What is social anxiety and how do you cope with it? In the first episode of Open-Minded: Unpacking Anxiety, Kendall Jenner sits down with licensed clinical psychologist and professor of psychology, Dr. Ramani Durvasula, to discuss the symptoms of anxiety she has experienced from a young age. As Kendall opens up about her journey with social anxiety and asks questions from the Vogue community, Dr. Ramani provides tips and tricks for handling social anxiety and re-entering social situations post covid.
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A conversation between a woman sharing her personal struggles with anxiety and a Los Angeles-based psychologist. They discuss the physical manifestations of anxiety, the distinction between general and clinical anxiety, the impact of the pandemic on social interaction, and practical strategies for managing social anxiety.
I am very aware of my anxieties.
I don't like the pity party.
I don't like talking about when I don't feel too well.
I don't know, I am a little nervous.
Just being kind of open about what I struggle with
and making it known to other people is a bit nerve wracking.
I remember being really young,
I'd say like eight, nine, 10, around that time,
and I remember having shortness of breath
and going to my mom and telling her that.
In hindsight, now I know that that was obviously anxiety.
I think being overworked
and being in the situation that I'm in now
is kind of what set it out of control in a way.
I've had times where I feel like
I need to be rushed to the hospital
because I think that my heart's failing
and I can't breathe and I need someone to help me.
Sometimes I think I'm dying.
Sometimes parts of my body will go numb
and it can be really, yeah, intense and scary.
I mean, there is going to be those people
that say like, oh, okay, what does she have to worry about?
What does she have to be anxious about?
And I'll never sit here and say that I'm not fortunate.
I know I live a very privileged, amazing lifestyle.
I'm a very blessed girl.
I still have one of these, you know what I mean?
And that thing up there sometimes doesn't always,
I don't know, it's not always happy
and it's not always connecting
and I'm still a human being at the end of the day.
No matter what someone has or doesn't have,
it doesn't mean that they don't
have real life feelings and emotions.
As a psychologist in private practice here in Los Angeles,
I work with people with a wide,
like sort of what you call a generalist.
So different people bring in different stuff.
But the one thing that I would say
every single individual that I've ever worked with
has brought in is anxiety.
One of the most important things I think
is to destigmatize all mental health issues,
particularly anxiety,
because a lot of people think they're alone with this.
Like you kind of said, everyone I think suffers from,
even if it's just a minimal amount of anxiety,
but it is something when someone's like,
oh my God, I have anxiety about this,
like almost using the term loosely.
I know what that feels like
and like you're using that term lightly
and I'm just like, ah.
You gotta remember, anxiety's on a continuum, right?
At the milder end, it's probably what these people
are saying, oh, I'm feeling this anxiety,
but they're getting through the day.
But one, it jumps the line
and there's a point at which anxiety gets in the way.
It makes people more uncomfortable at work.
It makes people more uncomfortable in their relationships.
It makes people more uncomfortable out of the house.
They'd actually just as soon stay home
than deal with the big unknown.
And they're physically uncomfortable.
Their heart's racing.
They feel like they're crawling out of their own skin.
They feel sick a lot.
Everything's scary.
And when we get to that point,
we call it clinically significant anxiety.
It's got a name, yeah.
Okay, cool.
Now I know.
Now you know.
It sounds like social anxiety is something you had
even before the pandemic.
Before, I was really overwhelmed, really overworked.
I was always around people
and I kind of got really overwhelmed with all of that
to the point where I was like, I need to be alone.
Now it's more like, okay, we've all been super isolated
to the point where I'm almost like so used to that
that now that things are slowly opening up,
if I go to a dinner or if I see a few more of my friends
that I'm used to seeing throughout this last year,
that gives me anxiety.
I'm going to give you an analogy.
Have you ever been scuba diving?
No, I've been snuba diving, similar.
So we'll build up on that a little bit
because when you scuba dive, if you come up too fast,
like you come from 20 feet up,
you could actually get really sick.
And that's called the bends.
And psychology is similar.
Well, from this pandemic,
if we go too quickly from being locked in
to throwing ourselves right back out there,
especially for people with anxiety,
they're going to kind of get the psychological bends.
And they're really going to kind of get rattled.
So I'm telling you, you have to ease yourself into it.
We're all learning our skills again.
We lost it.
I know, it's crazy.
Social anxiety has a certain look to it.
And people who are socially anxious classically
are afraid that not only are people looking at them,
that they're criticizing them, they're judging them.
And that the socially anxious person feels like
they're doing judgeable things
or that they're making other people uncomfortable
merely by being there.
These people are uncomfortable because I'm so awkward.
What happens is over time,
because that moment is so hard,
even before the person gets into the situation,
their heart is racing.
They feel sick.
The whole experience of even being with people
feels so aversive.
It's easier to just say, nah, I'm not gonna go.
And this is all strictly like mental, right?
It's just everything that your brain is like,
you're just going down a rabbit hole.
You're going down a rabbit hole.
Because it feels so physical,
is why I asked you that.
So I've literally gone to doctors
because that's how bad it gets for me
to where I'm like, something's literally wrong.
Correct.
