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Self-consciousness, even when profoundly felt, is not a mental illness. It can however, be extremely distressing; even socially disabling, and when it is serious in this way, counselling or psychotherapy can certainly be very helpful.

Very often the problem can arise when a person doesn't quite understand that their thoughts, fears or feelings about themselves are within the range of normal for all people. An anxiety could arise that they are in some negative ways, unlike other people. Once again, even though these feelings do not mean that a person is mentally ill, counselling or psychotherapy can help to put things in perspective, normalise the situation, provide new ways of looking at things and handling feelings.

Self-consciousness, even when extreme, is just a feeling; it's not a fact. All feelings when they are powerful, can be difficult to handle and live with. Professional counsellors or psychotherapists can help.

It is unhelpful to think that only the mentally ill might benefit from speaking with a professional. Everyone has ups and down; loses their nerve, goes through rough patches when they keenly feel all is not as it should be emotionally. At such times, a skilled mental health professional can actually help to prevent a difficulty developing into an illness, such as clinical depression.

In very extreme cases, some people suffering from Avoidant or Borderline Personality Disorder, or any of the Anxiety Disorders can be extremely self- conscious. However, these disorders have other features as well. There is no Mental Illness which has extreme self-consciousness as its dominant or only feature.

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Q: What is a mental illness that makes people really self-conscious?
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