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Suggest Treatment For Social Anxiety Disorder
Question: I am having problem of sad mood.
I am in my final year of graduation. Before going to college i thought that in college life i will enjoy, make girl friend, have good friend circle but it was not like that. i always feel uncomfortable with myself and always have some fear from public because i am shy person. I don't know its my permanent nature or behaviour. But some time i remember of my childhood that i was very energetic, confident but slowly while facing real world i feel uncomfortable.
There is always a feeling of feer inside me everytime and also while sitting in car.
It is always difficult to talk with any girl or XXXXXXX person by looking in his eyes. I don't even have any girlfriend yet due to bad mood and unconfidence.
I don't like to wake up in the morning for classes or any work because i don't have self esteem and self motivation.
It become uncomfortable for me to talk to unknown as well as known friend and cousins (also on phone). My mind goes blank and i feel anxiety.
But by watching motivational video, funny video or listening to good music my mood becomes good but it last for only few minutes. I don't know why but i introspect myself every time. I feel about myself that i am a boring person and no one likes my company and its actually true. Those people who are coming to me are coming because of my money.
I always notice myself that my voice is thin, my belly is fat, i am wearing glasses and what will people think of me, there is always a fear inside me.
And one thing more that I don't believe in God, don't because i am hopeless but because i cannot believe in anything without knowing it or feeling it. But i know believing in god increasing your self belief and feeling of gratitude gives u inner peace. But still i will not belief.
And other thing that i smoke cigarette once in a day but don't have any strong addiction of it( smoke because it gives relief to me for some time) and also smoke marijuana once or twice in whole month for just enjoyment and mood making.
I want that people love me respect not because of money but for a good and enjoyable company.
I want to live life happily, enjoying every single moment.
I am in my final year of graduation. Before going to college i thought that in college life i will enjoy, make girl friend, have good friend circle but it was not like that. i always feel uncomfortable with myself and always have some fear from public because i am shy person. I don't know its my permanent nature or behaviour. But some time i remember of my childhood that i was very energetic, confident but slowly while facing real world i feel uncomfortable.
There is always a feeling of feer inside me everytime and also while sitting in car.
It is always difficult to talk with any girl or XXXXXXX person by looking in his eyes. I don't even have any girlfriend yet due to bad mood and unconfidence.
I don't like to wake up in the morning for classes or any work because i don't have self esteem and self motivation.
It become uncomfortable for me to talk to unknown as well as known friend and cousins (also on phone). My mind goes blank and i feel anxiety.
But by watching motivational video, funny video or listening to good music my mood becomes good but it last for only few minutes. I don't know why but i introspect myself every time. I feel about myself that i am a boring person and no one likes my company and its actually true. Those people who are coming to me are coming because of my money.
I always notice myself that my voice is thin, my belly is fat, i am wearing glasses and what will people think of me, there is always a fear inside me.
And one thing more that I don't believe in God, don't because i am hopeless but because i cannot believe in anything without knowing it or feeling it. But i know believing in god increasing your self belief and feeling of gratitude gives u inner peace. But still i will not belief.
And other thing that i smoke cigarette once in a day but don't have any strong addiction of it( smoke because it gives relief to me for some time) and also smoke marijuana once or twice in whole month for just enjoyment and mood making.
I want that people love me respect not because of money but for a good and enjoyable company.
I want to live life happily, enjoying every single moment.
Brief Answer:
Social Anxiety
Detailed Answer:
Hello, Welcome to Health Care Magic
I have gone throught your query and I can understand your concern.
You are a 21 years old male with chief complaints related to shyness. You had many hopes from college life but college life appeared hard. You can't converse people by looking in their eyes, you have problems in talking to girls. Even while sitting in car or taking on phone result in anxiety. You have fear of being judged. Most likely the symptoms you have mentioned are occurring due to Social Anxiety Disorder (social phobia). This is a type of disorder common in some youngsters, but it produces social impairment which result in significant decline in functioning. You have no motivation to go to class, loss of confidence, you have feelings that people talk to you because of money ( reaction due to inferiority complex). All these complications are due to social phobia and you have become depressed. It is the social phobia that you have poor confidence on your voice and appearance.
As per my opinion you should consult a psychiatrist for evaluation and management. In most of cases assertive training and counselling by a psychologist result in improvement. Behavior therapy and relaxation also have good results.
If psychological treatment doesn't result in improvement then medicines are needed. Medicines like SSRIs as fluoxetine, Sertraline etc are very beneficial in social anxiety. The medicines should be taken for about 4-6 weeks and result in improvement. These medicines will also help in improvement of depressive symptoms and will increase the confidence. Apart from that in events of severe anxiety like talking to girl or a presentation some medicines can be taken on SOS basis like Propranolol. The medicine help in decreasing the symptoms of anxiety and help in increasing confidence. Consult a psychiatrist for detailed prescription.
Don't be discouraged you will be fine. Start exercising and play outdoor games. Avoid smoking.
Thanks, you can ask again regarding any unresolved doubts.
Social Anxiety
Detailed Answer:
Hello, Welcome to Health Care Magic
I have gone throught your query and I can understand your concern.
You are a 21 years old male with chief complaints related to shyness. You had many hopes from college life but college life appeared hard. You can't converse people by looking in their eyes, you have problems in talking to girls. Even while sitting in car or taking on phone result in anxiety. You have fear of being judged. Most likely the symptoms you have mentioned are occurring due to Social Anxiety Disorder (social phobia). This is a type of disorder common in some youngsters, but it produces social impairment which result in significant decline in functioning. You have no motivation to go to class, loss of confidence, you have feelings that people talk to you because of money ( reaction due to inferiority complex). All these complications are due to social phobia and you have become depressed. It is the social phobia that you have poor confidence on your voice and appearance.
