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Sir, can you please suggest the best medicine for social phobia? My heartbeat becomes very fast and my hands and legs tremble a lot when I talk to people. I feel extreme fear while interacting socially or attending events like weddings or gatherings. Please help."
Answers (6)
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Dear User,
Thank you for sharing your concern. What you’re experiencing — racing heartbeat, trembling, and intense fear during social interactions — is a classical presentation of Social Anxiety Disorder (Social Phobia). Please know you're not alone, and this condition is completely manageable with the right approach.
💊 Medical Options (to be prescribed by a psychiatrist):
1. SSRIs (Selective Serotonin Reuptake Inhibitors) – Most effective for long-term management. Examples include:
Paroxetine
Escitalopram
Sertraline
2. Propranolol (Beta Blocker) – Helpful before performance situations like public speaking, weddings, etc. It reduces physical symptoms like trembling and palpitations.
3. Clonazepam or Etizolam – May be prescribed occasionally for severe anticipatory anxiety, not recommended for regular use due to habit-forming potential.
4. Buspirone – Non-sedating anti-anxiety option (less commonly used but safe).
Next Steps
✅ Next Steps:
Consult a psychiatrist for the right medication tailored to your symptoms.
Start Cognitive Behavioural Therapy (CBT) – especially for breaking the cycle of fear-avoidance.
Practice exposure-based desensitization, gradually facing social situations with support.
Health Tips
⚠️ Helpful Tips / Word of Caution:
Avoid self-medicating. Medications work best when combined with therapy. Social anxiety often stems from deep-rooted fear of judgment or rejection — healing that requires both medical and emotional work.
🎯 With consistent treatment, many patients experience remarkable recovery in 8–12 weeks.
---
🧠 You're not weak — your brain is just hyper-alert in social settings. Let's help it feel safe again.
📍Dr Shivam Bhandari Jain — Consultant Psychiatrist
🏥 Health 4 U Clinic, 249 Gufa Mandir Road, Near First Step School, Jain Nagar, Nayapura, Lalghati, Bhopal
🕕 Clinic Timings: Mon-Sat, 6 PM – 8 PM
📲 Instagram: @mentalhealth.4you
⭐ Google us: Search Dr Shivam Bhandari Jain for location & reviews
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Reach out for sessions
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Heyy
I can help you better with further treatment course needed. U can connect me via whatsapp on seven zero eight two zero two two zero six two.
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Problems which you are facing are also felt by many of us. Once proper history taking and assessment done regarding symptoms, onset, duration, associated autonomic symptoms, personality any ongoing stresses, proper management*( medications plus therapy) will be planned, you will be alright once proper advice followed
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It sounds like you are experiencing social anxiety disorder (social phobia), where fear of being judged or embarrassed in social situations leads to rapid heartbeat, trembling, and avoidance of gatherings. It is common, and many people experience these symptoms, but with the right approach, it can improve significantly.
Medicines that psychiatrists often prescribe for social anxiety include SSRIs (like Sertraline, Paroxetine, Escitalopram) or Beta-blockers (like Propranolol) for performance situations, but these should be taken only under a psychiatrist’s supervision, not on your own. Equally important is CBT therapy, which helps you challenge fearful thoughts, reduce avoidance, and build confidence in social settings. Combining therapy with medication often gives the best results.
Take therapy. You can connect with me on nine two six six seven two six zero six five.
Next Steps
Taking therapy is important. Get in touch
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You will have to consult a psychiatrist for the same. Online or offline whatever is convenient to you.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.