135: Smashing Shyness: Part 2 of 2 Consecutive Shows on Social Anxiety

135: Smashing Shyness: Part 2 of 2 Consecutive Shows on Social Anxiety

How to Overcome Shyness

In a recent podcast, David and Rhonda emphasized the importance of specificity–selecting one specific moment when you want help. This is very true in the treatment of shyness. 

Jason, who we introduced in the last podcast, wanted to work on the intense anxiety he felt in the locate grocery store. He thought the woman checking groceries was attractive, but he was terrified about talking to her, or trying to flirt. So he said nothing, and left the store feeling like a failure. 

After this humiliating experience, he filled out a Daily Mood Log and listed all the Negative Thoughts and feelings he’d had while waiting to check his groceries. After doing Positive Reframing, he decided on the Negative Though he wanted to work on first: “People will think I’m a self-centered jerk if I try to flirt with her.” David and Jason put this thought in the Recovery Circle and selected more than 20 techniques Jason could use to challenge thought. 

While you’re listening, you may enjoy looking at the PowerPoint presentation. You’ll find Jason’s Daily Mood Log, the Recovery Circle, the Downward Arrow Technique, and more. These visuals will help your learning!

On the podcast, David and Rhonda illustrate how to challenge that thought using many of the methods listed on the Recovery Circle, including:

  • Identify the Distortions. They found all ten distortions in this thought.
  • The Straightforward Technique. This technique was not effective, since the Positive Thought Jason came up with was not valid, and it did not reduce his belief in the Negative Thought. However, this technique did reveal something important about Jason—he seems to see the world in an adversarial way, and imagines he is in competition with others who will try to put him down.
  • The Cost-Benefit Analysis. What the are Advantages and Disadvantages of Jason’s Negative Thought? Jason did a remarkable job with this technique, and found it helpful and illuminating.
  • The Individual Downward Arrow Technique. David and Rhonda illustrated how this works, using role-playing. They were able to identify five of Jason’s Self-Defeating Beliefs that are extremely common in Social Anxiety, including:
    • Perfectionism
    • Perceived Perfectionism
    • The Approval Addiction
    • The Spotlight Fallacy
    • The Brushfire Fallacy
  • The Paradoxical Double Standard Technique. What would Jason say to a dear friend who was also struggling with severe shyness? Would he say, “People will think you’re a self-centered jerk if you try to flirt with her.” If not, why not? What would Jason say to a friend? And would he be willing to talk to himself in the same compassionate way? This technique was also very helpful to Jason.
  • Examine the Evidence. What’s the evidence that people will think he’s a self-centered jerk if he tries to flirt with a young lady he’s attracted to?
  • Survey Technique. Have his friends ever struggled with anxiety when they were starting to date? Would they think of him as a “self-centered jerk” if he was more outgoing and flirtatious? This was a homework assignment, to ask his friends. The information he got was a huge surprise.
  • Thinking in Shades of Gray. He thinks he has to sweep her off her feet or he’ll get totally rejected and ostracized by the human race. Is there some easier goal he could shoot for?
  • He’s telling himself that if she shoots him down, it will prove that he’s a “loser.” Are there other reasons why a grocery checker might not respond favorably to a young man who is trying to flirt with her?
  • Feared Fantasy / Acceptance Paradox. David and Rhonda illustrate this amazing technique, with role-reversals. This technique will help Jason crush the Self-Defeating Beliefs that cause his shyness in the first place, like the Approval Addiction.

These techniques were extremely helpful to Jason, and all of his negative feelings went down dramatically by the end of his first therapy session. However, he will have to do more work outside the office for homework, using Interpersonal Exposure Techniques to confront his fears of rejection, including:

  • Smile and Hello practice
  • Flirting Training
  • Talk show Host
  • Rejection Practice
  • Self-Disclosure
  • Shame Attacking Exercises

These assignments terrified Jason, but he courageously agreed and followed through. He had his share of rejections, as we all do, but had some successes, too, and soon was dating a lot and enjoying it, and his shyness became a thing of the past. The treatment only required four sessions.

Thanks for listening!

David and Rhonda

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You can reach Dr. Burns at david@feelinggood.com. Dr. Rhonda Barovsky practices in Berkeley, California, and can be reached at rbarovsky@aol.com.

If you like our jingle music and would like to support the composer Brett Van Donsel, you may download it here

* * *

THREE COOL UPCOMING WORKSHOPS FOR YOU

TEAM-CBT Methods for Anxiety Disorders–

Step-by-Step Training for Therapists

by David D. Burns, MD and Jill Levitt, PhD

jill-david

Dr. Jill Levitt and I are offering what I think will be an outstanding workshop on the treatment of anxiety disorders on Sunday, May 19, 2019. Our Sunday workshops are tremendously fun, so consider attending if you are interested. 

