Tag Archive: anxiety

Social Anxiety; Loneliness, Isolation and Depression

Do you feel lonely, isolated and depressed? Maybe you have social anxiety.

Social Anxiety

Social anxiety is very common with gay men. Most people who suffer from social anxiety don’t even recognize that they have a problem. According to Wikipedia social anxiety is:

An emotion characterized by a discomfort or a fear when a person is in a social interaction that involves a concern of being judged or evaluated by others. It is typically characterised by an intense fear of what others are thinking about them (specifically fear of embarrassment or humiliation, criticism, or rejection), which results in the individual feeling insecure and not good enough for other people, and/or the assumption that peers will automatically reject them.

Social anxiety begins at a very young age, when boys become aware of being different from other boys. Gay boys will fear of being rejected and become hyper vigilant around others.

The fear of being in social situations results in the person avoiding social situations. Social anxiety is not avoidance of people, it is avoidance of people in social settings. Interestingly, the same person who avoids social situations is still able to run large meetings at work, manage many employees, and teach 30 or 300 persons at a time with little or no anxiety. In all of these situations there is a structure and the role is clear, and maybe even having some authority provides comfort. In social situations the rules and expectations of how one is to behave is vague, the structure is flexible. What a person talks about and how it is said is not spelled out. This is where fear creeps in, that is, the fear of saying or doing the wrong thing, the fear of being judged, of looking foolish etc.

The most common reaction to anxiety in social situations is to withdraw as much as possible. Bathhouses are a good place for guys with social anxiety because there is sex and connections that can happen without the pressures of conversations in a group of people. It is not surprising that bathhouses thrive, because they provide an outlet for guys. Not everyone in a bathhouse has social anxiety but it is a safer place to meet guys and hook-up without the fear of social conversations.

It’s normal for people with social anxiety to gradually reduce their social commitments and spend more time alone or with one or two friends. This alone time often leads to depression. Most people with depression look for treatment when the cause is likely due to loneliness.

To avoid loneliness, it’s typical for gay guys in their mid-30s or 40s will get a dog or a cat. A dog can work well for the guy to get out and walk his dog without too much social interaction. If he is in a social situation or a date he will have the excuse that he has to get back to let his dog out. The dog becomes a good reason to only have short social interactions. But also the relationship with the dog provides some comfort and feeling of being needed and belonging.

There is nothing wrong with a dog replacing socializing in groups. Having a dog works well as a way of coping with the loneliness and isolation. In fact it works so well that many guys do not even try to socialize and live a life of avoiding connecting, and socializing. Not everyone who has a dog (or cat) has social anxiety but it could be something to examine if the pet helps one to avoid or limit the amount of time in social gatherings.

According to WebMD, social anxiety is relatively easy to overcome by counselling:

The counsellor will “guide the person’s thoughts in a more rational direction and help the person stop avoiding situations that once caused anxiety. It teaches people to react differently to the situations that trigger their anxiety symptoms. Therapy may include systematic desensitization or real life exposure to the feared situation. With systematic desensitization, the person imagines the frightening situation and works through his or her fears in a safe and relaxed environment, such as the therapist’s office. Real life exposure gradually exposes the person to the situation but with the support of the therapist”.

People do not talk about social anxiety and therefore goes undiagnosed and untreated. The result is people who are lonely, isolated and depressed without understanding why. Take a moment to look at yourself and how much social fears and anxieties limit the amount of time is spent in social situations.

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Gay Men and Mental Health; Being Gay is Not always Easy

Gay men experience more mental health issues compared to heterosexuals

Gay men experience more mental health issues compared to heterosexuals

Depression impacts almost everyone at one time or another. Traumatic experiences throughout childhood involving bereavement, neglect, or abuse can increase the chances of depression. According to the Archives of General Psychiatry1, the lifetime prevalence rates of major depressive disorders among gay men, bisexuals and lesbians is 71.4% compared to 38.2% for heterosexuals.

Gay men experience more mental health issues compared to heterosexual people because of the complexities in the development of their personality, plus learning how to cope with stressful environments.

It’s normal to visit the doctor to seek medication to deal with depression. Often there is little or no in-depth look at the causes, a referral to a counsellor, or other tools used to deal with depression. With little focus, it can take years to resolve it self, all the while also having to deal with the negative side effects of taking medication to treat the depression symptoms. It’s not unusual for this to have an adverse effect on self-esteem and identity, or the additional need of psychotropic medication to copy with the world. These antidepressants make it difficult to get an erection, to stay hard, and to ejaculate. The sexual frustration leads to more isolation, and further depression.

Doctors and medical experts see depression as a reaction to anxiety. While anxiety is usually not initially recognized, the results include social withdrawal and subsequent depression. A study in the Canadian Journal of Psychiatry2 found gay and bisexual men have twice the rate of anxiety disorders as heterosexuals.

People who live full, active, social lives are rarely depressed. Social interactions with friends must be enjoyable, not just tolerated. Both anxiety and depression are major factors which impact happiness.

What to do about anxiety and depression

Recognizing the signs of anxiety and depression in its early stages is key. Anxiety and depression is much harder to resolve once a person becomes immobilized by their feelings. Seek help when you start to feel signs of either anxiety or depression. A counsellor who is familiar with gay men’s issues and gay culture can create a better outcome. If counselling doesn’t help, prescription medication could be used for treatment. As with all medications, it is best to take medication for as short of period of time as possible.

1 Bolton, Shay-Lee and Sareen, Jitender. (2001) Sexual Orientation and its relation to mental disorders and suicide attempts: Findings from a nationally representative sample. Canadian Journal of Psychiatry, 56(1), 35-43. 

2 Prevalence of mental disorders, psychological distress, and mental health services use among lesbian, gay, and bisexual adults in the United States. Cochran, Susan D.; Sullivan, J. Greer; Mays, Vickie M. Journal of Consulting and Clinical Psychology, Vol 71(1), Feb 2003, 53-61

– See more at: http://www.thehomoculture.com/author/billcoleman/#sthash.izn6gr3H.gWdkW4Vv.dpuf

Looking at Why You use Drugs

Is your substance use masking a bigger problem?

Gay men are known to be anxious, inhibited, fear criticism, and have a need for connection to others. Party drugs are one of the easiest and most common ways for gay men help cope with these feelings and fears. While drugs my help cope, they never deal with unwanted feelings or address insecurities.

When drug use begins to cause problems most people admit that it’s time to make a change, which often results in discontinuing with the drug use. But it’s important to understand why guys are turning to drugs or alcohol as coping mechanisms.

Most people turn to drugs or alcohol because the substance helps in dealing with a scary world and make things more comfortable. Gay men have learned that to survive as youth you need to fit in and be nice to others. That means looking outside and not being true to you. It’s not being genuine or authentic to you. But this is how confused youth learn how to survive.

Unfortunately, most queer youth don’t get the opportunity to learn what being gay is, or how to be themselves. As they enter adulthood, most don’t even have basic dating experience. Pile on top of that the stereotype of gay men being creative, artistic, fashion conscious, obsessed with being neat and tidy, and having exemplarity behavior. Except for being creative and artistic, these are similar characteristics of someone who may have anxiety with concerns of fitting in and pleasing others.

Substance use helps get out of this restrictive box, but only temporarily. Drugs work short term, but they don’t fix or address the problem. They just mask them. The hard work comes by addressing the need of the substance use.

If you feel you have a drug or alcohol problem, consult with a physician or medical professional

– See more at: http://www.thehomoculture.com/author/billcoleman/#sthash.izn6gr3H.fdaDSKhW.dpuf