8: Anxiety@ The Pub

The final of my eight part 'Anxiety @' series (blimey, this has been going on for a while eh?!*) focuses on what it is like to have social anxiety.  I refer to the pub specifically, although this could include any type of social activity involving other people. As I understand it, a social activity is not 'social' if it doesn't involve other people, so by it's very nature, this is the sort of anxiety that occurs in the presence of others.

Photo from Anxiety UK website - Google's were all crap

What a great blog this is so far.

The way I would define social anxiety is having a chronic lack of confidence when in a social situation; a fear of looking foolish; a fear of appearing uninteresting; and of course a fear of all of this resulting in a panic attack.  It's often the case that social anxiety and panic disorder collide.  In fact, panic disorder pretty much collides with everything.

The other factor to throw into the mix which is more specific to me as an individual, is the fear of eating, which, as number 4 in the 'Anxiety @' series demonstrates, has been particularly difficult for me over the years.  Often, struggling to eat can lead to social embarrassment, as various previous blogs have described. 

So for now I'm going to cut out the panic disorder and eating elements, which cloud the social anxiety problem as a whole.  I don't have social anxiety just because of the panic disorder and eating problems.  These are simply other factors that make it worse.  This is proven by the fact that even today, when both my panic disorder and eating out issues are much improved, I still experience social anxiety.  So the two questions are how and why?

This is best demonstrated via the medium of case studies.  Sorry - I appear to have gone back to work.  But in all seriousness, examples of where social anxiety has occurred where eating out hasn't been involved, and recently enough so that panic disorder was less of an issue, is the best way for me to explain what it's like.

Example 1: This was about 18 months ago, not long before I left my previous job.  There was a fairly generic work do taking place.  Work do's are generally a fuel for social anxiety, because 1) I never feel as comfortable with work colleagues anyway for obvious reasons, and 2) because no-one at work has ever known about my anxiety conditions.

Ah - and this is really interesting actually as I'm kind of finding out things about my condition as I write this.  Because of health anxiety, I have a fear of the effects of stimulants on the body.  Alcohol is included in this, and consequently I tended to only drink a little and then go soft, so to speak.  In the past, whenever I drank too much, I woke up at about 4am with my heart racing and feeling terrible, which then led to a panic attack.  So I stopped drinking.  But of course, when you're out with work colleagues, and they ask you 'why aren't you drinking much,' my reply generally won't be 'because I have an anxiety condition and it causes me to have a panic attack if I drink too much.'  Call it stigma, call it a conversation killer, what you will, but I never gave a legitimate reason.  Well OK, so I may have said 'for health reasons,' which technically is true, but you get the point.

Anyway all this drivel shows how significant the influence of alcohol has on a social situation.  Sadly, in modern society, you're often automatically seen as uninteresting if you're not drinking for no reason that is deemed acceptable by those who are drinking.  So I often go into social situations, especially with people who don't know about my condition, knowing that talks of alcohol are going to dominate the night.  And you may have noticed (or maybe not, if you too are pissed), that when people start drinking, one of the main things they talk about is around stories of other times when they have been so off their face that they had intimate relations with their friend's grandmother, or something equally as worrying.

So what this example - and many others - shows is that alcohol has a huge influence on social anxiety.  I either drink and suffer the consequences, or don't drink and get badgered all evening as to why I'm not drinking.  Call me a tiresome bore, but I generally go for the latter.  

Example 2: A house party, probably about five years ago now, at my friend's house.  This particular friend generally sits in other 'friendship circles' to me, which means apart from her and my mate who effectively came with me, the other people at the party weren't people I knew well.  Put me in a situation with new or unfamiliar people and I'm petrified.  I feel bullied by others in conversational terms - I feel I need to have seen that film or heard that band or visited that country that they are talking about.  The reality is, I rarely watch films, my music taste is so specific I have no idea what is happening in the mainstream, and my only venture outside the UK and Ireland was on a university fieldtrip.  Sadly, the materialistic fabric that makes up modern life dominates social conversations, especially with people you don't know well, and as such I'm automatically perceived as 'unusual' as someone who doesn't really treasure the same things most others do (ironically - some of these 'unusual' character traits that I have are often as a result of anxiety!)