The last Sunday workshop in February sold out quickly so register soon if you are interested. You can join in Palo Alto in person or online from anywhere in the world.

THERE WILL BE MANY EXPERT TRAINERS TO GUIDE THE ONLINE PARTICIPANTS DURING THE SMALL GROUP EXERCISES

WHEN: May 19, 2019, 8:30 am – 4:30 pm PST
(11:30 am-7:30 pm EST)

WHERE: Join us live online or in person at the Creekside Inn, Palo Alto, CA.

HOW MUCH DOES IT COST? $135,

WILL I GET CE CREDITS? YES! 7 CE hours available

WILL I GET CREDIT IN THE TEAM LICENSURE PROGRAM? YES!
Completion of this workshop also counts towards TEAM-CBT Level 1, 2 or 3 Certification

WHO CAN ATTEND? Therapists of all levels are welcome

CAN I REGISTER IF I’M NOT A THERAPIST? Sadly, the Feeling Good Institute wants to limit this workshop to therapists. But you can check out my summer intensives below. Non therapists have attended from time to time, and seemed to enjoy the intensives. I try to teach at a simple, clear, basic level, with little or no jargon.

WILL I HAVE FUN? Yes!

WILL I HAVE GET TO HANG OUT WITH SOME COOL COLLEAGUES? Yes!

WILL I GET AN AWESOME FREE BREAKFAST AND LUNCH? Yes!

You will love this lively, amusing, and immensely useful day of training with Drs. Burns, Levitt and the Feeling Good Institute Staff. The trainers will use a combination of didactic teaching, live demonstrations, video, and breakout group practice to enhance skill-building.

REGISTER / LEARN MORE

Act fast if you want to attend!

* * *

And there will be two awesome summer intensives for you this year!

July 15 – 18, 2019
Calgary four-day intensive
Sponsored by Jack Hirose & Assoc.

 

July 29 – August 1, 2019
South San Francisco four-day intensive
Sponsored by Praxis

 

134: Smashing Shyness: Part 1 of 2 Consecutive Shows on Social Anxiety

134: Smashing Shyness: Part 1 of 2 Consecutive Shows on Social Anxiety

How to Overcome Shyness

David and Rhonda begin with two emails (among many) from listeners asking for more help on the problem of social anxiety.

Email from “Margaret:”

Hi David,

How do you distinguish a personality disorder – say, for example, Avoidant Personality Disorder, from “just” (and I don’t mean that in a derogatory way) being depressed and anxious?

I ask because I have a strong suspicion that I may be suffering from Avoidant Personality Disorder, and I think if you knew my history you would probably agree that there are strong signs (I have been having problems from my early childhood until now, and I am 30 years old now).

Also, a further question – is it possible to have severe anxiety without feeling like the confrontation with the thing you’re afraid of means you’re going to die? I have isolated myself completely, and I have no social life in any sense of the word – my only real contact with the outside world is through my job, because it is a necessity for living. But it’s not because I think I’m going to die if I hang around people – I just very strongly dislike it and ‘shut down’ or ‘freeze’ due to all the thoughts in my head about being negatively judged and watched, so I prefer to avoid contact with people, and in situations where I’m forced to endure it, I’ll usually find ways to ‘avoid’ or escape the situation. 

There are many ways I do this – since I was very young I’ve had the habit of purposely looking annoyed, so that people would not approach me, even though I secretly wish they would (oh, the paradox..), and at work I will often be listening to music with earphones – both because the music calms my anxiety, and because it makes me appear less ‘available’ to other people. 

In situations where I cannot escape crowds – say, in the canteen during my lunch break – I’ll sit by myself, as far away from everyone else as I can, and leave as soon as I have taken the last bite of my food. In college I would often hide in the bathroom by myself during breaks, or I would avoid interpersonal contact in some other way. And so on and so forth. These are just a few examples – I could give you a million others. 

I am aware of my own behavioral patterns but still feel powerless to change them. It’s like being an observer, observing yourself committing the same mistakes over and over, but with an anxiety so strong that rationality alone is not enough to change the behavior. After 30 years of this, it’s getting old. I have never felt any other way, so I cannot fathom what it means to lead a normal life.

I have never had a friend in any usual sense of the term, and I literally never spend time with anyone in my spare time except for my parents. As a consequence, I have never learned or understood how to make friends, and I have never been in an intimate relationship, or taken part in any of the social activities that are normal to other people (parties, school dances, etc.) The simplest things are rocket science to me. So, I’m interested to know when a person crosses over from “simply” being depressed or anxious into having a personality disorder.

