Category Archives: Social anxiety disorder

13 Cognitive Distortions Germane to Social Anxiety (in revision)

Recovery from Social Anxiety and Related Conditions

Robert F Mullen, PhD
Director/ReChanneling

13 Cognitive Distortions Germane to Social Anxiety
13 Cognitive Distortions Germane to Social Anxiety

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13 Cognitive Distortions Germane to Social Anxiety

Defense Mechanisms

Defense mechanisms are temporary safeguards against emotionally challenging situations that our minds struggle to manage. They are mostly unconscious and automatic psychological responses designed to protect us from our fears and anxieties. We deny, avoid, and compensate rather than confront our problems. We rationalize our behaviors, project them onto others, or displace them by kicking the dog..

The defense mechanisms called cognitive distortions are exaggerated or irrational thought patterns that perpetuate our anxiety and depression. In recovery, we identify these self-destructive processes and, over time, eliminate them from our thoughts and behaviors.

COGNITIVE DISTORTIONS

Understanding how we use cognitive distortions as subconscious strategies to avoid facing certain truths is crucial to recovery. Our social anxiety drives illogical thought patterns. Every instinct perpetrated by social anxiety is counterproductive. That’s how it subsists.

By cognitively distorting our reactions and responses to situations, we twist reality to reinforce or justify our toxic behaviors and validate our irrational attitudes, rules, and assumptions. Our attitudes refer to our emotions, convictions, and behaviors. Rules are the principles or regulations that influence our behaviors, and our assumptions are what we believe to be accurate or authentic. Social anxiety, depression, and related conditions compel us to create inaccurate self-perceptions.

Our compulsion to twist the truth to validate our negative self-appraisal is indeed powerful. However, understanding how these distortions sustain our social anxiety is a vital step towards taking back control.

Be Mindful of Distorted Thinking

For those experiencing social anxiety, the susceptibility to cognitive distortions is high. However, cultivating awareness, which involves recognition, comprehension, and acceptance, is a crucial guide in understanding and addressing the self-destructive nature of these distortions.

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Similarities

One concern in working with cognitive distortions is recognizing their overlapping characteristics and parallels. Multiple names for the same cognitive distortions are common, and distinguishing one from the others can be challenging.

For instance, when we catastrophize, we predict the worst-case scenario, often blowing things out of proportion. Polarized thinking compels us to view life as either uncompromisingly good or bad, with no middle ground. When we filter, we usually focus on the negative aspects of a situation, ignoring the positive. These are all examples of cognitive distortions that perpetuate our social anxiety.

Control fallacies lead to blaming and vice versa. We often jump to conclusions when we label someone based on a single characteristic. Emotional reasoning begets personalization, filtering, polarized thinking, and the fallacy of fairness. The distinctions are often obtuse and blurred, but as long as we remain mindful of their self-destructive nature, we can learn to recognize and even anticipate them, devising rational responses.

We are highly susceptible to cognitive distortions when under stress. Social anxiety and related conditions paint an inaccurate picture of the self in the world with others.

We are highly susceptible to cognitive distortions when under stress. They are emotional IEDs, capable of destroying our confidence and composure. Cognitive distortions are rarely cut and dried, but they tend to share common traits and characteristics. That’s what makes it difficult to distinguish clearly. Still, as long as we remain mindful of their self-destructive nature, we can learn to recognize and even anticipate them, devising rational responses. After time and with practice, our reactions become automatic and spontaneous.

The number of cognitive distortions listed by experts ranges substantially. There are thirteen that are particularly relevant to social anxiety. 

ALWAYS BEING RIGHT

A dogmatist believes that their principles and opinions are incontrovertibly accurate, despite the convictions of others. Due to our worries over criticisms and ridicule, we tend to be dogmatists, disputing and dismissing those who disagree with us.

The constant need to be right is a heavy burden we carry, always striving to prove ourselves correct, dismissing any conflicting opinions as false. We refuse to acknowledge our mistakes, insisting that our way is the only way.

This irrational thinking pattern helps to compensate for our symptomatic expectation of being challenged. We will go to any length to prove we’re right, notwithstanding evidence to the contrary, reflecting our inability or unwillingness to accept our fallibility. Hence, we dismiss opposing or correcting beliefs as misinformed or mistaken. We go to great lengths to defend our opinion while demonstrating the inaccuracy of the opposition. Our desire to be right becomes more important than the beliefs, opinions, or feelings of others.

The Lure of Perfectionism

Living with constant negative self-evaluation is emotionally destabilizing, leading us to overcompensate by striving for perfection. This is a significant and understandable characteristic of social anxiety. We adopt perfectionism as an unhealthy coping mechanism for our feelings of incompetence and inadequacy, but it only exacerbates our emotional instability.

As perfectionists, we perceive anything short of excellence as failure. The compulsion to always be right is a common thought pattern typical of our conditionWe see things as black or white. There is no middle ground, no compromise. We are either brilliant or abject failures. Our friends are for us or against us. We are winners or losers. Anything less than flawless is emotionally untenable.

Unfortunately, our drive for perfectionism causes us to set unreasonable expectations for ourselves.

Wanting to be the best we can be is a wholesome function of human behavior, motivating us to learn and make sensible decisions. However, our need to always be right, even in the face of evidence to the contrary, can lead us to disregard the feelings of others and push them away. This insistence that only we know the answer alienates relationships, leaving us feeling isolated.

Rigid Core Beliefs

The unhealthy need to always be right reflects our low implicit and explicit self-esteem. Unfortunately, even when our belief system is self-destructive, it defines how we see ourselves. When we decline to question our beliefs, we act upon them as though they are infallible, ignoring contrary evidence. Our insecurity can be so severe that our maladjusted perceptions run roughshod over facts and the feelings of others.

Cognitive Bias

Remember, we store information consistent with our negative core and intermediate beliefs, which generates a cognitive bias – a subconscious error in thinking that leads us to misinterpret information, impacting the accuracy of our perspectives and decisions. 

Yet, we tend to ignore what others say because we need to be right, notwithstanding logical alternatives. We avoid anything that might lead us to accept that we are mistaken. Even when we know we are wrong, we find it challenging to admit it.

When our opinions clash with those of authority figures, we grudgingly bow to their point of view, covertly convinced of our superiority. This servility strips us of our power, generating anger and resentment. We cater to their authority but envy their power, irritated and bitter.

Always being right does not bode well for healthy relationships. Our unwillingness to consider the feelings and opinions of others is dismissive and demeaning. Friendships thrive on mutual respect and understanding, not on one person’s need to always be right. Few want to deal with someone unwilling or unable to value their opinions, insight, or belief system.

Our need for others to see us as clever and erudite protects our fragile self-image. Many of us compensate for our fears of criticism and rejection by emphasizing our intellectual proficiency, even when our ‘knowledge’ is unsupported by evidence.

The tendency on social media to attack someone’s conflicting beliefs and the pundits who deny, obfuscate, and shout down the opposition are excellent examples of the always-being-right syndrome.

It reminds us of the cognitively immature teenager who upends the board game when they sense defeat, preferring to throw in the towel rather than suffer the indignity of losing.

As with most cognitive distortions, the key objective is to think before reacting, asking ourselves the obvious questions. This self-reflection empowers us to take control of our cognitive biases and make more informed decisions:

Could I be wrong? The probability is high if we get our facts from the Internet.

Have I considered the opposition’s opinions objectively? Perhaps their argument has merit. Being open to different perspectives can broaden our understanding and lead to more balanced decisions.

Even if I’m right, is it necessary to demean the other’s position?  What do I gain by winning the argument other than selfish satisfaction? It’s not like we’re on a debate stage. Is my need to be right more important than someone else’s feelings? This line of questioning encourages us to be more empathetic and considerate in our interactions.

BLAMING

What do many of us do when we refuse to take responsibility for failing to live up to expectations? Blaming is a negative thinking pattern in which we mistakenly assign responsibility for a negative outcome. That blame can be external when we hold someone or something else accountable, or internal when we blame ourselves.  

External Blaming

External blaming occurs when we hold others accountable for situations that are of our own making. Years of self-reproach for experiencing social anxiety can feel overwhelming, leading us to unconsciously assign blame to others for what we are unable or unwilling to manage emotionally.

We convince ourselves that others are responsible for our defects because it is more emotionally manageable than accepting responsibility. For instance, if we fail an exam, we might blame the instructor for a perceived bias instead of acknowledging our lack of preparation. If we’re for work, it is more convenient to blame traffic, rather than our lackluster morning preparations due to a hangover.

Internal Blaming

We generally have significantly lower implicit and explicit self-esteem compared to those without social anxiety. Our sense of inadequacy and inferiority can compel us to blame ourselves for situations or circumstances that are not our fault. For example, if a dinner guest appears less than enthusiastic, we may blame our cooking or hosting skills rather than considering other reasonable explanations. Similarly, if our roommate is fraught with personal issues, we might attribute it to something we said or did, even when we have nothing to do with their circumstances.

Blame for Our Social Anxiety

Blaming ourselves or others for the origins of our condition is misguided. Early childhood does not provide the cognitive development to assign blame, even if we could identify the source(s). Scientists have linked the serotonin transporter gene “SLC6A4” with social anxiety disorder, but anxiety is produced by polygenic traits controlled by multiple genes, supported by numerous other factors.

One client would always return to his childhood when discussing the reasons for his social ineptness. A physically abusive father and emotionally denigrating mother can probably be held responsible for his negative core beliefs, but they are a catalyst for multiple disorders other than or comorbid with social anxiety. Steven found solace in assigning his parents some responsibility for the origins of his condition, but did not allow that to interfere significantly with his healing.

Notwithstanding, recovery focuses on the here and now and how it reflects on the future. The past is not negligible, but it pales in importance.

Our adolescent/adult thoughts and behaviors indeed aggravate our condition, but to attribute them to perceived character deficiencies and shortcomings rather than recognizing them as symptoms of our condition is problematic. This blame irrationally fails to acknowledge the true nature of our disorder and hinders our progress toward recovery, for which we are responsible. So again, the blame is not the onset and experience of social anxiety, but for our willingness or inability to remedy the situation.

Blaming Mistreatment by Others

Justifiable blame can be a healthy response to harm, but we often cling to anger and resentment, thinking it will negatively affect those who have wronged us. However, the responsible party is usually (a) unaware of their actions, (b) has forgotten their transgression, or (c) refuses to take responsibility for it. The only person damaged in this scenario is the injured party, and we can reclaim our power through forgiveness.

Forgiveness helps us resolve our animosity and restore balance by eliminating the influence of the past and the actions of others. Our innate desire for vengeance can be substantial; our basic instinct may seek retribution. With its profound healing power, forgiveness frees us from the desire for retaliation and helps us move beyond victimization and vindictiveness. This underscores the importance of self-forgiveness in our healing journey.

Blame for Our Mistreatment of Others

Feeling shame for harming another is a natural and necessary part of our emotional landscape. Accepting blame is crucial but carrying that emotional baggage is illogical. The past is over. We learn from it and move on. Our guilt and self-blame can be resolved by making direct or symbolic amends and forgiving ourselves. Remember, self-forgiveness is not just a necessary tool but a powerful act of self-empowerment in our healing journey.

CONTROL FALLACIES 

Do you sometimes fell that everything that happens is your fault, or are do you feel impotent and unable to change anything?  

A fallacy is like a mirage in the desert of our minds, a false oasis we believe in without proof.  We accept these assumptions as true, but they are merely speculations.

In short, a fallacy is a belief based on unreliable evidence and unsound arguments.

A control fallacy is when we believe we have complete control over everything that happens to us. On the flip side, we might think that fate or other people are in control because we feel incapable. We either think things are beyond our control or we take responsibility for things we have little to no power over. 

These feelings cause negative thoughts and behaviors, leading to an unending cycle of distress and irrational thought patterns. Both aspects of this cognitive distortion can generate guilt and shame, compelling us to blame ourselves or someone else.

