Social anxiety is often part of a bigger problem. I have found that depression, lack of assertiveness, aggressiveness, worry, addiction and many of the issues listed in Appendix 1, are sometimes comorbid with social fear. In their book, The Essential Handbook of Social Anxiety for Clinicians, Rick Ingram and his colleagues discuss the relationship between social fear and depression in adults, and show that between twenty to thirty percent of people with social fear also have depression. Social fear normally kicks in before depression and for people afflicted with both, the lethal combination is painfully shackling. This chronic condition is frequently powered by rumination, one of the causes of depression. Ruminating means asking yourself questions that have no concrete answers. This keeps you on a treadmill of anxiety and keeps your head in a continuous spin. Here are a few of the questions you might pose that keep you in hyper vigilance –
What does this person think of me?
Is he staring at me?
Does he look unfriendly?
Does she recognise that I am incredibly boring?
Does she see that I have very little knowledge?
Can he see that I am beginning to blush?
Does he know that I have no self-esteem? That I am useless?
Can he see the perspiration on my forehead?
Does she know what I am really like?
Can he see what I am thinking?
He is a very educated person and I left school early. Will he see me as stupid and ignorant?
Will she will compare me to her friends, who are all better than me?
Extract from my book – Understanding and Healing the Hurts of Childhood.
THERAPISTS IN TIPPERARY
PSYCHOTHERAPISTS IN TIPPERARY
DEATH OF A CHILD
ABUSE AND DOMESTIC VIOLENCE
I am the author of six books
When a Child Dies. Footsteps of a Grieving Family
Abuse. Domestic Violence, Workplace and School Bullying
Understanding and Healing the Hurts of Childhood.
I’ll Meet You at the Roundy O
Priest, Politics and Society in Post Famine Ireland 1850-1891
Prince of Swindlers. John Sadleir MP 1813-1856
I am currently writing a major work on DID (Multiple Personality Disorder)