I am suffering from social anxiety related cranofacial hyperhidrosis (excessive sweating on upper body), it makes my life worse day by day as I can not interact with peoples properly due to this problem .also my blood pressure goes upto 160/100 and pulse rate increases upto 140 .so I take opinion from my general physician and he prescribed metoprolol 50 mg which I take it daily but still I have problem of excessive sweating due to anxiety in my daily routine from many years but now its going worse day by day (my all reports are normal including heart ecg, thyroid and so on)

Mr. Saul PereiraPsychologist50yrs exp

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You are being treated for hypertension, which you need. But there is no treatment for social anxiety. So I suggest that you go for some therapy along with some medication for anxiety too. Your bp is high for your age and your weight could also see some reduction. For this to come up at this age and for so many years means that it is significant because it is the last chance you will get to resolve it before it becomes a permanent negative trait. About the issue itself: do you know if this is a family trait, or is the family by anyways less to socialize, or have you had any problem with fear because of some family or childhood experience? Have you ever been embarrassed in public by someone that it has left an indelible mark in your personality? You can take the answers to these questions to a counselor and resolve the same. Anyway, you must deal with your fear of people and it will be the best solution to your problem. This fear is what is causing the reaction of excessive sweating. In the meantime do some confidence building exercises by attending a personality development course, public speaking skills course (i suggest you join the toastmasters club), work out at a gym to build good self-image, and join social events to practice your skills. Surprisingly many people are often in the same boat as you, and so you are not alone. The very people you are intimidated by may be afraid of you too! there are three important developments to have to make an autonomous personality: awareness, intimacy, and spontaneity. If you are super aware or too conscious of yourself, it will affect the intimacy and spontaneity. Although your problem is now directly to do with intimacy, you can see that they are all connected. Go and work on these matters with a counselor for this level of social anxiety to disappear from your life for good.  

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Dr. Saranya DevanathanPsychiatrist50yrs exp

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Dear lybrate-user, please consult your physician again about sweating. He may add a drug to reduce it, once your bp and pulse are normalised.  

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Dr. P K SukumaranPsychiatrist56yrs exp

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Depression is a very common problem.There are so ever so many much worse than u. Yours is a little problem No need to worry. Stop smoking and Alcohol Have regular exercise like walking swimming cycling jogging with friends for one hour Holidays once in a week DailyYoga, Scheduling activities Hobbies Social service Take fish and vegetables Take Nexito 10 mg daily Exercise daily 

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Dr. Ankit PatelPsychiatrist1yrs exp

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You have to change your medication to peroxetine / modafinil / etizolam/ propranolol / clonazepam. Kindly consult psychiatrist instead of physician.  

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