Panic attacks are sort of the brick
of every anxiety disorder or anxiety experience we see.
It's all a miscommunication in the brain.
Everything gets ramped up.
It's taking the signals from here,
change this, you change this.
I'm also a hypochondriac,
which I don't know if that has any relation to,
or if it's the cousin of anxiety or something,
but I'm like a massive hypochondriac.
And that's also something that has been a thing
since I was really little.
People who are anxious are always monitoring their bodies.
It's almost like a Roomba.
You're always sort of like wandering around
and vacuuming all these thoughts in your body.
And so if you even feel like a tiny headache,
you're like, oh my God, I have a tumor in my brain.
That's me.
That is me.
Or I have some lung disease,
I have to go get checked out.
Anxiety is like a magnifying glass.
And it magnifies only the bad things.
Every little ping, every little this.
And so in essence,
what we're trying to do is take that magnifying glass
and put it to being a regular lens,
because especially physical sensations,
because anxiety is such a physical disorder.
And so that's one thing I always want to tell people
is that they go together
and that as the anxiety starts getting pulled away,
those hypochondriacal thoughts also start coming down
because they're a nuisance.
And so I'm glad you mentioned that
because that's really an important thing for people to know.
Well, you're literally,
sometimes I'm bad at putting my thoughts into words
and you're doing it for me.
So these are some written in questions
from followers and viewers.
The first question,
how do you open up to people about social anxiety?
Tell your nearest and dearest,
like practice talk, having the conversation
with the people you feel safest with.
People will say, oh, I did not know that.
And thank you for telling me
because I won't push as much.
I can support you and now I'm aware, right?
Okay, next question.
How should I handle anxiety over a loved one
who isn't being cautious during COVID?
Wow, I feel this.
I've heard this from so many people.
If you have a healthy relationship,
you can explain your point of view and say,
listen, this is concerning me for all these reasons, okay?
If the person's still not meeting you halfway,
like they really are being difficult,
I talk about realistic expectations.
You're probably not going to get them to be mask wearing,
sanitizer doing, hand washing friend,
then all you can do is keep your side of the street clean.
Anxiety's gotten a really bad brand.
So I want to also like say something nice about anxiety.
Once upon a time, you know,
the anxiety is what made us survive.
The anxious people knew to say,
tiger coming, don't eat those berries.
Looks like something bad's happening.
Anxiety kept us safe to a degree.
And people who are anxious are higher
in this personality trait called neuroticism.
People who are higher in neuroticism
are also sometimes a little bit more aware
of other people's stuff too.
I consider it like a beautiful thing in a way.
It is a beautiful thing.
And I like that I am really aware of my body
and like my mind.
I know it can sometimes get the best of me,
but I think that I really,
I like that I'm in tune and I like that I like,
you know, want to know everything.
Anxiety, when it's sort of right in that sweet spot
is a little bit of a superpower
because it actually helps you keep yourself safe,
keep others safe, and kind of keep you mentally on point.
So there's that perfect sweet spot of anxiety
where there's just enough where you're performing
at the top of your game and keeping,
so we want to get you right at the top.
So we're asking all the doctors that I meet
for some tips and tricks that maybe the viewers
can take into account of their own life
and apply to their life.
So if you have anything I would love to hear for myself
and for all the viewers.
One of the best things a person
who's socially anxious can do is prepare.
That getting caught, coming late, rushing,
that doesn't feel good.
So be on time or be a little bit early.
Oh my God, I'm such, I need to be on time.
If I'm not, I freak out.
There you go, so if you can be on time
or be a little bit early,
even if you're sitting in your car and you're like,
perfect, now I'm going to go in,
you're less frenzied, and prepare.
Learn what you're getting into,
like how many people are going to be there?
What's it going to feel like?
Almost mentally rehearse it a little, that helps a lot.
So here's the second thing you can take away.
A lot of what can help people who are socially anxious
is to get good feedback from their audience.
So a great way to do it is sort of a three-point plan
for how you can use your body.
It's uncrossing, I'm going to uncross my legs too.
Uncross your arms, okay?
Make eye contact and smile.
When you do that, you disarm everyone.
And interestingly, when I first met you,
you did that right away.
And you put me at ease.
So I felt comfortable, whereas if I come in
and you were just sort of distant or aloof or remote,
I would have felt anxious.
So that's a dance, and that mirrored dance
becomes really, you know, it becomes really important.
Well, thank you so much.
I'm so glad I got to sit with you,
and I learned a lot today, so thank you.
And I appreciate you sharing your story
because I'm always grateful when people
talk about their stories publicly
so people can see they're not alone with this
because I think the hardest thing of all is to feel alone.
So thank you for doing that.
It does definitely feel like a weight is lifted
when I, you know, feel something
and I hear someone else saying,
oh yeah, I get what you're feeling,
or this must be what you're feeling, right?
And I'm like, oh my gosh, yes.
Like, that's exactly what I'm trying to express.
And it's that comforting feeling of like, okay,
she's either experienced this herself
or she knows people that have experienced it
being a doctor who's seen a lot.
So it just makes you feel a little,
it just makes you feel understood,
and that's a really nice feeling.