by isoko49 » Wed Apr 27, 2011 10:36 pm
Small steps honey....that's the way to take it. In therapy it's called "graded exposure". Don't expect to be able to attend a big social event....concentrate on the smaller ones first. the example that always gets used is talking about a dog phobia.
You wouldn't be able to walk up to a great dane and pat it on the head, or let it lick your hand. You have to start small. Start with looking at photos of dogs (even projected onto a screen if handling the photos is too hard). once you feel comfortable with that, get someone to have a dog on a lead at the end of the street, a small dog or puppy, and gradually go a step closer when you feel comfortable. Then you get used to being in the same room as a small dog/puppy - first with it on a lead, then with it roaming free....again only as and when you feel comfortable. Then repeat the street exercise with a bigger dog, then the room, then an even bigger dog. DO you see what I mean?
With a social phobia, you again have to start small. Think of something that you would like to be able to, that feels uncomfortable, but you've maybe managed in the past to do for a short period. Maybe walking down the street on a Saturday, or sitting in the car at the supermarket carpark....then gradually increase the contact. You'll probably know best as to what stages would work best for you. Come up with a list of situations where you've felt overly anxious and then rank them from the absolute scariest to the scary but maybe......
When you do get panicky, and you will because you're doing something scary, try not to judge yourself. Say "I panicked, but I'm still learning how to do this so it's OK". Don't say anything like "I'm so stupid and useless, I'll never get any better" even though that will be your automatic thought. Write down the positive thought and keep it on you if that helps. Also, try not to wind yourself up before you go out. If you find yourself thinking "I'm never going to manage this...I'll pass out, I'll look stupid" etc, then you are building failure in from the start. Reframe your thoughts before you head out the door and it might make it easier for you. Stop the panic before it starts essentially. When you feel the anxiety building, try to concentrate on how you're walking. Think about which part of your foot is touching the floor, does your shoe rub anywhere, can you feel stones, are you on grass. Or run through the alphabet, or count the number of steps you're taking, or read car numberplates as you pass them....something to keep you focused on something other than how bad you're feeling.
These are all things I had to do myself when getting used to being out by myself after so long in hospital. I was terrified because I believed I couldn't be on my own without wanting to kill myself. I hd to build it up - from going out the ward door on my own with someone standing at the bottom of the steps where I could see them, then they waited outside the door at the botto, then at the other side of the walkway, then inside the main building, then at the canteen door, th]en around the corner, then I got 5 minutes to go to the canteen, then 5 minutes walking in the grounds, 10 minutes, 15 miutes, 20 minutes, half an hour, an hour, unescorted to therapy sessions (other than a driver), then on the bus on my own (phoning with the bus times), then 2 hours on my own etc....it took a while (several months) and I had slip ups, but I just had to pick myself up and keep on because I didn't want to spend the rest of my life in an institution.
I hope that helps
Borderline Personality Disorder
Self-harmer and suicidal ideation
Chronic depression
Avoidant PD
Dependent PD
Social and general anxiety disorders
2 and a half years of my life wasted in hospital
2 wonderful children
...and a partridge in a pear tree