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Anxiety Related Issue
Hello doctor,
Main 22 years old hoon. Mujhe ye issue lagbhag 13–14 saal pehle se hai, jab main chhota tha. Tab se hi thoda-thoda haath kaapna (minor tremors) shuru hua tha. Ab ye problem gradually badhti gayi hai, aur ab noticeable ho chuki hai—especially jab main kisi stressful ya social situation me hota hoon.
Jab bhi main apne comfort zone se bahar jaata hoon—jaise kisi group ke saamne bolna ho, ya thoda stress, darr ya pressure wali situation ho—to mere haath aur pair kaapne lagte hain, heartbeat bahut fast ho jati hai, aur kaafi anxiety feel hoti hai.
Public me khade hona, kisi anjaan group ke saamne baat karna ya confrontation wali situation me meri body visibly react karti hai, jo self-confidence pe kaafi effect daal raha hai.
Normal situation me bhi haathon me halka kaanp bana rehta hai.
Maine 1 week pehle ek psychiatrist se online consult kiya tha, unhone mujhe ye medicines prescribe ki:
Inderal LA 40
Lonazep MD 0.25
Serta 50
Lekin maine abhi tak inhe start nahi kiya hu
Hi,
जिस तरह के लक्षण अपने बताए हैं, दवाइयां बिल्कुल सही दी गई है. ट्रीटमेंट के दौरान डॉक्टर पर भरोसा रखना भी उतना ही जरूरी है.
ये समझना जरूरी है कि ट्रीटमेंट थोड़ी लंबी चल सकती है. पर डरना नहीं है. मन में बीमारी या दवाई से जुड़ा कोई भी सवाल आए, तो तुरंत आपके डॉक्टर से discuss करना है. अपने मन से दवाइयां कम, ज्यादा या चालू/ बंद नहीं करनी है
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Hello,
Thank you for sharing your concerns in such detail. Based on what you've described, it seems you may be experiencing Social Anxiety Disorder, possibly with features of performance anxiety and enhanced physiological sensitivity (tremors, palpitations). The long-standing tremors, especially when under stress or in social situations, support this.
The medications prescribed to you are generally appropriate:
Inderal LA 40 (Propranolol) helps control physical symptoms like tremors and palpitations.
Lonazep MD 0.25 (Clonazepam) is a short-acting benzodiazepine, often used short-term to reduce acute anxiety.
Serta 50 (Sertraline) is an SSRI used for long-term management of anxiety.
However, it's important to start these medicines under proper guidance, as they may have side effects, and dose adjustments might be required.
Next Steps
1. Please consult your psychiatrist again before starting the medications to confirm the treatment plan and discuss any concerns.
2. Once you start the treatment, give at least 4–6 weeks for the SSRI (Serta) to show full effect.
3. Combine medication with Cognitive Behaviour Therapy (CBT), especially exposure-based therapy, which has strong evidence for social anxiety.
4. Maintain a journal of symptoms to track your progress and identify patterns.
5. Avoid self-medication or abruptly stopping any of the medicines without medical advice.
Health Tips
Avoid caffeine or stimulants that may worsen tremors or anxiety.
Practice mindfulness, breathing exercises, and gradual desensitization to social situations.
Inform your doctor immediately if you notice side effects like excessive sedation, dizziness, or low mood.
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You have described your symptoms in detail. You have been prescribed medications such as propranolol, Sertraline, Clonazepam. Your symptoms of anxiety will be definitely relieved once you start these medications. You will feel some improvement in1-2 weeks, as these medications take 1-2 week for its effect, Clonazepam 0.25 mg, you can take also when you feel anxiety ( tremor,etc) in addition to daily dose.When symptoms of anxiety start to hamper your academic, professional life, it means medication should be started, Also, do DBR, JPMR with these medications
Next Steps
Medications are right, you should start
Health Tips
start medication with relaxation exercises (DBR, JPMR), You will feel better
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Hi
Aapke symptoms—hand tremors, fast heartbeat, anxiety in social/stressful situations—ye social anxiety disorder with possible essential tremors ko indicate karte hain. Aapka case long-standing hai, isliye medication + therapy combo best rahega.
Jo meds prescribe hui hain—Inderal LA (physical symptoms ke liye), Lonazep (acute anxiety ke liye), aur Serta (long-term anxiety control)—ye commonly safe aur effective hote hain if taken under guidance. Therapy se aapko confidence build karne aur overthinking todne mein madad milegi.
Start karna zaroori hai—delaying may worsen self-image. Take therapy, and you can connect with me on nine two six six seven two six zero six five.
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Doctors before prescribing medicines think about a lot of things and take full history. To get opinion on a prescription from your information won't be right. For a proper second opinion you can consult someone online/offline properly
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Based on the information provided you are probably suffering from a condition called as Social Anxiety disorder. Treatment for it is both Pharmacological and psychotherapy.
I can understand that you worried about so much medications. Only one drug can be started for this condition. Along with it, proper psychotherapy sessions ( Cognitive Behaviour therapy)helps you for better outcome.
Next Steps
Please consult Psychiatrist offline or online for adequate evaluation and treatment
Health Tips
Follow relaxation techniques like deep breathing, yoga or meditation.
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