Now this would be fine if I had confidence.  You could argue that being 'different' could provide a real social opportunity, a tonic amongst the generic nature of most social conversations.  But sadly, what social anxiety makes you do is cower under the discomfort of being 'different' rather than allowing you to express yourself.  You become wildly uninteresting rather than the most interesting.  And even if people don't see you as uninteresting, you feel uninteresting - because you have no confidence.  The reality is this:

I don't feel I have anything interesting to say.  Or rather;

I don't feel I have anything to say that other people would find interesting.

Example 3: I mentioned in my last blog about living in a shared house that social anxiety has been an issue here too.  I've been fortunate, in that this has forced them to find out more about me and in so doing make me feel more comfortable with them over time.  But it's not been without it's difficulties.  There have been other people there during my time at the shared house who have always made me uncomfortable, the sort who assume that you're uninteresting if you don't share their views or find the things they are interested in interesting yourself.  I began to appreciate that's not so much my fault, but it doesn't help my own confidence either.

But even the people I have got on with well, I still find it difficult to answer a question such as 'what have you got planned for the weekend?'  If my answer is 'watching football, chilling, walking' for example, then those feelings of uninterest come back.  I feel like the social eyes of the world are watching me, expecting me to say I'm going hang gliding or parachuting, or at least going out with 'the lads' on the piss until the early hours.  Which takes us back to example 1.

Incidentally, none of my friends, nor myself, could be classed as 'the lads' in any way, shape or form.  And that is one element of my social personality that I'm quite proud of.

Now to factor back in the aforementioned eating problem: could it be that this has caused the social anxiety to be worse, or could it be that it's the social anxiety that's caused the eating problem?  As with trying to identify the cause and effect of many anxiety problems, especially those that interrelate, it's very much a chicken and egg situation. Does health anxiety cause panic disorder?  Or the other way round?  In truth, I don't think even the most highly qualified psychologists know the answer to that.  That said, I think I'd still have social anxiety if I didn't have an eating problem, as the confidence thing can occur whether eating is involved or not.

The final question is, what has caused this social anxiety.  Is it other forms of anxiety and the effect it has had on my personality?  Is it my upbringing?  The eating problem as mentioned above?  Is it purely genetic?  Where does the lack of confidence come from?  Years of being unhappy and, for a while, bullied at school?  Years of being single?  

I would suggest all of the above have had an impact.  I don't think, after so long, it really matters now.  It's more about appreciating the people I do feel comfortable with, of which there a few - but this core group of friends has really kept me together over the years.  It's more about welcoming those few new people into my life who do accept me and value me for who I am, not who society wants me to be.  And it's about managing those occasions when I am thrusted into uncomfortable circumstances and managing them in the best way I know how - if anyone can tell me what this is, by the way, please let me know.

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* As I said at the start of this post, this is the final blog in the 'Anxiety @' series.  I also said it's been going on for a while, which it has.  Eight blog posts all around different themes in terms of how anxiety has affected and still affects me, and several sub-themes within each one.  What does this show?  Just how much anxiety and mental health conditions as a whole can affect someone's life.

I would never say that I've had a severe mental health condition.  I say that because I'm here today in a position to write this blog, and I've never been hospitalised as a result of my condition.  And yet despite this, anxiety has still affected my life, its outcomes and my future in a multitude of ways.  So how about those people who can class their condition as severe?

Which is why all the talk about cuts to mental health budgets, the stigma that still exists and the lack of awareness that is still abound in certain pockets of today's society frightens me.  This needs to change.  The time to act is now.

That's all I hope to achieve by writing these blogs.  A microscopic needle in a land full of haystacks.  But I hope, occasionally, that the right person with the right microscope picks the right haystack, and finds something amongst my ramblings that they find helpful.

Best wishes
Al