Sunday, February 28, 2010
All I Hear Around Here is an Echo
It felt so good to have it written. I love getting something completed, and this is the first writing assignment I've ever given myself that I've finished. Now I'm nervous. I know an editor at The Echo and I could talk to her about whether or not they'd be interested in running it, but I'm starting to succumb to the self-doubt. Negative thoughts are getting to me. I need some confidence. It's times like these I wish someone was reading this thing. . .
Saturday, February 27, 2010
Slow Saturday
The most effective psychological treatment for Social Phobia currently available is called cognitive behavioral therapy, or CBT. Numerous research trials have demonstrated a clear advantage for CBT, and the treatment is now widely accepted as a first choice treatment for Social Phobia. While the specific ways in which CBT for Social Phobia can be administered may vary somewhat between therapists, a number of features distinguish this approach from other commonly used psychotherapies:
- CBT is collaborative - the client and therapist work together as a team. The therapist does not simply tell you what to do or think. Together, you and your therapist develop strategies for overcoming anxiety.
- CBT includes a focus on developing new skills. You will learn several strategies for counteracting Social Phobia.
- CBT is brief and time-limited. You and the therapist will set specific goals and remain focused on these goals throughout treatment, which generally lasts 12 to 16 sessions. The ultimate aim is to assist you in becoming your own "therapist."
- CBT is focused on the present. While a CBT therapist is likely to agree that the roots of Social Phobia may be due, in part, to experiences during childhood, the emphasis of treatment is on uncovering the current cognitive and behavioral patterns that are maintaining symptoms and on making changes in your present life.
- CBT is structured. Each session, as well as the overall course of treatment, has specific objectives and agendas that you develop in cooperation with your therapist.
- CBT emphasizes between-session exercises (often referred to as homework) that you complete on your own. These tasks are planned with your therapist and are intended to provide you with actual, "real-life" experience working with new ways of thinking and behaving.
- CBT is research-based. The strategies used in CBT to address symptoms of Social Phobia have been subjected to numerous clinical studies and have been shown to be effective.
- Cognitive behavioral treatment draws on a number of therapeutic strategies when addressing Social Phobia. While the specific approaches used may vary based on your symptoms, your therapist, and the setting in which you are being treated, CBT for Social Phobia often includes many of the following components:
Psychoeducation: Perhaps one of the most difficult aspects of coping with Social Phobia is simply understanding what it is, where it came from, why it's so hard to change, and how it keeps coming back with a vengeance. Psychoeducation involves you and your therapist working together to develop a better way to understand your Social Phobia, and subsequently, how to work with it.
Cognitive Restructuring: As discussed earlier, individuals with Social Phobia frequently hold negative beliefs about themselves and others, which often show up as unhelpful thoughts in social situations. Cognitive restructuring is an important component of CBT, and it involves working with your therapist to identify these thoughts and look for patterns within them. As you become skilled at noticing these thoughts, you then develop strategies for gaining flexibility in your thinking and considering more helpful ways of looking at your experiences.
In Vivo Exposure: In vivo (real life) exposure is another core element of CBT for Social Phobia. You and the therapist identify situations that you avoid because of Social Phobia, and then gradually enter these situations while accepting your anxiety and allowing it to naturally dissipate. While this step probably sounds quite intimidating, it is important to know that exposure is done at a very gradual, planned pace, and that your therapist will support you throughout the process. Many clients report exposure practices as being among the most useful elements in their treatment.
Interoceptive Exposure: Some individuals with Social Phobia are fearful not only of social situations, but also of the anxious physical sensations (such as blushing, shaking, sweating, etc.) that can accompany them. Interoceptive exposure practices deliberately bring about these sensations through such activities as wearing a warm sweater to induce sweating in social situations. Just as exposure to feared situations leads to reductions in situational fear, exposure to feared sensations will lead to a reduction in anxiety over experiencing these feelings in social situations.
Social Skills Training: In the midst of a tense social situation, many people with Social Phobia fear that they do not have the necessary social skills to successfully navigate the exchange. While this may be due to negative self-talk and self-consciousness (rather than an actual lack of skill), many people find it helpful to discuss such topics as carrying on conversations, being assertive, and effective listening. Social skills training provides a chance to work on these areas in therapy.
