Over years... At first, it was a struggle as I was easily prone to fear, frustration, and anger. It's the typical flight or fight response especially in social settings. I never knew the root cause of it so I was never able to correct it. With therapy, I learned that it was a little voice in the back in my head that was the source of my self esteem. Freud would probably it consider it the ego. The voice was like an overly protective parent. Over time, I learned to better isolate that voice and correct it with a more optimistic and realistic view. Now, the voice instinctively is positive instead of negative. I still have to deal with fear, anger and frustration, but my conscious is quick and strong enough to correctly filter my reality from my perception...