Hi again,
It sounds like you are experiencing significant symptoms associated with social anxiety disorder. Some of the main components of this disorder include an ongoing fear of one or more social situations and/or fear of acting in a way that would be perceived by others as embarrassing and 2) exposure to the specific feared social situation (i.e., being around others who intimidate you), which triggers the anxiety and can sometimes lead to panic attacks. Panic attacks are very uncomfortable and disorienting. I ended up going to an urgent care thinking I was having heart complications. They of course told me it was anxiety and asked about my job and personal life... trying to determine what stress I was going through. Panic attacks cause a tightness in the chest area, racing heart beat, feeling as if you are losing your mind or are going to die. If you have had a panic attack, you will know what I am talking about. It sucks bad and in case you are wondering, yes I was somewhat embarrassed that as a clinician I couldn't figure out I was having a panic attack, when I went to the urgent care, but a little dose of humility doesn't hurt. Anyway, before I side track any further, it does not sound like pure O, which is more characterized by ongoing intrusive thoughts that jump from one topic to another like wildfire (i.e., Intrusive thought: I thought about hurting someone with a knife, which leads to I like hurting people, which leads to I'm a murderer.) Of course the pure O individual is no murderer, but suffers nonetheless with thinking he/she is because if you had the thought happen, then it must be true right? Well for the pure O individual, making this distinction can be extremely difficult. I don't think you are having a case of bombarding intrusive thoughts, but rather intense social anxiety that is triggered by particular social situations as you have described. What might help is leaving the social situation if you begin to feel warning signs of social anxiety (i.e., sweaty forehead/palms, red hot cheeks, feeling flush in the face, feeling your face tremor, etc). These social anxiety symptoms can be very uncomfortable and can make you feel like you are not in control, just like OCD. Part of what might help is giving yourself permission to leave the situation when these symptoms start to come on, so they do not interrupt with whatever you are doing. Explaining to someone, I will be right back I have to take a bathroom break, can give you the out you need to keep the pressure and associated symptoms from building and give you an immediate feeling of relief (i.e., "I'm not trapped and I don't have to do this right now"). Giving yourself the space you need can help reduce the immediate anxiety. Also, what you said about trying not to get into the habit of critiquing what you should have said or should say. The problem is, like OCD, when you tell yourself not to do something, you will find yourself doing it. If you find yourself still doing it, then you need more space, so the anxiety will not be reinforced. You don't want to even acknowledge what's going on as credible. The less meaning you give to it, the less it will cause a reaction. This might sound silly, but you could even practice saying embarrassing things on purpose with people you feel comfortable doing this with. This might help loosen the incredible pressure you must be feeling over how you should or should not say something. The more you can get away from this and challenge this, the more freed up you should feel. Other suggestions to consider are activities that really distract you and take up your full attention. For me, it is playing video games. Take care.
- NC