External Control Fallacy

When we feel externally controlled, we perceive ourselves as weak and powerless. We blame outside forces (fate, weather, authority figures) rather than assume responsibility for our actions. A delinquent blames her parents, the philanderer blames his wife, and our failing grade is because our instructor dislikes us.

We believe external forces control us because our condition is unmanageable and makes us feel impotent. This is a valid assumption because, in essence, until we seek recovery, social anxiety is in control of our emotional stability.

Perhaps we’ve convinced ourselves that we are stuck in an uncomfortable job or relationship, unable to take control of our self-worth or happiness. We believe we can’t fix anything and become casualties of the ‘why bother’ syndrome of helplessness, where we feel that no matter what we do, the outcome will be the same, so why bother trying at all?

Internal Control Fallacy

The fallacy of internal or hyper-control occurs when we assume responsibility for the conduct of others. We feel that we are so in control of everything that if anything goes wrong, it is our fault. This is a form of personalization, where we believe everything is somehow related to us. Often, we compensate for our inability to manage our lives by falsely assuming control of others.

Our illogical mindset makes us feel responsible for what others experience and guilty for their adversities and unhappiness. Our symptomatic apprehension of judgment and criticism drives us to assume responsibility for other people’s thoughts and behaviors, which makes us mind-readers and fortune-tellers.

Assuming responsibility for someone else’s behavior often leads to self-blaming. “It’s my fault my wife is unhappy.” “He drinks because I don’t appreciate him.” The notion that we have failed them invites self-guilt and wreaks havoc on our self-esteem.

One egregious internal control fallacy is our tendency to blame ourselves for our condition, forgetting or disputing the real cause of childhood disturbance and the negative trajectory it sets in motion. We must remain aware that we are not responsible for experiencing social anxiety. We did not ask for it. It happened to us.

Control fallacies are inaccurate assignations. Logic dictates that we assume responsibility for our actions and stop taking it for problems we do not create. Social anxiety does not thrive on logic, so we must recognize when we fall into either aspect of this cognitive distortion. For instance, when we find ourselves blaming external factors for our situation, we can pause and consider our own role in it. Similarly, when we start feeling responsible for others’ actions, we can remind ourselves that we are not in control of everything.

Recognizing control fallacies can be a liberating experience. It’s a step towards understanding and managing our social anxiety. It’s important to remember that control fallacies are not unique to us. Many people struggle with these distortions. Understanding this can help us feel less isolated and more connected, helping us recognize that we inherently control our mental health.

EMOTIONAL REASONING

Cognitive distortions, with their exaggerated and irrational thought patterns, wield significant power in sustaining our anxiety and depression. They distort reality to reinforce or justify our toxic thoughts and behaviors, particularly our negative self-appraisal.

Recognizing how we use cognitive distortions as strategies to avoid facing certain truths is a significant step toward awareness and recovery.

Cognitive distortions are rarely clear-cut; they often overlap, making them challenging to define precisely. However, because they disrupt our emotional well-being, we learn to recognize their individual impact, anticipate them, and work to eliminate them from our thoughts and behaviors. While the number of cognitive distortions can vary, thirteen are particularly relevant to social anxiety.

We will begin our exploration of the thirteen cognitive distortions most relevant to social anxiety with emotional reasoning. This distortion involves making judgments and decisions based solely on our feelings.

The term ‘emotional reasoning’ is misleading as a cognitive distortion because it implies a coalescence of emotions and reasoning when its true meaning is that our reasoning is emotionally induced. We rely on our feelings to make decisions rather than on objective evidence. The phrase my gut tells me encapsulates this irrational thinking.

In essence, we believe that our feelings must be true. For instance, if we feel like a failure, we conclude that we are a failure. If we feel incompetent, we assume we are incapable. If we make a mistake, we think we must be stupid. We convince ourselves that all our negative beliefs about ourselves, others, and the world are valid because they feel genuine. Understanding this compulsion equips us with the knowledge we need to combat it.

What are some examples of how emotional reasoning can affect our lives? Our core beliefs and symptoms make us feel helpless, hopeless, undesirable, and worthless. Feeling hopeless disincentivizes us from trying anything new. Our helplessness makes it challenging to make healthy decisions. Feeling undesirable will prevent us from social activities and disrupt any attempt to make friends and establish close relationships. And if we feel worthless, then why bother with anything?

If we are solely guided by our feelings, opposing facts, and positive experiences will not change our perspective. How we feel influences our emotions, impacting us unconsciously and automatically. For example, if we fear public speaking, our emotions will convince us of our inability, even if we have evidence to the contrary. Our distorted thoughts and beliefs manifest in our emotions, causing us to misinterpret reality.

When we feel guilty about something, our emotional reasoning decides we must be guilty even when there is no evidence that we have done anything wrong.

We may have excellent grades in high school, but if we feel stupid, we are convinced we are dumb and unworthy of higher aspirations. If we feel unattractive, no outfit, no matter how appealing, will make us feel otherwise, and we avoid social situations because our chances of having healthy interactions are hopeless. We will be alone forever, we tell ourselves.

Let me provide a vivid example from my social anxiety days. On an infrequent hiatus from alcohol and pharmaceuticals, I was lucky to be cast in a small part in a major film, Report to the Commissioner. They rewrote my mediocre page of dialogue minutes before filming. I managed to fluster myself through the dialogue and exited the scene by running into the camera. The producer, John Frankenheimer, grumbled that my work was passable and necessary to the script. Months later, I attended the premiere at the Cinerama Dome and waited excitedly for my big break, which, unbeknownst to me, had landed on the cutting room floor. It had no place in the film because the plot line of my disappearing sister had been edited out of the film. Nonetheless, my emotional reasoning convinced me they rewrote around me because of my pathetic performance. I gave no thought to the rational explanations, i.e., the insignificance of my character or the fact that being edited from a film was commonplace.

My SAD-induced insecurity, coupled with core beliefs of undesirability and incompetence, dominated my self-appraisal. It was an excellent excuse to pop a Quaalude, get drunk, and ignore my agent for several months.

Staying in touch with our feelings and trusting our instincts is healthy when supported by experience and evidence. SAD, however, fuels irrational thoughts and feelings, compelling us to make poor decisions. A balanced perspective requires a coalescence of right and left brain thinking. The right hemisphere supports our emotions, while the left is analytical and logical.

Our doctor recommends a healthy diet to lower our cholesterol. For the past two weeks, we have been eating oatmeal and berries for breakfast, and lunches have consisted of kale and spinach salads. We’ve avoided saturated fats and added fish to our diet twice weekly. Then our date takes us Outback Steakhouse, where you splurge on a 13-ounce ribeye and a bowl of bloomin’ onions. Rather than recognizing the positive benefits of fourteen days of healthy eating, our emotional reasoning (and hunger) convince us it was all for naught, and we pick up a six-pack of Guinness stout and a bag of Doritos Nacho Cheese on the way home.

Emotional intelligence (EQ) is perceiving, managing, controlling, or communicating emotions. Those of us experiencing social anxiety ostensibly have a low EQ because it requires rational thinking, a faculty anathema to our condition. We compensate for emotional reasoning this lacuna by enhancing our left brain’s intellectual attributes to balance our right brain’s creative pursuits.

Understanding and mitigating our tendency for emotional reasoning is necessary for personal growth. Recovery requires a strategy based on rational coping statements to achieve psychological balance. We need to examine and analyze our emotions rationally without self-indulgence. This self-analysis counteracts our tendency to allow our feelings to guide our behaviors.

In other words, we enhance our ability to perceive, manage, and communicate by balancing our emotions with rational thought. Through cognitive processes, including Socratic questioning, we aggressively and consciously learn to utilize both brain hemispheres—a harmony crucial to recovery from social anxiety and related conditions. This alleviation of emotional reasoning helps us achieve optimal coherence, producing a well-balanced, rationally creative symmetry.

FALLACY OF FAIRNESS & HEAVEN’S REWARD

A fallacy is a belief based on unreliable evidence and unsound arguments, as in control fallacy, where we either believe something or someone has power and control over things that happen to us, or (2) we hold that type of power over someone else. The fallacy of fairness is a common and relatable cognitive distortion. It’s the unrealistic assumption that life should be fair, a notion many of us grapple with frequently. It’s the most immature cognitive distortion used by children to justify their selfish notion that the world revolves around them.

Due to our Irrational perception, we are the centerpiece of everyone’s attention; we tend to exploit the fallacy of fairness, albeit unconsciously, to compensate for our comparison envy and any disappointment that may arise.

It is human nature to equate fairness with how well our personal preferences are met. We know how we want to be treated, and anything that conflicts with that seems unreasonable and emotionally suspect. 

Fairness is subjective, however. Two people seldom agree on its application. The concept is irrational, and our compulsion is childish and evasive. As Grandpa remarks in The Princess Bride, “Who says life is fair? Where is that written?”

Fairness is subjective, based on personal beliefs and experiences. It is our biased assessment of how well others, institutions, and nature meet our wants and expectations. When reality conflicts with our perceptions of fairness, it generates distressing emotions such as anger, frustration, and resentment.

The belief that everything should be based on fairness and equality is a noble but unrealistic philosophy. We can strive for such things, but life is inequitable. People are self-oriented, and institutions are singularly focused. Only nature is impartial.

Wanting things to work in our favor is rational and normal. Expecting them to do so unfailingly is unreasonable to the extreme.

We often base our concept of fairness on conditional assumptions, which allows us to shun personal accountability. “If my teacher knew how hard I studied, she’d give me a passing grade.” However, studying does not guarantee comprehension, and grades are usually based on test results. And the effort of studying is subjective.

A common misconception is expressed in the phrase,” If my parents had treated me better, I wouldn’t have social anxiety disorder.” Notwithstanding our desire to source our discontent, a direct cause of emotional malfunction is indeterminate, and blaming is irrational, given the evidence or lack thereof. Blaming is another excuse for not taking personal responsibility.

The fallacy of fairness is the unrealistic assumption that life should be subjectively fair. Coupled with the fallacy of heaven’s reward, where we expect to be equitably rewarded for performing kindness, an endless cycle of disappointment and unjustified resentment is predictable. Disappointment is an inevitable part of life, and understanding these fallacies can help us prepare for it.

Heaven’s Reward Fallacy

The fallacy of fairness is commonly associated with heaven’s reward fallacy, which is the unreasonable assumption that we will be justly rewarded for our hard work and sacrifice. Heaven’s reward fallacy, as Aaron Beck explains it, is the belief that someone is keeping track of all our sacrifices and self-denial, for which we will be rewarded someday. Although destined for the afterlife, unlike Job, we expect some assurances in this life. When tangible rewards don’t materialize, it can lead to a profound sense of disappointment and even bitterness.

This anticipation of reward drives us to do things for others with the expectation that some higher power will recognize and reward our efforts. While a return on our investment may be appreciated and reciprocated in this lifetime, it is unreasonable to presume it will happen. If these expectations are unmet, the resultant disappointment aggravates our social anxiety and leads to depression, animosity, and self-recrimination.

Unhealthy Motivations

Anticipating rewards for services rendered makes our expectations real and visceral. This often leads to overcompensation, where we do more than is necessary or reasonable to please others. We become codependent, relying on them for our sense of self-worth and identity, often sacrificing our own needs in the process.

We become consummate enablers, justifying, encouraging, or contributing to someone else’s harmful behaviors to gain their favor and friendship. Rather than standing by our boundaries, we allow ourselves to be bullied and taken advantage of, seeking affirmation and appreciation.

Set Reasonable Expectations

These fallacies are rooted in our innate desire for fairness and reciprocity. We know how we want to be treated, and anything that conflicts with that is emotionally untenable—even if our expectations are immoderate and implausible. Unfortunately, the naïve belief that all our positive support will be recognized and reciprocated epitomizes unreasonable expectations that will inevitably be unmet.

