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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why Does My Face Twitch While Talking To Some One?

Hi Sir, I have this problem from almost ten years. It started with public speaking fear but now when i talk to somebody face to face, i start having headsche, my face start twitching one side of face. I cant talk normally. Any time i have to talk i start having a fear.
Mon, 21 Apr 2014
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Psychiatrist 's  Response
Hi...thanks for this query. Based on the information you provided, you seem to have social anxiety or social phobia which is excessve fear of intense & often unfavourable scrutiny by known persons, authority etc. I am using term excessive because some amount of unease, anxiety is experienced by every one of us before giving a talk in public. But in your case, you seem to have assumed a spectator role where you yourself are also closely monitering your body reactions & are facing significant difficulty in these situations! Hence, my advice is consult a Psychiatrist. Relaxation exercise, Behaviour therapy methods like graded exposure etc. shall prove very helpful to you. Also medications lke propranolol, SSRI like paroxetine will help you overcome these difficulties. Good Luck!
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Why Does My Face Twitch While Talking To Some One?

Hi...thanks for this query. Based on the information you provided, you seem to have social anxiety or social phobia which is excessve fear of intense & often unfavourable scrutiny by known persons, authority etc. I am using term excessive because some amount of unease, anxiety is experienced by every one of us before giving a talk in public. But in your case, you seem to have assumed a spectator role where you yourself are also closely monitering your body reactions & are facing significant difficulty in these situations! Hence, my advice is consult a Psychiatrist. Relaxation exercise, Behaviour therapy methods like graded exposure etc. shall prove very helpful to you. Also medications lke propranolol, SSRI like paroxetine will help you overcome these difficulties. Good Luck!