Today, I wanted to share my Blogger Interview with Robert F. Mullen, the latest episode of my podcast. I’ve known him for a really long time thanks to blogging and I have really admired the work he does. As you will notice if you decide to visit his site, he has a doctorate and his area of expertise is social anxiety.
In this interview, we talk about so many things but in particular we focused on mental health and social anxiety. These topics are actually quite personal to me because I’ve been suffering from both depression and social anxiety since I was a teenager. And as he mentions in the interview, these two disorders often go hand in hand.
Robert F. Mullen’s approach is quite different from what I have seen, read and heard about social anxiety. And since he was someone who once suffered from social anxiety himself, I think he has a really accurate idea of what it’s like. He views recovery from social anxiety as “a collaboration of science, philosophy, and psychology” and believes that therefore its remedy must be thought of in the same way.
And from my own experiences with social anxiety, I can’t help but agree. When it comes to research about mental health, I find that it’s always from a specific lens. It focuses on science or psychology or other aspects. But the truth is, for a lot of people at least, it’s a combination of everything that causes the disorder.
If this sort of content sounds interesting to you, check out our interview below. And don’t forget to check out his site. It’s truly a mine of information.
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Lifesfinewhine, a pioneering international website from Kenya, offers invaluable insights into mental health issues. The site’s producer, Pooja G, was diagnosed with depression and social anxiety as a teenager. Her journey, marked by rigorous research and deep self-reflection, has given her a profound understanding of mental health illnesses and the stigma that often surrounds them.
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Comments
“Another very interesting and informative interview. I was particularly uplifted, by the fact that he went through so many transitions in life, before finding his true calling. I admire his approach to his practice. His clients… his life.” – byngnigel
“Another great interview. I love how he is for the underdog.” – Joseph Glidden
“That was a wonderful interview! I am also someone who suffers from social anxiety, thanks for all the work you do Robert!” – Carol anne
”Great interview with Robert Mullen… I love his approach coming from his own background and passing it on to support others.” – Cindy Georgakas
What is your truth? What is your secret? What secrets are you keeping from the world that you hope one day you will be brave enough to tell? When will you tell your heart? All The Words I Kept Inside allows you this moment.
This collection of poetry urges you to look deeply inside and confront your darkest thoughts. It takes that inner dread, disappointment, and heartache to reveal the words of the heart. This book will show you that you are not alone. That you are understood. That you don’t have to go through these dark moments on your own because so many of us experience them too. The words found inside will reach out a hand and guide you. Amazon Books
WHY IS YOUR SUPPORT SO NECESSARY AND ESSENTIAL?ReChanneling develops and conducts programs to alleviate the symptoms of social anxiety and help individuals tap into their innate potential for extraordinary living. Our unique approach focuses on understanding personality through empathy and collaboration, integrating neuroscience and psychology. This includes proactive neuroplasticity, cognitive-behavioral modification, positive psychology, and techniques designed to reclaim and rebuild self-esteem. Every contribution, no matter the size, supports individuals striving to make a positive change in their own lives and the lives of others. All donations go towards scholarships for groups and workshops.
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.
“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)
This series of videos explains how, through proactive neuroplasticity, we compel our neural network to repattern its neural circuitry, generating a correlated change in behavior and perspective. The deliberate, repetitive neural input (DRNI) of information dramatically accelerates and consolidates learning through synaptic neurotransmission.
The series further describes how we replace or overwhelm our negative thoughts and behaviors through CBT, proactive and active neuroplasticity, positive psychology, psychoeducation, roleplay, gradual exposure, and other individually targeted approaches.
This 8th video in our series discusses recovery from social anxiety and related conditions by establishing coping mechanisms.
Coping Mechanisms, Part 1
Social anxiety is culturally identifiable by the persistent fear and avoidance of social interaction and performance situations. Which causes us to miss the life experiences that connect us with the world. Adaptive coping mechanisms help us cope with stress, anxiety, and their provoking triggers.
Our primary recovery goal is the dramatic alleviation of our irrational fears, anxieties, and their triggers. We achieve this through a three-pronged approach where we:
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.
Regenerate our self-esteem through positive reinforcement and mindfulness of our assets, utilizing methods targeted toward our individuality.
Coping Strategies versus Coping Mechanisms
Coping strategies are the methods or approaches that best execute our three objectives. In recovery workshops, we emphasize response-focused and solution-focused strategies. But multiple complementary strategies are utilized. Including problem and emotion-focused coping strategies that help us manage our response to feared situations.
Coping mechanisms are tools and techniques that implement our strategies. Tools and techniques that help us cope with stress, anxiety, and their corresponding triggers. They range from practiced skills in recovery to everyday stress reduction, like gardening, journaling, and listening to music. Coping Mechanisms, Part 1 focuses on the psychological benefits of coping methods and the three primary mechanisms: grounding, reframing, and rational response.
Coping mechanisms are adaptive – they can be tailored to our individual needs and circumstances, positively contributing to our emotional well-being. These empower us to manage our reactions and response to feared situations, giving us control over our recovery journey.
Video Series #8: Coping Mechanisms, Part 1
Coping mechanisms are tools and techniques that help us manage and alleviate our situational anxieties and stress triggers. Part 1 focuses on the psychological benefits of coping methods and the three primary mechanisms – grounding, reframing, and rational response. In Part 2, or video #9, we’ll delve into secondary coping mechanisms and their appropriate utilization, providing a comprehensive understanding of the most effective coping strategies for mitigating our situational fears and anxieties. LINK
Video Series #7: Constructing Our Neural Information
Neural information is constructed by establishing our goal, identifying the objectives or steps we take to implement that goal, and determining the Information – the self-affirming or motivating statement we deliberately and repetitively input into our neural network. We want our information to be authentic and of sound construction to engage the full capacity of positive neural response. The integrity of our goal, objectives, and information correlates to the durability and efficacy of the neural response. LINK
Video Series #6: Affirmative Visualization
By visualizing a positive outcome prior to a feared situation, we experience behaving a certain way in a realistic scenario and, through repetition, attain an authentic shift in our behavior and perspective. It is a form of proactive neuroplasticity, and all the neural benefits of that science are accrued. Just as our neural network cannot distinguish between toxic and healthy information, it also does not distinguish whether we are physically experiencing something or imagining it. LINK
Video Series #5: Challenging Our Self-Destructive Thoughts
In this video, we focus on the trajectory of our self-destructive thoughts that impact our emotional wellbeing and quality of life. They originate with our negative core beliefs generated by our disorder which influence our intermediate beliefs from life experiences and form our ANTs or automatic negative thoughts that underscore our situational fears and anxieties. LINK
Video Series #4: The Power of Positive Personal Affirmations
We drastically underestimate the significance and effectiveness of PPAs because we do not understand the science behind them. PPAs are brief, individually focused statements that we repeat to ourselves to describe what and who we want to be. PPAs help us focus on goals, challenge negative, self-defeating beliefs, and reprogram our subconscious minds. Practicing positive personal affirmations is an extremely effective form of DRNI or the deliberate, repetitive input of neural information that supports proactive neuroplasticity. LINK
Video Series #3: Tools and Techniques
Proactive neuroplasticity is the process of deliberately and repetitively inputting positive information into our neural network to consolidate learning and unlearning. What is that information? How is it constructed? The objective is to ensure the information is of the highest quality to effect change. What are the best tools and techniques? What methodologies and psychological support systems are best suited to support proactive neuroplasticity – to help us unlearn the toxicity of negative self-beliefs, replacing them with healthy, positive ones. LINK
Video Series #2: Three Forms of Neuroplasticity
Reactive neuroplasticity is our brain’s natural adaptation to sensory information. Active neuroplasticity is neural information acquired through conscious activity, which includes all forms of deliberate learning. Proactive neuroplasticity is the conscious, intentional repatterning of our neural network utilizing tools and techniques that facilitate the process. The deliberate, repetitive, input of neural information empowers us to proactively transform our thoughts and behaviors, creating healthy new mindsets, skills, and abilities. LINK
Video Series #1: Introduction
Research has established that our neural network is a dynamic organism, constantly adapting and rebuilding to each new input of information. Scientists refer to the process of neuroplasticity as the structural remodeling of the brain. By deliberately enhancing the process, we can proactively transform our thoughts, behaviors, and perspectives, creating healthy new mindsets, skills, and abilities. All information notifies our neural pathways to restructure, generating a correlated change in behavior and perspective. LINK
The video series describes the evolution of the science of neuroplasticity, differentiating reactive and active from proactive neural input. Videos diagram the trajectory of neural information. And how it impacts the various lobes of the human brain responsible for cognitive learning. The neural input of data, coded into electrical energy, causes a receptive neuron to fire that energy onto a sensory neuron. Which forwards the information to millions of participating neurons.
