is you.  So ease up on yourself.

3. People will be able to tell how nervous I am socially. Sure, they may be able to tell this, but so what?  Are they really worth your altering your life in such a dramatic way that it is so disruptive?  Besides, there are medications available that can take the edge of and help you feel les anxious.

4. I have nothing to say to people and they will sense my disinterest. Many, many people have nothing to say to start with.  You will be surprised how simply saying this may actually start a good conversation.  You can start a conversation by saying that you had reservations coming to an event but decided to not be presumptuous and come anyway.

5. Social anxiety often stems from a belief that you are not “enough” in some way. The sensation of not being enough often comes from the anxiety that disrupts your sense of self.  This anxiety fragments your self-concept.  The reality is that “enough” does not exist and that you are likely at least as “enough” as anybody else.

So what can you do to deal with this?

1. Stop isolating. Instead, consult with a psychiatrist or your primary care physician to see if medication may help take the edge off.

2. If you are opposed to medication, know that there are many therapies out there that can be very effective. Ask your psychiatrist about cognitive therapy and metacognitive therapy as a start.  A longer-term psychodynamic therapy is usually also helpful.

3. Once you’ve addressed extreme anxiety with one of the above, reconfigure your self-concept and reflect on the points above. This will help you direct your attention away from yourself toward other people.

ADVERTISEMENT

4. Do not expect that the fears will go away immediately. Recognize that many of them are unconscious and will take time to “find”.

5.  Overcoming your fears is definitely possible and has been achieved by many people. But this is not an overnight process. Many other ancillary techniques such as meditation and exercise can be helpful.

Never lose hope. When you give up hope, you turn the brain’s light off and ask it to go to sleep. Hope is permission for the brain to stay online to find the solutions that you want.

Srini Pillay is a psychiatrist and author of Life Unlocked: 7 Revolutionary Lessons to Overcome Fear. He blogs at Debunking Myths of the Mind.

Submit a guest post and be heard.

Prev

Video preview of what’s happening this week on KevinMD.com, September 20, 2010

September 20, 2010 Kevin 0
…
Next

When does a headache need to be seen at the hospital?

September 20, 2010 Kevin 1
…

Tagged as: Patients, Primary Care

Post navigation

< Previous Post
Video preview of what’s happening this week on KevinMD.com, September 20, 2010
Next Post >
When does a headache need to be seen at the hospital?

ADVERTISEMENT

More by Srini Pillay, MD

  • a desk with keyboard and ipad with the kevinmd logo

    What a psychiatrist learned during therapy sessions with mothers

    Srini Pillay, MD
  • a desk with keyboard and ipad with the kevinmd logo

    How to escape the prison of social anxiety

    Srini Pillay, MD
  • a desk with keyboard and ipad with the kevinmd logo

    The torture and emptiness of psychological hoarding

    Srini Pillay, MD

More in Conditions

  • Physician suicide: a daughter-in-law’s story of loss and grief

    Carrie Friedman, NP
  • The “patient carryover crisis”: Why hospital readmissions persist

    Rafiat Banwo, OTD
  • How flight surgeon training mirrors medical residency stress

    Avishek Kumar, MD
  • A school nurse’s story of trauma and nurse burnout

    Debbie Moore-Black, RN
  • SNF discharge planning: Why documentation is no longer enough

    Rafiat Banwo, OTD
  • How honoring patient autonomy prevents medical trauma

    Sheryl J. Nicholson
  • Most Popular

  • Past Week

    • How environmental justice and health disparities connect to climate change

      Kaitlynn Esemaya, Alexis Thompson, Annique McLune, and Anamaria Ancheta | Policy
    • A physician father on the Dobbs decision and reproductive rights

      Travis Walker, MD, MPH | Physician
    • Examining the rural divide in pediatric health care

      James Bianchi | Policy
    • Medical brain drain leaves vulnerable communities without life-saving care [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why a nice surgeon might actually be a better surgeon

      Sierra Grasso, MD | Physician
    • ChatGPT Health in hospitals: 5 essential safety protocols

      Harvey Castro, MD, MBA | Tech
  • Past 6 Months

    • Why patient trust in physicians is declining

      Mansi Kotwal, MD, MPH | Physician
    • Is primary care becoming a triage station?

      J. Leonard Lichtenfeld, MD | Physician
    • How environmental justice and health disparities connect to climate change

      Kaitlynn Esemaya, Alexis Thompson, Annique McLune, and Anamaria Ancheta | Policy
    • The blind men and the elephant: a parable for modern pain management

      Richard A. Lawhern, PhD | Conditions
    • Is tramadol really ineffective and risky?

      John A. Bumpus, PhD | Meds
    • Psychiatrists are physicians: a key distinction

      Farid Sabet-Sharghi, MD | Physician
  • Recent Posts

    • Physician suicide represents a silent epidemic demanding urgent reform [PODCAST]

      The Podcast by KevinMD | Podcast
    • How neurodiversity in relationships shapes communication

      Farid Sabet-Sharghi, MD | Physician
    • Physician suicide: a daughter-in-law’s story of loss and grief

      Carrie Friedman, NP | Conditions
    • Why lifestyle matters more than BPC-157 and semaglutide

      Shiv K. Goel, MD | Physician
    • How deductive reasoning changes medical malpractice lawsuits

      Howard Smith, MD | Physician
    • Personal memories reveal the transformation of HIV care over four decades [PODCAST]

      American College of Physicians & The Podcast by KevinMD | Podcast

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

Leave a Comment

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • How environmental justice and health disparities connect to climate change

      Kaitlynn Esemaya, Alexis Thompson, Annique McLune, and Anamaria Ancheta | Policy
    • A physician father on the Dobbs decision and reproductive rights

      Travis Walker, MD, MPH | Physician
    • Examining the rural divide in pediatric health care

      James Bianchi | Policy
    • Medical brain drain leaves vulnerable communities without life-saving care [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why a nice surgeon might actually be a better surgeon

      Sierra Grasso, MD | Physician
    • ChatGPT Health in hospitals: 5 essential safety protocols

      Harvey Castro, MD, MBA | Tech
  • Past 6 Months

    • Why patient trust in physicians is declining

      Mansi Kotwal, MD, MPH | Physician
    • Is primary care becoming a triage station?

      J. Leonard Lichtenfeld, MD | Physician
    • How environmental justice and health disparities connect to climate change

      Kaitlynn Esemaya, Alexis Thompson, Annique McLune, and Anamaria Ancheta | Policy
    • The blind men and the elephant: a parable for modern pain management

      Richard A. Lawhern, PhD | Conditions
    • Is tramadol really ineffective and risky?

      John A. Bumpus, PhD | Meds
    • Psychiatrists are physicians: a key distinction

      Farid Sabet-Sharghi, MD | Physician
  • Recent Posts

    • Physician suicide represents a silent epidemic demanding urgent reform [PODCAST]

      The Podcast by KevinMD | Podcast
    • How neurodiversity in relationships shapes communication

      Farid Sabet-Sharghi, MD | Physician
    • Physician suicide: a daughter-in-law’s story of loss and grief

      Carrie Friedman, NP | Conditions
    • Why lifestyle matters more than BPC-157 and semaglutide

      Shiv K. Goel, MD | Physician
    • How deductive reasoning changes medical malpractice lawsuits

      Howard Smith, MD | Physician
    • Personal memories reveal the transformation of HIV care over four decades [PODCAST]

      American College of Physicians & The Podcast by KevinMD | Podcast

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Leave a Comment

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...