As per my opinion you should consult a psychiatrist for evaluation and management. In most of cases assertive training and counselling by a psychologist result in improvement. Behavior therapy and relaxation also have good results.
If psychological treatment doesn't result in improvement then medicines are needed. Medicines like SSRIs as fluoxetine, Sertraline etc are very beneficial in social anxiety. The medicines should be taken for about 4-6 weeks and result in improvement. These medicines will also help in improvement of depressive symptoms and will increase the confidence. Apart from that in events of severe anxiety like talking to girl or a presentation some medicines can be taken on SOS basis like Propranolol. The medicine help in decreasing the symptoms of anxiety and help in increasing confidence. Consult a psychiatrist for detailed prescription.
Don't be discouraged you will be fine. Start exercising and play outdoor games. Avoid smoking.
Thanks, you can ask again regarding any unresolved doubts.
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
Thanks for your reply. But i was aware of my social anxiety problem and looking for solution to it.
Can u prescribe me medicine for medicine for this?
Is there any online paid service of CBT or on phone ? ( because of that reason i am doing online consultation and its difficult for me to go to psychatrist)
Plz suggest some self help book which will be helpful in my problem.
Is yoga beneficial for this problem and which types of yog(pranayama)?
Can u prescribe me medicine for medicine for this?
Is there any online paid service of CBT or on phone ? ( because of that reason i am doing online consultation and its difficult for me to go to psychatrist)
Plz suggest some self help book which will be helpful in my problem.
Is yoga beneficial for this problem and which types of yog(pranayama)?
Brief Answer:
Relaxation exercises
Detailed Answer:
Hello again
Medicines can't be prescribed by online consultation only because of legal hassles.
Cognitive Behavior Therapy is a therapy that is done in sessions 1-2 per week and runs for about 6 months. Many psychologists can provide phone service but to start the therapy you have to consult them personally.
Dying of social embarrassment, Overcoming social anxiety etc are good books for social phobia. Personally I have not read these books but heard about them and are very effective.
For Behavior therapy you can take help of YouTube. Progressive muscle relaxation exercise can be learned by practice and watching videos.
Yes yoga have very nice effects. Pranayama help in increasing confidence and improve clinical picture.
Take diets rich in carbs and protein and low in fat. This will increase serotonin in brain and will improve anxiety. Avoid excessive tea, coffee. You can take supplements containing omega 3 fatty acids. The supplements will help in improving mood and confidence.
Thanks
Relaxation exercises
Detailed Answer:
Hello again
Medicines can't be prescribed by online consultation only because of legal hassles.
Cognitive Behavior Therapy is a therapy that is done in sessions 1-2 per week and runs for about 6 months. Many psychologists can provide phone service but to start the therapy you have to consult them personally.
Dying of social embarrassment, Overcoming social anxiety etc are good books for social phobia. Personally I have not read these books but heard about them and are very effective.
For Behavior therapy you can take help of YouTube. Progressive muscle relaxation exercise can be learned by practice and watching videos.
Yes yoga have very nice effects. Pranayama help in increasing confidence and improve clinical picture.
Take diets rich in carbs and protein and low in fat. This will increase serotonin in brain and will improve anxiety. Avoid excessive tea, coffee. You can take supplements containing omega 3 fatty acids. The supplements will help in improving mood and confidence.
Thanks
Above answer was peer-reviewed by :
Dr. Raju A.T
Thank u for ur valuable reply.
Sir i agree that i have social phobia but i am more frustated of bad mood(don't have any big reason for bad mood) and low energy problem.
I feel very exhausted after doing little work.
And that low energy affects my mood more.
Plz tell me something about this.
And which type of routine should i follow?
Because i feel if i have GOOD MOOD and energy than social phobia will not be a problem
.
Sir i agree that i have social phobia but i am more frustated of bad mood(don't have any big reason for bad mood) and low energy problem.
I feel very exhausted after doing little work.
And that low energy affects my mood more.
Plz tell me something about this.
And which type of routine should i follow?
Because i feel if i have GOOD MOOD and energy than social phobia will not be a problem
.
Brief Answer:
Social Phobia
Detailed Answer:
Hello again
In most cases chronic social phobia ultimately complicate into depressive symptoms. In some cases individuals have underlying depression which could be the cause of social phobia. Treatment of social phobia or depression is usually carried out by use of SSRIs or SNRIs and these drugs have use in both disorders.
The complaints like tiredness, exhaustion, low energy etc are due to depression only. I have mentioned the non medicinal methods in my last answer like yoga, relaxation exercises and dietary adjustments.
Follow universal routine like don't sleep more than 7 hours a day. Sleeping excessively aggravate depressive symptoms.
Exercise increases endorphin levels and help in boosting mood.
Try to speak by practicing in front of mirror for special events like presentation.
Don't overeat and avoid alcohol, smoking or any other psychoactive substance.
Thanks, hope this helps you.
Social Phobia
Detailed Answer:
Hello again
In most cases chronic social phobia ultimately complicate into depressive symptoms. In some cases individuals have underlying depression which could be the cause of social phobia. Treatment of social phobia or depression is usually carried out by use of SSRIs or SNRIs and these drugs have use in both disorders.
The complaints like tiredness, exhaustion, low energy etc are due to depression only. I have mentioned the non medicinal methods in my last answer like yoga, relaxation exercises and dietary adjustments.
Follow universal routine like don't sleep more than 7 hours a day. Sleeping excessively aggravate depressive symptoms.
Exercise increases endorphin levels and help in boosting mood.
Try to speak by practicing in front of mirror for special events like presentation.
Don't overeat and avoid alcohol, smoking or any other psychoactive substance.
Thanks, hope this helps you.
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Ashwin Bhandari
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