Benefits of Neural Restructuring
The videos demonstrate how this cellular chain reaction reciprocates that initial electrical energy in abundance due to the amplified neural response. Positive information input, positive energy multiplied millions of times, positive energy reciprocated in abundance. Each neural input of information impacts millions of neurons as they restructure our neural network to a form conducive to a positive self-image.
Subsequently, the natural hormonal neurotransmissions reward our activity with GABA for relaxation, dopamine for pleasure, endorphins for euphoria, serotonin for a sense of well-being, and hormones that support our motivation, enhance our memory, and improve concentration.
However, since our brain doesn’t distinguish healthy from toxic information, the neurotransmission of pleasurable and motivational hormones happens whether we feed it self-destructive or constructive information. That’s one of the reasons breaking a habit, keeping to a resolution, or achieving our desired goal is challenging. And why positive informational input is crucial for recovery and self-transformation.
“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.
Contemporary wisdom disputes the effectiveness of one-size-fits-all approaches to behavioral modification. So these videos evidence how integrating science and east-west psychologies is best suited to positively modifying our thoughts and behaviors. Science gives us proactive neuroplasticity, cognitive-behavioral modification, and positive psychology’s optimal functioning, which are Western approaches. Eastern practices give us Abhidharma psychology and the overarching truths of ethical behavior.
Our core and intermediate beliefs condition our neural system. Childhood disturbance and emotional malfunction negatively impact these beliefs, generating negative self-appraisal that affects our emotional well-being and quality of life.
The mechanics of Hebbian Learning define how the repeated proactive input of information correlates to more robust and practical learning. Hebb’s rule states the more repetitions, the quicker and stronger the connections. Harmful behaviors are unlearned, and healthy ones are adopted through deliberate and calculated activity. Negative core and intermediate beliefs are challenged and replaced by healthy and life-affirming ones. Videos demonstrate how deliberate, repetitive neural information alleviates emotional malfunction and empowers us to achieve our goals and objectives.
Proactive neuroplasticity is theoretically simple but challenging due to the commitment and endurance required for the long-term, repetitive process. We advance to Wimbledon with decades of practice on the courts. Philharmonics cater to pianists who have spent years at the keyboard. Proactive neuroplasticity requires a calculated regimen of deliberate, repetitive neural information that is tedious and fails to deliver immediate tangible results. Causing us to readily concede defeat and abandon hope in this era of instant gratification.
The positive impact of proactive neuroplasticity is exponential due to the abundant reciprocation of positive electrical energy and the neurotransmission of hormones that generate motivation, persistence, and perseverance. Proactive neuroplasticity dramatically mitigates symptoms of emotional dysfunction and advances our pursuit of goals and objectives.
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.
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.
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 ourbehaviors, 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.
“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)
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.
“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.
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, wepredict 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, andthe 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.
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 condition. We 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 alwaysbe 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.
InternalBlaming
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 webelieve 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 moreconnected, 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 whichwe 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 conclusionscan also instigate labeling.
OtherLabeling
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 arethe 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 overgeneralizewhen we drawconclusions 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 conclusionsinvolves makingbroad 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, weassume 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.
Catastrophizingcompels 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 experiencemigraines 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 wetake 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.
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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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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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:
CBT is the most researched form of psychotherapy.
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.
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.
ACBT (Association for Behavioral and Cognitive Therapies). (2019). The world confederation of cognitive and behavioral therapies (WCCBT). Retrieved September 22, 2019, from http://www.abct.org/docs/Members/WCCBT_2019.pdf
Ackerman, C. (2019). What is self-esteem? A psychologist explains. Positive Psychology. Retrieved August 10, 2019, from http:www.positive psychology.com/self-esteem/
Ades, T., & Dias, S. (2013). Social anxiety disorder: Recognition, assessment and treatment. NICE Clinical Guidelines, No. 159. Retrieved October 17, 2019, from https://www.ncbi.nlm.nih.gov/books/NBK327649/
Alden, L. E., Buhr, K., Robichaud, M., Trew, J. L., & Plasencia, M. L. (2018). Treatment of social approach processes in adults with social anxiety disorder. Journal of Consulting and Clinical Psychology, 86(6), 505–517. https://doi.org/10.1037/ccp0000306
Amen, D. G. (1998). Change your brain, change your life: The breakthrough program for conquering anxiety, depression, oppressiveness, anger, and impulsiveness. New York City: Three Rivers Press.
APA (American Psychiatric Association). (2017). Social anxiety disorder. In Diagnostic and statistical manual of mental disorders: Fifth edition. Washington, DC: American Psychiatric Association.
Aquinas, T. (1981). St. Thomas Aquinas Summa Theologica. Chicago: Thomas More Publishing.