In reality, not all effort or hard work is rewarded. Altruism for the sake of a reward is a misinterpretation because the practice represents unselfishness. Not all good works entitle you to a reward, and not all kindnesses are redeemed by the universe. If we give without expecting some quid pro quo, we convince ourselves our actions are selfless, but they are often motivated by our need for connection and appreciation.

Let’s consider our relationships. It is naïve to assume that our contributions to a relationship are always returned. Making sacrifices for the sake of reciprocation is selfish. Unfortunately, our fear of rejection often compels overzealousness, which can be off-putting. Even if our giving is appreciated, expecting a satisfying and equitable return can lead to resentment, anger, and disappointment, which projects an unsustainable relationship.

In the workplace, expecting notice and reciprocation for services above and beyond what is required is common. Our core and intermediate beliefs of undesirability and worthlessness play a crucial role in our desire to be recognized. Many of us who distort reality by believing that life is fair and that we will be justly rewarded tend to value ourselves based on our work performance and how our cohorts and superiors perceive us.

However, because life is not always fair and expectations are rarely met, we can become frustrated and resentful, which can negatively impact our relationships and productivity.

It is human nature to expect equity or reciprocation for our efforts. However, nature’s algorithms do not support the concepts of fairness and equal treatment. Life is a crapshoot. By letting go of unrealistic expectations, we can experience logical resolutions and reasonable solutions, knowing that our emotional well-being is internally driven and not determined by external factors.

FILTERING

When under stress, we are particularly vulnerable to cognitive distortions. Like emotional IEDs, they wreak havoc on our confidence and composure.

One concern in working with cognitive distortions is recognizing their overlapping characteristics and parallels. Multiple names for the same cognitive distortions are common, and distinguishing one from the others can be challenging.

When we filter, we selectively ignore the positive aspects of a situation. This unbalanced perspective leads to polarized thinking, where we perceive things only in black or white. Because of our negative self-appraisal, we assume everything that happens is our fault, and anything said derogatorily reflects on us. This distortion is called personalization, which usually leads to internal blaming. 

While some of these distortions share traits and characteristics, making them difficult to distinguish, we learn to recognize their idiosyncrasies – the thoughts and behaviors specific to your experiences and personality.

Filtering is a cognitive distortion in which we selectively focus on the negative aspects of a situation. While familiar to all of us, this is especially prevalent among those of us experiencing social anxiety. When we filter, we ignore the positive perspectives and embrace those that support our negative self-appraisal. Our learned tunnel vision gravitates toward the adversity of a situation, excluding the recognition of the positive aspects. This habit also affects our mood, memories, and possibilities as we dwell on the unfortunate aspects of past events rather than the broader picture of multiple experiences.

Our compulsion to focus on the negative is additionally challenging because all humans possess that inherent negativity bias, where we are more receptive to adverse events than positive ones. Imagine you are on a plane, and the pilot alerts you to the wonders of the Grand Canyon on your left side and the landscape decimated by the forest fire on your right. Which one gets your undivided attention?

A person who consistently filters out negative information probably has an excessively cheerful or optimistic personality. Conversely, a person who emphasizes gloom and doom might be considered unhappy or defeatist. Those of us living with SAD tend to mirror the latter. We filter out the positive aspects of our lives, creating an emotional imbalance due to our emphasis on adverse thoughts and experiences. We view ourselves, the world, and our future through an unforgiving lens.

A dozen people in our office celebrate our promotion; one ignores us. We obsess over the lone individual and disregard the goodwill of the rest. By dwelling on the one individual’s indifference, we reinforce our feelings of undesirability and alienation. It’s a common pattern fostered by our condition.

Negative Filtering

Negative filtering is one of our more common cognitive distortions. It’s a habit that many of us share, sustaining our toxic core and intermediate beliefs, which are deeply ingrained negative beliefs about ourselves and the world. Our pessimistic outlook exacerbates our feelings of helplessness and hopelessness. We accentuate the negative. We anticipate the worst-case scenario, expect criticism, ridicule, and rejection, worry about embarrassing or humiliating ourselves, and project unpleasant outcomes that become self-fulfilling prophecies. Unsurprisingly, we readily turn to filtering to justify our irrational thought patterns.

I wrote the book and directed an original theatrical production in my twenties. The songs were great, the dancing commendable, and the direction sufficient to garner a few good reviews. One of the trades, however, gave us a vicious review. Any rational person would have basked in the good notices. My social anxiety, of course, zeroed in on the negative one, prompting me to smash my guitar and a pair of glasses.

I did this in public, to boot, which reinfiorced my reputation as a drama queen.

To effectively counter filtering, we need to analyze the unsoundness of our one-sided perspective and consider the broader picture. As we become aware (identify, comprehend, and accept) of filtering’s self-sabotaging nature and characteristics, we can start to mitigate its power. With time and practice, rational and authentic responses to its duplicity become automatic and spontaneous. We learn to consider the glass half full rather than half empty.

SAD is an emotional virus that metastasizes throughout our lives until we moderate its symptoms through recovery. A pathogen brings disease to its host. Another name for a pathogen is an infectious agent, as they cause infections. As with any organism, pathogens prioritize survival and reproduction.

There’s another irritating trait called the comfortable misery syndrome. We’ve lived in the SAD prison for so long that we’ve gotten used to the gruel. 

We view ourselves through myopic lenses. SAD sustains itself by making us inadequate and inferior. It controls us by convincing us we are weak, stupid, and incapable of surviving without it.

LABELING

When we label individuals or groups, we reduce them to a single, usually hostile or dismissive characteristic or descriptor, often based on an isolated event or behavior. As a result, we view them (or ourselves) through the label and filter out information that contradicts it. 

Labeling leads to false assumptions, ostracizing, and prejudice, fueling painful personal emotions and generating hostility. Obvious examples of labeling are, “Because he can’t fix the dishwasher, he is useless.” “Because she won’t talk to me, I am undesirable.”

Labeling is emotionally demoralizing when those of us experiencing social anxiety are labeled by our symptoms, especially if we do the labeling.

Labeling is a form of overgeneralization, a cognitive distortion in which we draw broad conclusions or make statements based on one or two incidents or behaviors and ignore contradicting evidence. Polarized thinking, filtering, emotional reasoning, and jumping to conclusions can also instigate labeling. 

Other Labeling

Because we fear criticism and ridicule, we often label others out of anger and resentment for our perceived inadequacies. We also tend to retaliate to compensate for our insecurity. For example, if we feel alienated at a party, we might label the other guests rude or hostile.

If our companions seem unsupportive, we might label them disloyal and our intimate partner indifferent. 

Personal Labeling

Personal labeling (self-labeling) is when we create negative labels based on our self-appraisal. We know how distressing it can be when someone adversely labels us. When we engage in personal labeling, we sustain our self-loathing and disappointment. “No one talked to me at the event. I must be undesirable.” This self-labeling can be particularly damaging, as it perpetuates our negative self-perceptions and undermines our self-esteem.

Branding ourselves with a negative epithet is self-defeating, sustaining our anxiety and depression. This practice leads to thoughts and behaviors reinforcing our label, triggering a cascade of negative self-perceptions. The self-perpetuating cycle of adverse self-labeling deepens our sense of hopelessness, and our subsequent actions support our despondency. It’s crucial to recognize this self-defeating cycle and take steps to break it. 

Labels are unreasonable because they are subjective interpretations. Arbitrarily evaluating someone based on distinct incidents or behaviors does not define their entire character and is hurtful and harmful.

Rather than focusing on the specific element or prejudice that generated the label, it is essential to value the positive contributions of the person or group. We should appraise everyone with compassionate insight. For instance, instead of labeling someone as ‘aloof’ or ‘arrogant,’ perhaps we can consider their shyness or anxiety. Rather than an arbitrary label, attempting to understand the reasons for their behavior or our discomfort is a kinder and more rational approach.

Our preconceived notions often stem from experience, bias, disinformation, or unconscious projections. When we label someone based on their appearance or behavior, it’s crucial to question our assumptions. Why do we feel this way? What motivates our need to characterize someone by a particular attribute? By questioning our assumptions, we can gain a deeper understanding and avoid the pitfalls of labeling.

We are so much more than a label. We are unique individuals with diverse backgrounds, beliefs, and concerns. This awareness should broaden our perspectives.

Consider why someone might act the way they do. Think about how harmful and closed-minded a label is and how it might affect them. How does being labeled affect you? We abhor our fears of being judged or criticized. Why would we do that to someone else? Why would we do that to ourselves? Questioning our assumptions is crucial for rational thought, perception, and behavior.

Overgeneralization, Jumping to Conclusions & Catastrophizing

Three closely aligned cognitive distortions appear moderately indistinguishable because they are all derived from our compulsion to dramatize their conclusions. Overgeneralization, jumping to conclusions. and catastrophizing are the engine, car, and caboose of our exaggerated reactions to common situations.

Let’s take an example from our social anxiety. We overgeneralize that a failed relationship means every other effort will generate the same negative response. We then promptly conclude that we will never experience a healthy relationship. The catastrophic belief is that we will become isolated and friendless, with multiple cats to keep us company. These three closely related cognitive distortions are broad, unsubstantiated, and ostensibly inaccurate subjective projections. Here’s how we tell them apart.

Overgeneralization

We overgeneralize when we draw conclusions that exceed what could be logically explained, usually applying statistics from a small sample size to a larger population.

The neighbor’s teenage son is a delinquent because most teenagers in this neighborhood are delinquents.

Overgeneralizing happens when we make exaggerated claims about something or someone without evidence. We make false conclusions based on limited or inaccurate information, convinced that a negative experience or behavior applies to similar situations, whether or not the circumstances are comparable. 

We assume an isolated behavior represents an entire group, which leads to stereotyping. We view a one-time incident as a never-ending pattern of regularity, disputing the potential for behavioral change. Moreover, we disregard evidence that disputes our findings. 

Like filtering, where we ignore the positive and dwell on the negative, overgeneralization supports our SAD-induced tendency to assume the worst of an incident or behavior, usually due to prior experience. So ‘once’ becomes ‘many,’ ‘sometimes becomes always,’ and ‘possibly’ becomes ‘probably.’ For example, the last time we went swimming, we almost drowned. Therefore, all pools and lakes are dangerous and should be avoided. Because the sushi made us ill, all East Asian restaurants are unhealthy.

These irrational conclusions prevent us from placing ourselves in similar situations where we assume a bad experience will repeat itself. Our automatic negative thoughts (ANTs) are usually overgeneralizations. For example, if we feel rejected at a social gathering, we may conclude, “I am undesirable.’ No one will ever like me,’ which supports the likelihood that we will avoid or suspect future social situations

We overgeneralize when we claim that all politicians are corrupt or all priests are pedophiles based on small representations.  Outlaw gangs often ride motorcycles. Therefore, the couple on the Harley-Davidson must be members of an outlaw gang. These are all instances of overgeneralization that we encounter in our daily lives.

Overgeneralization can make it difficult to establish and maintain relationships. Our condition makes establishing and maintaining relationships difficult, and they often fail, making us consider all potential relationships too risky. A mistake at work might repeat itself and lead to overgeneralizing our ineffectiveness, hindering our professional growth. This cycle of negative self-appraisal further damages our already fragile self-esteem.

Jumping to Conclusions

Jumping to conclusions involves making broad and inaccurate conjectures that are unsubstantiated by evidence. T

he neighbor’s teenage son is a delinquent because he enjoys heavy metal.

When we overgeneralize, we infer that a single behavior or incident indicates a pattern. Jumping to conclusions occurs when we make a broad assumption based on a particular behavior or incident despite having evidence to the contrary.

Most of the symptoms of our condition are examples of jumping to conclusions. Our negative core beliefs and self-appraisal compel us to jump to conclusions. We assume that we will embarrass or humiliate ourselves during a situation because we feel stupid. We jump to the conclusion that no one will talk to us because the shame of our condition makes us want to hide. We avoid companionship and intimacy because we jump to the conclusion that we are undesirable.

