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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Does One Exude Confidence?

30 male , 5'10", no major illness, had jaundice when i was small, .but dont remember that.Doctor i cannot think properly, i find myself behaving very odd with people, either i am always nervous , or either too shy, or to be more precise, secluded. There is a fear inside of me, and it's not a very good type of fear, it renders me helpless in fron tof others, my weaknessess show up, they are highlighted, that is why i avoid people.i cant remember things, i dont seem to understand or even recognise myself.my behaviour is unacceptable to normal people, itake spasmo proxyvon. i feel empty inside, like every little fun of life has been drowned out of me, im using PV just to make myself normal, and that effect is also hard to come by nowa days. Doctor i can only pray, cause there are other lives attached to mine and i dont want to see them destroyed like mine. What should i do , Pray?
Fri, 20 Jun 2014
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Psychiatrist,  's  Response
Hi,

I read your query and from what you have mentioned, you seem to be having symptom suggestive of social anxiety disorder. It leads to one becoming very anxious in front of others and not able to communicate well as in your case. In addition, you have started using sasmoproxyvon which contains an opioid drug dextropropoxyphene. It leads to dependence and is very harmful causing physical, emotional and financial effects.

I suggest that you should seek a psychiatric consultation. Treatment for social anxiety will include medications like sertraline or paroxetine. In addition you can also opt for behavior therapy sessions. You will also need treatment for opioid dependence which will include initial detoxification by managing withdrawal symptoms. Thereafter, long term prophylaxis with naltrexone can be started.

Hope this information was helpful. Best wishes.



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How Does One Exude Confidence?

Hi, I read your query and from what you have mentioned, you seem to be having symptom suggestive of social anxiety disorder. It leads to one becoming very anxious in front of others and not able to communicate well as in your case. In addition, you have started using sasmoproxyvon which contains an opioid drug dextropropoxyphene. It leads to dependence and is very harmful causing physical, emotional and financial effects. I suggest that you should seek a psychiatric consultation. Treatment for social anxiety will include medications like sertraline or paroxetine. In addition you can also opt for behavior therapy sessions. You will also need treatment for opioid dependence which will include initial detoxification by managing withdrawal symptoms. Thereafter, long term prophylaxis with naltrexone can be started. Hope this information was helpful. Best wishes.