Capon, A. G., & Blakely, E. J. (2007). Checklist for healthy and sustainable communities. New South Wales Public Health Bulletin, 18, 51–54. https://doi.org/10.1071/nb07066
Castella, K. D., Goldin, P., Jazaieri, H., Ziv, M., Heimberg, R. G., & Gross, J. L. (2014). Emotion beliefs in social anxiety disorder: Associations with stress, anxiety, and well-being. Australian Journal of Psychology, 66, 139–148. https://doi.org/10.1111/ajpy.12053
Chapdelaine, A., Carrier, J.-D., Fournier, L., Duhoux, A., & Roberge, P. (2018). Treatment adequacy for social anxiety disorder in primary care patients. PLoS ONE, 13(11). https://doi.org/10.1371/journal.pone.0206357
Cuijpers, P., Cristea, L. A., Karyotaki, E., Reijnders, M., & Huibers, M. J. H. (2016). How effective are cognitive behavior therapies for major depression and anxiety disorders? A meta-analytic update of the evidence. World Psychiatry, 15, 245–258. https://doi.org/10.1002/wps.20346
Cuming, P., & Rapee, S. (2010). Social anxiety and self-protective communication style in close relationships. Journal of Behaviour Research and Therapy, 48(2), 87–96. https://doi.org/10.1016/j.brat.2009.09.010
Darcy, K., Davila, J., & Beck, G. (2005). Is social anxiety associated with both interpersonal avoidance and interpersonal dependence? Cognitive Therapy and Research, 29(2), 171–186. https://doi.org/10.1007/s10608-005-3163-4
David, D., Cristea, I., & Hoffman, S. G. (2018). Why cognitive behavioral therapy is the current gold standard of psychotherapy. Frontiers in Psychiatry, 9(4). https://doi.org/10.3389/fpsyt.2018.00004
Deci, E. L., & Ryan, R. M. (2000). The “what” and “why” of goal pursuits: Human needs and the self-determination of behavior. Psychological Inquiry, 11(4), 227–268. https://doi.org/10.1207/s15327965pli1104_01
Desnoyers, A. J., Kocovski, N. L., Fleming, J. E., & Antony, M. M. (2017). Self-focused attention and safety behaviors across group therapies for social anxiety disorder. Anxiety Stress & Coping, 30(4), 441–455. https://doi.org/10.1080/10615806.2016.1239083
Fatima, M., Naizi, S., & Gayas, S. (2018). Relationship between self-esteem and social anxiety: Role of social connectedness as a mediator. Pakistan Journal of Social and Clinical Psychology, 15(2), 12–17. Retrieved from http://www.gcu.edu.pk/FullTextJour/PJSCS/2017b/2.%20%20Saba%20Ghayas%20(1).pdf
Gaudiano, B. A., & Herbert, J. D. (2003). Preliminary psychometric evaluation of a new self-efficacy scale and its relationship to treatment outcome in social anxiety disorder. Cognitive Therapy and Research, 27(5), 537–555. https://doi.org/10.1023/A:1026355004548
Grant, B., Hasin, D., Blanco, C., Stinson, F., Chou, S., & Goldstein, R. B. (2005). The epidemiology of social anxiety disorder in the United States: Results from the national epidemiologic survey on alcohol and related conditions. Journal of Clinical Psychiatry, 66(11), 1351–1361. https://doi.org/10.4088/jcp.v66n1102
Gregory, B., Wong, Q. J. J., Craig, D., Marker, C. D., & Peters, L. (2018). Maladaptive self-beliefs during cognitive behavioural therapy for social anxiety disorder: A test of temporal precedence. Cognitive Therapy and Research, 42(3), 261–272. https://doi.org/10.1007/s10608-017-9882-5
Grewal, D. S. (2016). The political theology of laissez-faire: From philia to self-love in commercial society. Political Theology, 17(5), 417–433. https://doi.org/10.1080/1462317X.2016.1211287
Halloran, M., & Kashima, E. (2006). Culture, social identity, and the individual. In Individuality and the group: Advances in social identity. London: Sage. https://doi.org/10.4135/9781446211946.n8
Hazlett-Stevens, H., & Craske, M. G. (2002). Brief cognitive-behavioral therapy: Definition and scientific foundations. In F. W. Bond & W. Dryden (Eds.), Handbook of brief cognitive behaviour therapy (pp. 1–20). New York: Wiley.
Heeren, A., & McNally, R. J. (2018). Social anxiety disorder as a densely interconnected network of fear and avoidance for social situations. Cognitive Therapy and Research, 42(6), 103–113. https://doi.org/10.1007/s10608-018-9952-3
Hirsch, C. R., and Clark, D. (2004). Information-processing bias in social phobia. Clinical Psychology Review, 24(7):799-825 (2004). doi:10/1016/j.cpr.2004.07.005
Hoffman, S. G., Asnaani, M. A. U., & Hinton, D. E. (2010). Cultural aspects in social anxiety and social anxiety disorder. Depression and Anxiety, 27(12), 1117–1127. https://doi.org/10.1002/da.20759
Hulme, N., Hirsch, C., & Stopa, L. (2012). Images of the self and self-esteem: Do positive self-images improve self-esteem in social anxiety? Cognitive Behaviour Therapy, 41(2), 163–173. https://doi.org/10.1080/16506073.2012.664557
Jazaieri, H., Morrison, A. S., & Gross, J. J. (2015). The role of emotion and emotion regulation in social anxiety disorder current. Psychiatry Reports, 17(1), 531. https://doi.org/10.1007/s11920-014-0531-3
Jericho, L. (2015). Innerspring: Eros, agape, and the six forms of loving. Lilipoh, 20(79), 38–39.
Johnsen, T. J., & Friborg, O. (2015). The effects of cognitive-behavioral therapy as an anti-depressive treatment is falling. Psychological Bulletin, 141(4), 747–768. https://doi.org/10.1037/bul0000015
Kaczkurkin, A. N., & Foa, E. B. (2015). Cognitive-behavioral therapy. Dialogues in Clinical Neuroscience, 17(3), 337–346. Cognitive-behavioral therapy for anxiety disorders: An update on the empirical evidence.
Kampmann, I. L., Emmelkamp, P. M. G., & Morina, N. (2019). Cognitive predictors of treatment outcome for exposure therapy: Do changes in self-efficacy, self-focused attention, and estimated social costs predict symptom improvement in social anxiety disorder? BMC Psychiatry, 19(80). https://doi.org/10.1186/s12888-019-2054-2
Kashdan, T. B., Weeks, J. W., & Savostyanova, A. A. (2011). Whether, how, and when social anxiety shapes positive experiences and events: A self-regulatory framework and treatment implications. Clinical Psychology Review, 31, 786–799. https://doi.org/10.1016/j.cpr.2011.03.012
Lacan, J. (1978). Seminar XI: The four fundamental concepts of psychoanalysis. London: W.W. Norton.
