this post was submitted on 11 Jun 2023
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One option might be finding a neurodiversity-celebrating (or at least affirming) therapist who does “exposure therapy” for social anxiety, and who has experience with autistic clients.
The general idea of exposure therapy is that no amount of learning without practice, and no amount of practice while NOT feeling anxious, will translate to successful performance WHILE ANXIOUS.
The evidence base is robust.
So, paradoxically, the goal is to get uncomfortable on purpose and practice socializing in that state. In small doses, with guidance (at least at first).
The first benefit is that you can socialize more even when anxious and overwhelmed… and EVENTUALLY (don’t expect immediate results) your nervous system will get the hint that socializing while anxious is ok… and then it might let you off the hook, i.e. stop making you feel so anxious.
Source: I’m a ND therapist who specializes in helping autistic clients with OCD/anxiety.
Thank you. Looking at my own progression, it actually makes a lot of sense that practice without feeling anxious won't help (apart from training on what to say, or for example spotting when people lose interest because a story becomes too detailed.) I can talk all I want with those people I feel comfortable with, or in situations that I know how to navigate. As soon as someone I'm not comfortable with shows up, I still go numb.
So the only way to break down the barrier is to deliberately and repeatedly set it up and punch through it. I think I have something that could work for that, which happens regularly and which I have sort of wished that I could be a part of. Do you think it's possible for me to practice by myself, or do I need a therapist in the mix?
Maybe it would be useful to think of learning the skill of socializing while anxious as a little like learning the skill of ice skating.
Can you teach yourself ice skating from scratch? Maybe, it’s possible to just use pure trial and error and figure it out for yourself with no guidance or feedback. It might become frustrating and the temptation might be to give up because it seems impossible, and takes forever to even get the basics down, if that ever happens at all.
But what if you had an ice skating manual and youtube videos? Probably better than purely figuring it out on your own. But what if you have a question in the moment as you are, for example, trying to skate backwards? How should your left leg move if you have a soar right knee, or what happens if you keep spinning to the left whenever you try to turn right, or your ankles are soar after every practice and you aren’t sure if the type of skates you bought are really the best for your own body, experience, and needs?
If these questions arise, you could read the manual, go on youtube, ask the community. But then there are different opinions, bias, misinformation. Who to trust? How many hours do you want to spend researching a question when an expert could tell you there in the moment in like 2 seconds? What if you have 25 questions? How many days and weeks of research is that? Or could an expert answer all of them in like half an hour?
So skating coaches are not mandatory, but very strongly encouraged ;)
Thank you, that's a helpful analogy. I'm self taught in most of the things that I enjoy, but since this is something that I don't enjoy, I might try to find myself a coach for this one. :)