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Doctor insights on:
Performance Anxiety Disorder
1
Can major depressive disorder, generalized anxiety disorder, obsessive compulsive disorder be cured?

All at once or: All at once, or one at a time? Those are 3 major disorders and there are many types of each of them. So the answer is yes, and no. It depends on which disorder and how much of a physiological component there is in each illness. You can not cure diabetes, but you can learn to control it. That is true of many psychological disorders as well. ...Read more
Anxiety (Definition)
Anxiety is a general term for several disorders that cause nervousness, fear, apprehension, and worrying. These disorders affect how we feel and behave, and they can manifest real physical symptoms. Mild anxiety is vague and unsettling, while severe anxiety can be extremely debilitating, having a serious ...Read more
2
Are mental disorders like depression, bipolar, social anexity disorder inherited?

Yes: Many people have one or more parents with mental health disorders. Off spring may grow up with no mental health problems or they may develop the same or different disorders than their parents. ...Read more
3
Can I have obsessive-compulsive disorder, major depressive disorder, borderline personality disorder and generalized anxiety disorder?

Theoretically yes,: but unlikely. The symptom most likely, most common to these four is anxiety, so start there. Go to a clinician and answer a lot of questions about your history and symptoms. This will fine-tune your understanding of what's going on. Treatment follows from that... ...Read more
4
General anxiety disorder Is include social anxiety ?

GAD & social anxiety: Very often GAD includes various symptoms of social anxiety. ...Read more
5
Can anxiety, depression and OCD cause a racing mind simular to bipolar disorder?

Sometimes.: Anxious ruminations & agitated depression can certainly present with racing thoughts. I can't think of any reason why ocd might not somtimes present similarly. ...Read more
6
Chronic fatigue- social anxiety- depression- help!?

Depression: You first have to rule out medical, thyroid, neurological and sleep related or drug induced causes, if all this has been ruled out then you can start meds and therapy. ...Read more
7
Which distinguishes social anxiety from avoidant personality disorder?

There is overlap: Research has found few differences between the kinds of symptoms that people with sad and apd have. Because of the similarities between sad and apd, people are often diagnosed as having both disorders. Like sad, the central fear of people with apd is rejection, ridicule and humiliation by others. However, people with apd tend to have a broader range of symptoms, and the symptoms tend to be more se. ...Read more
8
How do social anxiety disorder and avoidant personality disorder differ?
The major difference: Is that with social anxiety disorder, the person is uncomfortable with the fact that they have difficulty in social situations and want the overcome the disorder. Someone with an avoidant personality disorder does not want to change or be around people. They are happy being a hermit. ...Read more
9
Could obsessive compulsive disorder impair judgements?
Yes: Ocd will result in actions that could impair judgement due to repetitive behaviors. ...Read more
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10
Is social anxiety disorder consider serious?
You may be the judge: If your life is being impacted, then it is a problem and how much may tell you how serious a problem it is. No one else can really experience the distress you feel or the limitations you impose on yourself to avoid that distress. The good news is that there are very successful treatments - cbt can really help - which can improve or relieve many symptoms of social anxiety disorder. ...Read more
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11
Heart papulations insomnia anxiety panic attacks general anxiety?
Sound miserable: How can we help you?
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12
Does social anxiety cause mood swings?

Anything distressing: Can contribute to feeling depressed, especially if you can't find a way to relieve the distress. Learn to manage the anxiety with relaxation training and cognitive therapy by talking to a mental health professional. ...Read more
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13
Its possible to have anxiety disorder without depression or depression without anxiety disorder can depression treatment help anxiety disorder ?

Yes: Depression and anxiety disorders have overlapping symptoms. the same medicine may help both:) ...Read more
14
Depression, social anxiety, avoidant personality disorder, loneliness, no friends, what to do?

That is a lot going : On ; it doesn't sound like fun. Take on a little "can do" attitude. Encourage you to enlist the care of a good psychiatrist as well as a therapist/ psychologist. Alk about feelings ; address problems. Don't avoid them. Aim for 7.5 - 8 hours of sleep/ night. Daily physical activity is optimal in a green space. Eat healthfully. Cut out junk carbs, caffeine ; alcohol (or moderate). ...Read more
15
Can shark cartilage provide relief from social anxiety disorder, panic attacks, depression?

Sorry - but there is: No evidence to suggest that this is the case. Shark cartilage can endanger health as it usually contains high levels of mercury and other dangerous chemicals. ...Read more
16
Is ptsd (post traumatic stress disorder) a type of behavioral disorder or anxiety disorder?