Lee, R. M., Dean, B. L., & Jung, K. R. (2008). Social connectedness, extraversion, and subjective well-being: Testing a mediation model. Personality and Individual Differences, 45(5), 414–419. https://doi.org/10.1016/j.paid.2008.05.017
Lomas, T. (2017). The flavours of love: A cross-cultural lexical analysis. Journal for the Theory of Social Behaviour, 48(1), 134–152. https://doi.org/10.1111/jtsb.12158
Montesi, J. L., Conner, G. T., Gordon, E. A., & Fauber, R. L. (2013). On the relationship among social anxiety, intimacy, sexual communication, and sexual satisfaction in young couples. Archives of Sexual Behavior, 42, 81–91. https://doi.org/10.1007/s10508-012-9929-3
Nagata, T., Suzuki, F., & Teo, A. R. (2015). Generalized social anxiety disorder: A still-neglected anxiety disorder 3 decades since Liebowitz’s review. Psychiatry and Clinical Neurosciences, 69(12), 724–740. https://doi.org/10.1111/pcn.12327
NCCMH (National Collaborating Centre for Mental Health (UK). (2013). Social anxiety disorder: Recognition, assessment and treatment. NICE Clinical Guidelines, No. 159. Retrieved September 15, 2019, from https://www.ncbi.nlm.nih.gov/books/NBK266258/
Plato. (1992). The republic. Indianapolis, IN: Hackett Publishing.
Read, D. L., Clark, G. I., Rock, A. J., & Coventry, W. L. (2018). Adult attachment and social anxiety: The mediating role of emotion regulation strategies. PLoS ONE, 13(12). https://doi.org/10.1371/journal.pone.0207514
Ritter, V., Ertel, C., Beil, K., Steffens, M. C., & Stangier, U. (2013). In the presence of social threat: Implicit and explicit self-esteem in social anxiety disorder. Cognitive Therapy & Research, 37(6), 1101–1109. https://doi.org/10.1007/s10608-013-9553-0
Rodebaugh, T. L., Lim, M. H., Shumaker, E. A., Levinson, C. A., & Thompson, T. (2015). Social anxiety and friendship quality over time. Cognitive Behaviour Therapy, 44(6), 502–511. https://doi.org/10.1080/16506073.2015.1062043
Rosenberg, M. (1965). Society and the adolescent self-image. Princeton, NJ: Princeton University Press.
Ryan, R. M., & Deci, E. L. (2001). On happiness and human potentials: A review of research on hedonic and eudaimonic well-being. Annual Review of Psychology, 52, 141–166. https://doi.org/10.1146/annurev.psych.52.1.141
Sharma, A. (2014). Self-esteem is the sense of personal worth and competence that persona associate with their self—concepts. IOSR Journal of Nursing and Health Science, 3(6), Ver.4: 16–20.
Shields, C. (2015). Aristotle. In Stanford encyclopedia of philosophy. Stanford, CA: The Metaphysics Research Lab. Retrieved August 23, 2019, from https://plato.stanford.edu/entries/aristotle/
Steele, B. F. (1995). Psychodynamic and Biological Factors in Child Maltreatment. In Helfer, M. E., Kempe, R. S., Krugman, R. D. (Eds. ) The Battered Child, (fifth edition), (pp. 73-103). University of Chicago Press. doi: https://doi.org/10.1192/S000712500015041X
Tsitsas, G. D., & Paschali, A. A. (2014). A cognitive-behavior therapy applied to a social anxiety disorder and a specific phobia, case study. Health Psychology Research, 2(3), 1603. https://doi.org/10.4081/hpr.2014.1603
Wong, Q. L. L., Moulds, M., & Rapee, R. M. (2013). Validation of the self-beliefs related to social anxiety scale. Assessment, 21(3), 300–311. https://doi.org/10.1177/1073191113485120
Zimmerman, M., Dalrymple, K., Chelminski, I., Young, D., & Galione, J. H. (2010). Recognition of irrationality of fear and the diagnosis of social anxiety disorder and specific phobia in adults: Implications for criteria revision in DSM-5. Depression and Anxiety, 27(11), 1044–1049. https://doi.org/10.1002/da.20716
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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 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.
Coping mechanisms help us cope with stress, anxiety, and other negative emotions. They range from practiced skills in recovery (e.g., grounding, reframing, and rational coping statements) to everyday stress reducers like gardening, journaling, and listening to music.
Social anxiety is culturally identifiable by the persistent fear and avoidance of social interaction and performance situations, which causes us to miss the life experiences that connect us with the world.
Our primary recovery goal is the dramatic moderation of these symptoms. To achieve this, we identify three objectives: To
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.
Regenerate our self-esteem and reintegrate into society through mindfulness and reinforcement of our character strengths, virtues, attributes, and achievements.
Coping Strategies and Coping Mechanisms
Coping strategies are the methods or approaches that best execute our three objectives. On the other hand, coping mechanisms are tools and techniques that implement our coping strategies. The distinctions are important.
For example, to support a response-based strategy, we would utilize cognitive coping mechanisms that focus on our automatic negative thoughts and reduce the influx of our fear and anxiety-provoked chemical hormones.
A comprehensive recovery program employs multiple strategies sustained by cooperative coping mechanisms. These applications are not rigidly distinct solutions but complementary. One-size-fits-all approaches cannot address the underrated complexity of social anxiety.
Coping mechanisms alleviate our situational fears and anxieties, allowing us to step outside the bullseye and objectively analyze our irrational thoughts and behaviors to respond rationally and productively.
In general terms, coping mechanisms help us cope with stress, anxiety, and other negative emotions. They range from practiced skills in recovery (e.g., grounding, reframing, and rational response) to everyday stress reducers like gardening, journaling, and listening to music. Healthy coping mechanisms are situationally adaptive.
“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)
Decompensation
Without coping mechanisms, healthy or otherwise, we can experiencedecompensation – the inability or unwillingness to generate effective psychological stress response, resulting in personality disturbance or disintegration.
Defense Mechanisms
Defense mechanisms are temporary safeguards against situations that challenge our conscious minds. They are ostensibly automatic psychological responses designed to protect us from our fears and anxieties.
Cognitive distortions are exaggerated or irrational thought patterns that perpetuate our anxiety and depression. They are defense mechanisms that reinforce or justify our toxic behaviors. And validate our irrational attitudes, rules, and assumptions. They twist reality, painting an inaccurate picture of the self in the world with others. They interpret experiences through a glass darkly.
Any process that protects us from our fears, anxieties, and threats to our emotional well-being is a defense mechanism. Some, like avoidance, humor, and isolation, require no explanation. Others, such as compensation and dissociation, have positive applications in recovery.
Situations
A situation is a set of circumstances – the facts, conditions, and incidents affecting us at a particular time in a specific place. A feared situation provokes anxieties and apprehensions that negatively impact our activities and relationships.
Two Types of Situations
Two types of situations concern us: the anticipated situation and the unexpected one.
Anticipated situationsare those that we know, in advance, trigger our fears and anxieties. They can be one-off situations like a job interview or social event. They can be recurring situations like the classroom or our daily work environment.
Knowing our feared situation in advance gives us ample opportunity to devise a structured plan to counter our fears and anxieties. We develop it utilizing situationally focused coping mechanisms in a workshop environment. We practice our plan in non-threatening simulations. This method is called graded exposure or systematic desensitization.
Exposing ourselves to a feared situation without a strategy and functional coping mechanisms is jumping out of an airplane without a parachute. In the words of a master of moderation, Benjamin Franklin, “Failing to plan is planning to fail.”
Unexpected situationsare those that catch us by surprise – stress-provoking chance encounters such as faulty plumbing, an unexpected guest, or losing a wallet.
