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944787 tn?1287084773

fear of people!

im not sure this is the right place for this question.
im 22 yr old female and for as long as i can remember i find it extremely difficult to talk to people face to face or on the phone, i can talk to people if it only requires typing.
when i get in to one of these situations i feel very anxious and sometimes feel like crying running and vomiting i have to force myself to make conversation with my partner and family. it is not easy for me to talk to a doctor about this either as they are people i normally get my partner to talk for me.
i dont even talk with my children age'd 4 yrs and 2 yrs nor do i talk to my step kids 11 and 6 yrs old and this is causing huge problems in out family life.
i need help and ideas on how to over come this fear.
im afraid of confrontation and i cant stand to look at peoples faces.
what is wrong with me.
28 Responses
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Avatar universal
I was wondering if the problem was something other than social phobia.  We all seem to have a lot of social anxiety but many of us also seem to have a lot of other issues.

I do that too with conversations and that is use myself as a reference point or relate stuff back to my experiences.  I think that is just part of where we are in our development.  Maybe it is how we try and understand or engage in others worlds.  ??

Sounds like my family.  Most of my brothers and sisters have shifted overseas possibly in a subconscious attempt to distance themselves from my parents.  My parents, even though with the best intentions, are somewhat chaotic and dysfunctional.
From my own observations it seems that my parents continually make bad decisions.  I guess this is because they have their own emotional issues.  Living in the same house as them it sometimes feel as we go from one crisis to another.  It's not a healthy environment to be in yet because I am so dysfunctional myself it feels like a place I am destined to remain in.  It contributes to me feeling stuck, powerless, hopeless, anxious and depressed.

I use to want to get married and have kids.  Now I wonder if I even want kids at all.  It's probably just part of where we are now and maybe once we work on ourselves and our situations our ideals will change.

The way you speak of your obsessions makes me wonder if you have identity issues.  (I'm not a doctor though.  I just have some rather negative experiences as a patient in the mhs.)  Maybe wanting to pursue art contradicts that??  If you're passionate about art I would say go for it.

I should have put this as the top as it is the most important point.  One should never discontinue their meds without first consulting their doctor.

What caused you to stop seeing your psychiatrist?  This to me is also a very big warning sign.  When I stop seeing health providers it is usually because I don't feel heard.  This can sometimes make me feel OK for a bit because I have taken control and made a decision.  Rarely are the underlying issues ever resolved though.
I also usually choose not to see these people when I am becoming seriously unwell.

Finding a good therapist sounds like a good idea though.  If I could choose a T I would choose a psychoanalyst.  In my experience I have benefited the most from seeing one of those.  You need to do what feels best for you though.  I think a person usually knows when therapy is working well for them.

I haven't heard of kratom either.  Maybe you just need a new psychiatrist (along with the therapy).  I don't think I would be terribly excited about seeing someone who lacked concern and interest in my welfare.  How are they suppose to help if they don't listen and don't care (an assumption made from their behavior)?

I don't think you should feel guilty for expressing how you feel.  I think many of us say stuff about our families at times although we all love them desperately.
I love my family but I hate this life and sometimes I hate their behavior.  Sometimes it is easy to criticize others though when we are too afraid to make changes ourselves.
Trying to live our lives and to better ourselves should be applauded.  Maybe sometimes we just need to worry less about others and concentrate on our own lives.

Good luck for your art exhibition.
Helpful - 1
1308134 tn?1295187619
MEDICAL PROFESSIONAL
I am not quite sure what happened... The site seems to have posted a number of things that I didn't intend to post, things that I was reviewing in formulating my response but did not think were necessarily relevant.
Anyway, my point is that it doesn't sound like you have the "unusualness" of someone who has the personality disorder that I was discussing, it seems to me that you have a severe form of social phobia. Also, the fact that you are so concerned about this tells me that people do matter to you.
So.... I would concur with Jaquta that you should get help (probably find a psychiatrist and/or psychologist who can work with you on this problem).
Also, I think that you should feel optimistic because this problem can definitely be addressed in a way that will improve your life significantly.
Peter
Helpful - 1
1308134 tn?1295187619
MEDICAL PROFESSIONAL
I agree with Jaquta, number one didn't seem likely to me. The main difference between number two and number three is the eccentric (to others) beliefs associated with three -

