Q. I get anxious in front of crowd. Please advise.

Answered by
Dr. Aneel Kumar
and medically reviewed by Dr. Divya Banu M
Published on Aug 22, 2019

Hello doctor,

I am 28 years old and weigh 90 kg. My problem is anxiety. I feel anxious whenever I have to deal with my boss, attend a meeting, speak in front of a crowd. I feel breathlessness and discomfort. My voice starts to break. I am doing well at my job and recently got a promotion. However, this has made me anxious as my job now requires to constantly deal and talk with people and be more answerable to the management.

Dr. Aneel Kumar

Psychiatry
#

Hi,

Welcome to icliniq.com.

Your history reflects social anxiety disorder but that needs detailed assessment. You need medication as well as psychotherapy session, medications are required to control the symptoms but medications has some limitations like it would not change your personality, thinking style and behavior, for that you need to have sessions to understand the situations, and to learn to deal with anxiety and stressful situations. It is called systemic desensitization for social anxiety. Do you take any other medications right now?


Investigations to be done:

TFT (thyroid function test).

Treatment plan:

Tablet Zoloft 50 mg half at night for three days then one tablet at night, tablet Propranolol 10 mg as per need during social anxiety.

Hi,

Thank you doctor,

Currently, I am not taking any medication. I used to take the medicines regularly but I stopped taking them. When I felt things were improving, I stopped taking the medicines. Things have been going south for the past few days as a result of my added responsibilities at work.

Dr. Aneel Kumar

Psychiatry
#

Hi,

Welcome back to icliniq.com.

I have prescribed you a Sertraline (SSRI) selective serotonine reuptake inhibitor, it is recommended in all types of depressions and anxieties but more authentic treatment is psychotherapy session once you get better on medications.

Hi doctor,

Thank you so much.

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