Knowing how to respond effectively to unexpected situations is like playing bridge. We know what’s in our hand (our coping mechanisms) but don’t know which card to play until we see the others on the table. Accordingly, we assemble our emergency preparedness kit – a variety of practiced coping mechanisms proven subjectively effective.
“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.
Associated Fears and Corresponding ANTs
Automatic negative thoughts are immediate, involuntary expressions of our fears and anxieties. These thoughts can occur in advance of, during, or after a feared situation. ANTs are terse emotional responses, unbased upon reason or deliberation. They are the unpleasant expressions of our negative self-beliefs that define who we are, who we think we are, and who we think others think we are.
Alleviating Our Symptoms
Coping mechanisms are valuable tools in the recovery process. Their role is to offset the negative stimuli within the situation, allowing us to de-stress and reframe our responses.
We develop and practice detailed coping mechanisms in a workshop environment. Introspection, collective activities, and graded exposure are helpful to the client in determining the mechanisms that are most individually effective and adaptable.
Know the Enemy
Did you ever try to talk to someone about your social anxiety? It’s hard. Like it’s some alien disease or something. Nobody gets it. That is why we are reluctant to disclose it. Many of us deliberately choose to remain ignorant of SAD’s destructive capabilities. Others pretend it doesn’t exist or ignore it, hoping it will disappear or no one will notice. Our resistance is a significant impediment to our recovery.
It is disconcerting how many affected clients are unfamiliar with SAD’s causes, symptoms, and impact. The information is readily available. When we have the sniffles, we dash to the internet and familiarize ourselves with every snake oil remedy known to civilization. Nevertheless, despite experiencing social anxiety for decades, it remains as mysterious to some as the mating habits of the Loch Ness Monster.
It is essential to know the symptoms of our condition and how they impact us. To paraphrase Sun Tzu, our chances of recovery are negligible if we neither know the enemy nor ourself. It is pointless to assemble a puzzle if the pieces are missing.
There are multiple ways to mitigate the anxiety of negative triggers. Three of the more effective are grounding, positive reframing, and rational response.
Grounding
Grounding is turning attention away from anxiety-provoking thoughts, memories, or worries and refocusing on the present moment. It refers to any technique that brings our attention to the present physical moment. Whenever we feel anxious or stressed, we can use grounding techniques to distract ourselves from the emotional situation.
This research-based strategy helps us moderate our situational fears and automatic negative thoughts. If we find ourselves in moments of stress or panic, grounding techniques can help our body relax and return to the present moment.
One of the most common grounding techniques is the 5-4-3-2-1 technique, which grounds us to the moment by reconnecting us to one or more of our five senses. We deliberately focus on objects, sounds, smells, tastes, and our bodies. Doing so moderates our emotional distress by distracting our anxiety.
Rational Response
Our automatic response to everything is emotional. To moderate negative emotions, we address them rationally. A rational response is a logical, self-affirming counter to our fears, issues of self-esteem, and automatic negative thoughts.
How do we respond to these triggers? First, we identify the situation where it happens: Where are we, what are we doing, who and what is involved, etc.? Then, we unpack our associated fears and corresponding ANTs.
Remember, fears are irrational, as is predicting what will happen. Knowing what others are thinking is also irrational unless we’re mind readers. It is all subjective projection.
So, we rationally respond to our fears to moderate them. Example: speaking in front of a group. What are our fears? (Again, they are subjective.) Let us go with our fear of criticism. What might our automatic negative thoughts FIX consist of? “They’ll think I’m stupid.” “They’ll make fun of me.” “I’ll make a fool of myself.”
Rational responses might be: “I am entitled to be here as much as anyone.” “I am valuable and significant.” “I am equal to anyone here.” These are accurate responses to unreasonable, self-defeating thoughts.
Positive Reframing
Our neural network is overwhelmed with negativity. Humans are hard-wired with a negativity bias, meaning we respond to negative things over positive ones.
Social anxiety and low self-esteem sustain themselves through our negative self-appraisal.
Positive reframing is turning a negative perspective into a positive one. By reframing, we identify our triggers and self-esteem issues and change how we react and respond to them. Any situation always offers multiple perspectives. While we cannot control everything that happens, we can control how we react and respond.
One example of reframing is viewing a problem or issue as a challenge or opportunity. We reframe an argument by looking at it from the other’s perspective. In a snowstorm, we can either be housebound and despondent or take the sleds and ice skates out of the closet and enjoy the day. Experts agree that positive reframing is critical for emotional well-being.
As we progress in recovery, grounding, positive reframing, and rational response become habitual and automatic.
Seek Progress, Not Perfection
SAD persons worry about their performance before and during a situation and obsess about the outcome long after. We fear criticism and negative appraisal. We set unreasonable expectations to compensate for our perceptions of incompetence and inadequacy, and then we beat ourselves up when our expectations are unmet. Perfectionism is not the desire to do well but the need to be faultless. Anything less is unsatisfactory. Perfectionism and social anxiety have a parallel relationship.
Recovery, however, is a life’s work in progress. There is no absolute cure for social anxiety, but with work and over time, we experience a dramatic and exponential alleviation of our symptoms. The key is progress over perfection.
Set Reasonable Expectations
An expectation, by definition, is afirm belief that something will take place in the future. When we set an expectation, we invest a fervid interest in its outcome. What happens in the likelihood that our expectations are unmet? Because we have a vested interest, we are psychologically attached to the outcome. Fixed In our minds, we see it as a reality. When it does not go our way, the general response is one of disappointment.
Experts describe the reaction to disappointment as a form of sadness – an expression of desperation or grief due to loss. While it is true that we cannot lose what we have not acquired, fixing the expectation in our mind makes it real and visceral. Loss leads to depression, self-loathing, and other traits associated with perfectionism and social anxiety.
Engender Joy and Laughter
The endorphins and chemical hormones transmitted by positive emotions dramatically enhance our psychological well-being. Joy and laughter counteract anxiety and defuse anger, resentment, and shame. Theystrengthen our immune system,boost energy levels, and enhance memory and concentration. When we smile and laugh, the influx of our fear and anxiety-provoking hormones decreases. Finding humor in stressful situations reframes our perspective and takes the edge off our anxiety. It provides a sense of shared comradery and community, which helps counter our fear and avoidance of intimacy and social events, improving our physiological and psychological health.
Remember, You Are Not Alone
Roughly 124 million U.S. adults and adolescents experience anxiety disorders. 60% of those have depression, and many resort to substance abuse. Persons experiencing SAD are too preoccupied with their center of attention to seek us out for judgment or criticism. Roughly two of five people in any situation are experiencing anxiety. So, when we worry and stress during a social event, we are in good company. Social anxiety is common, universal, and indiscriminate. We are never alone.
GENERAL COPING STRATEGIES
Controlled Breathing
Controlled breathing reduces stress, increases our mental awareness, and boosts our immune system, Scientific studies show that this simple grounding technique dramatically mitigates symptoms associated with anxiety, depression, and other stress-related conditions. Grounding distracts from negative stimuli by focusing on the present through our body and senses. It helps us manage our negative thoughts and reactions.
