social

Depression and Isolation

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“Misery loves company.” We hear it often...people who are suffering seek the company of others who are also suffering. But what happens after those people get together?  Does their level of misery change? If you take a moment to compare times when you felt miserable (“sad”, “unhappy”, or “depressed”) versus when you’ve felt happy, what’s been different? If you’re like most people, you may notice a difference in the kind of company you have in each case.

Many people feel happiest and at peace when they’re in good company. The kind of company that treats you with acceptance, respect, dignity, kindness, and compassion. We feel connected, included, valued, and a part of something. On the other hand, those who feel the least happy (or most miserable) are likely existing in a very different group...one in which they feel isolated, alienated, lonely, judged, misunderstood, unappreciated, disrespected, and mistreated or abused.

For many of the people I see in therapy, circumstances like these are common for those living in unhappiness and discontent. So this begs the question...does misery really love company? After all the conversations I’ve had with people struggling with various degrees of misery, I lean toward the opposite: misery actually hates company.

Misery Thrives in Isolation

A lot of people I talk to who say they struggle with depression note that when things are at their worst, they are persistently isolated and feeling very much alone. Although this can be seen as a “chicken and egg” problem, it’s fair to say in a lot of contexts that the intense sense of dissatisfaction that often comes with depression may be a response to isolation, alienation, or social exclusion.

In fact, there’s a recent theory of addiction being prescribed that suggests the reason many people turn to substances like drugs and alcohol is because they feel disenfranchised.  They’re struggling to feel that satisfying sense of connection that is often present when we’re feeling happy, and they use substances to cope. On top of that, when we look at how many people recover from substance abuse and addiction, we see how important supportive groups and communities are in that process. Twelve step programs like AA and NA can offer an accepting, positive social experience that stand in stark contrast to the sense of alienation and isolation that often accompanies substance use.

Social connectedness (or lack of it) is a good predictor of where we fall on the happiness/misery scale. The more we feel we belong, the more content we’re likely to feel. The more we feel alienated or excluded, the more likely we are to feel miserable and at odds with the world around us.

Why We Withdraw

When people have had negative social experiences, it makes sense for them to pull away from others. At first, isolation may seem like a preferable alternative to the hurt that could potentially come from getting close with others and have it end. Emotional pain never occurs in a vacuum...  it’s always a response to something, and very often related to our interpersonal relationships. When we isolate ourselves from others, we diminish the likelihood of being hurt more than we already have. Our mind will tell us fear-provoking stories in order to protect us from harm. In therapy, people have described how they’ve withdrawn for a whole range of reasons:

  • They’ve been hurt too many times by others in the past;

  • They’re fearful of being judged or misunderstood;

  • They’re concerned for other people’s wellbeing, not wanting them to feel burdened by their suffering;

  • They anticipate rejection from others, and choose not to chance it;

Social withdrawal usually serves us in avoiding negative responses from others... like beating others to the punch. Pulling away from those who might do harm or exploit our vulnerability before they get the chance to do so. In this way, isolating serves to maintain our dignity and preserve what sense of emotional safety we have, without it being further damaged.

The Downside of Isolation

People who withdraw from their social relations often describe feeling stuck between a rock and a hard place. On one hand, if they go out on a limb and take a chance at reestablishing connections and social supports, they risk further rejection, judgment, or abuse. On the other hand, if they remain withdrawn, they’re left to deal with the sense of loss and sadness that comes with exclusion and longing for connectedness. Many people carry on functional lives despite their withdrawal, but can’t shake the feeling of longing for something more. We have no control over how other people treat us, which is part of the reason why many people withdraw. Seeking out a therapist in these times is brilliant because therapists are far more likely to meet you with compassion, acceptance, and understanding (and if not, you don’t have to look far to find one who is). The relationship people strike up with a therapist can be pivotal in helping shift away from isolation toward exploring the possibility of finding safe, meaningful connections with others.

If you, or someone you know, is struggling with feeling isolated and want help in working through the process described above, consider contacting me at (717) 288-5064 / gregghammond@restoringbalancelancaster.com and schedule an appointment today.