Jumping to conclusions implies we are telepathic and clairvoyant. Our projection of adverse outcomes makes us fortune tellers and mind readers. Fortune telling is a type of cognitive distortion where we predict adverse outcomes. We symptomatically focus on the worst-case scenario and the probability of disaster. We become faux mind-readers when we conclude we are subject to criticism and ridicule. Both distortions can lead to a warped perception of reality.

Catastrophizing

When we catastrophize, we assume the worst by imagining a situation potentially more disastrous than logic dictates.

The neighbor’s teenage son will probably do us harm because he is a neighborhood delinquent who enjoys heavy metal.

Chicken Little was plucking worms in the henyard when an acorn dropped from a tree onto her head. She immediately assumed the worst. The sky is falling, the sky is falling, she clucked hysterically. 

Catastrophizing compels us to conclude that the worst-case scenario has occurred when things happen to us rather than considering plausible explanations. It is the irrational assumption that something is or will be far worse than reasonably probable. We prophesize the worst and twist reality to support our projection.

For instance, if our significant other has a bad week, we might conclude that the relationship is in jeopardy (external control), leading to behaviors that could instigate such an outcome. We catastrophize by convincing ourselves that divorce is imminent and we will never find love again.

If we receive a disappointing grade on a test, we may conclude that we will fail the course or catastrophize that we will never graduate. If our manager isn’t happy with how we performed a task, we might jump to the conclusion that we will not be promoted or convince ourselves that we will lose our jobs and will never work again.

If we experience migraines or abdominal pain, we might decide to rest up or see a physician if the pain continues. Convincing ourselves that we have a brain tumor or a ruptured appendix is catastrophizing.

Catastrophizing is not just a cognitive distortion; it’s paralyzing. It limits our interactivity and social engagement because we are on the cusp of disaster. Catastrophizing prevents us from trying new things and experiencing life to the fullest. It shuts out possibilities. It limits our ability to establish, develop, and maintain healthy relationships.

Understanding the paralyzing effect of catastrophizing is the first step towards overcoming it and living a more fulfilling life.

One of the four central core beliefs associated with social anxiety and depression is our sense of helplessness. This perceived impotence, if left unchecked, can become a learned behavior developed through repetition and experience. We express learned helplessness when we convince ourselves that if we lack control over some experience in the past, we will never have control over it.

It’s crucial to recognize and address the self-destructive nature of our perceived impotence to regain control over our lives.

To Encapsulate

  • Overgeneralization: The neighbor’s teenage son is a delinquent because most teenagers in this neighborhood are delinquents.
  • Jumping to Conclusions: The neighbor’s teenage son is a delinquent because he listens to heavy metal.
  • Catastrophizing: The neighbor’s teenage son will probably do us harm because he is a delinquent who listens to heavy metal.

Solutions

The obvious suggestion is to stop blowing things out of proportion. That’s easier said than done, but given our condition, it’s prudent to repeatedly instruct our neural network to focus on common-sense thinking. Recognizing the irrationality of these assumptions is the first step to challenging and changing them. When we overgeneralize, jump to conclusions, and catastrophize, we prophesize potential adverse outcomes and shape our behaviors to ensure they happen.

By devising rational explanations, we can break this cycle

Our desire for stability causes us to seek certainty and predictability. Our anxiety flourishes in fearful or unfamiliar situations. This is because our ‘fight-or-flight response,’ a natural reaction to stress, compels us to make rash and careless assumptions without considering other possibilities and perspectives.

It is essential to remain vigilant that cognitive distortions may support our twisted interpretations, such as believing ‘I’m a failure’ after a minor setback, and validate our irrational thoughts and behaviors, like avoiding social situations due to fear of judgment.

Still, their inaccuracies perpetuate our anxiety and depression. By considering other possibilities and perspectives, such as ‘I may have made a mistake, but it doesn’t define me’ or ‘Others may not be judging me as harshly as I think’, we can challenge these distortions.

There are simple and obvious steps we can take to eliminate these distortions.

Justify our conclusions with evidence. What research and data support them? Do we truly know anything about the subject? What fears, experiences, and prejudices initiated these conclusions? Perhaps our obsession with others criticizing, ridiculing, and rejecting us compels us to attack first as a form of self-defense. This critical thinking is crucial in combating these distortions.

Put ourselves in the shoes of those we subject to inaccurate and derogatory accusations. How do we feel when the tables are turned, as they invariably are when we succumb to our SAD-induced fears of criticism, rejection, and ridicule?

Assess the situation and consider plausible explanations and other perspectives. Respond rationally rather than emotionally. We have the power to stop these negative thought patterns. We identify them, write them down, analyze their irrationality, and produce common-sense solutions.

Practice basic self-care: These irrational conclusions are more likely to materialize during periods of fatigue or stress. Basic self-care practices, such as getting enough sleep and eating properly, exercising regularly, connecting with nature, and taking time to reflect with gratitude on the positive aspects of our lives, can help us feel more emotionally balanced.

By prioritizing self-care, we show ourselves the care and attention we deserve, which can help manage unproductive thoughts.

Stop overthinking. When we overthink, we obsess, engaging in repetitive and unproductive thoughts. We make mountains out of molehills. Overthinking is a hindrance to personal development because it entails ruminating about our past habits and failures, whereas recovery is a here-and-now solution that will positively impact the future.

Thoughts are just thoughts. They are not facts or reality unless we make them so.

Compassion can help us see situations through the other’s perspective, reducing our tendency to distort the accuracy of the situation. Critical thinking will challenge our assumptions to avoid distorting our conclusions.

As we progress, we become acutely aware (identify, comprehend, and accept) our perverse idiosyncrasies. We recognize them in our behaviors and notice them in others. We identify them when we make unthinking and unfounded statements and observations.

PERSONALIZATION

Did you ever walk into a room and the conversation suddenly stop? It is because we irrationally assume we are the immediate center of attention and are under evaluation when we are nothing more than a momentary distraction.

Personalization, often called the mother of all guilt, is a common human tendency. It’s the belief that everything is somehow directed at us, even without a logical connection. This perception stems from our emotional assumption that we’re always the center of attention, and our suspicion that we’re constantly under negative appraisal, criticism, and ridicule.

When we personalize, we tell ourselves that what others are doing or saying must relate to us personally. We assume random comments are directed toward us. For instance, we are convinced that a teacher’s general criticism of the class is because of something we did. Similarly, if a friend cancels plans, we might conclude it’s because they don’t want to spend time with us, rather than considering other possible reasons.

Understanding personalization can be a game-changer. When someone advises us, “Don’t take it personally,” we might be engaging in personalization. This concept helps us realize that we’re not always the cause of things happening around us. It’s a relief to know that not everything is a reaction to us, and that random comments are often not personally relevant. This understanding can empower us to navigate social situations with a clearer perspective, reducing the burden of unnecessary guilt and anxiety.

Personalization can manifest in various forms, from the belief that our whispering colleagues are critiquing us to the conviction that a friend’s foul mood is a reaction to something we did. This distortion leads to a cascade of negative emotions, including guilt, anxiety, and a pervasive sense of inadequacy. It also gives us a sense of control over other people’s motivations. For example, if we believe a friend’s foul mood is because of us, we might feel we have the power to ‘fix’ their mood, even if we are entirely unrelated to the real cause. This perceived control can be a heavy burden, as it often leads to misplaced responsibility and unnecessary stress.

Personalization causes a misplaced sense of personal responsibility that does not account for external factors or circumstances. We blame ourselves for things that have nothing to do with us. A disappointing event or relationship is our fault, even when we are uninvolved.

Much of this is due to our symptomatic self-centeredness, a term that refers to our tendency to focus on ourselves and our own feelings, often to the exclusion of others. We worry about embarrassing or humiliating ourselves, and our intense anxiety during social situations. Of course, the reality is that everyone is the center of their little world with their busy lives and unique interests. The chances that they are thinking and talking about us are doubtful. As children, we believe the world revolves around us. We are emotionally and cognitively incapable of considering other probabilities. We assume our parents fight because we did something wrong. Reasonable people grow out of this self-obsession. 

Two types of personalization disrupt our emotional well-being. The first is when we take our disappointments and struggles personally due to some perceived character deficit. If we are criticized at work for a report, we assume it’s because our productivity is inadequate. We don’t consider alternative explanations. Perhaps our supervisor has been raked over the coals by their boss, and they are merely displacing their frustration. Or the report may be acceptable, but the supervisor is nauseous from a bad lunch. Or the report has a simple typo. But instead of considering viable options, our immediate recourse is to jump to the conclusion (another cognitive distortion) that we aren’t good enough.

The other form of personalization is when we assume responsibility for the trials and tribulations of others. We believe we are responsible for the welfare of others and convince ourselves we are accountable for their happiness or depression. If our relationship fails, we assume we are to blame. When we are ghosted, it’s because we are unlikable.

I’ll provide a personal example. At any level in the entertainment industry, an actor is subjected to the inhumane process of casting, a journey that leads to an inordinate number of rejections. As someone who personalized the indifference of my cat, I lived in a sad cycle of self-criticism. Like many artists, I craved the recognition and occasional moments of audience adulation to compensate for my lack of self-worth. When Report to the Commissioner premiered at the Cinerama Dome on Sunset Blvd., I put on my finest threads and anxiously awaited my small moment on the giant screen. It never appeared, of course. The fact that I was so nervous I couldn’t remember my lines might have been a factor, although my original scene was incongruous to the final product. Numerous actors have survived the indignity of the cutting room floor, including Kevin Costner, Mickey Rourke, George Clooney, Kevin Spacey, and Christopher Plummer, but they were made of sterner stuff.

Here are some coping techniques to help us recognize and mitigate our tendency toward personalization.

First and foremost, it is crucial to recognize the thirteen cognitive distortions that are relevant to our condition. While it’s common for these distortions to have multiple names, distinguishing one from the others can be challenging. Many are catalysts for personalization. We’ve already touched on emotional reasoning. With control fallacy, we either believe something or someone has power and control over things that happen to us, or (2) we hold that type of power over others. Other distortions with similar characteristics include overgeneralization and labeling. 134

One powerful tool in our arsenal is the ability to devise immediate situational affirmations to counter triggers that lead to personalization. Situational affirmations are positive statements to remind ourselves of our worth and capabilities. For instance, if we feel inadequate at work, we can remind ourselves of past successes and unique skills. By doing so, we can regain control over our reactions and prevent negative personalization.

It’s sensible to consider the source of criticism. We are not responsible for other people’s ignorance, prejudice, and temperament, but we control our responses and reactions to their opinions. This allows us to resist the urge to dwell on the clumsy criticisms of witless individuals. We must stop overthinking the criticism and retain our power.

Identifying our triggers in advance is not just advisable, it’s crucial. This proactive approach ensures we will not be piqued when someone tries to inflame them. Is it a particular memory, emotion, or sensation? Pay attention to the sources of your triggers, and take control of your emotional responses.

There is a vast difference between taking things personally and being personally invested. When we take things personally, we are affected by others’ actions or words, but it doesn’t mean we have to let them antagonize or define us. Convincing ourselves that other people’s beliefs and opinions don’t matter can lead to dehumanization and moral disengagement. Personal investment means we invite criticism but don’t let it influence our self-worth.

Standard techniques help mitigate our discomfort when we assume we are the center of attention. For instance, we can remind ourselves that our belief is irrational. Everyone is too busy thinking about themselves to focus on us. Or we can challenge our beliefs. We can use the ‘Look Around Technique’ to observe what’s happening, not what our self-consciousness tells us is happening. Are people specifically talking about us or judging us? Are they even looking at us?

