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How To Deal With Social Anxiety Issues?

Posted on Fri, 29 Jul 2016

Question: unable to see eye of the other person and talk...unable to maintain eye contact...anxiety, social anxiety and fear..unwanted bad thoughts come to my mind all the time..unwanted bad foul words come to my tongue ...have to forcefully control myself and act and speak...really suffering and painful...

Answered by Dr. Chintan Solanki (1 hour later)

Brief Answer:
Take clonazepam

Detailed Answer:
Hello XXXX,

I can understand your concern.

For immediate relief you should take more clonazepam (maximum 0.5 mg 3 times a day). Using deep breathing technique will help in relieving anxiety.
Take deep breath inhale for 3seconds; keep it inside chest for 3 seconds and exhale for 3 seconds. Do this when you feel nervous or 4-5 times a day for 10 minutes each.
For specific improvement you need optimum dose of SSRI medicine.

Fluvoxamine should be given up to 300 mg for proper improvement in OCD.

Take care.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Chintan Solanki (2 days later)

Currently I am taking Fluvoxamine 100 mg in the morning and 100 mg in the night.
Venlor XR 37.5 mg in the night
Zapiz 0.25 mg in the morning and 0.5 mg in the night
Ativan 1 mg in the night.

Please help

Answered by Dr. Chintan Solanki (39 minutes later)

Brief Answer:
Increase zapiz and fluvoxamine

Detailed Answer:
Hello,

Thanks for information.

There is need of increasing fluvoxamine 100 mg three times a day and zapiz 0.25 in non as well as one more when you feel more anxious.
You can increase the same for a while and inform your treating doctor soon.

Take care.

Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar