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Doctor insights on: Performance Anxiety Disorder

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

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

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

GAD & social anxiety: Very often GAD includes various symptoms of social anxiety. ...Read more

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

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

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

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

Yes: Ocd will result in actions that could impair judgement due to repetitive behaviors. ...Read more

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

Sound miserable: How can we help you?

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

Yes: Depression and anxiety disorders have overlapping symptoms. the same medicine may help both:) ...Read more

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Anxiety: Behavior modification thru desensitization. Consult a therapist for details. ...Read more

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

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

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

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

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

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

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

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

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

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

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

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