Our vagus nerve controls our heart rate and nervous system and manages our fight or flight (freeze, fawn, flop) response. Science tells us that the simplest way to manipulate our vagus nerve is to practice controlled breathing, which decreases the flow of cortisol, adrenaline, and norepinephrine while releasing mood—and memory-enhancing chemical hormones like GABA and serotonin.
Positive Personal Affirmations
Positive personal affirmations are self-motivating and empowering statements that help us focus on goals, challenge negative, self-defeating beliefs, and reprogram our subconscious minds. We drastically underestimate the significance and effectiveness of PPAs because we don’t appreciate the neuroscience behind them.
Providing all the neural benefits of positive reinforcement, our PPAs self-describe who and what we aspire to be in our emotional development. PPAs are rational, reasonable, possible, positive, unconditional, problem-focused, brief, and in first-person present or future time. Think of PPA’s as aspirations or self-fulfilling prophecies that, through deliberate repetition, help replace our abundance of negative neural information with healthy, productive input.
Progressive Muscle Relaxation (PMR)
PMR is another grounding technique. We progressively relax our muscle groups, beginning with the lower extremities and extending to the forehead. Like controlled breathing, there are long and short applications. Abbreviated PMR takes less than a minute and can be executed surreptitiously during a situation. This coping mechanism relieves the discomforting muscle tension aggravated by stress. It also reduces the influx of our fear and anxiety-provoking hormones while momentarily distracting us from our negative thoughts and reactions.
Slow Talk
Our anxiety often compels us to mumble or rush our words under pressure. Slow talk is deliberately speaking slowly and calmly. It slows our physiological responses, alleviates rapid heartbeat, and lowers our blood pressure. It is also helpful to incorporate the 5-second rule, i.e., pause any response for five thoughtful seconds. Not only does this coping mechanism moderate the flow of cortisol, adrenaline, and other stress-provoking hormones, but it also presents the appearance of someone considerate and confident.
Affirmative Visualization
An affirmative visualization isa positive outcome scenario we mentally create by imagining or visualizing it. All information passes through our brain’s thalamus, which makes no distinction between inner and outer realities. Whether we visualize doing something or actually do it, we stimulate the same regions of our neural network. Visualizing raising our left hand is, to our brain, the same thing as physically raising our left hand.
Affirmative visualization activates our dopaminergic-reward system, decreasing the neurotransmissions of anxiety and fear-provoking hormones and accelerating and consolidating the beneficial ones. When we visualize, our brain generates alpha waves, which can reduce the symptoms of anxiety and depression.
Research shows that visualizing a situation in advance improves our mental and physical aptitude. We consciously source information that will enhance our performance outcomes, dramatically improving the likelihood of success in the actual situation. IT also produces the same neural benefits as any other form of proactive neuroplasticity, i.e., the deliberate, repetitive neural input of positive information.
Character Focus
Focusing on our character strengths, virtues, attributes, and achievements channels our emotional angst to mental deliberation, mitigating our fears, anxieties and corresponding ANTs. It supports the regeneration of our self-esteem as we rebuild our latent self-qualities. By manifesting our character strengths and achievements, we reframe our perspective, empowering our asset awareness and generating renewed self-confidence.
Distractions/Diversions
Distractions are mental grounding techniques that engage our focus when confronted by anxiety. Also called directed attention, we focus our attention on a sensory target (i.e. sight, tactile, sound, smell, and taste) to supersede moments of stress and discomfort in our feared situation. Snapping a rubber band on our wrist to momentarily ground our attention is a prime example of a tactile distraction.
Diversions are activities that fulfill the same function (e.g., initiating small talk or humming a song to yourself.) A diversion rechannels the stress of a situational fear or anxiety into a diversionary tactic. These physical diversions and mental distractions temporarily alleviate our fears and anxieties and help manage our negative thoughts and reactions.
Persona
Our body language represents roughly sixty percent of communication. Ten percent is words, and thirty percent is sounds (sighing, laughing, moaning). Persona is the social face we present to our exposure situation, designed to make a positive impression while concealing the nature of our social anxiety. Developing personas is vital to preparing for and adapting to multiple exposure situations.
Our persona establishes our body language. It determines how we carry ourselves, the timbre of our voice, our attitude, and the clothes and shoes we wear (boots, sneakers, high heels). It reflects our character strengths best suited for the situation. (The actor, Paul Newman, allegedly crafted his characters by initially determining their walk and posture.)
We all have multiple personas. We present ourselves differently depending upon the context of the situation, e.g., a sports event versus an interview for a job, a funeral versus a wedding, or a family dinner versus a hoedown. Our personas are ostensibly unconscious – they reflect the environment. Deliberately crafting our persona is an essential learned skill that can dramatically alleviate the stress of a situation.
Persona is an extension of the Social Psychology of Dress, which is concerned with how our dress appearance affects our behavior and that of others toward us. Our outward appearance expresses our internal vision of who we want to present. Persona is more than appearance. It is attitude and performance.
Rooted in self-complexity theory, delivering personas indicates that individuals with diverse self-aspects–different dimensions forming their identity–navigate life more effectively Developing and utilizing personas is vital to preparing for and adapting to multiple exposure situations.
Personas are not other selves distinct from who we are but different aspects of our personality. To analogize, all the clothes in our wardrobe belong to us, but we choose an outfit for a specific occasion to appeal to our sense of self. The same pattern of thought-driven choice establishes our persona.
Projected Positive Outcome
Our projected positive outcome is the reasonable expectations we set for our feared situation. We already know the projected negative outcome if we capitulate to our ANTs. Therefore, we rationally respond by setting reasonable expectations. A projected positive outcome is rational, practical, and doable to ensure success. For example, being immediately hired with a fantastic salary at a networking event is not a reasonable expectation. Making an initial and fruitful contact is an effective projected positive outcome.
Purpose
Purpose is the primary motivation behind our exposure to a situation. What do we seek or hope to accomplish? Why are we exposing ourselves? If our feared situation is the barbershop or beauty salon (not uncommon sources of anxiety), it is reasonable to consider that our purpose might be to get our hair cut or styled comfortably. Our purpose is a subjective determination.
Attending a social event offers multiple purposes, e.g., networking, carousing, making friends, and seeking an intimate relationship. However, maintaining numerous purposes reduces the probability of success, leading to disappointment and self-recrimination. Therefore, we set a reasonable expectation a focus on the principal purpose. To paraphrase a Russian proverb: if you chase two pigs, you have less chance of catching either one.
Small Talk
Small talk is an Informal greeting, comment, or conversation – discourse absent any functional topic of discussion or transaction. In essence, it is polite, non-confrontational verbal interaction meant to acknowledge presence and or open channels of further communication. This activity is not as easy as it appears for those experiencing social anxiety. In interactive workshop activities, graded exposure defines the parameters and establishes the comfort zone critical to successful small talk.
