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Anxiety is too much now

I suffer from anxiety, particularly social anxiety. I've had it for well over 10 years and I'm depressed. I can never relax and I just generally hate everything about myself. I'm 27.
I started seeing a Counsellor but after 3 months it's just not helping. She's trying to get me into a hobby or something I enjoy to meet people and break up my mundane life. But I don't see how that will help when I hate myself. Like that will never change. Why would you try to think differently when you know you are actually ugly.
So I'm just desperate now. My week is stressful and I'm constantly hounded by thoughts then the weekend I just sit stuck in a room doing nothing. It's not a life.
Anyone have similar experiences particularly with Counsellors. I think she thinks that me going to these things will make me feel better about myself/increase my confidence but I've tried that for years and nothing comes of it. I just know the thoughts I have on myself are true. Is the Counsellor correct?
I'm just really lonely now and I don't see a great future.


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I imagine there's a bit more to what the counsellor is trying to do than simply encouraging you to socialise? Most competent counsellors/psychotherapists working with depression and anxiety will be using a more or less structured programme based on CBT techniques. So it would also include positive self-talk, mindfulness, calm breathing and so on - is that what you are trying?

You say that negative thoughts about yourself overwhelm you; I bet *everyone* with social anxiety could reel off a hundred things they hate about themselves. But also that if you met or knew them, you would wonder how on earth they could believe such nonsense!

For me, the most helpful realisation was that this way of thinking is part of a disease process. Just like *everyone* who gets the flu virus has a high temperature and aching joints, *everyone* who gets depression and social anxiety has negative thoughts about themselves ("I'm ugly", "Everyone hates me", "My teeth stick out like a rabbit" "This is never going to get better, I am going to die in a ditch with no-one at my funeral....." blahblahblah.) Once I thought about negative thoughts like they were a foreign virus that does basically the same thing to everyone who catches it, that made it easier to use the CBT techniques. For instance, I realised that the slightly cringey positive self talk phrases I was told to use didn't have to be *true* exactly, it was a treatment like antibiotics are the treatment for chest infections....I just did what I was told like I would if I was taking a pill every four hours. It helped me realise that there was nothing "special" about me personally any more than there is anything "special" about a person who gets chickenpox or arthritis. The negative thoughts that pretended to be about me personally are a cheat - in reality they are as generic and stereotyped as any other symptom of an illness.

So I would encourage you try thinking about it like that - the negative thoughts aren't about you personally, they come as part of a whole "disease" package that everyone who gets depression and anxiety gets. Sorry - does that make any sense at all?
(edited 6 years ago)
What most people seem to fail to realise is that social anxiety is not always just irrational anxiety. Many times it is incurable in itself; instead, whatever is causing it must be 'cured'. Now unfortunately this is not always possible; for example if you're ugly or have an inherently bad personality (not saying you do) then there's not much you can do, your anxiety is pretty justified. The only solution would be to ignore such negatives, which is not particularly easy and doesn't really do anything to rectify the problem to be honest.
Original post by Anonymous
What most people seem to fail to realise is that social anxiety is not always just irrational anxiety. Many times it is incurable in itself; instead, whatever is causing it must be 'cured'. Now unfortunately this is not always possible; for example if you're ugly or have an inherently bad personality (not saying you do) then there's not much you can do, your anxiety is pretty justified. The only solution would be to ignore such negatives, which is not particularly easy and doesn't really do anything to rectify the problem to be honest.


We are all going to die. There is absolutely nothing that can be done to 'cure' or rectify the situation so anxiety is pretty justified. It's good to acknowledge this but in the meantime, it's reasonable to seek coping strategies to minimise the anxiety.
Original post by OxFossil
I imagine there's a bit more to what the counsellor is trying to do than simply encouraging you to socialise? Most competent counsellors/psychotherapists working with depression and anxiety will be using a more or less structured programme based on CBT techniques. So it would also include positive self-talk, mindfulness, calm breathing and so on - is that what you are trying?

You say that negative thoughts about yourself overwhelm you; I bet *everyone* with social anxiety could reel off a hundred things they hate about themselves. But also that if you met or knew them, you would wonder how on earth they could believe such nonsense!

For me, the most helpful realisation was that this way of thinking is part of a disease process. Just like *everyone* who gets the flu virus has a high temperature and aching joints, *everyone* who gets depression and social anxiety has negative thoughts about themselves ("I'm ugly", "Everyone hates me", "My teeth stick out like a rabbit" "This is never going to get better, I am going to die in a ditch with no-one at my funeral....." blahblahblah.) Once I thought about negative thoughts like they were a foreign virus that does basically the same thing to everyone who catches it, that made it easier to use the CBT techniques. For instance, I realised that the slightly cringey positive self talk phrases I was told to use didn't have to be *true* exactly, it was a treatment like antibiotics are the treatment for chest infections....I just did what I was told like I would if I was taking a pill every four hours. It helped me realise that there was nothing "special" about me personally any more than there is anything "special" about a person who gets chickenpox or arthritis. The negative thoughts that pretended to be about me personally are a cheat - in reality they are as generic and stereotyped as any other symptom of an illness.

