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Communication Anxiety, Accent Insecurity
Hello Doctor, My main issue is communication anxiety affecting fluent speaking and verbal expression. I struggle with dialect/language switching confusion, accent insecurity, and difficulty forming and expressing thoughts smoothly. After moving from my town to a city environment, I became more self-conscious about the way I speak. Whenever I need to speak around people — even in normal conversations — I become highly self-aware and mentally freeze, causing speech blocks and difficulty expressing myself. This anxiety usually does not happen when I am alone. I read that this may relate to performance anxiety around language identity, involving self-monitoring, anxiety, and working memory overload affecting speech flow. I also have a history of chronic bullying during school years, which may have contributed to this issue. I would like your opinion regarding this condition and a suitable medication/treatment plan. If possible, please also share your contact no. Thank you
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Hi, how are you? Thanks for reaching out. What you’re describing sounds strongly related to social/performance anxiety with excessive self-monitoring during speaking. When someone becomes hyperaware of how they sound, their accent, wording, or how others may judge them, the brain starts overchecking every sentence in real time. This overloads working memory and can cause freezing, speech blocks, difficulty forming thoughts, and loss of fluency — especially around people, while speaking alone feels normal. Your history of bullying may also have trained your mind to stay alert for judgment or embarrassment during conversations. So the issue is usually not lack of intelligence or language ability, but anxiety interfering with natural expression. Treatment often includes CBT, confidence rebuilding, reducing self-monitoring, exposure work, and sometimes medication if anxiety is severe. With proper therapy, many people improve significantly. Take therapy. You can connect with me on nine two six six seven two six zero six five.
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Hi, you may be having social anxiety. Medicines and therapy can help. Consult online for treatment
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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.