I've worked on social skills training, real life exposure, and cognitive restructuring in my treatment. I've tried to learn what I can about social anxiety, but I haven't done as much research as I plan to do. These techniques have been helpful to me, however, and I urge anyone suffering from social anxiety to try and examine every aspect of their reactions to social situations. Try to understand where these feelings come from and how to change them. I've found that although other factors may have brought about my anxiety, I am the one perpetuating it and ultimately the cure resides in me.
Friday, February 26, 2010
No regrets this time
It's Friday night. Time to relax and enjoy the weekend.
Take a Chance On Me
In January, there was a contest for creative nonfiction writing offered by the English department. I was determined to submit my essay about my trip to New Orleans. I had written it for English 413 and my professor gave me an A+. She said she rarely lavished the kind of praise she gave me but she really liked my writing. She even suggested that I submit it to the contest.
I wanted to make some revisions and make it better, so I emailed the story to my sister and asked for her feedback. She wrote back that it was good, and that once she realized that nothing was going to happen she liked it a lot more.
I couldn't get past that comment. Nothing happened in my story. It completely destoryed any esteem I had for the piece. I couldn't submit it and I let the due date go by.
I regret that now. I'm in a creative nonfiction writing class, and most of the stories the students write are about divorce, parents, abuse, and alcohol. Seldom do I ever read an essay that is sophisticated and well-written. I'm sure the judges would have been pleased to come across my well-written essay about a light-hearted topic like a vacation trip. I hate regret.
The English department sent an email a few days ago that the scholarship deadline had been pushed back to Friday. I looked over the scholarships and I qualify to apply for four of the six. I decided that it was worth a try. If I get a scholarship, I can stay at UTC for an extra semester and study writing more.
I wrote the letter of interest that they require with the application and I was going to have one of the librarians proof read it for me, but I started to chicken out. I didn't want anyone to read my ambitions and laugh at me. I told a co-worker about it and she encouraged me to go through with it. I did. The librarian told me that the letter was great.
I made a few revisions on it later and printed it out. I signed it and clipped it to the application. It is now sitting in a folder to be turned in and I'm scared. I don't know who's going to read it and what they'll think of me. Will they think my writing is bad? That I should give up on my dreams? Am I unworthy of their assistance? These are the fears I have in my head, the thoughts that threaten to make me give up and have another regret. I'm afraid, but I need to do this anyway. The more I open up and take risks like this, the more chances I take of being accepted instead of rejected.
Wednesday, February 24, 2010
Get a Little Bit Closer Now
Today was workout day and I was still nervous in the gym. I was better, however. I'm getting better slightly each week both physically and psychologically.
My applied anthropology class was what made me the happiest today. I volunteered more to the discussion than I have in the past. It felt really good to finally say something. Now I have to speak up in forensic anthropology. That's the only class I haven't said anything in.
Tuesday, February 23, 2010
The Second Quietest in the Class!
I posted my short story on our class' discussion board. Now I have to wait until tomorrow to find out what they thought. To tell you the truth, I'm not scared; I'm excited. I know my story isn't the worst. It's actually kind of funny. The writing isn't bad. I know they'll find a lot for me to fix, but I'm just happy to have my first ever short story done and being read by other people!
The internship landed me my first published writing. Not attributed to me (of course). I wrote the press release for the library's screening of New Moon. It'll be run in the newspaper and I'll definitely be keeping a copy of that for my portfolio. It makes me happy.
Sunday, February 21, 2010
Where Do I Rate?
Check it out!
The Liebowitz Social Anxiety Scale (LSAS) is a questionnaire developed by Dr. Michael R. Liebowitz, a psychiatrist and researcher.
This measure assesses the way that social phobia plays a role in your life across a variety of situations.
Your score:
40(fear) + 33(avoidance) = 73
You have marked social anxiety.
The scoring scale:
55-65 Moderate social phobia 65-80 Marked social phobia 80-95 Severe social phobia Greater than 95 - Very severe social phobia
According to this quiz my anxiety is noticable to other people. I know this, but maybe this will be useful in tracking my progress. Well, a little help anyway.
Saturday, February 20, 2010
A Night at Home
I don't have much to say today. . . I was searching for celebrities with social anxiety and I found Barbra Streisand and Donny Osmond. Neither of them really rock my world.