On the other hand, what if a stranger is staring at us, and evaluating or criticizing us? So what? That’s their issue. They don’t know us. They’re just making an uninformed evaluation. Why should we care what they think? We do not need someone else’s approval to be who we are.

Here’s what we can do when we feel self-conscious in public. We take a deep breath, relax our muscles, and gradually look around the room or environment. We’re not staring people down or trying to attract their attention. We are casually looking around to gauge what’s happening around us. The Look Around Technique will reveal that hardly anyone is looking at us, and if they are, they have an ulterior motive, which means they are likely cognitively distorting.

What you observe will reassure and surprise you.

POLARIZED THINKING

One of the most unfortunate battles we face is our constant self-criticism. We endlessly dissect every move and conversation, berating ourselves for perceived ignorance and incompetence. This self-imposed pressure to be perfect can be overwhelming, as we convince ourselves that anything less than perfection is a failure.

In polarized or all-or-nothing thinking, we view things in extremes – black or white. There is no middle ground, no room for compromise. We are either exceptional or complete dullards. Our friends are with us or against us. It’s important to remember that this type of thinking is more common than we might think, and understanding its prevalence can help us feel less isolated and more understood.

We deny the possibility of balanced perspectives or positive outcomes. We hesitate to give people the benefit of the doubt and apply the same skepticism to our behaviors.

 Worse than our anxiety about criticism is our self-judgment. Our self-judgment is even harsher than our fear of outside criticism. We must be broken and inept if we are not flawless and masterful. We have little tolerance for mistakes or mediocrity, leading to self-deprecating conclusions like, “I failed my last exam; I fail at everything I try. I’m a loser.” It’s important to note that change is possible. Tending to polarized thinking doesn’t mean we’re broken or flawed. It’s a common human trait that can cause problems when taken to extremes.

All-or-nothing conclusions damage self-esteem and self-perception. We face constant disappointment and demoralization when we judge ourselves or others by impossibly high standards.

Concluding Remarks

Individuals grappling with social anxiety often find themselves entangled in cognitive distortions and defense mechanisms. However, the journey to recovery begins with the empowering act of recognizing, comprehending, and accepting these self-destructive patterns. This process not only fosters recovery but also cultivates attentive listening skills, enabling us to engage in active communication where we truly value what others have to say. In empathic interaction, our goal is to understand, and then to be understood.

As we nurture our self-esteem, we embark on a journey of self-discovery, learning to identify the root causes of our irrational thinking patterns. By overcoming our fears of judgment and criticism through the regeneration of self-esteem, we open ourselves to accepting and appreciating the value of others. Positive psychology serves as our guide, leading us to embrace our unique character strengths, attributes, and shortfalls. This journey of self-appreciation not only fills us with confidence and joy but also inspires us to pay it forward, spreading positivity and understanding.

It’s vital to approach life’s events with a holistic view, considering multiple perspectives. We need to steer clear of the narrow focus of filtering, the inflexibility of polarized thinking, and the half measure of emotional reasoning. Instead, we should embrace the diverse kaleidoscope of viewpoints, interpretations, and possibilities that life offers.

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WHY IS YOUR SUPPORT SO NECESSARY AND ESSENTIAL?  ReChanneling develops and implements programs to (1) mitigate symptoms of social anxiety and related conditions and (2) pursue personal goals and objectives – harnessing our intrinsic aptitude for extraordinary living. Our paradigmatic approach targets the personality through empathy, collaboration, and program integration utilizing neuroscience and psychology including proactive neuroplasticity, cognitive-behavioral modification, positive psychology, and techniques designed to regenerate self-esteem. All donations support scholarships for groups and workshops.

INDIVIDUAL RECOVERY. The symptoms of social anxiety make it challenging for some to participate in a collective workshop. Dr. Mullen works one-on-one with a select group of individuals uneasy in a group setting. ReChanneling offers scholarships to accommodate the costs. What is missed in group activities is provided in our monthly, no-cost Graduate Recovery Group. In this supportive community, graduates interact with others who have completed the program.  Contact ‘rmullenphd@gmail.com’.

Committing to recovery is one of the hardest things you will ever do.
It takes enormous courage and the realization that you are of value,
consequential, and deserving of happiness.

Social Anxiety and Relationships

Recovery from Social Anxiety and Related Conditions

Robert F Mullen, PhD
Director/ReChanneing

Social Anxiety and Relationships
Social Anxiety and Relationships

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Enlisting Positive Psychologies to Challenge Love Within SAD’s Culture of Maladaptive Self-Beliefs

in C.-E. Mayer and E. Vanderheiden (eds.) International Handbook of Love. Transcultural and Transdisciplinary Perspectives, Springer Publications, 2021.

Revised April 2024.

Social anxiety disorder (SAD) is one of the most common disorders, affecting the emotional and mental well-being of over 15 million U.S. adults who find themselves caught up in a densely interconnected network of fear and avoidance of social situations.

These observations provide insight into the relationship deficits experienced by people with SAD. Their innate need for intimacy is no less dynamic than any individuals, but their impairment disrupts the ability (means of acquisition) to establish affectional bonds in almost any capacity. The spirit is willing, but competence is insubstantial. The means of acquisition and how SAD symptomatically challenges them is the context of this research.

Notwithstanding overwhelming evidence of social incompatibility, there is hope for the startlingly few SAD persons who commit to recovery. A psychobiographical approach integrating positive psychology’s optimum human functioning with CBT’s behavior modification, neuroscience’s network restructuring, and other supported and non-traditional approaches can establish a working platform for discovery, opening the bridge to procuring forms of intimacy previously inaccessible. 

Keywords: Love. Social anxiety disorder. Intimacy. Philautia. Means-of-acquisition.

59.0 Social Anxiety Disorder

Social anxiety disorder (SAD) is the second most commonly diagnosed form of anxiety in the United States (MHA, 2019). The Anxiety and Depression Association of America (ADAA, 2019a) estimates that nearly 15 million (7%) American adults experience its symptoms, and Ritchie and Roser (2018) report 284 million SAD persons worldwide. Global statistics are subject to “differences in the classification criteria, culture, and gender” (Tsitsas & Paschali, 2014) and “in the instruments used to ascertain diagnosis” (NCCMH, 2013).

Studies in other Western nations (e.g., Australia, Canada, Sweden) note similar prevalence rates as in the USA, as do those in culturally Westernized nations such as Israel. Even countries with strikingly different cultures (e.g., Iran) note evidence of social anxiety disorder (albeit at lower rates) among their populace (Stein & Stein, 2008).

SAD is the most common psychiatric disorder in the U.S. after major depression and alcohol abuse (Heshmat, 2014). It is also arguably the most underrated and misunderstood. A “debilitating and chronic” affliction (Castella et al., 2014), SAD “wreaks havoc on the lives of those who suffer from it” (ADAA, 2019a). 

The disorder attacks all fronts, negatively impacting the entire body complex, delivering mental confusion (Mayoclinic, 2017b), emotional instability (Castella et al., 2014; Yeilding, 2017), physical dysfunction (NIMH, 2017; Richards, 2019), and spiritual malaise (Mullen, 2018). 

Emotionally, persons experiencing SAD feel depressed and lonely (Jazaieri et al., 2015). Physically, they are subject to unwarranted sweating and trembling, hyperventilation, nausea, cramps, dizziness, and muscle spasms (ADAA, 2019a; NIMH, 2017). Mentally, thoughts are discordant and irrational (Felman, 2018; Richards, 2014). Spiritually, they define themselves as inadequate and insignificant (Mullen, 2018).

SAD is randomly misdiagnosed (Richards, 2019), and the low commitment to recovery (Shelton, 2018) suggests a reticence by those infected to recognize and or challenge their malfunction. Roughly 5% of SAD persons commit to early recovery, reflective of symptoms that manifest maladaptive self-beliefs of insignificance and futility.

Grant et al. (2005) state, “about half of adults with the disorder seek treatment,” but that is after 15–20 years of suffering from the malfunction (Ades & Dias, 2013). Resistance to new ideas and concepts transcends those of other mental complications and is justified by, among other attributions:

  • General public cynicism
  • Self-contempt of the afflicted, generated by maladaptive self-beliefs.
  • Ignorance or ineptitude of mental health professionals.
  • Real or perceived social and mental health stigma.
  • The natural physiological aversion to change.

Many motivated towards recovery are unable to afford treatment due to SAD-induced “impairments in financial and employment stability” (Gregory et al., 2018). The high percentage of jobless people experiencing social anxiety disorder in the U.S. is related to “job inefficiency and instability” (Felman, 2018), greater absenteeism, job dissatisfaction, and frequent job changes. “More than 70% of social anxiety disorder patients are in the lowest economic group” (Nardi, 2003).

According to leading experts, the high percentage of SAD misdiagnoses is due to “substantial discrepancies and variation in definition, epidemiology, assessment, and treatment” (Nagata et al., 2015). The Social Anxiety Institute (Richards, 2019) reports that, among patients with generalized anxiety, an estimated 8.2% had the condition, but just 0.5% received a correct diagnosis. A recent Canadian study by Chapdelaine et al., 2018 reported that out of 289 individuals meeting the criteria for social anxiety disorder, 76.4% were improperly diagnosed.

Social anxiety disorder is a pathological form of everyday anxiety. The clinical term “disorder” identifies extreme or excessive impairment negatively affecting functionality. Feeling anxious or apprehensive in certain situations is normal; most individuals are nervous speaking in front of a group and anxious when pulled over on the freeway. The typical individual recognizes the ordinariness of a situation and accords it appropriate attention. The SAD person anticipates it, takes it personally, dramatizes it, and obsesses over its negative implications (Richards, 2014).

SAD’s culture of maladaptive self-beliefs (Ritter et al., 2013) and negative self-evaluations (Castella et al., 2014) aggravate anxiety and impede social performance (Hulme et al., 2012). “Patients with SAD often believe they lack the necessary social skills to interact normally with others” (Gaudiano & Herbert, 2003). Maladaptive self-beliefs are distorted reflections of a situation, often accepted as accurate. 

Core beliefs are enduring fundamental understandings, often formed in childhood and solidified over time. Because SAD persons “tend to store information consistent with negative beliefs but ignore evidence that contradicts them, [their] core beliefs tend to be rigid and pervasive” (Beck, 2011). These rudimentary beliefs influence the development of intermediate beliefs―attitudes, rules, and assumptions that influence one’s overall perspective, which, in turn, generates our thoughts and behavior. 

As the third-largest mental health care problem in the world (Richards, 2019), social anxiety disorder is culturally identifiable by the victims’ “marked and persistent fear of social and performance situations in which embarrassment may occur” and the anticipation that “others will judge [them] to be anxious, weak, crazy, or stupid” (APA, 2017). SAD “is a pervasive disorder that causes anxiety and fear in almost all areas of a person’s life” (Richards, 2019). SAD affects the “perceptual, cognitive, personality, and social processes” of the afflicted, who find themselves caught up in “a densely interconnected network of fear and avoidance of social situations” (Heeren & McNally, 2018).

The superficial overview of SAD is intense apprehension—the fear of being judged, negatively evaluated, and ridiculed (Bosche, 2019). There is persistent anxiety or fear of social situations such as dating, interviewing for a position, answering a question in class, or dealing with authority (ADAA, 2019a; Castella et al., 2014). Often, mere functionality in perfunctory situations―eating in front of others, riding a bus, using a public restroom—can be unduly stressful (ADAA, 2019a; Mayoclinic, 2017b). 

SAD persons are unduly concerned that they will say something that will reveal their ignorance (Ades & Dias, 2013). They walk on eggshells, supremely conscious of their awkwardness, surrendering to the GAZE―the anxious state of mind that comes with the maladaptive self-belief that they are the center of attention (Felman, 2018; Lacan, 1978). Their movements can appear hesitant and awkward, small talk clumsy, attempts at humor embarrassing, and every situation reactive to negative self-evaluation (ADAA, 2019a; Bosche, 2019). They are apprehensive of potential “negative evaluation by others” (Hulme et al., 2012) and concerned about “the visibility of anxiety and preoccupation with performance or arousal” (Tsitsas & Paschali, 2014). 

