I've been "plagued" with this problem for at least a year now, and it seems to be getting progressively worse. I feel like I have lost the ability to communicate with people. Sure, I can make small talk about the weather and stuff like that, but I feel like I've lost my openness and humor with people. I figure I am changing and learning new things about myself, but this is getting ridiculous because it is affecting my social life drastically.

Whenever I get into a conversation with someone, either on the phone or in person, I become flustered. I have a problem with eye contact and I become very hot and sometimes I turn red in the face. Worst of all, my mind seems to be blank all the time and I can't get past small talk (even with my friends). I put a lot of pressure on myself when it comes to maintaining eye contact and continuing a conversation, but this pressure seems to fluster me more. I also seem to notice long pauses in conversation which I interpret as moments of awkwardness.

I realize that I have nothing to prove to anyone, but this problem still persists. I used to be very social before and now I am not. So what must I do to get by this? I figure, I'll just deal with it and it will go away, but it's been going on for too long. What must I do?

I'm a graduate student who is still trying to cope with shyness. I have extreme difficulty talking to people — even to people I see and work with everyday. I know making friends takes time and patience, but I seem to be at a loss as to how to develop acquaintances too. I've always been antisocial, but I never wanted to be. Who does, right? But I just don't know how not to be.

I'm studying a profession that requires a lot of personal communication; so, it's making me nervous and depressed whenever I can't overcome my introvertedness. But it's not my career that worries me the most. I sense my emotional well-being deteriorating every time I feel myself lost around others. Is there anything I can do to overcome shyness? I've been reading articles about the antidepressant drug Prozac and its success on passive people — should I consider it? Or are there places I can go for therapy? Thanks.

My partner gets nervous every time I see my psychotherapist because she doesn't like the idea of me talking about our relationship. For her, it's anxiety-producing because she fears there are things I tell my therapist that I don't tell her. For me, it's anxiety-producing because I feel like my therapy sessions should be a safe and confidential space for me and because I feel like having that space has made our relationship better overall. How can I assuage her fears and anxieties without feeling like I have to, a) tell her everything I say in therapy, or b) lie and say that she doesn't come up?