Over the years I have worked with many people who suffer from addictions of all sorts –drugs, alcohol, food, sex – you name it. Most were/are in recovery or have attempted to deal with their addictions in other ways. But one thing I’ve noticed that they have in common is that most have Social Anxiety Disorder as an underlying problem. That is not to say that all addicts have this. But when you think about it, for many it makes sense. Addictions mask emotions and help with symptomatology. They initially make things easier – brighter if you will. Drugs & alcohol lower inhibition and can help ease the way for social interaction. For most, alcohol lightens the mood and lowers inhibitions and may make things more pleasant. But social discomfort is major problem for those with Social Anxiety Disorder. People can shake, stutter, withdraw, become mute and can’t make contact even in the seemingly most benign circumstances. Think of Rojesh from TV’s “Big Bang Theory”. He is a caricature for sure, but not so far from hitting the nail on the head. The powerful underlying truth of what many with Social Anxiety Disorder deal with is that their discomfort is so great, they can’t connect. Or they suffer greatly when trying to interact. Drugs or alcohol can produce a major shift for them. It is self-medicating, and many even forget what is lurking underneath – especially if they become chronic users. But when sobriety is achieved it is there – just as it was from the beginning. The trick is to find other ways of dealing that might bring about some real change.
Tag Archives: Counseling
Grief & Loss
I have often thought about how disability or deformity or age or grief can significantly effect the psyche. There is much written in books & articles, but to connect with the experiences as I have experienced these things in my own life and in those of patients, has made me appreciate with an even deeper understanding, what people go through. This enables me to deal with these issues better in my work.
I recently came across an article on grief & loss in the New York Times that really spoke to me. Copy & paste the link is below and I hope it touches others too.