How JustAnswer Works:
  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.
Ask Elliott, LPCC, NCC Your Own Question
Elliott, LPCC, NCC
Elliott, LPCC, NCC, Psychotherapist
Category: Mental Health
Satisfied Customers: 7664
Experience:  35 years of experience as a Licensed Professional Clinical Counselor, National Certified Counselor and a college professor.
Type Your Mental Health Question Here...
Elliott, LPCC, NCC is online now
A new question is answered every 9 seconds

I always have negative thoughts,I have very low confidence

This answer was rated:

I always have negative thoughts,I have very low confidence and feel that people are against me,im a nice carein lass,,I just dont know why im like this,,im always nervous and worried about everything..whats up with me ? I dont feel like I can talk to anyone.
Seeking expert counseling is a sign of strength. A personal relationship with a caring professional is proven clinically effective.

Dear lass,

It seems that you have a touch of social phobia, maybe not the full blown disorder, which is just a form of anxiety. You also have very low esteem, but you also realize that you do have self-worth,. You just are intimidated by many public situations.

This might have come about because of bullying earlier in your life. That is not really relevant. What is relevant is that you learn to overcome it. This is most effectively done with a certain type of psychotherapy called Cognitive Behavioural Therapy (CBT) which is really a training that you undergo.

The first step is the COGNITIVE one in which you are trained to detect your thoughts that are negative and are not improving your life, and to replace them with more positive ones.

The BEHAVIOURAL side exposes you, in a controlled manner. to those anxiety-causing situations. This is done repeatedly until the stress that you feel is gradually decrease to a manageable level.

The therapist will also teach you some social skills to help you control this anxiety and prevent the physiological symptoms that accompany this social phobia. This aspect is known as Social Skills Training.

These two approaches, in combination, will make a big difference in improving your quality of life.

Sometimes medications are given to lower anxiety. Physicians are quick to give patients SSRIs, such as fluoxetine/Prozac, sertraline/Zoloft, or paroxetine/Paxil, but I do not recommend you start on these medications as they must be taken daily, and then it takes months to get off of them.

There are drugs, which are addictive if used regularly and/or in large doses, but are not when used occasionally, as needed. They are in the class of antianxiety drugs known as benzodiazepines and include diazepam/Valium, lorazepam/Ativan, and alprazolam/Xanax. These are fast acting and are ideal for limited use in specific situations. Another drug in a different class is a beta-blocker called propanolol, for performance anxiety. It is a blood pressure medication but is used for performance anxiety.

Find a proper therapist who knows how to reduce anxiety, someone with experience, and you will benefit greatly. Choose carefully, for not all therapists are equally effective.

I wish you great success.

Warm regards,

Elliott Sewell, LPCC, NCC, CCMHC
Elliott, LPCC, NCC and other Mental Health Specialists are ready to help you
Dear Tracy,

Thank you so much for accepting my answer and giving me positive feedback. I strongly urge you to get some counselling, In the hands of a good professional therapist you will improve a great deal.

Warm regards,

Elliott Sewell, LPCC, NCC, CCMHC