Great Question: Ptsd falls under the class of anxiety disorders. It is interesting that you asked if it is a behavioral disorder. I treat primarily complex ptsd. My combat ptsd patients have hyper-responsive fight or flight reactions. Irritability, high levels of anger & aggression can be very problematic. Ptsd is a destroyer of marriages & families. Road rage & violence when dissociated are major issues. ...Read more
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17
Can neurofeedback (biofeedback) help with social anxiety disorder?

Some: Biofeedback will help you to manage and control anxiety symptoms, but to help social anxiety you will need to also get graduated exposure (doing things that seems scary, but starting with easy things and working up the list until you master them). ...Read more
18
Symptoms of anxiety disorder?

Nervousness: There are common physiological symptoms such as muscle tension, GI complaints, excessive sweating, palpitation and cognitive symptoms such as worries, fears, obsessive thoughts or compulsions. For an overview see: anxiety disorders the basics: http://cpancf.Com/anxietydisordersbasics.Asp. ...Read more
19
Marijuanas role in coping with depression, anxiety?

Unsure: While not really a depressant, marijuana may not help a person to feel motivated, which is often missing in depression! it might temporarily mask emotional pain, but in excess can lead to problems. Some research suggests it can potentiate mental symptoms--and results were not simply due to ill people self-medicating. And it can lead to jail. That's depressing / scary. Psychiatrists, gps? ...Read more
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20
Is generalized anxiety disorder a mental disease?

Yes.: Generalized anxiety disorder refers to a persistent pattern of worrying about a variety of real or imagined possible bad events that can occur to the point that it interferes with day-to-day functioning. It is quite common, often runs in families, and can be surprisingly debilitating. It also it quite responsive to various treatments, both talk therapies and medications. ...Read more
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21
Any tips on overcoming performance anxiety?
Cognitive Behavioral: Therapy can be helpful. Repeating your performance over ; over before can be very beneficial. Preparation is often important for performance. Consider getting some coaching too. ...Read more
22
What do experts consider effective ways to combat performance anxiety?
Practice: One way is to practice the skill over and over both in actuality and in your mind. Many decades ago, i practiced my gymnastic routines in my head over & over plus attended relentless practices. As result, by the time of competitions - every thing was rote in my head. The only anxiety i was experiencing was performance enhancing. Good luck. ...Read more
23
What is the correct dosage of propranolol for performance anxiety. Many Thanks?
Lowest dose: It's usually the lowest available does. However this medicine needs to be prescribed and should not be used other than as prescribed. You should never use another persons medicine. ...Read more
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24
Is it possible to develop tolerance to propranolol? If I use it for performance anxiety may I need to step up my dosage over time?
Not usually.: Intermittent use should not cause this. There is a lot of room to move with dosing on propranolol. You may develop an increased need for meds over time but may just as well be related to increased anxiety! ...Read more
25
How long does a dose of Propranolol for performance anxiety last? If presenting all day, would I need to take another dose in the afternoon?

Yes: If it is the long acting propanolol it can be taken once a day if not twice a day will be usual ...Read more
26
Can a person develop performance anxiety after years of working, i started to get anxiety at work was given way to much work and started to lose sleep?

Performance Anxiety: You may benefit from my recent workbook, "managing the stress of success" featured on the soundmindz.Org website and also read the articles on stress and performance. If your stress continued consult a mental health professional for consultation as psychotherapy can be very helpful. Best. ...Read more
27
What are some great ways to reduce performance anxiety and anxiety in general?

Regular: Routine aerobic exercise combined with mild to moderate weight lifting 2-3 times per week,for 30min to 1hr. Intensity: each time until shirt is dripping with sweat. Also yoga is excellent and so is Tai Chi. Meditation or mindfulness training. Take care ...Read more
28
How can sexual performance anxiety be treated?

Anxiety: Behavior modification thru desensitization. Consult a therapist for details. ...Read more
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29
How does sexual performance anxiety affect older men?

Sex therapy: There are actually folks who specialize in this area and they are called sex therapists. As performance anxiety is quite common, a good sex therapist should be quite well versed at addressing your concerns and issues. I also suggest finding a patient partner. Share your concerns with he or she in an open and honest manner. Most people are more understanding than many might think. ...Read more
30
What can you do to cure sexual performance anxiety, naturally?

