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Well first of all, you can't have made 200 approaches without having good game in comparison to 1.5 years ago, so keep that in mind.
Second of all... be a manwhore. It'll probably be tough at first because you're used to this new pattern inside you of "damn, I don't want to approach... all those girls I messed up with... what If I run into them..." (okay I don't know for certain what your thought pattern is, but if it were me then that would be close).
Third of all, realize that your feelings are created from the scarcity... which is created by the not approaching... which creates more scarcity. So you're in a crazy loop, but you can change that.
Keep up the approaches. Plough through. If you have a bad mindset, you can theoretically cure it by keeping on trying until you realize how dumb and shit it is and you're forced to change it. And that's still progress isn't it? With the work you're putting in, you can't possibly go backwards. You're just bringing up issues inside you that you hadn't encountered before... and now you're lucky enough to face it for what it is.
Remember what I said at the top. You have game, even though you may feel anxious or out of place at times, and if you push through, your game will conquer any issues you may think you have. And also... if you consider yourself an average pua, or not quite where you want to be then it's all about the inside isn't it? So if this is scratching on any self-sabotage issues you have inside, wouldn't the destruction of such insanity bring your game up a million levels?
I'm not expert, but I've been conquering my inner bullshit after having gone out a few times and I've found that RSD is helping me to see the picture. Hope that helps and let me know when you get through this.
Good luck
Stillness
EDIT: I think I've experienced a similar case of 'not doing it when its so easy'. I often have girls into me, and then I just don't care. Don't want to escalate. Also, I find that when I don't fully believe the "illusion of reality", I don't want to play with it anymore. So thats what I mean about being a manwhore. Believe whatever reassuring bullshit you come up with that tells you that you're doing the right thing, play with it, and realize just how unserious and meaningless it all really is. That's my approach to my issues anyway.
well the funny thing is, ive actually built up a roster of 4(was 5) girls the past month. so i should be feeling the opposite of scarcity.
but then i go out to a bar last night, and see 3 girls ive gone out with. and a 4th who shut me down quite hard over text lol. makes me worry that if i keep going at this pace, i will of muddied the water too much when i do want a relationship