If you use any of this for a future episode I am fine with that – you can even quote me directly. But I only ask that you please don’t use my real name as to not jeopardize my job and so on. Thank you. 🙂

Kind regards,

Margaret

David explains that there is no such thing as “Avoidant Personality Disorder.” It is just an imaginary concept created by the American Psychiatric Association, and is applied to individuals with shyness that is so severe that it causes significant problems in their lives.

And yes, you can definitely deal with mild, moderate, or even extremely severe problems with the TEAM-CBT as well as exercises in my books, such as The Feeling Good Handbook, When Panic Attacks, and Intimate Connections.

They also read an email from “Abdul,” a podcast fan who’s been struggling with shyness.

I’m from Pakistan. Please make podcasts on shyness and public speaking and other anxiety issues.

I have anxiety shyness. My father has also anxiety. I know he is not happy. I also sometime feel exactly like him.

And one of my cousins is very much depressed. He is a cleaner in a garments shop. He always use to pack clothes all the time even if they are kept properly.

Dr burns please guide us. It would be very very helpful.

Sorry if I wrote anything unprofessional.

Thank you.

Several days later, David received an additional email from “Abdul:”

My social anxiety has returned back. In my office I feel very lonely. 

Here my negative thoughts:

  1. I should say something impressive.
  2. I’m good looking so I should not be anxious.
  3. I should talk to girls.
  4. I should say hi to people.
  5. I should mix with people.

Today and next week, David and Rhonda will describe how to treat / overcome shyness using TEAM-CBT. David explains that this is probably his favorite problem to treat, since he himself has struggled with every conceivable form of social anxiety, so he really knows how to defeat this problem. 

But to start out, David and Rhonda want to see how shy YOU are, so they administered David’s Shyness Test verbally to listeners. if you’d like to take the paper and pencil version, click here. You’ll also find the scoring.

How did you do on the Shyness Test?

Now let’s talk about how the treatment works. While you’re listening, you may enjoy following along on this PowerPoint presentation, which I will publish next week as well.

We’ll publish them next week, too. You’ll find Jason’s Daily Mood Log, the Recovery Circle, the Downward Arrow Technique, and more. These visuals will help your learning!

We always start with a Daily Mood Log, focusing on how you were thinking and feeling at a specific moment when you felt shy. We don’t just throw techniques at patients based on a problem (shyness) or diagnosis (Social Anxiety Disorder). We’re all different, so the treatment is highly individualized. 

Rhonda and David describe a shy young man  named Jason who wanted to flirt with an attractive woman checking groceries when he was inline at his local supermarket on a Saturday. However, he was flooded with Negative Thoughts and feelings, and by the time he got to the front of the line, he was so terrified that he avoided all eye contact with the checker, and didn’t even say a word to her, when she checked his groceries. He left the store feeling like a total loser.

David and Rhonda talk about reducing the Outcome and Process Resistance before trying to “help” Jason, or any one who’s anxious. Outcome Resistance means that Jason may have some pretty strong resistance to recovery, in spite of how much he’s suffered, even if all he had to do was to press a Magic Button and be instantly cured.

Process Resistance, in contrast, means that if Jason does want to recover, he’ll have to use some Interpersonal Exposure Techniques that will be frightening to him. Is he willing to do that if David agrees to treat his shyness?

David and Rhonda illustrate how to do Positive Reframing , listing all the really positive things about Jason’s negative thoughts and feelings.  They encourage listeners to turn off the podcast briefly, and see if they can list some positives before listening to the list that David and Rhonda generated. I’d encourage you to do that, too, while listening. Try it yourself before you see the “answers.”

They discuss how they might issue a Gentle Ultimatum, along with Dangling the Carrot and “Sitting with Open Hands,” to reduce Jason’s Process Resistance. 

Once Jason’s resistance has been reduced, they will go on to the M = Methods of the session, and focus on how to help Jason challenge the Negative Thoughts that Jason had while standing in line waiting to check his groceries.

Next week, they’ll describe the methods they selected and describe what happened when David used them during his session with Jason.

* Copyright ã 1996 by David D. Burns, M.D. Revised, 2019

Thanks for listening!

David and Rhonda

Subscribe

You can reach Dr. Burns at david@feelinggood.com. Dr. Rhonda Barovsky practices in Berkeley, California, and can be reached at rbarovsky@aol.com.

