I really can't help it, but I am really self-conscious.  I wish I didn't feel that way.
It's very common!  Maybe you're shy, unpleasant feelings of self-consciousness are associated with shyness.
Yeah, I am a little shy and definitely not by choice.  I can't help it.  What can I do to overcome this?
It could mean you have low self-esteem.  Why would that be?
I don't always think I am the smartest or have good confidence.  Maybe I should see a shrink?
Talking about it could be very helpful.  It's not your fault, some people are continually more self-conscious than others.
Oh!  So it may just be genetic than, right?
It could be, but even so it could hurt your ability to perform complext actions.  Getting help is a good idea!
Why would it hurt my ability to perform complex actions?
feelings of self-consciousness are sometimes associated with shyness or paranoia.
Impairment.
When feeling self-conscious, one becomes aware of even the smallest of one's own actions. Such awareness can impair one's ability to perform complex actions. 
Adolescence is believed to be a time of heightened self-consciousness. A person with a chronic tendency toward self-consciousness may be shy or introverted.
Psychology.
Unlike self-awareness, which in a philosophical context is being conscious of oneself as an individual
who are both paranoid-schizophrenic. She cried out, "How can I live with anyone? I am a genetic time bomb." Arthur then comforted her, "You're not a statistic Mike, you're a person. Can't defend yourself against your worst feelings. You feel the things most of us run away from, most of us just too bummed out to feel". They held hands and Mike cried out, "Now do I have to have sex with you? Because I really don't