SAD persons frequently generate images of themselves performing poorly in feared social situations (Hirsch & Clark, 2004; Hulme et al., 2012), and their anticipation of repudiation motivates them to dismiss overtures to offset any possibility of rejection (Tsitsas & Paschali, 2014). SAD is repressive and intractable, imposing irrational thought and behavior (Richards, 2014; Zimmerman et al., 2010). It establishes its authority through its subjects’ defeatist measures produced by distorted and unsound interpretations of actuality that govern perspectives of personal attractiveness, intelligence, competence, and other errant beliefs (Ades & Dias, 2013).

We are all familiar with the free association test. The person in the white coat tosses out seemingly random words, and the recipient responds with the first word that comes to mind. Consider the following reactions: boring, stupid, worthless, incompetent, disliked, ridiculous, inferior (Hulme et al., 2012). Most people use personal pejoratives daily, but few personalize and take them to heart like a SAD person. 

Maladaptive self-appraisals, over time, become automatic negative thoughts called ANTs (Amen, 1998) implanted in the neural network (Richards, 2014). They determine initial reactions to situations or circumstances. They inform how to think, feel, and act. The ANT voice exaggerates, catastrophizes, and distorts. SAD persons crave the company of others but shun social situations for fear of being found out as unlikeable, stupid, or annoying. Accordingly, they avoid speaking publicly, expressing opinions, or fraternizing with peers. People with social anxiety disorder generally possess low self-esteem and high self-criticism. (Stein & Stein, 2008)

The Anxiety and Depression Association of America (ADAA, 2019a) includes many emotional and mental disorders related to, components of, or a consequence of social anxiety disorder, including avoidant personality disorder, panic disorder, generalized anxiety disorder, depression, substance abuse, eating disorders, OCD, and personality disorders including avoidant and dependent.

Personality disorders involve long-term patterns of thoughts and behaviors that are unhealthy and inflexible. The behaviors cause serious problems with relationships and work. People with personality disorders have trouble dealing with everyday stresses and problems. (UNLM, 2018)

Personality reflects deep-seated patterns of behavior affecting how individuals “perceive, relate to, and think about themselves and their world” (HPD, 2019). A personality disorder denotes a “rigid and unhealthy pattern[s] of thinking, functioning and behaving,” which potentially leads to “significant problems and limitations in relationships, social activities, work, and school” (Castella et al., 2014). 

A recent article in Scientific American speculates that “mental illnesses are so common that almost everyone will develop at least one diagnosable mental disorder at some point in their life” (Reuben & Schaefer, 2017).

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continue to improve and benefit from it for the rest of my life.” – Nick P.

59.1.1. SAD and Interpersonal Love

In unambiguous terms, the desire for love is at the heart of social anxiety disorder (Alden et al., 2018). SAD persons struggle to establish close, productive relationships (Castella et al., 2014; Fatima et al., 2018). The diagnostic criteria for SAD, outlined in the DSM-V (APA, 2017), include: “Marked fear or anxiety about one or more social situations in which the individual is exposed to possible scrutiny by others.”

SAD persons frequently demonstrate significant impairments in friendships and intimate relationships (Castella et al., 2014). Their avoidance of social activities severely limits the potential for comradeship (Desnoyers et al., 2017; Tsitsas & Paschali, 2014). Their inability to interact rationally and productively (Richards, 2014; Zimmerman et al., 2010) limits the potential for long-term, healthy relationships. According to Whitbourne (2018), the SAD person’s avoidance of others puts them at risk of feeling lonely, having fewer friendships, and being unable to take advantage of the enjoyment of being with people who share their hobbies and interests.

There is a pressing need for more comprehensive research to delve into the relationship between SAD and interpersonal love (Montesi et al., 2013; Read et al., 2018). A study by Rodebaugh et al. (2015) highlights the need for more high-quality studies; Alden et al. (2018) underscore the lack of attention given to the SAD individual’s inability or refusal to function in close relationships. The limited existing studies indicate that SAD individuals exhibit inhibited social behavior, shyness, lack of assertion in group conversations, and feelings of inadequacy in social situations (Darcy et al., 2005). The prevailing culture of maladaptive self-appraisal hampers the development of trusting and supportive interpersonal relationships (Topaz, 2018).

Although closely intertwined, the desire for love and the process of ‘acquisition’ are distinct. Most forms of interpersonal love necessitate the successful interplay of desire and acquisition. The desire for love represents the non-consummatory aspect of Freud’s eros life instinct (Abel-Hirsch, 2010). ‘Acquisition’ refers to the methods and skills required to complete the transaction―techniques that vary depending on the specific parameters of love. 

Let us visualize love as a bridge, with desire (thought) at one end and acquisition at the other; the span is the means of acquisition (behavior). The SAD person cannot get from one side to the other because the means of acquisition are structurally deficient (Desnoyers et al., 2017; Tsitsas & Paschali, 2014). They grasp the fundamental concepts of interpersonal love and are presented with opportunities but lack the skills to close the deal. Painfully aware of the tools of acquisition, they cannot seem to operate them.

59.2. Cognitive-Behavioral Therapy

CBT, a short-term, skills-oriented approach, aims to explore relationships among a person’s thoughts, feelings, and behaviors while changing the culture of maladaptive self-beliefs into productive, rational thought and behavior (Richards, 2019). It focuses on “developing more helpful and balanced perspectives of oneself and social interactions while learning and practicing approaching one’s feared and avoided social situations over time” (Yeilding, 2017). Roughly 90% of approaches endorsed by the “American Psychological Association’s Division 12 Task Force on Psychological Interventions” are cognitive-behavioral treatments (Lyford, 2017). 

Recent meta-analytic evidence suggests that cognitive-behavioral therapy as an effective treatment for SAD compares favorably with other psychological and pharmacological treatment programs (Cuijpers et al., 2016). Individuals who undergo CBT show changes in brain activity, suggesting that this therapy also improves brain functioning (NAMI, 2019).

However, there is no guarantee of success, and stand-alone CBT is imperfect (David et al., 2018; Mullen, 2018). The best outcome one can hope for is the mitigation of SAD symptoms through thought and behavior modification and the simultaneous restructuring of the neural network, along with other supported and non-traditional treatments.

Behavioral and cognitive treatments are globally accepted methodologies. Multiple associations worldwide are “devoted to research, education, and training in cognitive and behavioral therapies” (McGinn, 2019). Conferences “where knowledge transfer takes place through debates, round table discussions, poster presentations, workshops, symposia, and exhibitions” are offered globally. David et al. (2018) credit CBT as the best behavioral modification standard currently available in the field for the following reasons:

  1. CBT is the most researched form of psychotherapy. 
  2. No other form of psychotherapy is systematically superior to CBT in the treatment of anxiety, depression, and other disorders; if there are systematic differences between psychotherapies, they typically favor CBT. 
  3. CBT theoretical models/mechanisms of change have been the most researched and are in line with the current mainstream paradigms of the human mind and behavior (e.g., information processing).

Cognitive-behavioral therapy is arguably the gold standard of the psychotherapy field. David et al. (2018) maintain that “there are no other psychological treatments with more research support to validate.” Studies of CBT have shown it to be an effective treatment for a wide variety of mental illnesses, including depression, SAD, generalized anxiety disorders, bipolar disorder, eating disorders, PTSD, OCD, panic disorder, and schizophrenia (Kaczkurkin & Foa, 2015; NAMI, 2019). However, David et al. (2018) suggest that if the gold standard of psychotherapy defines itself as the best in the field, then CBT is not the gold standard. There is room for further improvement, “both in terms of CBT’s efficacy/effectiveness and its underlying theories/mechanisms of change.”

Lyford (2017) provides two examples of criticism. A 2013 meta-analysis published in Clinical Psychology Review comparing CBT to other therapies failed to “provide corroborative evidence for the conjecture that CBT is superior to bona fide non-CBT treatments.” An 8-week clinical study by Sweden’s Lund University in 2013 concluded that “CBT was no more effective than mindfulness-based therapy for those suffering from depression and anxiety.”

Another meta-analysis conducted by psychologists Johnsen and Friborg (2015) tracked 70 CBT outcome studies conducted between 1977 and 2014. It concluded that “the effects of CBT have declined linearly and steadily since its introduction, as measured by patient self-reports, clinician ratings, and rates of remission.” According to the authors, “Just seeing a decrease in symptoms,” he says, “doesn’t translate into greater well-being.” 

While this study is mindful of the common belief that CBT is the best approach to alleviate SAD’s pattern of irrational thoughts and behaviors, stand-alone CBT is not the most productive course of treatment. New and innovative methodologies supported by a collaboration of theoretical construct and integrated scientific psychotherapy are needed to address mental illness as represented in this era of advanced complexity. 

Multiple nontraditional and supported approaches, including those defined as new (third) wave (generation) therapies, better serve the dual complexity of social anxiety and personality. These therapies are developed through client trust, cultural assimilation, and therapeutic innovation, with CBT, positive psychology, and neuroscience serving as the foundational platform for integration.

59.3. Categories of Interpersonal Love

In Nicomachean Ethics, Aristotle (1999) encapsulates love as “a sort of excess of feeling.” Utilizing the classic Greek categories of interpersonal love is vital to this study; each classification illustrates how SAD symptoms thwart the means of acquisition. 

1. Philia. Aristotle called philia “one of the most indispensable requirements of life” (Grewal, 2016). Philia is a bonding of individuals with mutual experiences―a “warm affection in intimate friendship” (Helm, 2017). This platonic love subsists on shared experience and personal disclosure. A core symptom of a SAD person is the fear of revealing something that will make them appear “boring, stupid or incompetent” (Ades & Dias, 2013). Even the anticipation of interaction causes “significant anxiety, fear, self-consciousness, and embarrassment” (Richards, 2014) because of the fear of being scrutinized and judged (Mayoclinic, 2017b).

2. Eros translates to reciprocal feelings of shared arousal between people physically attracted to each other, the fulfillment determined by the sexual act. The SAD person’s self-image of unlikability (Stein & Stein, 2008), coupled with the fear of intimacy (Montesi et al., 2013) and rejection (Tsitsas & Paschali, 2014) challenges the successful acquisition of a sexual partner and satisfaction with the sexual act (Montesi et al., 2013). SAD’s culture of maladaptive self-appraisal severely challenges their ability to establish, develop, and maintain intimate relationships (Cuncic, 2018; Topaz, 2018). A study by Montesi et al. (2013) examining the SAD person’s symptomatic fear of intimacy and sexual communication concludes, “socially anxious individuals experience less sexual satisfaction in their intimate partnerships than nonanxious individuals, a relationship that well documented in previous research.” 

3. Agape. Through the universal mandate to love thy neighbor, the concept of agape embraces unconditional love that transcends and persists regardless of circumstance (Helm, 2017). SAD generally onsets adolescents who have experienced detachment, exploitation, and or neglect (Steele, 1995). Agape is characterized by unselfish giving. The SAD person’s conviction that they are the constant focus of attention is a form of self-centeredness bordering on narcissism (Mayoclinic, 2017a).

4. Storge. Social anxiety disorder stems from childhood hereditary, environmental (Felman, 2018; NAMI, 2019), or traumatic events (Mayoclinic, 2017b). The afflicted are exploited (unconsciously or otherwise) in the formative stages of human motivational development, which include physiological safety, belongingness, and love (Maslow, 1943). As a result, storge or familial love and protection, vital to the healthy development of the family unit, is impacted. The exploited adolescent (Steele, 1995) faces serious challenges recognizing or embracing familial love as an adolescent or adult.

