Hi I am kamal 24 years old. Its been 3 years I am on medication. My doctor said you are suffering from social anixiety. The medician help me to keep calm and relax. But communication is my big problem. I am working with international bpo where I need excellent communication to handle the u. S. Clients. But I cannot think clearley I always face problem while speaking. My thought process suddenly stucks and I feel I dont have anything to speak. But there are days when I speak with great confidence and handle the clients in good manner. It suddenly changes to other side where I face the same problem which I described above. I really need to resolve it. This is the big issue in my life please advice. My medications are buprone 300xl. Buspin10 mg. Vitamin capsule and fludec 20 mg capsule. Please advise.

Dr. Saul PereiraPsychologist48yrs exp

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The big mistake you are making is that you are not also in therapy. All the issues you describe are exactly suitable to be sought from counseling support. You should have a review of the medication too anyway after you mention these symptoms. The combination of therapy and medication is ideal for a proper recovery. Please attend a personality development course that highlights the five-factorial approach: physical, emotional, intellectual, social and spiritual quotients. If you develop in these five areas, you will certainly improve your confidence. Some personality courses emphasize and focus on public speaking to a large extend. It is not too bad an idea but it is a little narrow in perspective. You could instead attend a toast masters club, which does the same thing in a more organized manner. Apart from regular and aerobic exercise, you must also visit a gym to build a good body image. You can go for personal grooming classes too. While regular vigorous exercise develops your body, the regimen will also enlarge your heart and help you handle stressful situations much more competently than others who don? t exercise. Dress well, eat well, sleep well and conduct yourself well in social circles to build confidence. Perform well in your work, and feel good about your achievements. You could also go for hypnosis sessions to build your self-image from within. In addition, indulge spiritual wellness, faith and prayer that will boost your confidence really well. Emotional wellness will take care of the fear factor, which is your big problem. There are lots of affirmations, if said three times at a time, everyday, they will gradually strengthen your concept of yourself and your confidence. Yoga and meditation will also build you up. Speaking to a counselor will give you personal assistance in pursuing these changes. If the change in mood fluctuates from extremes of low to euphoria, you must report this to the doctor, immediately. You are young and a lot can be done only if you cooperate and combine medication with therapy. 

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