I want to mention one more thing: when I talk to receptionist women, HR professionals, or other professional women, my only symptom is that my heartbeat becomes very fast. My hands and legs do not shake, and I do not have any other physical symptoms. Only my heart rate increases a lot, and because of this I feel that people may notice it and judge me as being nervous or afraid.
Please tell me what condition or problem this could be. I do not have money for a paid consultation right now and I need your help. I request you to please guide me out of kindness and humanity. Your support would mean a lot to me.
Hello Doctor,
I have been experiencing a problem for a long time. I do not usually feel afraid of ordinary people, but whenever I have to talk to a professional woman (such as a receptionist, HR staff, bank employee, hospital staff, or office employee), my heart starts beating very fast.
I repeatedly think that if I do not know something or make a mistake, she will judge me, think I am uneducated or foolish, or humiliate me. Because of these thoughts, I feel extremely anxious and nervous before approaching them or speaking to them.
This problem also happens in banks, hospitals, offices, reception desks, and other professional settings. Could you please tell me what mental health condition these symptoms may be related to and what treatment or therapy would be most appropriate?
Thank you.
Hi Dr. I'm really worried. I recently saw a local psychiatrist for recurrent panic attacks & was prescribed Clonazepam 0.25 mg SOS. Today @ clg I had one of the worst panic attacks I've had, even though there was no obvious trigger. I took 1 tab exactly as advised, but it didn't seem to help. The attack lasted around 20–30 mins.
I've been getting these attacks even w/o stress. I've already had cardio tests (ECG/Echo, etc.), and they were normal. I'm not sure what to do now. Should I continue with the same psychiatrist or consult you? I can visit offline in Hyderabad if needed. Pls advise.
I took psych meds, Escitalopram and clonazepam in 2020 bcz i was stressed, then i quit it after three months bcz i became hypomaniac. since then i have mood instability, memory issues, physical pain, and no attraction to girls.
Now in 2025 i again consulted Psychiatrist, he said its GAD + bipolar and its tricky to treat and now i am on 5 psych meds and still have zero libido.
Wtf should i do, should i just die, I am 28 and i am just an mbbs not mbbs md, and dont even have good job.
Also i have IBS kind of problem now, where i am always bloated and fart more than usual, who will stay with me, i think i will always be lonely.
How is it possible that just social anxiety and usual exam stress got converted to such a big problem, i never had bipolar episode when i am not under influence of ssri, but when i take ssri i become hypomaniac. How is it possible, could it be that after tapering in 2020, my brain went into new state of low dopamine and low serotonin low gaba?
Hello Doctor,
For over 20 years, despite psychiatric treatment, I have had episodes of burning in my head, palms, feet, and near my ears, along with a urge to pass motion. My hands and feet may suddenly become cold, followed by intense fear/panic and an urge to escape. These episodes are triggered by minor stress, sad memories, or sometimes occur without any trigger.
I also feel detached from reality, as if I am living in a dream and not fully conscious. I feel persistently depressed, negative, and unmotivated. I constantly worry about losing my parents and often wonder how I will cope with life.
I have taken Ativan, Tryptomer, Nexito, Venlor XR, Olaset, Prexep, and Serta, but my symptoms remain. I feel better only when sedated, which is not practical for work.
Could these symptoms be due to anxiety/depression alone, medication effects, or another medical problem (heart, diabetes, thyroid, vitamin deficiency, liver, kidney, or nerve disorder)? What should I do?
