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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Anxiety And Depression

Hi I have a problem with depression & anxiety, I avoid social situations as they make me anxious and will avoid going out. The thought of going out makes me anxious and when I do go out I feel like everyone is staring at me and laughing and making fun of me, I have depression about the way I look and will become so depressed I will push my loved ones away, I spend a considerable amount of time in front of the mirror trying to get rid of and cover up what I think is wrong with me but constantly have to go back to check. This affects what I can do in my day as does the anxiety of being outside. Sometimes when I am really down I get thoughts of self harm, Me & my girlfriend think it s bdd as I have done online tests for it & I come up with most of the symptoms. Any information would be great. Thank you
Fri, 22 Aug 2014
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Psychiatrist,  's  Response
Hello young man,

I can understand your feelings.

Yes you have symptoms suggestive of some psychiatric problem.
From your narration it seems that you may have social anxiety disorder(Social phobia). In this, person usually have constant thought how he/she should be looked to others and if he/she is not behaving well people make fun of him/her.
Due to this thoughts and fear person avoid the social situation. However this avoidance just give relief to anxiety from having in this situation otherwise it is worsening the problem and person feels some drawbacks in terms of social relation and in occupation due this avoidance.And due to these person feels depression secondary to social anxiety disorder.

This problem can be solved with help of a psychiatrist.
Two types of treatment modality.
One is medicines, in which SSRI(Escitalopram, fluoxetine,Sertraline etc) and anti anxiety(Clonazepam,etizoalm,lorazepam), which are given by doctor after evaluation and person's need.
Other part is psychotherapy which is quite helpful to cure this problem.you have to pass through few sessions of counseling in which cognitive behavior therapy(CBT), short term psychodynamic psychotherapy or flooding can be useful.

So without waiting please consult a psychiatrist and get rid of your problem.You can go with your girlfriend for early treatment outcome, as social support can fasten the process of treatment.
Hope I have answered your query,
Regards,
Dr. CHintan Solanki.
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Suggest Remedy For Anxiety And Depression

Hello young man, I can understand your feelings. Yes you have symptoms suggestive of some psychiatric problem. From your narration it seems that you may have social anxiety disorder(Social phobia). In this, person usually have constant thought how he/she should be looked to others and if he/she is not behaving well people make fun of him/her. Due to this thoughts and fear person avoid the social situation. However this avoidance just give relief to anxiety from having in this situation otherwise it is worsening the problem and person feels some drawbacks in terms of social relation and in occupation due this avoidance.And due to these person feels depression secondary to social anxiety disorder. This problem can be solved with help of a psychiatrist. Two types of treatment modality. One is medicines, in which SSRI(Escitalopram, fluoxetine,Sertraline etc) and anti anxiety(Clonazepam,etizoalm,lorazepam), which are given by doctor after evaluation and person s need. Other part is psychotherapy which is quite helpful to cure this problem.you have to pass through few sessions of counseling in which cognitive behavior therapy(CBT), short term psychodynamic psychotherapy or flooding can be useful. So without waiting please consult a psychiatrist and get rid of your problem.You can go with your girlfriend for early treatment outcome, as social support can fasten the process of treatment. Hope I have answered your query, Regards, Dr. CHintan Solanki.