Panic Attacks, Social Anxiety Disorder,
or Just Normal?

I'm pretty sure I have social anxiety. But lately...

Anxiety Question:

Small things can make me nervous, a task as simple as paying for gas at a gas station. I suppose it's coming in contact with a person that makes me tremble.

I'm pretty sure I have social anxiety. But lately, certain stupid things will cause the trembles; I worry sometimes excessively over nothing at all. When I get very nervous, I get the shakes, along with quick breathing, feeling as if my heart is beating out of my chest, and nausea. Am I having panic attacks?

I have no idea what causes me to be like this, I have no past traumas or anything. I mentioned it to my mother, and she said she used to be the same way, that she must have passed it on to me. Does everyone do this? Is it normal?

Anxiety Answer:

Agoraphobia is a form of anxiety disorder, also known as social anxiety disorder. Sufferers of agoraphobia fear crowded situations, especially in a confined space, where anxiety may escalate into panic attacks. As a result, sufferers of agoraphobia are often confined to their homes and face difficulty traveling to the outdoors.

Social anxiety disorder can be successfully treated in many cases through a very gradual process of graduated exposure therapy combined with cognitive therapy and sometimes anti anxiety or antidepressant medications.

Anti anxiety medications include benzodiazepines such as alprozolam.

Anti depressant medications which are used to treat anxiety disorders are mainly in the SSRI (selective serotonin reuptake inhibitor) class such as sertraline, paroxetine and fluoxetine.

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Dealing with Anxiety Advice

Let Your Inner Voice Gently Lead

"The Still Small Voice speaks softly and repeatedly. It does not push or force. If we ignore it, it will patiently wait until we give signs of being open again to its message. The Voice may wait for months, even years until we are ready to listen again. The ego voice speaks in terms of 'shoulds' or 'oughts.' The feeling accompanying the Inner Voice is loving, invitational, gently leading but no coercive."

From the book titled "How to Stop Your Anxiety Now" by Dr. David Larson