5. Ludus. A SAD person’s conflict with the provocative playfulness of ludus is evident by their fear of being judged and negatively evaluated (Mayoclinic, 2017b).SAD persons do not find social interaction pleasurable (Richards, 2019) and have limited expectations that things will work out advantageously (Mayoclinic, 2017b). Finally, the SAD person’s maladaptive self-appraisal generally results in inappropriate behavior in social situations (Kampmann et al., 2019).

6. Pragma. The obvious synonym for pragma is practicality―a balanced and constructive quality counterintuitive to someone whose modus operandi is irrational thought and behavior (Richards, 2014; Zimmerman et al., 2010). Pragma is mutual interests and goals securing a working and endurable partnership facilitated by rational behavior and expectation—the pragmatic individual deals with relationships sensibly and realistically, conforming to standards considered typical. The overriding objective of a SAD person is to “avoid situations that most people consider “‘normal'” (WebMD, 2019).

Social anxiety disorder is a consequence of early psychophysiological disturbance (Felman, 2018; Mayoclinic, 2019a). The receptive juvenile might be the product of bullying (Felman, 2018), sibling abuse (NAMI, 2019), or a broken home. Perhaps parental behaviors are overprotective, controlling, or lack emotional validation (Cuncic, 2018). Subsequently, the SAD person finds it difficult to express vulnerability, even with someone they love and trust. Alden et al. (2018) note that SAD persons “find it difficult, in their intimate relationships, to be able to self-disclose, to reciprocate the affection others show toward them.”

Research links love with positive mental and physical health outcomes (Rodebaugh et al., 2015). Healthy relationships make one recognize their value to society “and motivate them towards building communities, culture and work for the welfare of others” (Capon & Blakely, 2007). Love develops through social connectedness. Social connectedness, essential to personal development, is one of the central psychological needs “required for better psychological development and well-being” (Deci & Ryan, 2000). Social connectedness plays a significant role as a mediator in the relationship between SAD and interpersonal love (Lee et al., 2008) and is strongly associated with one’s level of self-esteem (Fatima et al., 2018).

59.4. Philautia

The seventh and eighth categories of interpersonal love are the two extremes of philautia: narcissism and positive self-qualities. To Aristotle, healthy philautia is vigorous “in both its orientation to self and to others” due to its inherent virtue (Grewal, 2016). “By contrast, its darker variant encompasses notions such as narcissism, arrogance, and egotism” (Lomas, 2017). In its positive aspect, any interactivity “has beneficial consequences, whereas in the latter case, philautia will have disastrous consequences” (Fialho, 2007).

59.4.1. Unhealthy Philautia

Unhealthy philautia is akin to clinical narcissism―a mental condition, as stated earlier, in which people possess an inflated sense of their importance and an appetite for excessive attention and admiration. Behind this mask of extreme confidence, the Mayoclinic (2017a) states, “lies a fragile self-esteem that’s vulnerable to the slightest criticism.” SAD persons live on the periphery of morbid self-absorption. Their obsession with attention (ADAA, 2019b) mirrors that of unhealthy philautia. In Classical Greece, persons could be accused of unhealthy philautia if they placed themselves above the greater good. Today, hubris means “an inflated sense of one’s status, abilities, or accomplishments, especially when accompanied by haughtiness or arrogance” (Burton, 2016). The self-centeredness of a SAD person often presents itself as arrogance; in fact, the words are synonymous. The critical difference is that SAD persons do not possess an inflated sense of their importance but one of insignificance.

59.4.2. Healthy Philautia

Aquinas’ (1981) response to demons and disorder states, “Evil cannot exist without good.” The Greeks believed that the narcissism of unhealthy philautia would not exist without its complementary opposition, commonly interpreted as self-esteeming virtue―an unfortunate and incomplete definition. Rather than only focusing on self-esteem, philautia incorporates the broader spectrum of all positive self-qualities.

Instead, we are concerned with various positive qualities prefixed by the term self, including -esteem, -efficacy, -reliance, -compassion, and -resilience. Aristotle argued in Nicomachean Ethics that self-love is a precondition for all other forms of love. (Lomas, 2017)

Positive self-qualities determine one’s relation to self, others, and the world. They recognize that one is valuable, consequential, and worthy of love. “Philautia is important in every sphere of life and can be considered a basic human need” (Sharma, 2014). To the Greeks, philautia “is the root of the heart of all the other loves” (Jericho, 2015). Gadamer (2009) writes of philautia: “Thus it is; in self-love one becomes aware of the true ground and the condition for all possible bonds with others and commitment to oneself.” Healthy philautia is the love that is within oneself. It is not, explains Jericho (2015), “the desire for self and the root of selfishness.” Ethicist John Deigh (2001) writes:

Accordingly, when Aristotle remarks that a man’s friendly relations with others come from his relations with himself … he is making the point that self-virtuous love (philautia), as the best exemplar of love … is the standard by which to judge the friendliness of the man’s relations with others.

SAD’s culture of maladaptive self-appraisal and the interruption of natural motivational development obscure our positive self-qualities. Positive psychology embraces “a variety of beliefs about yourself, such as the appraisal of your own appearance, beliefs, emotions, and behaviors” (Cherry, 2019). It measures “how much a person values, approves of, appreciates, prizes, or likes him or herself” (Blascovich & Tomaka, 1991). Ritter et al. (2013) studied the relationship between SAD and self-esteem. The research concluded that SAD persons have significantly lower implicit and explicit self-esteem relative to healthy controls, which manifest in maladaptive self-beliefs of incompetence, unattractiveness, unworthiness, and other irrational self-evaluations.

Healthy philautia is essential for any relationship; it is easy to recognize how it supports self-positivity and interconnectedness. “One sees in self-love the defining marks of friendship, which one then extends to a man’s friendships with others” (Deigh, 2001). Self-worth improves self-confidence, which allows the individual to overcome fears of criticism and rejection. Risk becomes less consequential, and the playful aspects of ludus are less threatening.

Self-assuredness opens the door to traits commonly associated with successful interpersonal connectivity―persistence and persuasiveness, optimism of engagement, and a willingness to vulnerability. A SAD person’s recognition of her or his inherent value generates the realization that they “are a good person who deserves to be treated with respect” (Ackerman, 2019). “To feel joy and fulfillment at being you is the experience of philautia” (Jericho, 2015). The philautia described by Aristotle “is a necessary condition to achieve happiness” (Arreguín, 2009), which, as we continue down the classical Greek path, is eudemonic. In the words of positive psychologist Stephen (2019), eudaimonia describes the notion that living by one’s daimon, which we take to mean ‘character and virtue,’ leads to the renewed awareness of one’s ‘meaning and purpose in life.’

Aristotle touted the striving for excellence as humanity’s inherent aspiration (Kraut, 2018). He described eudaimonia as “activity in accordance with virtue” (Shields, 2015). Eudaimonia reflects the best activities of which man is capable. The word eudaimonia reflects personal and societal well-being as the chief good for man. “The eudaimonic approach … focuses on meaning and self-realization and defines well-being in terms of the degree to which a person is fully functioning” (Ryan & Deci, 2001).

It is through recognition of one’s positive self-qualities and potential productive contribution to the general welfare that one rediscovers the intrinsic capacity for love. Let us view this through the symbolism of Socrates’ tale of the Cave (Plato, 1992). In it, we discover SAD persons chained to the wall. The shadows projected by the unapproachable light outside the cave generate their perspectives. They name these maladaptive self-beliefs: useless, incompetent, timid, ineffectual, ugly, insignificant, and foolish. The prisoners form a subordinate dependency on their surroundings and resist any other reality until they are loosed from their bondage and emerge into the light.

Like cave dwellers, the SAD person breaks away from maladaptive self-beliefs into healthy philautia’s positive self-qualities, which encourage and support connectivity to all forms of interpersonal love.

A study published in Cognitive Behaviour Therapy (Hulme et al., 2012) looked at the effect of positive self-images on self-esteem in the SAD person. Eighty-eight students were screened with the Social Interaction Anxiety Scale (SIAS) and divided between the low self-esteem group and the high self-esteem group. The study had two visions. The first was to study the effect of positive and negative self-beliefs on implicit and explicit self-esteem. The second was to investigate how positive self-beliefs would affect the negative impact of social exclusion on explicit self-esteem and whether high socially anxious participants would benefit as much as low socially anxious participants.

The researchers used a variety of measures and instruments. The Social Interaction Anxiety Scale is standard in SAD therapy and CBT workshops; the Implicit Association Test (IAT) reveals the strength of the association between two different concepts. The Rosenberg Self-Esteem Scale (RSES) is a 10-item self-report measure of explicit self-esteem; the State-Trait Anxiety Inventory-Trait (STAI-T) is a 20-item scale that measures trait anxiety; and the Depression Anxiety Stress Scale-21 (DASS-21) is a self-report scale measuring depression, anxiety, and general distress.

The study found that negative self-imagery reduces positive implicit self-esteem in both high and low socially anxious participants. It provided evidence of the effectiveness of promoting positive self-beliefs over negative ones “because these techniques help patients access a more positive working self” (Hulme et al., 2012). It also demonstrated that positive self-imagery maintained explicit self-esteem even in the face of social exclusion.

59.5. Conclusion

For 25 years, since the appearance of SAD in DSM-IV, the cognitive-behavioral approach has reportedly been effective in addressing social anxiety disorder. It is structurally sound and conceivably remains the foundation for future programs. However, it is not the therapeutic gestalt it claims to be. Productive cognitive-behavioral approaches emphasize replacing SAD’s automatic negative thoughts and behaviors (ANTs) with automatic rational ones (ARTs).

As defined by UCLA psychologists Hazlett-Stevens and Craske (2002), CBT approaches treatment with the assumption that a specific central or core feature is responsible for the observed symptoms and behavior patterns experienced (i.e., lawful relationships exist between this core feature and the maladaptive symptoms that result). Therefore, once the central feature is identified and targeted, maladaptive thoughts and behaviors will be mitigated.

Clinicians and researchers have reported the lack of a precise diagnostic definition for social anxiety disorder; features overlap and are comorbid with other mental health problems (ADAA, 2019a; Tsitsas & Paschali, 2014). Experts cite substantial discrepancies and disparities in the definition, epidemiology, assessment, and treatment of SAD (Nagata et al., 2015). More specifically, according to a study published in the Journal of Consulting and Clinical Psychology (Alden et al., 2018), “there is not enough attention paid in the literature to the ability to function in the close relationships” required for interpersonal love.

Standard CBT also needs more methodological clarity. Johnsen and Friborg (2018) cite the various forms of CBT used in studies and therapy over the years. Experts point to two predominant types of CBT: “the unadulterated CBT created by Beck and Ellis, which reflects the protocol-driven, highly goal-oriented, more standardized approach they first popularized,” and the more integrative and collaborative approaches of “modern” CBT (Wong et al., 2013). 

The deficit of positive self-qualities in individuals impaired by SAD’s symptomatic culture of maladaptive self-beliefs and the interruption of the natural course of human motivational development is a new psychological concept in our evolving conscious complexity. Cognitive-behavioral therapies focus on resolving negative self-imaging and irrationality through programs of thought and behavioral modification. Positive self-qualities in healthy philautia is not new; it was discussed in symposia almost two-and-a-half centuries ago. However, the psychological ramifications and methods to address it are in their formative stages. There is a need for innovative psychological and philosophical research to address the broader implications of healthy philautia’s positive self-qualities, which could deliver the potential for self-love and societal concern to the SAD person, opening the bridge to procuring all forms of interpersonal love.

Kashdan, Weeks, and Savostyanova (2011) cite the “evidence that social anxiety is associated with diminished positive experiences, infrequent positive events, an absence of positive inferential biases in social situations, fear responses to overtly positive events, and poor quality of life.” Models of CBT that attempt only to reduce the individual’s avoidance behaviors would benefit from addressing, more specifically, the relational deficits that such people experience, as well as positive psychological measures to counter SAD’s culture of maladaptive self-beliefs. Non-traditional and supported approaches, including those defined as new (third) wave (generation) therapies, with CBT serving as the foundational platform for integration, would widen the scope and perspective in comprehending SAD’s evolving intricacies.

