I am struggling with connecting with people because I feel like I'm getting preoccupied with the negative self talk spirals in my head.

I am doing a rotation in psychiatry working in the medical hospital. I am very qualified in my knowledge, I passed the psychiatry boards very decisively and have always been a straight A student. I got all As in medical school and had the strongest academic record among the whole class.

But I'm struggling so much interpersonally in this job setting. I don't know what to study or focus on to get past this. I beat myself up saying "I don't know how to connect" over and over in my head. I saw a patient today and I wasn't reassuring with my dialogue and interpersonal demeanor. I also had a family meeting today when the attending did all of the talking and I sat there passively.

I want to be more spontaneous and in the moment and able to talk more freely and confidently. I'm really struggling.