SUDS Rating and Projected SUDS Rating
The Subjective Units of Distress Scale ranges from 0 to 100, measuring the severity of our situational stress. Additionally, it allows us to set reasonable expectations of success. We evaluate what level of distress we anticipate in our feared situation (SUDS Rating) and what we project it will be upon its successful completion (Projected SUDS Rating).
Again, we set reasonable expectations. A moderate projected SUDS rating will offer the probability of a successful venture. For example, if our SUDS rating of distress for making a presentation is 80, a reasonable projected SUDS rating might be 70 or 75. Projecting a 10 SUDS rating would imply that we expect a standing ovation and a national speaking tour. It’s possible, but it is an unreasonable expectation.
Coping Mechanisms for Everyday Stress
Anything that alleviates stress qualifies as a coping mechanism. From listening to music to tending a garden, coping mechanisms are as numerous and varied as individual experience and imagination.
To iterate, some will work for us, and others we will discard. Some will work sometimes and not at other times. Many are general activities like exercise, meditation, and creativity. Examples of coping mechanisms for everyday stress include:
Arts and Crafts:
DIY
Music
Creative Pursuits
Connecting with nature
Hobbies
Personal Time
Physical Activity
Body Relaxation
Self-Empowering Activities
Coping mechanisms are tools and techniques with a wide range of uses. They assist in moderating our situational fears, anxieties, and ANTs. They temporarily allow us to step outside the bullseye so that we can objectively analyze our thoughts and behaviors. And react and respond rationally and productively. They also help us cope with everyday stress and other negative emotions.
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.
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.
“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 ouroptimal 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
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.
This reposts an article recently published on Where the Light Gets In. The conventional pathographic model of mental health focuses on the diagnosis rather than the individual. Which reduces us to a label. It is crucial to impress upon the client that they are not defined by their diagnoses. But by their character strengths, virtues, and attributes. The Wellness Model of Mental Health recognizes that we do not recover from distress by focusing on our defects and deficiencies. But on our strengths and assets.
When we label individuals or groups, we reduce them to a single, usually negative, characteristic or descriptor based on an event or behavior. As a result, we view them (or ourselves) through the label and filter out evidence that contradicts that stereotype. Labeling by diagnoses has a similar outcome.
Arbitrarily evaluating someone based on an isolated incidents or behavior is likely an inaccurate representation of that individual. One negative behavior or incident does not define someone’s character. Rather than focus on a label, it is more authentic to value the positive contributions of the person or group. We can then relate with compassionate insight, recognizing the diversity of human thought and experience.
Additionally, attempting to distinguish symptoms and identifying specific etiological and risk factors in emotional malfunction leads to speculation, errors, and misdiagnosis. This likely results in faulty treatment programs and adverse medications.
It is important to recognize that the person experiencing an emotional malfunction knows more about its personal impact than their diagnostician or therapist. This does not imply that error is inevitable, although it happens often with social anxiety disorder. It just posits the possibility.A healthy collaboration of client awareness and a doctor patient mutual dynamic is crucial to proper evaluation. In the wise words of Hippocrates, the pioneer of modern medicine. “If you are not your own doctor, you are a fool.”
“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.
Five to one, one in five. No one gets out alive…
Margaret November 3, 2023 Where the Light Gets In
The good days are finally outweighing the bad. And it’s been a long time coming.
I don’t doubt the role medication plays in this… in fact, I’d go as far as to say they’re probably the only reason my mood remains relatively stable. In a pre-emptive strike, my medication was increased recently.
I say “pre-emptive,” but in truth, I’d noticed the beginnings of a wobble. I’ve essentially re-entered the world as an actual adulting adult again. That’s not without its pressures. I didn’t really want to hang around and find out if weebles wobble enough that they eventually do fall down, so I did the only sensible thing and went back to my psych team to tell them that I was under a bit more stress than I’d previously been and I’d like to protect myself against the impact of that and the upcoming winter months. I had enough niggly signs that they agreed it was best to up the dose and add in some extra support.
To some, that might seem cowardly or lazy. Why should I think that just because I’m dealing with normal life stressors, that warrants upping my medication? Well, because I know my own limits. I know that whilst my mood wasn’t deteriorating, there is absolutely the potential for it to do so as I emerge into the world again.
Am I under any more pressure than anyone else? No. Am I, for whatever reason, less able to cope with those pressures than most people… yes. I recognize that. I accept it. And for the sake of my family, I have to be accountable for my own emotional and mental wellbeing.
I have deliberately shied away from talking about labels and diagnoses. This is the one area I really struggle with because it feels like I have more letters after my name than I can even count.
The one I struggle most with is “bipolar.” That’s a hefty label to carry around.
When you’re given a diagnosis, most psychiatrists are so risk-averse that nobody ever actually removes a previous diagnosis from your notes, even if there are questions over it.
When you’re given a diagnosis, most psychiatrists are so risk-averse that nobody ever actually removes a previous diagnosis from your notes, even if there are questions over it. Even if they don’t believe it fits. Even if there isn’t enough evidence for it to stand anymore.
Bipolar is the one I hate with a fervour matched only by my hatred of Nigel Farage. In the same breath that I was given the diagnosis, I was told that the condition has a one in five mortality rate, and that’s why I was being kept such a close eye on.
That’s a terrifying statistic to live with. I have a higher chance of dying from the illness I have than if I’d been diagnosed with some cancers.
True to form, this diagnosis simply fuelled my fear and anxiety. And when I’m anxious, I obsess. The intrusive thoughts ramp up and become harder to manage.
In the wake of being told those figures, I became sure that The Doors song “Five to One” was prophetic. That the lyrics (I refer you to this cleverly titled blog…) were a precursor to a fate that I was powerless to avoid. Despite the fact that being one of the four in five is statistically more likely, I convinced myself I’d been given a death sentence. And so, that one line in the song played on a loop in my head. It went round and round so often in my head that there was barely any room for anything else.
I cursed the doctor for their thoughtless delivery. I cursed a God I didn’t even believe in for his cruelty. And I grieved for a life I was now sure would be cut short. I was waiting for the death knell to sound, and yet, somehow, it felt as though it was ringing in my ears every single day. Except that the death knell was clearly Jim Morrison in this case.
Why do I hate the label of “bipolar” so much? Well, because I feel like it doesn’t fit. It feels like a lazy way of neatly packaging up a whole truckload of trauma into one nice, neat little word, It feels like a medical cop-out.
The same doctor who delivered the death knell also told me that “bipolar disorder is the closest thing the psychiatric world has to high blood pressure. They know what medications work, the know how to control it and what works without exception” – except that’s pure bollocks.
I say it’s bollocks because there is no clinical test for the disorder… nothing in your blood that can be measured, nothing in a brain scan that will be evident. There is not a single medical marker other than your psychiatric evaluation – which isn’t so much an evaluation as a run through your life history.
I’ve never met a male with the diagnosis, although I’m aware they do exist. What I have seen, however, are scores of women with histories of sexual, physical, or emotional abuse with the diagnosis. I’ve seen dozens of women who are untreated peri or full-blown menopausal with the diagnosis.
