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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