“Mike”, a 26 yr. old ambitious entrepreneur describes his resolution of multiple psychological challenges. With dramatic insight he communicates the impact his special education experience had on his social anxiety and self- esteem. He originally “did not understand what was going on” regarding his panic and anxiety. Before treatment he believed “he was born this way” and there was nothing he could do about it!"

When I started my psychotherapy practice in 1978, I was doing biofeedback and psychotherapy for stress related disorders to empower patients to heal without medication or to get off medication. Forty-five years and over 60.000 clinical hours later I have discovered there are high performance strategies to incorporate pharmaceuticals into the treatment process. This discussion with Dr. Mathew Lorber MD is the first in a series of interviews, the purpose of which is to educate the listener on what can be a complex process.

“John” describes how he once had “joy” with public speaking but lost it due to his anxiety which drove his avoidance and performance phobia. He “tried everything” but realized all of his previous attempts at help were “band aids over a gaping wound”. Very close to “abusing medication” he rediscovered his “”joy” by doing core work, which helped him understand his deep rooted anger, which had been recycling and driving his obsessive worry. The Berent Method helped him channel the anger into productive and proactive energy.

Once having considered an operation to sever her nerves, “Diane”, in her 40’s, describes her resolution – through therapy via telephone – of erythrophobia. When Diane initiated treatment she was at a “low point”.  Her fear of blushing prevented her from getting “in front” of the people necessary to advance her career. Her avoidance was causing depression. Her anxiety was based on her belief that when she blushed “people would think she was not smart enough”. She describes how she learned to be “very good at hiding things” . Her insight into the ingrained character of the problem, and the fact that its’ seeds were in grammar school, was crucial for her healing.

When considering treatment for social and performance anxiety thoughtful evaluation would say that a model adapted to the specific needs of this specific anxiety is productive rather than trying to fit the condition into rigid restrictive existing models; most noticeably the nonsensical promises and absurd research perpetuated by the CBT community. I want to be very clear. Behavior and cognition are very important variables to consider in treatment but if you miss the emotion-physiological connection you are playing the wrong game. A productive model is going to have several tools. Since 1978 one of the tools that I have integrated into therapy is the utilization of mind states. The objective of this podcast is to introduce you to each state.

Hear “Ray” describe his battle and success with performance anxiety and fear of public speaking in an ultra-competitive business. Core work included resolution of embarrassment, shame, and unresolved anger and rage at non-conscious levels. The client evolved from not getting out of bed in the morning due to anxiety and depression to major career advancement and harmony in his personal life.

“Carol” an ovarian cancer survivor, and mother of two, describes the intensity of her anxiety. “Cancer shook me to my core. It was just me with the fight of my life vs. with blushing it’s people putting judgment and expectations on me. It’s my bright red burning face larger than life for everyone to see”. The social anxiety-driven blushing made her “a prisoner” as she avoided anything that would “put her in the spotlight”. The interpretation she put on the blushing was that “everyone could see that I was frightened and they would disregard everything I had to say”.

In this candid discussion “Mike” describes the “grey cloud over his head” caused by his daily worry regarding public speaking. His primary fear was that his voice would “quiver or shake”. High on the food chain of a small company he had been in a position to become quite proficient at avoiding anxiety inducing situations. His career as a salesman was threatened the more he avoided “getting in front of potential customers”. With a substantial amount of “expendable income” fine restaurants and “partying” became a way of life. The insidious nature of his relationship with alcohol became a major factor for deteriorating performance at work and negative mental health. Understanding the “physiology of performance” concurrent to self-esteem work is what “Mike” credits for his success.

All too often I encounter patients who have become overly dependent on prescription medication for their social and performance anxiety. A common problem scenario is over-dependence on beta blockers. While this dependence is more psychological than physical, the results can be devastatingly negative.  Frequently prescribed for stage fright and performance anxiety, they can be effective in blocking adrenaline surges. The philosophy in The Berent Treatment Method for performance anxiety is that when used occasionally in high risk situations this is productive for healing. But; when over-adapting via beta blocker dependence occurs there is minimal opportunity to learn and implement the adrenaline control technique. This is because the technique is based on adrenalin acceptance and you have to feel that which you want to control. This interview describes productive integration of beta blockers into the treatment process.

Robert described his anxiety upon initiating treatment with the following: “As I approached the boardroom I would experience a spiraling effect.  I was having bad recurring experiences with anxiety which were getting worse with each challenge. It was horrible because when I was on a speaking cycle of every 2-3 months the anxiety was worse because of the build- up. I never ran from the challenge. I continued attacking but my mechanisms were not working”.  Robert’s success in treatment was very much based on his core work revolving around his “walk of shame” concurrent with his implementation of the paradox-based adrenaline control methodology.