Sex therapy: There are actually folks who specialize in this area and they are called sex therapists. As performance anxiety is quite common, a good sex therapist should be quite well versed at addressing your concerns and issues. I also suggest finding a patient partner. Share your concerns with he or she in an open and honest manner. Most people are more understanding than many might think. ...Read more
31
Is prelox good for Ed related to performance anxiety? And is it safe ?

These two citations: Stanislavov, R., V. Nikolova, and P. Rohdewald, Improve of erctile function with Prelox: a random, dble-blind, placebo-controlled, crossover trial. Int J Impot Res, 2007. #2 Lamm, S., Prelox® for improvement of erectile quality. European Endocrinology, 2009. 5(1): p. 70-74. Claim to show proof of effectiveness, but I have not read them. Try searching on Google Scholar & judge 4 yourself ...Read more
32
Can you tell me how to overcome performance anxiety and public speaking anxiety?

There are a few : Techniques that can work fairly quickly. Cognitive behavioral therapy using progressive desensitization (learning to relax ; then imagining the phobic event (public speaking) from least to most anxiety provoking image while relaxed. I usually do this using hypnosis as a relaxation technique, but you can use other relaxation methods. Find a therapist ; you will be able to get relief fairly quickly. ...Read more
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33
I plan on getting an ssri for social anxiety. Are there any specific brands that will help with my performance anxiety and not make it worst?
Ssri's: Sometimes when first starting an ssri for depression, anxiety may worsen for a week or so. This will be an important point to bring up with your psychiatrist. ...Read more
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34
I've masturbated on average once a day for 10 years and now I have a girlfriend and am having issues getting an erection. Is it performance anxiety?
Maybe: Asuming you have no chronic health problems like diabetes or high blood pressure and are not using illicit drugs, the the most probable reason for this in a 26 year old male is mental. You're probably just psyching yourself out! Relax, and just let it happen. Increase the amount of foreplay you and your partner are engaging in. ...Read more
35
Propranolol (inderal) useful for performance anxiety?
I don't do this.: Some drs use propanolol (inderal). I do not. This med is cognitively suppressive-esp if used episodically-so it can backfire. My experience is that there are better meds& methods. Also, I do not treat the anxiety only during testing or performing. Whatever meds are used should be used routinely; otherwise, it is less effective. Plus, the patient needs to be acclimated well in advance. ...Read more
36
Which ssri is the fastest in dealing with OCD and anxiety ( social and a kind of test or performance anxiety )?
SSRI's : In terms of generalized worry, certainly lexapro's data shows that it starts working in the first week. The same cannot be said of the other antidepressants in terms of generalized anxiety. If you need something quickly for performance anxiety then a brief benzodiazepine or the use of a beta blocker can be of help. Ocd takes up to 12 weeks for maximum benefit no matter which agent you use. ...Read more
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37
Will caverject (alprostadil) conquer performance anxiety ed?
Yes: Caverject is injected into the shaft of the penis and is designed to maintain erections and it works very well. It is usually second line to medications like viagra (sildenafil) or cialis. The first dose is usually administered by a doctor in the office to see how you respond and to demonstrate how it is used. Most men can eventually work up the nerve to use it if nothing else has worked. ...Read more
38
Does horny goat weed really help with ed/performance anxiety? I'm 20 years old btw.

Probably too young: At 20 yo you are very young for a physically based ed. Sounds more like an anxiety situation. You would be best served by getting some labwork done by your doc and then seeing a clinical psychologist for stress management or self hypnosis training. Please don't be embarrassed, professionals deal w/this regularly. Lots of reason to expect a good outcome. ...Read more
39
Can bisoprolol be used for performance anxiety in a similar fashion to propranolol?

Medications may be: in order. Please do what doc says. Beyond that consider behavioral approaches such as clinical hypnosis and self-hypnosis training or biofeedback. See www.asch.net for some additional information. Peace and good health. ...Read more
40
How can I reduce performance anxiety when my wife and i are trying to conceive our 2nd baby?

Please don't forget: That sex is there to be enjoyed, not to be an obligation. Try to enjoy relating with your wife all day, not just during sexual acts. Focus on pleasuring her, and allowing her to pleasure you. Are you and she in some kind of hurry about conceiving? If so, that will intensify performance anxiety for both of you. Focusing on "getting a job [conception] done" will not help you either! ...Read more
Anxiety Disorder (Definition)
A mental health disorder characterized by feelings of worry, anxiety, or fear that are strong enough to interfere ...Read more
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