So I would encourage you try thinking about it like that - the negative thoughts aren't about you personally, they come as part of a whole "disease" package that everyone who gets depression and anxiety gets. Sorry - does that make any sense at all?


That helps a bit actually, thank you. I've been trying to just accept it and deal with it without putting too much pressure on myself to achieve certain things.
I've only really chatted with my Counsellor. I've done on breathing exercise and a sense thing where I'm too busy thinking about 5 things I can see, 4 I can touch etc that I'm not thinking about people judging me. That hardly lasts though and otherwise it's just been trying to be more social at work with a thought log on it and now trying to get me to join a club/have a hobby.
I've tried to explain how I'm stressed all the time, have these thoughts all the time that I can't relax and that I'm ugly, fat and boring but she doesn't really say anything and thinks that going to a club will improve my confidence, make me feel better and things will improve.
I don't see how that will work and change my views on myself. I managed to pluck up the courage and go to a Convention thing I wanted to go to and that was difficult but while I tried to celebrate the achievement I just made I was still plagued Walking about feeling ugly and fat. Which spoilt the experience slightly. That's not going to change.
I realise I have to make the changes but I need help with that and I'm paying a lot of money and I just don't see how it's going to change.


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Original post by OxFossil
We are all going to die. There is absolutely nothing that can be done to 'cure' or rectify the situation so anxiety is pretty justified. It's good to acknowledge this but in the meantime, it's reasonable to seek coping strategies to minimise the anxiety.


Irrelevant comment because what I said actually applies to that situation - most people manage to ignore the fact that 'we are all going to die' because it is not something that directly affects us every day. Social anxiety however does affect those affect every day. So the causes of it are not easy to ignore.
Original post by AttackEyebrows
That helps a bit actually, thank you. I've been trying to just accept it and deal with it without putting too much pressure on myself to achieve certain things.
I've only really chatted with my Counsellor. I've done on breathing exercise and a sense thing where I'm too busy thinking about 5 things I can see, 4 I can touch etc that I'm not thinking about people judging me. That hardly lasts though and otherwise it's just been trying to be more social at work with a thought log on it and now trying to get me to join a club/have a hobby.
I've tried to explain how I'm stressed all the time, have these thoughts all the time that I can't relax and that I'm ugly, fat and boring but she doesn't really say anything and thinks that going to a club will improve my confidence, make me feel better and things will improve.
I don't see how that will work and change my views on myself. I managed to pluck up the courage and go to a Convention thing I wanted to go to and that was difficult but while I tried to celebrate the achievement I just made I was still plagued Walking about feeling ugly and fat. Which spoilt the experience slightly. That's not going to change.
I realise I have to make the changes but I need help with that and I'm paying a lot of money and I just don't see how it's going to change.


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The thing that all the therapy books and people seem to say regarding anxiety is that avoiding anxiety-provoking situations is bad. But if all you get told to do is to keep putting yourself in stressful situations without a good coping plan, then you are practically certain to feel overwhelmed, run away, and then feel terrible that you didn't cope. And then the bad thoughts come back.

I got a book called "Breaking Free from OCD" by Jo Derisley, which I really found helpful because it goes through the process step-by-step (its a book for kids but you know, whatever works!!!). Basically, you practice the coping techniques like a lot of self talk phrases ("I felt like this before and nothing really bad happened", "That feels horrible, but it's just my anxiety talking" and all that), calm breathing and visualisations until you have got them memorised. Then you go into various situations and gradually increase your exposure so that you gradually are able to cope with more and more stressful situations.

The point about the negative self-talk is to keep challenging it in the light of these exposure experiences. For instance, if you went to a club to meet someone but felt sick and ran off after ten minutes, or hid in the toilet for an hour (I've done those plenty!), then as well as the bad self-talk that says, "You're so rubbish, you couldn't even sit in a club for five minutes", you also make yourself add the good bits, like, "Even though you felt sick and panicky, you were brave enough to cope with walking there, going through the door, sticking with it for 10 minutes..." and all that. I reckon it is the therapists' job to help you (force you!) to acknowledge the bravery of what you are doing and to give you the words for the positive things you can't acknowledge t the moment. Eventually, you will see that all the negative self-talk really is a kind of sickness-talk. It's not completely wrong, but it is massively out-of-balance and unfair. Does that convince you at all???!!! :P

It's a hard road to tread, but I swear you are not on your own or specially bad or weird. There are thousands - no, millions - of other people who have the same struggles.
(edited 6 years ago)
Original post by Anonymous
Irrelevant comment because what I said actually applies to that situation - most people manage to ignore the fact that 'we are all going to die' because it is not something that directly affects us every day. Social anxiety however does affect those affect every day. So the causes of it are not easy to ignore.


Anxiety towards life being too short is quite big for me as well. I witnessed with something close to me how quick things can change and it affects my social anxiety more because I don't want to sit a recluse for the rest of my life. It's much easier said than done though and it adds extra pressure when I need to focus on a smaller goal. I feel I've already missed out on good memories and a good part of my life and I can't get that back which I have to accept.


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