HomeAnswersPsychologist/ CounselordepressionI suffer from social anxiety and low self-esteem. Please help.

I feel depressed and anxious in a new social situation. How to overcome this?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Nidhi Jain

Medically reviewed by

iCliniq medical review team

Published At August 17, 2018
Reviewed AtDecember 28, 2023

Patient's Query

Hi doctor,

I am a 22-year-old girl. I feel nervous and anxious, and my heart rate increases whenever I am in a new social situation. I have a fear of being embarrassed and judged all the time even for the smallest day-to-day activities. I always feel as if others treat me as low in their comparison. I tremble while giving a speech and my voice also falters. I felt nervous during my practicals all the time. It has been from childhood since the sixth standard. Although I am a dancer, participated exclusively throughout my life, been on stage, certain situations make me very anxious and depressed. I feel unhappy throughout and have very low self-esteem. I am undergoing treatment for UTI. I have UTI for the past nine months. Please help.

Answered by Dr. Nidhi Jain

Hi,

Welcome to icliniq.com.

Take a tablet of Paxidep CR 25 mg (Paroxetine) half a tablet in the morning and one tablet at night. Do meditation daily. Before a stage performance or when you are going to meet a new person take a tablet of Betacap TR 20 mg (Propanolol) one tablet one hour before the meeting.

Thank you.

Patient's Query

Hello doctor,

How long do I need to continue this medication? Is there any alternative to the drugs? Any other dietary change or even specific exercise?

Answered by Dr. Nidhi Jain

Hi,

Welcome back to icliniq.com.

Start the medication. Consult me again after 15 days. According to the response, I will adjust the dosage of drugs. You have to continue the medication for at least six to eight months. Then I will gradually taper it off. Do meditation or yoga daily (deep breathing exercises).

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Nidhi Jain
Dr. Nidhi Jain

Psychiatry

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