PATIENT PROFILE
Age: 24
Gender: Male
Topic: Psychiatry
Chat Rating: star star star star star_half
Location: Hyderabad

I am 24yrs old and I am afraid of everything don't know why ,to sing a song im afraid ,to ride a bike im afraid and always thinking what other people will think like that.Can u plz help me to get out of it

Dr.
Hi xxxx , Ms. xxxx will take up your case.
Dr.
Good Morning xxxx!
good morning madam
Dr.
Would you like to discuss this further via text or call?
actually im in office ryt now
Dr.
Alright.
Dr.
Can you tell me a little more about this fear
Dr.
What happens inside you
Dr.
Do you feel increase in heartbeat
Dr.
Any sweating? Increase in temperature
Dr.
Feeling flushed? Hands or legs trembling?
yes madam increase in heart beat sometimes pain in stomach or something happens in stomach
Dr.
Tightness in chest? Dryness if mouth?
sweat sometimes
Dr.
Okay, what else
Dr.
Any other physical symptoms that I mentioned above?
and while singing after holding Mike hands will shake
only these symptoms
Dr.
Alright.. that must be quite distressing..
Dr.
Dp you sing often?
Dr.
Do you *
and I think I can't do anything like that
every year 3-4 times madam
in stage shows
Dr.
Right.. those negative thoughts start circling in your mind..
yes madam
Dr.
Okay.. and despite feeling this, are you still able to go ahead and sing? Or do you avoid it?
i will sing madam
and it will be perfect
without any thing
Dr.
That great!
Dr.
But isn't this normal levels of anxiety?
Dr.
Anyone who has to sing or perform on stage will have a little anxiety before starting right.
Dr.
This is quite normal..
Dr.
Is there Any other situation where you feel like this?
but the thing is bcoz of fear I am unable to sing what I expect
Dr.
But you are saying you sing perfectly?
yes
Dr.
Then why are you saying you are unable to sing as expected?
Dr.
You are contradicting what you said. Can you be better than perfect?
Dr.
Pls help me understand what you mean.. unless I understand I will not be able to help you adequately
but only because of that I am unable to sing some gamakas and first I am afraid to sing in front of group
Dr.
That initial fright will be there.. it's there for most people and it's normal.
Dr.
It becomes a clinical issue, only when
Dr.
People start to avoid such situations thT make them anxious
Dr.
But you are saying you don't avoid it, but instead go on to sing perfectly..
Dr.
So are you trying to reduce this feeling before you sing or go on stage?
Dr.
Are there any other Situations where you feel a similar anxiety levels?
sing perfectly madam but afraid will be there inside and unable to give 100%
Dr.
Okay. So nothing can be better than perfect right. If you are able to sing perfectly than that is good. Maybe inside you feel you didn't give 100%, but if you had not given 100% how cN you be perfect?
Dr.
If you say I did not sing well and I did not give 100% then I can understand it's a problem.
Dr.
Are you mentally feeling you will do better without these feelings?
I am afraid before getting onto stage
and then I will say myself u can do it then I am giving 50%
only because of fear
and to ride bike also I am afraid
Dr.
Alright.. do you avoid riding bike?
Dr.
Or you still able to ride?
yes
no
Dr.
Okay.. you avoid riding..
yes
Dr.
Any other situation where you feel this way
everywhere
every situation
I feel afraid
but most important thing is singing for me
Dr.
Please elaborate on 'every situation'
I love it
Dr.
Are you scared to go to the office?
Dr.
Alright.. what are you thoughts during this time?
but because of this fear I am unableto do
Dr.
This feeling that you are experiencing is called anxiety..
I don't know
madam
what it is called
Dr.
Alright.. and anxiety can become a big issue, if we allow it to get overly huge and it prevents us from doing daily activities that are considered normal
Dr.
09:22: This feeling that you are experiencing is called anxiety..
Dr.
It's anxiety..
Dr.
What are the thoughts that are going on in your mind?
Dr.
That ppl will judge you?
Dr.
That they will look at you
yes madam
Dr.
Nd laugh at you if you make a mistake?
what they think like that
Dr.
Alright.. and what else are you avoiding because of this anxiety feelings?
Dr.
Singing is one problem area.. riding bike, whT else
facing people
Dr.
Okay.. talking to people?
Dr.
Like who?
Dr.
Family? Colleagues?
family also
colleagues
if I say anything what they will think like that
Dr.
Okay..
Dr.
This is mostly social anxiety that you are describing to me
Dr.
And the best treatment for this
Dr.
Is usually a combination of therapy plus medications
Dr.
We can start with therapy, which focusses on learning to become aware of you unhelpful thoughts and start controlling it, at the same time, systematically exposing you to small situations taht fuse low levels of anxiety and help you learn coping skills to deal with it.
Dr.
Simultaneously I would like you to consult a psychiatrist who can evaluate and prescribe necessary medication
Dr.
For now there are some things I would like you to start with
Dr.
Ita called thought recording
Dr.
ok madam
Dr.
Fill up first 4 columns only
Dr.
We will work on the 5th column little later
Dr.
Every time you face a situation where you feel a little scared or uncomfortable
Dr.
I want you to fill out this form
Dr.
What situation it was
Dr.
What you are feeling (emotions-sad, angry, frustrated etc)
Dr.
What you are thinking
Dr.
And how you behaved
Dr.
Why I'm asking you to do this
Dr.
Is because to treat your anxiety we need to understand where it is stemming from. What the roots Are
Dr.
And by filling this up we get more data to understand what is happening inside your mind And will help us deal with it better
Dr.
Any questions about this so far?
ok madam
Dr.
Yes. You can. I would want you to fill this up every day, a different situation. This is not a one time thing, but rather something you will work on everyday
Dr.
You can send one sample once you go home..
ok madam
I can say like inferiorty complex madam
Dr.
Yes, you can add those situations as well that make you feel inferior..
Dr.
This will all be connected to the social anxiety
ok
Dr.
I would also like you to Google social anxiety, and see how much those symptoms relate to you..
Dr.
So will get to understand your problem a little more
Dr.
And get more familiar with how you are feeling
ok
Dr.
This is an issue that we will need to work on for a length of time. It isn't something that will go away after one week or anything
Dr.
The more You are able to practice things we discuss, the easier situations will start to get
Dr.
Also our sessions will need to happen over the phone. Text is not possible
ok
Dr.
Alright xxxx. Any other questions or thoughts for now or shall we end the session for today?
we will end madam
tq so much madam
Dr.
Alright.. do think about all this.. if you have anymore questions you can text be here, and I will respond
Dr.
Most welcome xxxx . Hope you got a little clarity on what you are going through and what path you have in front of you now
Dr.
Do take care
Dr.
Will wait to hear back from you soon.
Dr.
Do you have any doubts or wish to share anything more?
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