I am such a freak
I went to group therapy again last night. This was the first week of official exposures. We were supposed to get up in front of the group and talk for 3 minutes about a semi-random topic. The group (mainly the therapists) came up with a big list of topics and we were supposed to choose three, then they'd choose randomly from that set so we wouldn't know which one we were talking about until we got up there.
I wasn't feeling all that worried about the idea of talking in front of the group, but I couldn't pick what topics to talk about. We were supposed to pick ones we thought would make us anxious enough to score a 6 on a scale from 1 (no anxiety) to 10 (complete panic attack). Some of them seemed pretty easy, like talking about your job or where you came from, and some I didn't think I'd have anything much to say about, or would be more afraid of sounding like an idiot. I wasn't sure if I should pick the easiest ones to be safe (in which case, would they think I wasn't challenging myself enough?) or something harder (but then maybe it would be harder than I thought and I'd completely look like an idiot). I just sat there being indecisive while everyone else went around saying what they wanted to talk about. Some people wanted the therapists to pick the topics for them, to make it harder. I couldn't decide if I'd prefer that (since then nobody could judge my choices) or not (in case they picked something too hard).
Finally, I was the only one left who hadn't said anything, so one of the therapists asked me directly what I wanted to talk about. By this stage I was already feeling crappy for being so pathetic and indecisive and not saying anything, so when she asked what topics I wanted, in some way that implied she knew I was having trouble, I ended up crying. Every time I've said anything in the group, I've been close to tears, and have had to stop talking to avoid crying. I'm not sure why exactly, other than being generally anxious and self-conscious about not being able to talk. Having someone notice I'm anxious and try to be reassuring generally makes me cry, too, out of embarrassment that they noticed, which creates a nice feedback loop. You can imagine how embarrassed I was with the whole group watching me cry.
I just sat there digging my fingernails into my hands while the therapists talked about how I didn't have to do anything that was too hard for me, or something; I wasn't really focussing on what they were saying. The fact that they (reasonably) misunderstood why I was crying didn't help.
We broke into two groups and once I was no longer the centre of attention, I calmed down a bit and thought I could do the talks. When it got to my turn, though, they made a fuss again about how I could talk about something really easy or for a shorter time or something, which made me embarrassed again. I said I could do the same as everyone else, but when they started the timer I was already feeling like I was going to cry and I couldn't talk at all. We each had to do three talks. I managed to talk a bit about my lab and project in the second one, but then I ran out of stuff to say and got embarrassed again and couldn't finish it and the third one I couldn't talk at all, again. The worst part was that after letting my three minutes run out with me just sitting there wishing I could disappear, they all clapped. It was so humiliating.
The therapists made a big deal out of how great it was that I managed to sit there, even though I was anxious. What else was I going to do? I had to rate my anxiety before and after, with the idea that it would go down. Mine didn't, though. It actually went up, but I was too anxious to talk and just nodded when the therapist asked if it was the same.
I tried to explain that I wasn't actually anxious about talking; I was just embarrassed about crying and that makes it hard for me to talk. I didn't feel like they heard, though. We were trying to get through a lot of talks, so I guess there wasn't time to stop. I guess that's one of the disadvantages of group therapy.
I ended up feeling like a complete freak the whole time, because everyone else (most of whom listed fear of public speaking as the reason they were there) managed to talk and ended up hardly anxious at all by their third one. I just got more and more embarrassed and ashamed.
I think it didn't help my anxiety go down, because I wasn't really feeling anxious, just incredibly ashamed (of crying, and of letting them think I was crying because I was anxious about talking so they were all sympathetic). I don't think shame goes away if you're forced to experience it, and not escape, the way anxiety does.
This kind of group therapy is supposed to be the best treatment for social anxiety, which is why I went to this place. I'm not very optimistic that it's going to help now, which is depressing.
12 Comments:
If it makes you feel better, this is exactly the way you're supposed to feel in exposure-based treatment for social anxiety. The more you experience the anxiety the less intense it will get. I'm impressed with your session, I totally would have found some excuse to go to the bathroom and never return!
"What else was I going to do?"
I dunno, bolt from the room? It sounds pretty awful and that's what I would have done if I could make my legs work.
Can you get someone to talk with you individually along with (or instead of) this group thing?
Perhaps its one of those things that actually have benefit - you just don't realize it at first. Anyways I'm proud of you for even going!
Do you think it would be possible to e-mail one of the group people to explain that what was causing your anxiety wasn't the actual act of speaking, but figuring out what to speak about? Since they didn't seem to get that at the time, and if they knew, they could be more helpful? They might actually see those as the same thing - even if the act of talking doesn't make you anxious, can you succeed at it if you get worried about what to say? - but I'm certainly not a therapist so take this with a grain of salt. In any case, it seems to me that the therapists might want to know what was going on.
And you know, whatever reason made it hard for you to speak - getting anxious because it was hard to pick a topic, rather than the actual speaking part - it is still a big deal to stay there and not run out of the room. And I'm imagine their sympathy is just for your distress, whatever specific trigger it had - don't think that you were deceiving them or that you didn't deserve their sympathy because you weren't upset exactly about what they thought you were upset about; they were sympathetic because you were upset, regardless of why.
Anyway. I hope that the group helps you the more you go! How often does it meet?
you're not a freak.
I was going to say what New Kid said. I am also someone who can speak in front of people when the topic is already chosen (i.e., when I have to give a talk/lecture, etc.), but freeze up when confronted with the pressure to choose something or make some kind of statement about who I am with my choice. So I feel I understand your particular paralysis at the meeting. And I imagine the therapists probably have seen it before--so I agree that you should simply let them know by email. Best of luck with this--you're courageous, as the others said, to have stuck it out!
I've been trying to think of what to say all day. Good thing I didn't have to stand in front of a big group of people while I did it -- I would have, you know, cried.
I guess that's what I have to say: I still have to fight back tears in those situations. So if you're a freak, hey, you've got company.
(((((Lucy)))))
What everyone else said. And me too, sweetie...I couldn't have made it through that without crying. You're very brave for going in the first place.
Well, since you feared something of this sort and still went, that's a victory of sorts. (Maybe it's a pyrrhic victory - or rather, what's a victory where you drown in water? :) ) Based on your last session, you had a strong feeling it was going to be painful and you toughed it out and stayed through it. That's something. You may discount it as being an insignificant something, but I disagree. I hope it gets better for you.
You're trying and being reflective about what's bothering you. I think that counts for a lot. I'm sorry you felt so badly about it and I'm wishing you all the best for the next session. Hugs.
I tried group dance therapy once to deal with my body issues. It did not go well. I felt all dumb doing the exercises in front of other people. One day we had to take pillows and scarves and make ourselves a "safe cave" to get into and feel safe and comfortable. I threw my pillows on the ground and literally lay down and took a nap. And then I decided I wasn't going to spend money to take naps so I quit going.
I tend to cry when embarrassed too. I once broke down at a practice job talk in grad school and started bawling in front of an entire room full of professors.
This is not helpful, but I know how you feel, at least somewhat. At least you're making an effort and working on it.
I'm with everyone else, Lucy....the most important part is that you sat with the horrible anxiety & tears & did not leave the room. That's incredibly brave.
I also agree that the people would have been sympathetic because you were distressed (whatever they thought the cause was)and of course you deserved their empathy - everyone who is upset deserves to be comforted. There isn't a list of situations/contexts in which you are deserving and ones in which you're not.
"Hugs",
I admire you for being brave enough to tackle this, particularly in such a public setting. I'm not sure I would be
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