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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for communication disorder

dear mam,

am not able to converse with anyone properly.. am highly anxious .. am lacking that basic thing to speak to anyone properly.. am highly depressed because of that and avoiding people and staying alone all the time even am not able to speak to my servant properly.. people say that the way am looking at them is scary and my eyes are like starring at them.. so please help me how can i speak properly and fluently without any hinderance as everyone speaks normally?

Tue, 4 Nov 2014
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Psychiatrist 's  Response
Welcome to HCM

You have problem of anxiety and stress on talking to any one. You are not able to speak and converse properly. This is causing significant distress and you have started avoiding people. You have to stay alone at home most of the times due to this problem. From available history I can conclude that most likely you have Social Phobia Disorder.

This is a type of anxiety disorder and individuals have difficulty in conversing and they can't speak in public and on presentations. On severe cases they can't even move out of home because of fear of embarrassment.

Consult a Psychiatrist for management of this disorder. Medicines like SSRI anti depressants as Sertraline, Escitalopram, Fluoxetinet etc are commonly used in this disorder. Other medicines like Propranolol are also useful. This drug helps in improving anxiety before some important event.

Behavior therapy and assertive training by a Psychologist is also used as one f treatment modality.

Thanks, hope this helps you
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