7 Symptoms of Social Anxiety

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Social anxiety can leave a person feeling intensely fearful and awkward in, and around, social situations. Day to day life can be massively impacted and influence our interactions with others to the point where our relationships and even our work lives suffer. The anxiety often doesn’t end when the socialising ends either, we may find that we ruminate over things we’ve said or not said,or things we did or didn’t do. There’s a sensitivity to the thought of being judged, appearing rude or aloof, and of never really fitting in. We might find that we avoid social situations as much as possible which can lead to us feeling lonely and isolated. When we can’t avoid the social situation, we might find that we constantly go over and over what we might do or say in response to certain situations and conversations. Needless to say, it can be extremely exhausting.

1. Self-Consciousness

Excessive self-consciousness can take hold, particularly when we are in social situations. It can feel impossible to keep eye contact with the people we’re speaking to. We might find ourselves hiding behind our hair or behind the bill of a hat. Our speech can become quiet because we don’t want to draw attention to ourselves, or we might talk rapidly because we feel so nervous.

2. Intense Worry

Upcoming social events can cause havoc with the social anxiety we experience, causing us to feel intense worry. This could range from worrying hours before an event to days, weeks, or even months. We could be worrying about what to wear, who might be there, or what they might say and how we should respond, whether we will look or say something inappropriate or if we’ll fit in. Often we will worry about how we can get out of it or how we’ll be able to escape if we need to. It can be a never-ending conveyor belt of thoughts and “what if” questions.

3. Avoidance

Anxiety about social situations can bring about an urge to avoid them, which leads to what is called “experiential narrowing” as we lessen the activities and people in our life to only those that we feel comfortable with. It can mean that we miss out on events that we really want to go to. We might not see our friends or family as often as we’d like to. The thought of social situations can make us feel so unwell that going to them feels impossible.

4. Physical Discomfort

There are loads of physical symptoms that we could experience if we’re living with social anxiety. These could include things like feeling nauseous, sweating, increased heart rate, blushing, shaking, feeling dizzy, feeling faint, and diarrhea. These symptoms can feel embarrassing, and this embarrassment can increase our anxiety and make them even worse. It can be a vicious cycle.

5. Negative Thought Patterns

Social anxiety can cause us to have extremely negative thoughts about ourselves. Even if we receive 10 positive comments, and one mediocre comment, we will take the mediocre comment as a negative and run with it. We often have very low self-confidence and don’t think much of ourselves. We can feel like a burden and think that people don’t really want us around and are just ‘putting up with us’. Conversations we’ve had can play on our mind for weeks on end as we wonder if we got it ‘right’, or if we said/did something ‘stupid.’ These negative thoughts can overwhelm any positives we might feel about ourselves. The more we think them, the lower our confidence sinks, the lower our confidence sinks, the more negative thoughts we have. Another cycle takes place.

6. Safety Behaviors

We will often try to manage the symptoms of social anxiety by modifying our behavior. This could include things like making sure we always have someone with us or knowing how we’ll get home. Choosing to spend less time in larger groups and preferring smaller gatherings. While many of these behaviors can seem harmless and constructive, they still manage to leave us at the mercy of our anxiety. While others, like relying on alcohol to manage symptoms, can lead to (you guessed it) another cycle occurring in which alcohol becomes the predominant mode of relief leading to the need to increase the amount of alcohol over time used.

7. Difficulty Functioning When Others are Watching

Many of us find that we struggle to do things if there is someone watching us. This could include things like making a phone call, eating food, or standing at the copier at work. It could be based on walking into a room full of people on our own, putting our hand up to ask a question at an event, or trying to avoid a sneeze because we don’t want everyone to look our way.

Social anxiety is so much more than ‘shyness’ and it’s typically where fear of social situations is long-lasting and disruptive. It’s a fairly common condition that can start to affect us in our early years and is treatable with the right help and support.

If you, or someone you know, are struggling with social anxiety, consider contacting me at (717) 288-5064 / gregghammond@restoringbalancelancaster.com and schedule an appointment today.