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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Cause Of Sudden Stress, Shivers And Nervousness?

Hello. I am working as an artist here in our country. I always love to be photographed, I love photoshoots but it bothers me a lot now because every time I'd go for a photoshoot and I'd start flashing my smile, my upper lip would start shaking like hell. It's uncontrollable and it's kinda stressful and alarming knowing that in this kinda industry, we do a lot of those stuff all the time. My case only gets worse when I wear glasses because the glasses would start shaking as well and it's ridiculous. How can I avoid or at least control this? please help me. Thanks.
Thu, 11 Dec 2014
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Psychiatrist 's  Response
Hello thanks for asking from Health Care Magic

You have symptoms of lip shaking during important event or during photo shoot. This is causing significant impairment to you and your work. Due to tremors when you wear glasses it becomes evident and this also cause distress. The symptoms are due to anxiety and most likely social anxiety. I would advise you to consult a psychiatrist for treatment of these symptoms because these symptoms will get worse with time. Medicines like etizolam or propranolol can be used for treatment. These medicines when used on SOS basis help to reduce the symptoms of anxiety like trembling, sweating, shivering of lips, nervousness etc.
If symptoms become more severe then medicines like SSRIs like Sertraline, Fluoxetine etc can be used. Consult a psychiatrist for prescription of these drugs.

Relaxation exercises, yoga also helps to improve confidence and result in reduction of symptoms.

Thanks, hope this helps you.

Dr. Seikhoo Bishnoi
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What Is The Cause Of Sudden Stress, Shivers And Nervousness?

Hello thanks for asking from Health Care Magic You have symptoms of lip shaking during important event or during photo shoot. This is causing significant impairment to you and your work. Due to tremors when you wear glasses it becomes evident and this also cause distress. The symptoms are due to anxiety and most likely social anxiety. I would advise you to consult a psychiatrist for treatment of these symptoms because these symptoms will get worse with time. Medicines like etizolam or propranolol can be used for treatment. These medicines when used on SOS basis help to reduce the symptoms of anxiety like trembling, sweating, shivering of lips, nervousness etc. If symptoms become more severe then medicines like SSRIs like Sertraline, Fluoxetine etc can be used. Consult a psychiatrist for prescription of these drugs. Relaxation exercises, yoga also helps to improve confidence and result in reduction of symptoms. Thanks, hope this helps you. Dr. Seikhoo Bishnoi