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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes A Feeling Of Panic When Surrounded By People?

When Im In School Or Around Other People I Get This Feeling In My trouth That Im Goin to Be Sick I No Im Not But I Start to Panic And Have to Leave Class Or Walk Away On My Own And Sometimes When I Eat The Food Comes Back Up But Im Not Properly Being Sick :( Its really Annoying Cause I Have Missed So Much School And Im Doin My Leaving Exams This Year I Also Have A Fear Of People Vomiting Can You Please Help :)
Mon, 1 Sep 2014
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Psychiatrist,  's  Response
Hello,
Thanks for using healthcaremagic.

You seems to be suffering form agoraphobia or Social anxiety disorder(Social phobia).
These are common anxiety disorder.
Almost 4-6 of people suffer form this in lifetime.
When person is surrounded by many people or when person has automatic thoughts of being watched by people and fear of criticism, sympathetic centers in the brain got activated and features of anxiety occurs.
This include palpitation,tremors, nausea, vomiting, impending doom, sick feeling and avoidance of such situation. Avoidance of situation may affect work,study performance.

This disorder is treated by medicines and/or psychotherapy.

Medicines: SSRI group of medicines)Escitalopram,escitalopram,paroxetine,sertraline) can be used.
Anti anxiety medicines from benzodiazepiens group can be used for short duration.

Psychotherapy: Psychodynamic psychotherapy or specifically CBT(Cognitive behavior therapy) would be quite helpful.

So consult a psychiatrist soon and get rid of you problem.

Hope I have answered your query
Regards,
Dr.Chintan Solanki
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What Causes A Feeling Of Panic When Surrounded By People?

Hello, Thanks for using healthcaremagic. You seems to be suffering form agoraphobia or Social anxiety disorder(Social phobia). These are common anxiety disorder. Almost 4-6 of people suffer form this in lifetime. When person is surrounded by many people or when person has automatic thoughts of being watched by people and fear of criticism, sympathetic centers in the brain got activated and features of anxiety occurs. This include palpitation,tremors, nausea, vomiting, impending doom, sick feeling and avoidance of such situation. Avoidance of situation may affect work,study performance. This disorder is treated by medicines and/or psychotherapy. Medicines: SSRI group of medicines)Escitalopram,escitalopram,paroxetine,sertraline) can be used. Anti anxiety medicines from benzodiazepiens group can be used for short duration. Psychotherapy: Psychodynamic psychotherapy or specifically CBT(Cognitive behavior therapy) would be quite helpful. So consult a psychiatrist soon and get rid of you problem. Hope I have answered your query Regards, Dr.Chintan Solanki