I was planning to go out with some friends today but I had to cancel. Disappointing, but necessary. I was really hoping to get out of the house and spend some time with people I haven't hung out with much. Oh well, gotta get writing and maybe next weekend I can get out.
Friday, February 19, 2010
Remember What You Used To Be
Today I told my professor that the ending of a story was cliche and unrealistic, that I wanted the protagonist's boyfriend to turn out to be a serial killer. This was offered in the middle of a classroom full of other students, and this was one of the comments I gave without being asked for it.
It has taken a change of perspective, new, more positive thoughts, and a lot of courage to get to where I am, but I have so far to go. I have to remember that I used to be so afraid and so down on myself.
Thursday, February 18, 2010
Like I Have Time to Read
Wednesday, February 17, 2010
Working This Out
I had an argument with the guy I was talking about yesterday, the one who brings me down. He was being odd and acting like I don't spend enough time with him, like I need to be there for him more. It sounded very much like he thinks of me as his girlfriend, which worries me. I've decided not to seek him out at all now. I don't intend to text or call him any more. This is just getting too weird, and honestly, I never really feel very happy when I see him now.
Just Not Like Me... In a Good Way
We had to workshop five writers in the class and spend about twenty minutes on each one, so we had to give writing advice for five different people. It gets tedious after a while. Anyway, I sat next to the professor and when she asked a question I tried to get my answer out first. I had quite a few responses last night, and usually more than one for each writer.
This is what I'm trying to do in all of my classes. I want to be unafraid to speak up in any room. For now, I just feel more comfortable in Rebecca's classes, but the similar experience in Anthro the other day is encouraging.
I noticed that a guy I hang out with affected my mood and made me feel like answering less. He says things very carelessly that bother me and then tells me later that I didn't get him. I considered not going to dinner with him after class (even though it's tradition), but he promised he'd be nice and he was. I don't want anything in my life that pushes me back and I know that if I spend much time with this guy he'll affect me.
Tuesday, February 16, 2010
The Little Helper
I feel so much more relaxed in the situations that trigger the most anxiety and because of that relaxation I'm able to look at those situations more objectively. The fear isn't so completely overpowering that I can't see outside of myself. I've made progress on public speaking because of the medication (and I know that from the period I took off of meds from last semester). Zoloft was only a trial before and I wasn't sure about it, but I changed my mind.
I know it'll be hard to adjust to life without pharmaceutical assistance and I'm worried, but that's why I want to make the most progress I can while I'm on the drugs. I want to beat this anxiety.
Monday, February 15, 2010
A Reversal of Expectations
I didn't feel like my conversation with my counselor this morning led me toward what was troubling me with school, but after my applied anthropology class I studied with a classmate for the quiz. I had fun studying with someone, when I usually study alone. I got an A on the exam pretty much because of today's study session. It was encouraging.
During applied anthropology I actually contributed to the discussion. I know these things sound trivial, but seriously, these are big deals to me. I never speak up in class discussions unless I'm called on. The fact that I offered something without being asked to is major. I need to do that more. I'm going to try to next time I'm in class.
I'm working on myself here. I have goals that seem impossible to reach, but I want to get there anyway. I want to write and be published, but I have so much fear about rejection and exposure. I want to be able to speak in front of people, to instruct or lead a discussion if the necessity arises. I have to start small: going to the gym by myself; writing honestly for essays; speaking in class discussions.
Eventually I want to try to get published, and I want to work in an academic library. I just have to get over my fears.
Blah, Monday
I'm proud to say that I'm not afraid to participate in workshop, partly because I think the professor, Rebecca, is awesome. I have to submit my story (which I haven't gotten around to writing yet) later this week and the class will be work shopping it next week. A little scary still to be the one work shopped, I have to admit.
I have yet to go to the gym by myself. Yes, I know that sounds stupid, but it's a huge fear of mine. I'm afraid to work out by myself. I think everyone is watching me. I'm determined to get over this fear, though, which is why I asked my ex-husband to be my personal trainer. We met last week to work out at the faculty/staff gym and that was a good hour. I hadn't really exercised in months! I felt so good. I really want to get over this fear so I can go more often, but as it is we can only meet once a week.
This week I need to pull myself together. Wednesday I work out again and I need to focus on relaxing. I need to pull my paper together by Friday and not get nervous about what readers will think. I really need some strength. . .