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NEW: When two mutually exclusive things try to exist together, they create cognitive dissonance.
This is the confusing and almost painful experience where you believe one thing, but are being told another which contradicts it.
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So if you are aware that you are highly self-confident in social situations and do not experience any particular fears about dealing with people, it's unlikely you would be diagnosed with severe social anxiety!
Cyclothymia is a condition where your moods fluctuate rapidly, eg from anxious, to recovering, to depressed, to anxious, etc.
(This isn't the same as being bipolar.) Even if you are confident in some ways, you may be so overwhelmed by what you're going through, or so afraid after a lifetime of constant "defeats", or simply so exhausted after months of worrying about vague (or perfectly clear) "threats", that your self-confidence needs to be bolstered.
For example, when you believe the England football team are a bunch of over-paid and over-sexed alcoholics who will never achieve anything, and the press call them heroes who could win tournaments if the manager gets his face out of the players' wives' cleavage.
When contrasting mental health conditions exist together, such as anxiety and depression, people can experience mixed states where their mood seems to be a jumble of symptoms.