And it leaves me wondering if the label is a cop-out for writing a woman off without actually hearing her.
I’ve variously been told in my life that I suffer from psychotic depression, that I have Emotionally Unstable Personality Disorder (having someone tell you that your personality is a disorder is pretty shit too by the way…), that I have OCD traits, anxiety (okay, this one I agree with). I don’t know that any of these labels are helpful for anything other than permitting me to access mental health support.
The thing is, those labels are all over my medical notes. So now I have to practically be dying before I’ll se a GP for a physical ailment, lest they put it down to my mental health…
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.
Mental Health Stigma (MHS) is the hostile expression of the abject undesirability of a human being who has a mental illness. It is the instrument that brands the mentally malfunctional defective due to stereotypes. MHS is purposed to protect the general population from unpredictable and dangerous behaviors by any means necessary. MHS is fomented by prejudice, ignorance, and discrimination. The stigmatized are devalued in the eyes of others and subsequently in their self-image as well.
Between 50 and 65 million U.S. adults and adolescents have a mental illness; 90% of those will be impacted by mental health stigma, a presence that elicits unsupportable levels of shame and jeopardizes the emotional and societal well-being of the afflicted.
Trajectory
The Signaling Event. MHS is triggered by a set of signals or a signaling event, i.e., an occasion, experience, news story, or encounter where the visibility of behaviors and mannerisms associated with mental illness elicit a reaction.
The Label. Labeling defines the signaling event and distinguishes it from other labels. ‘Woman’ is a label; it is specific, restrictive to gender, and says certain things that distinguish it from other labels. A successful label elicits a strong public reaction. The defining characteristics of the label become the stereotype. Labeling is subject to the labeler’s belief system and, like stereotypes and stigma, is reliably inaccurate because of implied expectations of behavior.
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)
The Stereotype. Labeling gives the signal a moniker for identification; the stereotype defines it and gives it meaning. Stereotyping is a cognitive differentiation of something that piques one’s interest; everyone stereotypes. Mental health stereotyping is distinguishable by pathographic overtone that identifies the victim as unpredictable, potentially violent, and undesirable.
Ironically, 14th-century asylums in Spain and Egypt were built to protect the mentally afflicted from the dangerous and violent members of society.
Mental health labeling and stereotypes support and collaborate with preconceived notions of mental illness, generated by the natural aversion to weakness and difference. This is supported by an ignorant and prejudicial belief system and, on occasion, personal experience. Labels and stereotypes are unbound by truth or evidence; believability is the ultimate criterion.
Stigma. A stigma is a brand or mark that negatively impacts a person or group by distinguishing and separating that person or group from others. The branding concept originated with the ancient Greek custom of identifying criminals, slaves, or traitors by carving or burning a mark into their skin. Stigma is identified by three types: (1) abominations of the body, (2) moral character stigmas, and (3) tribal stigmas. The first refers to physical deformity or disease; tribal stigmas describe membership in devalued races, ethnicities, or religions; and moral character stigma refers to persons perceived as weak, immoral, duplicitous, dishonest, e.g., criminals, substance addicts, cigarette smokers, and the mentally ill.
Mental Health Stigma
The objective of MHS is the perceptual protection of the general population from the unpredictable and dangerous behaviors associated with mental illness by any means necessary, including deception, misinformation, and fear-baiting. Its ultimate goal is to negatively impact the social reintegration of the victim.
“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.
Anticipatory stigma is the expectation of a stigma due to behavior or diagnosis, and subsequent adverse social reactions. This causes resistance by the potential victim to disclose any physiological aberration.
Stigma-avoidance identifies those who avoid or postpone treatment fearing the associated stigma will discredit them and negatively impact their quality of life. Studies indicate almost one-third of the potential victims resist disclosure, impacting the potential for recovery.
Family stigmatization occurs when family members reject a child or sibling because of their mental illness. Throughout history, it was commonly accepted that mental illness was hereditary or the consequence of poor parenting. A 2008 study found 25% to 50% of family members believe disclosure will bring shame to the family. (Courtesy-stigma reflects supportive family members.)
An active stigma is a parasitic one. If it finds enough suitable hosts, the parasitosis can spread rapidly by traditional means. Studies show the aversion to mental illness is prosocially hard-wired which provides an abundance of hosts.
Contributing Factors to MHS. The stigma triad of ignorance, prejudice, and discrimination is generated and supported by preconceived notions, general obliviousness, a lack of education, and society’s deep-rooted fear of its susceptibility. The primary attributions to MHS are public opinion, media misrepresentation, visibility, diagnosis, and the disease or pathographic model of mental healthcare.
How Mental Health Stigma Impacts the Victim
MHS impacts the victim through a series of stigma experiences:
Felt stigma. The anticipated or implied threat of a stigma.
Enacted stigma. The activated stigma.
External stigma. The victim holds the perpetrator responsible for the stigma.
Internalized stigma. The victim assumes behavioral responsibility for the stigma.
Experienced stigma. Victim’s reaction to the stigma.
The victim anticipates their mannerisms, behaviors or diagnosis will generate a stigma (felt stigma). When the stigma is realized it becomes an enacted stigma. The victim blames the person who originated the stigma (external stigma) or assumes responsibility due to behavior (internalized stigma). When the stigma impacts the victim’s well-being, it becomes an experienced stigma.
MHS Impact. Mental health stigma can negatively affect the victim’s emotional well-being and quality of life by jeopardizing their:
Safety, health, and physiological wellbeing
Livelihood
Housing
Social Status
Relationships
Solution
Mental health stigma will not be mitigated or eliminated until the mental healthcare community embraces the wellness model over the disease of mental health. The disease model of mental health focuses on the problem; creating a harmful symbiosis between the individual and the diagnosis. The wellness model emphasizes the solution. A battle is not won by focusing on incompetence and weakness but by knowing and utilizing our strengths, and attributes. That is how we positively function―with pride and self-reliance and determination―with the awareness of what we are capable of.
Establishing new parameters of wellness calls for a reformation of thought and concept. In 2004, the World Health Organization began promoting the advantages of wellness over disease perspective, defining health as a state of physical, mental, and social well-being and not merely the absence of disease or infirmity. The World Psychiatric Association has aligned with the wellness model and it has become a central focus of international policy.
Evolving psychological approaches have become bellwethers for the research and study of the positive character strengths that facilitate the motivation, persistence, and perseverance helpful to recovery. Wellness must become the central focus of mental health for the simple reason that the disease model has provided grossly insufficient results.
A WORKING PLATFORM showing encouraging results for most physiological dysfunctions and discomforts is an integration of positive psychology’s optimum human functioning with CBT’s behavior modification, neuroscience’s network restructuring, and other personality-targeted approaches. including affirmations, autobiography, and methods to regenerate self-esteem and motivation.
This new wellness paradigm, however, should not be a dissolution of medical model approaches but an intense review of their efficacy, and repudiation of the one-size-fits-all stance within the mental health community.
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.