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Originally Posted by The_Ubiquitous_Gecko
Those of you who would classify your SA as a medical condition, how much insight do you think you have into it?
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I think I have a fair bit of insight into my own mental state. I can delude myself in equal measure though. I can be quite persuasive in my unhelpful thinking.
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Do you think you know why you have these problems or is it a mystery to you?
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Yeah I think I know why. I'm hypersensitive and I had a difficult upbringing. Together those things led to me developing low self-esteem which began manifesting itself as anxiety when I hit puberty. After I began having panic attacks, I became avoidant which led to agoraphobia and isolation. Isolation led to depression.
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Also do you know your triggers?
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It's weird. For me, certain things tend to trigger panic or anxiety. Sensory arousal, sudden movement and noise can really unnerve me. Unexpected conversation. To be able to converse, I often need forewarning. I also have a lot of obsessive thoughts. If I'm already anxious and one of these thoughts arise, I become fixated on it to the extent that I start to believe that I will only feel better if I act on the obsession. I'm often fighting the urge to act on my thoughts.
But why I panic on some days and I'm alright on others I don't know. Even when the same triggers are there, some days I seem to be able to cope better. I think sometimes something simple like not being tired can make all the difference.
On a 'bad' day I often don't even bother trying to step foot outside.
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Can you identify factors which may be holding you back right now and are you willing to change your situation if needs be?
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I'm too avoidant. I have a lot of love and support in my life these days and I feel cushioned from the blows sometimes. I need to venture out on my own more and face my fears.
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What do you think you need to do in order to get better?
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Push myself more (but in a kind way) whilst still accepting my own limitations.
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What's the underlying problem?
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Low self-esteem. Fear of failure.