If you like our jingle music and would like to support the composer Brett Van Donsel, you may download it here

* * *

THREE COOL UPCOMING WORKSHOPS FOR YOU

TEAM-CBT Methods for Anxiety Disorders–

Step-by-Step Training for Therapists

by David D. Burns, MD and Jill Levitt, PhD

jill-david

Dr. Jill Levitt and I are offering what I think will be an outstanding workshop on the treatment of anxiety disorders on Sunday, May 19, 2019. Our Sunday workshops are tremendously fun, so consider attending if you are interested. 

The last Sunday workshop in February sold out quickly so register soon if you are interested. You can join in Palo Alto in person or online from anywhere in the world.

THERE WILL BE MANY EXPERT TRAINERS TO GUIDE THE ONLINE PARTICIPANTS DURING THE SMALL GROUP EXERCISES

WHEN: May 19, 2019, 8:30 am – 4:30 pm PST
(11:30 am-7:30 pm EST)

WHERE: Join us live online or in person at the Creekside Inn, Palo Alto, CA.

HOW MUCH DOES IT COST? $135,

WILL I GET CE CREDITS? YES! 7 CE hours available

WILL I GET CREDIT IN THE TEAM LICENSURE PROGRAM? YES!
Completion of this workshop also counts towards TEAM-CBT Level 1, 2 or 3 Certification

WHO CAN ATTEND? Therapists of all levels are welcome

CAN I REGISTER IF I’M NOT A THERAPIST? Sadly, the Feeling Good Institute wants to limit this workshop to therapists. But you can check out my summer intensives below. Non therapists have attended from time to time, and seemed to enjoy the intensives. I try to teach at a simple, clear, basic level, with little or no jargon.

WILL I HAVE FUN? Yes!

WILL I HAVE GET TO HANG OUT WITH SOME COOL COLLEAGUES? Yes!

WILL I GET AN AWESOME FREE BREAKFAST AND LUNCH? Yes!

You will love this lively, amusing, and immensely useful day of training with Drs. Burns, Levitt and the Feeling Good Institute Staff. The trainers will use a combination of didactic teaching, live demonstrations, video, and breakout group practice to enhance skill-building.

REGISTER / LEARN MORE

Act fast if you want to attend!

* * *

And there will be two awesome summer intensives for you this year!

July 15 – 18, 2019
Calgary four-day intensive
Sponsored by Jack Hirose & Assoc.

 

July 29 – August 1, 2019
South San Francisco four-day intensive
Sponsored by Praxis

 

068: Five Secrets Training–Inquiry: Helen Returns!

068: Five Secrets Training–Inquiry: Helen Returns!

Secrets of Successful Job Interviewing, Deeper Intimacy, Overcoming Shyness, and Other Interpersonal Goodies!

David, Helen and Fabrice discuss Inquiry, the third of the Five Secrets of Effective Communication. Inquiry means asking gentle, probing questions to learn more about what the other person is thinking and feeling. Although this technique sounds simple, it can be incredibly powerful and helpful.

David, Helen and Fabrice give many examples of how to use this techniques skillfully, as well as common errors to avoid. They also explain why and how this technique can sometimes be life-transforming, especially for individuals who feel shy and awkward in social situations.

Inquiry is an incredibly powerful technique to use when interviewing for a job, or for admission to a college or graduate school, especially when combined with Stroking, the fifth of the Five Secrets. David tells a hilarious story of how he got into the Stanford Medical School by using Inquiry and Stroking when he was interview by the Chairman of the Anatomy Department in the dark, spooky basement of the Stanford Museum.

David hikes for several hours every weekend with individuals from his weekly training group at Stanford, and does personal work with them along the way. He describes working with a woman who had crippling shyness since childhood, due to her belief that she was a “loser” and that people would find her boring. The use of “Inquiry” along with “I Feel” Statements (self-disclosure) during the hike was life-transforming when she disclosed her shyness to two elderly men walking with their dogs. The story is inspirational!

David also describes how another hiker could use “Inquiry” to help with a marital problem that had been bothering him for several months.

David encourages listeners (that includes you!) to try using Inquiry five times each day, even in superficial interactions with people in any setting, such as the grocery store, and gives examples of how to do this. Although this will not be the deepest application of Inquiry, the simple daily practice will give you a clear understanding of how this technique works. Practice is the key to growth and learning. You can’t get it just be listening or reading.

You can also accelerate your learning by reading Dr. Burns’ book, Feeling Good Together, and doing the written exercises while you read! You can order the book on Amazon.

Next week, our wonderful Helen joins us again for the Podcast on “I Feel” Statements.

Fabrice and I hope you enjoy our Podcasts, and also hope you can leave some positive comments for us and some five star ratings if you like what we’re doing!

Subscribe

At least one listener has had problems leaving an iTunes review from his i-phone, so Fabrice has created some simple to follow instructions if you need help.