One such step is integrating positive psychology within the cognitive behavioral therapy model, which, “despite recent scientific attention to the positive spectrum of psychological functioning and social anxiety/SAD … has yet to be integrated into mainstream accounts of assessment, theory, phenomenology, course, and treatment” (Kashdan et al., 2011). CBT would continue to modify automatic maladaptive self-beliefs, thoughts, and behaviors, and positive psychology would replace them with positive self-qualities.

Training in prosocial behavior and emotional literacy can supplement typical interventions. Behavioral exercises practice the execution of considerate and generous social skills. Positive affirmations have enormous subjective value as well. Data provide evidence for mindfulness and acceptance-based interventions, where the goal is not only to respond to the negativity of maladaptive self-beliefs but to pursue positive self-qualities despite unwanted negative thoughts, feelings, images, or memories.

Castella et al. (2014) suggest motivational enhancement strategies to help clients overcome their resistance to new ideas and concepts. Ritter et al. (2013) tout the benefits of positive autobiography to counter SAD’s association with negative experiences, and self-monitoring helps SAD persons to recognize and anticipate their maladaptive self-beliefs (Tsitsas & Paschali, 2014).

Finally, the importance of considering the “nuanced and unique dynamics inherent in the relationships among emotional expression, intimacy, and overall relationship satisfaction for socially anxious individuals” should be thoroughly considered (Montesi et al., 2013). As positive psychology turns its attention to the broader spectrum of philautia’s positive self-qualities, integration with CBT’s behavior modification, neuroscience’s brain restructuring, and other non-traditional and supported approaches would establish a working platform for discovery.

Proactive Neuroplasticity YouTube Series

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Social Anxiety Recovery Workshops By Dr. Robert F. Mullen | Rechanneling.org

WHY IS YOUR SUPPORT SO NECESSARY AND ESSENTIAL?  ReChanneling develops and implements programs to (1) mitigate symptoms of social anxiety and related conditions and (2) pursue personal goals and objectives – harnessing our intrinsic aptitude for extraordinary living. Our paradigmatic approach targets the personality through empathy, collaboration, and program integration utilizing neuroscience and psychology including proactive neuroplasticity, cognitive-behavioral modification, positive psychology, and techniques designed to regenerate self-esteem. All donations support scholarships for groups and workshops.

INDIVIDUAL RECOVERY. The symptoms of social anxiety make it challenging for some to participate in a collective workshop. Dr. Mullen works one-on-one with a select group of individuals uneasy in a group setting. ReChanneling offers scholarships to accommodate the costs. What is absent in group activities is provided in our monthly, no-cost Graduate Recovery Group. In this supportive community, graduates interact with others who have completed the program.  Contact ‘rmullenphd@gmail.com’.        

Committing to recovery is one of the hardest things you will ever do.
It takes enormous courage and the realization that you are of value, 
consequential, and deserving of happiness. 

Social Anxiety: Be Good to Yourself

Recovery from Social Anxiety and Related Conditions

Robert F Mullen, PhD
Director/ReChanneling

Social Anxiety: Be Good to Yourself
Social Anxiety: Be Good to Yourself

Recent Posts

Be Good to Yourself

Self-esteem is mindfulness of our assets as well as our defects. We are dichotomous beings of goodness and frailty — evidence of our humanness. Social anxiety sustains itself by undervaluing the positive components of our humanness — our character strengths, virtues, attributes, and achievements. These are the qualities that constitute our self-esteem.

Self-esteem defines how we think about ourselves, how we think others perceive us, and how we process and present that information. Healthy self-esteem confirms that we are of value, consequential, and desirable. It is the realization of our responsible commitment to others, society, and the world.

Goal and Objectives

The primary goal of recovery from low self-esteem and related emotional malfunctions is the mitigation of our irrational fears and anxieties. We execute these goals through a three-pronged approach.

  • Replace or overwhelm our negative thoughts and behaviors with healthy, productive ones.
  • Produce rapid, concentrated positive stimulation to offset the abundance of negative information in our brain’s metabolism.
  • Reclaim and rebuild our self-esteem and reintegrate into society through recognition and reinforcement of our character strengths, virtues, attributes, and achievements.

Each objective regenerates our self-esteem.

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For Information

“It is one of the best investments I have made in myself, and I will
continue to improve and benefit from it for the rest of my life.” – Nick P.

Regeneration

To regenerate means to renew or restore something damaged or underproduced. Because of the disruption in our optimal development due to factors that developed our social anxiety, many positive self-qualities that construct our self-esteem are latent or dormant – underdeveloped or suspended. 

These self-qualities (e.g., confidence, reliance, compassion, and other self-hyphenates) are not lost. Disruption interrupts productivity. It does not destroy it. Like stimulating the unexercised muscle in our arm or leg, we can regenerate our self-esteem.

The outcome of regenerating our self-esteem is the renewed mindfulness of our character strengths, virtues, attributes, and achievements.

The inherent byproduct of healthy self-esteem is self-appreciation. It is self-esteem paid forward. Consolidating our self-regard and realizing what we have to offer drives us to share our assets with others. 

Proactive Neuroplasticity

Proactive neuroplasticity is the most effective method of positive neural restructuring. We compel our brains to change their negative polarity to positive through the deliberate, repetitive neural input of information (DRNI). Our brain’s left hemisphere supports this activity – the analytical part responsible for rational thinking. 

While proactive neuroplasticity attends to the analytical, active neuroplasticity addresses the emotional, social, and spiritual. Proactive and active neuroplasticity complement each other. 

“Dr. Mullen is doing impressive work helping the world. He is the pioneer of proactive neuroplasticity utilizing DRNI – deliberate, repetitive, neural information.” – WeVoice (Madrid, Málaga)   

Active Neuroplasticity

Active neuroplasticity replaces our self-destructive thoughts and behaviors while regenerating our self-esteem. Creating healthy new mindsets, skills, and abilities also requires positive and repetitive neural input. Active neuroplasticity happens through intentional pursuits geared towards counteracting the years of adverse neural input. 

Beyond the synthetic and creative products of active neuroplasticity is our ethical and compassionate social behavior. 

Contributions to others and society are extraordinary assets to our recovery. The value of volunteering – providing support, empathy, and concern for those in need – is exceptional, not only in promoting positive behavioral change but also in our neural restructuring. The social interconnectedness established by caring augments the regeneration of our self-esteem and self-appreciation. 

We are Hopeful, Powerful, Desirable, and Worthwhile

In his extensive examination of anxiety and depression, Aaron Beck, the pioneer of cognitive-behavioral therapy, asserted that social anxiety generates feelings of helplessness, hopelessness, and unworthiness. The concept of undesirability revealed itself in our SAD recovery workshops. Until we commit to recovery, we continue to be guided by these destructive self-beliefs. 

Notwithstanding, in recovery, we realize helplessness as a perspective. We are not helpless unless we choose to be. Multiple resources are available to anyone with the motivation and commitment to recover.

We are not hopeless. Once we recognize the irrationality of our fears, we see them for what they are: powerless abstractions.

We are not undesirable. SAD compels us to view ourselves inaccurately. It reinforces or justifies our negative self-appraisal. Any assumption of undesirability is self-centered and irrational.

We are not worthless but integral and consequential to all things. We are unique in every aspect. There is no one like us. We are the totality of our experiences, beliefs, perceptions, demands, and desires with unique DNA, fingerprints, and outer ears. There has never been a human being with our sensibilities, memories, motivations, and dreams.

Self-Appreciation  

Self-appreciation is recognizing and enjoying what makes you feel good about yourself. It is mindfulness of the qualities of your regenerated self-esteem.

You have been beating yourself for no apparent reason. You are not responsible for the onset of your social anxiety. And you did not make it happen. It happened to you. Notwithstanding, while not accountable for the hand you have been dealt, you are responsible for how you play the cards you’re holding. 

Give yourself credit for making life-affirming changes. Recognize and appreciate all the positive things you accomplish daily. You are in charge of your emotional well-being and quality of life. You are responsible for the regeneration of your self-esteem.

The rediscovery of your value and significance drives you to pay it forward. Self-esteem is the catalyst for self-appreciation. In reciprocation, self-appreciation consolidates self-esteem. You take care of yourself to take care of others. You embrace your worth and potential to champion them in others. 

Healthy self-esteem realizes your value and potential and recognizes that you are necessary and of incomprehensible worth. By accepting yourself, warts and all, you open yourself to sharing your authenticity. 

To feel joy and fulfillment in self-being is the experience of self-esteem. Self-esteem is a prerequisite to appreciating others. If we cannot love ourselves, we cannot love another. It is impossible to give away something unpossessed. 

Value Yourself

For every positive attempt or interaction, congratulate yourself. You are in recovery, which demands courage, commitment, and hard work. You deserve to experience the pride and satisfaction that complements such efforts fully. Reward yourself.

Take Care of Yourself

Finally, one of the most efficient and underrated ways to cultivate self-esteem and self-appreciation is through self-care.

Make Healthy Choices. Follow good health guidelines. Try to exercise at least 30 minutes a day. Eat healthily and moderately. Sleep distraction-less.

Do things you enjoy. Start by making a list of things you like to do. Try to do something from that list every day. Be mindful that you are valuable, consequential, and unique. 

Spend time with people who make you happy. Don’t waste time on people who don’t treat you well. Set reasonable boundaries.

Use hopeful statements. Social anxiety compels us to project unsatisfactory outcomes. Challenge that thinking by focusing on the positive. Remember, it is unhealthy and irrational to choose adverse outcomes. Filter out negative projections.

Forgive yourself. Everyone makes mistakes. But mistakes aren’t permanent reflections on you as a person. They’re moments in time. Mistakes are evidence of our humanness.

Avoid negative words and statements. If your thoughts are full of these words, you put too many demands on yourself. Become mindful of and limit negative words from your vocabulary and perspectives.  

Focus on the positive. Think about the parts of your life that work well. Remember the skills you’ve used to cope with challenges. Be mindful of your character strengths, virtues, and achievements. 

Consider what you’ve learned. What changes can you make to a negative experience to create a more positive outcome?

Evaluate upsetting thoughts. Think of negative thoughts as signals to try new, healthy patterns. Ask yourself, “What can I think and do to make this less stressful?”

Encourage yourself. Give yourself credit for recovery — for making positive changes. Pat yourself on the back. Treat yourself. You are as deserving as anyone.

Remember, your social anxiety does not define you. You are defined by your character strengths, virtues, attributes, and achievements. 

Be good to yourself. You deserve it.

Proactive Neuroplasticity YouTube Series

Rechanneling.org

WHY IS YOUR SUPPORT SO NECESSARY AND ESSENTIAL?  ReChanneling develops and implements programs to (1) mitigate symptoms of social anxiety and related conditions and (2) pursue personal goals and objectives – harnessing our intrinsic aptitude for extraordinary living. Our paradigmatic approach targets the personality through empathy, collaboration, and program integration utilizing neuroscience and psychology, including proactive neuroplasticity, cognitive-behavioral modification, positive psychology, and techniques designed to regenerate self-esteem. All donations support scholarships for groups and workshops.   

INDIVIDUAL RECOVERY. The symptoms of social anxiety make it challenging for some to participate in a collective workshop. Dr. Mullen works one-on-one with a select group of individuals uneasy in a group setting. ReChanneling offers scholarships to accommodate the costs. What is absent in group activities is provided in our monthly, no-cost Graduate Recovery Group. In this supportive community, graduates interact with others who have completed the program.  Contact ‘rmullenphd@gmail.com’.        

Committing to recovery is one of the hardest things you will ever do.
It takes enormous courage and the realization that you are of value,
consequential, and deserving of happiness.