Individuals with THREE often have the idea that events have particular and unusual meaning specifically for the person (for instance, the idea that a television program that comes on at a particular time has special meaning). These people may be superstitious or preoccupied with paranormal phenomena.  They may feel that they have special powers to sense events before they happen or to read others' thoughts. They may believe that they have magical control over others, which can be implemented directly (e.g., believing that their spouse's taking the dog out for a walk is the direct result of thinking an hour earlier it should be done) or indirectly through compliance with magical rituals (e.g., walking past a specific object three times to avoid a certain harmful outcome). They may have unusual perceptions  (e.g., sensing that another person is present or hearing a voice murmuring his or her name). Their speech may include unusual phrasing and construction.They may use words in ways that other people have trouble understanding. Individuals with THREE are often suspicious  (e.g., believing their colleagues at work are intent on undermining their reputation with the boss). They often appear to interact with others in an inappropriate, stiff, or constricted fashion. These people are often considered to be odd or eccentric because of unusual gestures, an often unusual manner of dress that does not quite "fit together," and inattention to the usual social conventions (e.g., the person may avoid eye contact, wear clothes that are ink stained and ill-fitting, and be unable to join in the give-and-take banter of co-workers).

My guess is that THREE is probably not going to seem like a "fit". But let me know what you see in that that seems right.

Individuals with Schizotypal Personality Disorder experience interpersonal relatedness as problematic and are uncomfortable relating to other people. Although they may express unhappiness about their lack of relationships, their behavior suggests a decreased desire for intimate contacts. As a result, they usually have no or few close friends or confidants other than a first-degree relative (Criterion A8). They are anxious in social situations, particularly those involving unfamiliar people (Criterion A9). They will interact with other people when they have to, but prefer to keep to themselves because they feel that they are different and just do not "fit in." Their social anxiety does not easily abate, even when they spend more time in the setting or become more familiar with the other people, because their anxiety tends to be associated with suspiciousness regarding others' motivations. For example, when attending a dinner party, the individual with Schizotypal Personality Disorder will not become more relaxed as time goes on, but rather may become increasingly tense and suspicious.
Helpful - 1
1308134 tn?1295187619
MEDICAL PROFESSIONAL
It seems to me that there are three general directions to consider -

1. trouble with communication that relates to difficulty "reading" others emotional cues and therefore responding to them appropriately (I don't think that this is what you have but we should consider it).
2. trouble with relationships that is also associated with fearfulness about people's motives and with unusual beliefs or ideas
3. extreme social anxiety

Which of these seems the best fit?
Helpful - 1
Avatar universal
thanks for the response, i was doing better until the mushroom incident, i have done them before with no problem. i think lately my mind is very vulnerable now. i dont plan on doing them ever again along with everything else, just taper off this kratom, the kratom is the only thing that can make me relax and stop this hysteria.
Helpful - 0
Avatar universal
Or drug-induced psychosis.  You should stay away from the drugs.  Drugs are said to cause any number of psychotic disorders.  I think that you should speak to a doctor.
Helpful - 0
Avatar universal
I feel like I am going to have a nervous breakdown because I took mushrooms with my boyfriend. I think I know what is wrong with me now, I think I have OCD with psychotic features.
Helpful - 0
Avatar universal
Thank you for the information.  There was no document though so I was unsure about the menu bar and haven't been able to access any document.  Sorry for the hassle.  I really should stop posting here.  I think I'm probably feeling quite anxious and posting helps.  Kind of.
Helpful - 0
Avatar universal
And inconvenient and time-consuming?  Not sure why I would perceive it in a negative light when it has the potential to be useful.  Residual grumpiness from stress I guess.
Would a mood chart have altered my treatment history?  ??

What causes me to be defensive against tracking/ journalling, etc?  Is confronting reality really that overwhelming?

It is good to see an expert working with medhelp to improve content.

OptimismOnline did seem like a rather comprehensive tracking tool.

I'm curious about your shared document.  E-mailing you directly feels a little threatening and intimidating though.  I'm not sure how one would go about doing that either.  I don't know why I sit on the fence so much or why I find relating so difficult.  I was looking at your Gateway Psychiatric Services website and thought that was an interesting way to do business.  I like your online office.  It seems like an effective way for people to access the service.
I did try contacting you recently after reading your feedback.  Members aren't able to contact experts except via the forums and blogs, etc (to my knowledge).  After trying to send a reply I was unable to access medhelp at all for a period.  I decided I would hold off commenting anyway until I heard back from my review (which was due nearly three weeks ago now).

I like starting new stuff too when I get frustrated or whatever with the old.  I don't paint but it reminds me a little of other stuff I do.  I'll buy the newspaper (mainly to do the crossword) but mum will insist on reading it first or invade my space till I get so frustrated I leave.  I don't like looking at it if they do first.  I like new books or new stationery but invariably won't read them or use them.  Maybe subconsciously I see them as being free of ?others and others stressors.

I personally would stay away from the kratom and talk to your doctor about your symptoms so that they can be treated appropriately.  I don't think self-medicating is the answer.

