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How to overcome the fear of people?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am 30 years old. I do not like being in public. I do not do anything fun. I have a thought that always people in my surroundings are looking at me. So I would rather be at home. I do not like using the phone. I am taking Klonopin 2 mg 3 times a day. But I am not taking it now as I am travelling with my husband state to state for his job. With regards to anxiety my symptoms are extreme worry, classic panic attacks sometimes 5-6 times a day, feel hard to breath, stomach sick. I do not get motivated to do anything like shower, changing clothes, cleaning house, keep a job. My husband will do most of the shopping including grocery. I forgot any type of social get together with friends and family. I do not even visit my in-laws. I feel tiredness in my whole body, a tense feel and headache. When I take Klonopin these symptoms will disappear. I have been on this medication since 13 years. Can anxiety be the cause for such issues or is it something else? I wish to spend some time outside with my family. Please explain what is wrong with me.
Answered by Dr. Nidhi Jain

Education:

MBBS

Professional Bio:

Dr. Nidhi Jain is a General Practitioner specializing in Psychiatry and Sexology with 13 years of clinical experience. She completed her MBBS at the Gajra Raja Medical College and DPM at the Central Institute of Psychiatry. She specializes in diagnosing, preventing, studying, and treating mental disorders and can determine whether their symptoms result from a physical illness, a combination of physical and mental ailments, or strictly mental issues. Currently, she is practicing in Bukharia Skin and Mind clinic, Indore, Madhya Pradesh, India.

This doctor is not available for online consultations on the platform anymore.

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Hi,

Welcome to icliniq.com.

You are suffering from panic attacks with agoraphobia (fear to go to public place). You are taking Benzodiazepine (Klonopin-Clonazepam) of very high dose. Continue it but should take it occasionally only, as high chance of dependence is there. You should start an antidepressant, which is useful in panic attacks, for maintenance. Take tablet Pari CR (Paroxetine) 12.5 mg for 5 days, then shift on Pari CR 25 m and continue it in the morning. You can take psychotherapy sessions (CBT - Cognitive behavioural therapy) by therapist or psychiatrist. Thank you.

Investigations to be done

Investigations required are thyroid function tests.

Regarding follow up

Review after 21 days, to adjust dose of medication. Revert back after 21 days to a psychiatrist online.
Answered by Dr. Nidhi Jain
Medically reviewed by iCliniq medical review team
Published At May 23, 2018
Reviewed At June 20, 2024

Education:

MBBS

Professional Bio:

Dr. Nidhi Jain is a General Practitioner specializing in Psychiatry and Sexology with 13 years of clinical experience. She completed her MBBS at the Gajra Raja Medical College and DPM at the Central Institute of Psychiatry. She specializes in diagnosing, preventing, studying, and treating mental disorders and can determine whether their symptoms result from a physical illness, a combination of physical and mental ailments, or strictly mental issues. Currently, she is practicing in Bukharia Skin and Mind clinic, Indore, Madhya Pradesh, India.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

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Dr. Nidhi Jain
Dr. Nidhi Jain

Psychiatry

Education:

MBBS

Professional Bio:

Dr. Nidhi Jain is a General Practitioner specializing in Psychiatry and Sexology with 13 years of clinical experience. She completed her MBBS at the Gajra Raja Medical College and DPM at the Central Institute of Psychiatry. She specializes in diagnosing, preventing, studying, and treating mental disorders and can determine whether their symptoms result from a physical illness, a combination of physical and mental ailments, or strictly mental issues. Currently, she is practicing in Bukharia Skin and Mind clinic, Indore, Madhya Pradesh, India.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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