Hii doctor, i'm suffered due to social anxiety and shyness with more than 10 years. Every day I can't speak with comfortable position and every day my mind thought like always caring about my face, like any one see my face, nose, lips, ears. I assume may be some buddy watching every time. I can't comfortably speak with girls. I already taken the tablet's prodep 60 mg 1-0-0 and d- venuz 100 mg 0-0-1. But those tablet's not working effectively and moreover I trying to do breathing exercises at least 10 to 15 mins. Need your suggestions pls.

Ms. Rajeshwari MurlidharanPsychologist3yrs exp

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Hi lybrate-user. Psychotherapy based in cbt and exposure therapy can help you. Tablets won't necessarily allow you to work on your thoughts and behaviors and translate into socializing. What you need is guidance on how to actively confront rather than avoid situations. Avoidance of anxiety provoking situations maintains anxiety. This can be done with assistance. Secondly, when you're too anxious, breathing might not work. Rather than fighting the feeling have fun with it. For example, talking in funny voices or exaggerating your emotions can help. That's another skill key to process emotions and feel safe. Do let me know if you need any help.  

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Dr. Sartaj DeepakPsychiatrist12yrs exp

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It would advise you to discuss with your psychiatrist to initiate a drug from tricyclic antidepressant (tca) class and if needed he can consider adding low dose of risperidone (~0.5 mg). It will probably help you in dealing with anxiety.  

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Dr. Ammu AnilPsychiatristyrs exp

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If you are not improving with this medication, will have to change the medicines. Try grounding technique 

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