If the complaint seems vague I think the doctor needs to be asking more questions.  I think patients can lack insight but I agree that a person generally knows themself best.

I go to my family doctor for specific physical complaints but feel so anxious and self-conscious I can't tolerate him assessing them.  I guess that is as bad as being vague.  Sometimes emotional difficulties aren't that easy to define though.

I agree about the chart it did look good.
Helpful - 0
Avatar universal
Thanks Jaquta, I over worked the painting and I cant stand to look at it, so I want to start something new. I have a new idea. Well the weird thing about kratom is that in small doses it causes a stimulant effect and high a sedative effect.
I think it is a great idea for the patient to be involved in their own recovery, only they truly know their own habits, symptoms, triggers and can monitor them and find the possible cause, but it is also important to report the results to the doctor, then they can give you a better treatment plan, instead of going and giving them these vague complaints.  I love that OptismOnline chart, it looks really good and helpful.
Helpful - 0
1308134 tn?1295187619
MEDICAL PROFESSIONAL
Mood charting is indeed difficult. And irritating. But also pretty consistently useful. The current medhelp mood tracker isn't quite up to the task, although I was working with them to make some changes. I like the application called OptimismOnline, developed by an Australian who is bipolar. I also have created a simple shared document on Google that I would be happy to share the link to if anyone wants to email me directly.
Helpful - 0
Avatar universal
Don't stress over the painting.  It probably looks fantastic.  Most artistic programs I have seen have spoken about editing.  Sometimes less is more.

Taking an antidepressant and sitting around all day sounds pretty morbid.

It sounds paradoxical when you say it comes from the coffee family because when I think of coffee I think of a stimulant.  I feel rather ignorant about herbal medicines and plants in general.  My father has studied botany, etc and I just switch off when he goes into his monologue.  I take less interest in the subject because of his interest.

You should perhaps see if you could access another doctor who may be a better fit for you.  Are you devaluing her though to defend against your lack of trust?  It is easy to push people away when they fail to meet your expectations or trigger negative thoughts and feelings.

I don't get mood charting or why it necessarily would improve the advice we are given.  Not sure exactly why that comment would leave me feeling angry.  Maybe because it asks the patient to become more involved/ responsible for their care (when most doctors don't have the time or inclination to engage with them).

