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Social Anxiety

Understanding Social Anxiety, Social Phobia, and PMS & PMDD Social Withdrawal

by Dr. Daniel J. Heller
Dr. Daniel J. Heller Dr. Daniel J. Heller

Dr. Heller is a family practitioner who specializes in helping patients with hormonal conditions like PMS & PMDD; diabetes and prediabetes; and other chronic diseases. He is the founder, formulator, and clinical director of PMS Comfort. [more]

 

When you don’t feel well, naturally, it’s harder to be around people and to put on your best face—that’s human nature. Especially when you’re in a bad mood or a funk, it’s normal to want to avoid being around both familiar people and strangers. It’s no wonder, then, that one of the typical symptoms of PMS and PMDD is called social withdrawal, and that before your period you may go through hours or days of feeling like you want to crawl into bed, turn off the lights, and not have to deal with anyone or anything.

The social withdrawal of PMS and PMDD is similar to, but different from, the better known conditions social anxiety and social phobia. Millions of people experience fear and anxiety in social situations, and around people, not just at certain times of the month but at any time, or even all the time. So what is social anxiety? Social anxiety disorder and social phobia disorder are part of the spectrum of psychological conditions that include generalized anxiety disorder and depression. Those who’ve struggled with depression or with social anxiety or social phobia will recognize the deep desire to retreat from people and social contact that women with PMS or PMDD social withdrawal experience monthly.

Women, Anxiety Sensitivity, and Intolerance of Uncertainty

In our previous article on anxiety, we pointed out that women are up to 200% more likely to suffer from anxiety than are men; meaning women are also more likely to experience social anxiety and social phobia. Women also have more social anxiety disorder symptoms during the second half of their menstrual cycle, the premenstrual phase.

One possible reason for the increased tendency to anxiety in women may simply be that women have, in general, greater sensitivity than men. In the case of withdrawing from people, women are more sensitive to the inner sensations, feelings, and thoughts that arise at the same time as anxious feelings. This may sound strange, but it means that while everyone experiences anxiety, it is when women have anxiety about anxiety that it causes a problem. Some people are able to ignore, or barely even notice, sensations like trembling, rapid heart rate, and blushing; fearful emotions; and negative thoughts that accompany feeling anxious. Women with anxiety sensitivity become more anxious when they have these thoughts, feelings, and sensations. This reaction is increased before the period, and that can cause even more anxiety, and contribute to the feeling of wanting to withdraw and retreat from people and social situations.

Another factor in both anxiety and depression is called intolerance of uncertainty. This characteristic, too, may be present in women more than in men. Uncertainty intolerance means that some people find insecure and uncertain situations more upsetting and anxiety-producing. Of course, insecurity and uncertainty are part of life, and if you are uncomfortable with feelings of uncertainty, many different types of situations may upset you. This could include new and unfamiliar situations as well as familiar ones. Of course, if your very hormones and biochemistry are uncertain hour to hour, day to day, and week to week, it’s easy to see how PMS and PMDD could compound these feelings, and with them generalized anxiety, social anxiety, social phobia, depression, and a withdrawal from people and social situations.

Other important factors that contribute to social anxiety and social phobia are low self-esteem; perfectionism; and a tendency to worry excessively. We’ve noticed that PMS and PMDD themselves often contribute to, or exacerbate, low self-esteem—and of course, symptoms like bloating, acne, and depression can make it hard to feel good about yourself.

Women with PMS and PMDD social withdrawal, and anyone with social anxiety, social phobia, generalized anxiety disorder, or post-traumatic stress disorder, can feel like the world at large, and social interactions specifically, are threatening and unsafe. From this perspective, a reaction of holing up and isolating oneself is a perfectly reasonable reaction: in the short run, it feels and appears to create a sense of safety and comfort.

Help & Treatment for Social Anxiety, Social Phobia, and Premenstrual Social Withdrawal

These personal issues are often complex and deeply-rooted, and help, treatment, or cure of social anxiety and social phobia usually requires effort, trial and error, help from a professional, and a willingness to experience or to "lean into" discomfort to break out of established thought and behavior patterns. We recommend you start by browsing our articles on anxiety, on on stress, and on depression: we have plenty of ideas and suggestions that will help you get healthy and feel better, and that leads to more energy and more confidence—and that will help you overcome social anxiety and social phobia. Another excellent first step is to review our diet section: food is so crucial to mood and brain function. We have expert advice on healthy diet; what not to eat; blood sugar balance, and food allergies.

Addressing PMS and PMDD social withdrawal begins by dealing with the underlying hormonal and mood imbalances that cause the problem. This whole website is full of practical ways to get a handle on your monthly cycle and PMS and PMDD symptoms, so look around and you’re sure to find something that will help you get on the right path.

Real, Natural Relief—So You Can Feel Great All Month Long

PMS and PMDD misery aren't always taken seriously enough by doctors, family, and friends. At PMS Comfort, our whole purpose is to empower and educate you about premenstrual symptoms, and to provide real, natural relief so that you can feel great all month long. Our all-natural doctor-designed programs are based on decades of experience helping thousands of women recover from what you've been going through. Our Herbal Relief formula, when combined with our diet and lifestyle guidance, addresses more than just your symptoms—it can help bring your body and mind back into balance, and help you get and stay healthy. Plus, we're here to support you, every step of the way.

To learn more about your PMS and PMDD symptoms, take the PMS Comfort quiz. Or, start feeling better today, for as little as 89 cents per day.

We want to help. Give us a call at 1-800-731-6327, drop us an e-mail, or send us your question.

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The information and contents contained in this Web site has not been evaluated by the FDA. Products are not intended to diagnose, treat, cure, or prevent any disease. If you are pregnant, intend to become pregnant, or nursing, please consult a physician before taking any dietary supplement. If taking prescription drugs, consult your healthcare practitioner prior to use. You must be 18 years or older to purchase products. Individual results do vary.

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