What type of mood charting are we talking about?  Sorry, were you talking about in regards to medication or just generally?  Is there a mood chart that you would recommend?  Something like the medhelp mood tracker?
Would a mood tracker be preferable to something like David Burn's depression inventory?  Should this be included in a persons recovery?  (Sounds good for meds but maybe limited for other aspects.)
Helpful - 0
Avatar universal
The reason I never suspected the kratom as the cause earlier is because before I even discovered kratom I was chronically irritable, but now it seems like the kratom makes it worse in the long run. But I think the irritability is a lot stronger now than before.
Helpful - 0
1308134 tn?1295187619
MEDICAL PROFESSIONAL
One of the confusing things about medications and herbs like Kratom is that they can have different short term versus long term effects. The result can be that something that seemed to be helping may in the long run have subtle negative effects. That is one of the best arguments for mood charting... because it is only in looking back over what has been going on over a few months that that kind of problem becomes clear. Mood charting also allows you to improve the quality of the advice you get from your consultants (psychiatrist, therapist).
Helpful - 0
Avatar universal
Thanks for the response, it makes a lot of sense, sometimes I wonder if I have a personality or bi-polar disorder . I dont know what is wrong with me, I just get so obsessed with things and that's all I can think about. Its like i live in this ideal world in my head.  I just like to think about progressive, smart, clever and beautiful things. Right now I am getting irritable and nauseous because I have been obsessing over this painting all day. I have probably have added about 100$ worth of paint on the canvas, I just keep changing things over and over. If i was on a antidepressant I would just be sitting here doing nothing all day. I have too take kratom and xanex to go to bed because i am so hyped up right now. Kratom is a psychoactive leaf from a tree, it comes from the coffee family but has mild opium like effects it has a very unique chemical make-up, its mildly addictive with mild withdrawal.  I love the effects but now I am getting the opposite because I built a tolerance, but if used only occasionally it is a great anti-anxiety and calms the mind.
I just dont trust my psychiatrist, I feel like she is ignorant, incompetent.
Helpful - 0
Avatar universal
Now i have this guilt feeling about what I said about my family. Its not that I don't love them, I just don't like being trapped in a annoying environment, it makes me feel helpless. .
Helpful - 0
Avatar universal
I also stopped seeing my psychiatrist and withdrew from all my medication and I feel so much better, I want to try and find a good behavioral  therapist. I have came to the conclusion after monitoring my kratom use, that it was what was causing the extreme irritability, I used it for anxiety but it is kind of mildly addictive and I built a tolerance to it. My psychiatrist had never even heard of kratom and wasn't even curious what it was.
Helpful - 0
Avatar universal
Yeah I think I do have social phobia in some situations. For example in my art class yesterday I was trying to have a conversation with the teacher but I always feel like I say the wrong thing or I feel like I offend someone by accident.  She was talking about politics, she seems obsessed  and very emotional about it, I mentioned that my ex boyfriend was obsessed with it and that I had to hear about it all day long and that it made me depressed, I was just trying to relate the topic to myself. Then there are other situations where certain people I avoid because I get so annoyed, basically its my mom and sister. They constantly have a big stressor in there life, they never seem happy, I dont like there attitude towards things, I  have no interest in living my life the way they do. I am basically trying to escape this miserable environment. I have no interest in babies, my sister had a newborn I have no interest in seeing it, the the thought of going to her house makes me feel ill. I also have this thing were I obsess over something, like right now its painting, I feel like I have artistic talent when it comes to original ideas and I want to pursue it, my teacher is going to put my art in the gallery.  I dont want to be in a miserable stressed out environment where everyone has non-stop problems they bring on themselves from making bad decisions.
Helpful - 0
Avatar universal
I have this exact same problem, the only person I can talk to is my eccentric boyfriend and even him I avoid sometimes, because he is needy and constantly wanting my attention. I don't relate to anyone else, not even my family, whenever I talk to them I have to try and act normal like I am interested in what they are saying. Everywhere I go I am completely mute, have no desire to talk to anyone.  Whenever I do and try and join a conversation, like in my art class I feel like I say inappropriate things by accident like I am socially retarded. All I care about is creating art.  I like to watch people but not interact.
Helpful - 0
Avatar universal
There are times when many, many label seem to fit us.  I would advise using caution and urge you to consult with a specialist who can make some distinctions and recommendations.
Helpful - 0
944787 tn?1287084773
i have no friends nor do i want any i dont talk to anyone other than my sisters father and mother and i dont even really talk to them unless its not about me.
Helpful - 0
944787 tn?1287084773
Individuals with Schizotypal Personality Disorder experience interpersonal relatedness as problematic and are uncomfortable relating to other people. Although they may express unhappiness about their lack of relationships, their behavior suggests a decreased desire for intimate contacts. As a result, they usually have no or few close friends or confidants other than a first-degree relative (Criterion A8). They are anxious in social situations, particularly those involving unfamiliar people (Criterion A9). They will interact with other people when they have to, but prefer to keep to themselves because they feel that they are different and just do not "fit in." Their social anxiety does not easily abate, even when they spend more time in the setting or become more familiar with the other people, because their anxiety tends to be associated with suspiciousness regarding others' motivations. For example, when attending a dinner party, the individual with Schizotypal Personality Disorder will not become more relaxed as time goes on, but rather may become increasingly tense and suspicious.

there are so many things in this that sound like myself i might even get my partner to read it.
Helpful - 0
Avatar universal
I said that I felt awkward saying it because I guess once labelled one is more prone at times to see that behavior in others.  A bit like a camera zoomed in on part of an event and overlooking other crucial parts.

It's best left to the experts (some of the time) to rule things both in and out.  I don't have much faith in some doctors.  Some seem overly invested in fixing or controlling patients at the patients expense.  From what I have seen the doctor here seems OK though.
I don't sense that you have an issue with identifying emotional cues.  Even on the net you can sense or read others emotions.

I expect many people would need to engage verbally to motivate or stimulate them.

What you say sounds true for some things I do too.  Instead of verbalizing to my family how much I care for them I cook for them.  My family is a bit strange too in that we find it easier to talk to the animals than each other.  To communicate we may say that the dog did this or the dog did that, etc, etc.  I do it because I am severely defensive.  I'm not sure why my parents do it.  Probably the same thing but with different themes.

I'm interested in number one because that sounds a lot like my father.

You wouldn't be fearful of your childrens motives though, would you?  Children are so young and vulnerable.  I can understand being fearful or paranoid about adults motives.

Another expert (Dr Gould, formerly on the mental health expert forum) use to recommend treating the life symptoms.
From my experience issues seem to be layered one on top of the other.  Sometimes when you think it is something you peel away another layer and it is yet something else.

Have you summoned enough courage to phone your doctor and make an appointment?  I was wondering if you could post a list or letter to your doctor in advance.  I guess you have to confront your fear at some point though.
Helpful - 0
944787 tn?1287084773
im really not sure they all seem so alike to me. tho if i had to say its very close to a good mix of 2 and 3.
but im really not sure im confused.
Helpful - 0
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