How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Olsen Your Own Question

Dr. Olsen
Dr. Olsen, Psychologist
Category: Mental Health
Satisfied Customers: 2336
Experience:  PsyD Psychologist
46062601
Type Your Mental Health Question Here...
Dr. Olsen is online now
A new question is answered every 9 seconds

Hello, I think I have a form of social anxiety in a very bad

Customer Question

Hello, I think I have a form of social anxiety in a very bad degree, I even think of suicide. I can not stand it anymore. I cannot make other people around me feel awkwardly, and I cannot feel fear when I come into contact with other people. I was smoking cannabis for 1.5 years but I stopped smoking before 3 years. I don't know if that's the reason I feel that way, but before that I was a very social person and now I am the complete opposite. I tried to overcome these by myself, 3 years now, but the problem has not yet disappeared. I am connecting things with my mind, for example (excuse me for that) If I masturbate then for 1-2 days I feel very bad, so I try not to do it very often to be in a good mood. Whenever I confront people I try to think what my next step should be and I cannot be myself. I am really tired of this. My mood is never stable and I want to be as I used to be before. I am desperate, I don't know what my next step will be. What can I do?
Submitted: 3 years ago.
Category: Mental Health
Expert:  Dr. Olsen replied 3 years ago.
Hello. Welcome to JustAnswer. I am sorry to hear your situation.
It sounds like you may have social anxiety and signs of depression. Excess use of any drug may cause anxiety, depression and psychosis over time. You may need to see your primary care physician for a physical check-up to detect and rule out any medical condition that may cause your mood symptoms.




You also may try some or all of the following to improve your mood - 1. Exercise moderately, but regularly, 2. Eat healthy but delicious meals, 3. Regularize your sleep cycle, 4. Don't drink to excess or abuse drugs, 5. Spend some time every day in play, 6. Develop recreational outlets that encourage creativity, 7. Distance yourself from destructive situations or people, 8. Practice mindfulness meditation, or walk, or an intimate talk, every day, 9. Allow yourself to feel pride in your accomplishments, 10, Listen to compliments and expression of affection, 11. Build and use a support system, 12. Pay more attention to small pleasures and sensations, 13. Challenge yourself, 14. Avoid unstructured time, 15. Practice good personal hygiene, 16. Avoid depressed self-absorption, 17. Cultivate your sense of humor. Also, yoga, meditation, Acupuncture, Guided imagery, and massage therapy may help.

Additionally, you may benefit from seeing a therapist who specializes in Cognitive-Behavior therapy (CBT) to work on social anxiety.
The book "MIND OVER MOOD by Dr. Greenberger and Padesky" may be helpful to understand the connection between your thoughts, feelings (Anxiety) and behavior (action). I hope you get well. Please let me know if you have more questions or I have overlooked any. Warm regards,

Customer: replied 3 years ago.
These are all very good, but I am not a person that could get into a program and do these things. I am a bit desperate because its 3 years now that I am having this problem and I am looking for some more immediate solution (e.g. if medication can help me).
Expert:  Dr. Olsen replied 3 years ago.
Hi, Thanks for your reply.

Several types of medications are used to treat social anxiety disorder. Selective serotonin reuptake inhibitors (SSRIs) are generally considered the safest and effective treatment for symptoms of social anxiety:
Sertraline (Zoloft),
Fluoxetine (Prozac, others).
Other medication used for social anxiety may include:
Other antidepressants,
Anti-anxiety medications like benzodiazepines,
Beta blockers.
To reduce the risk of side effects, your doctor will start you at a low dose of medication and gradually increase your prescription to a full dose. It may take up to three months of treatment for your symptoms to improve.
Please meet your primary care doctor or a psychiatrist for medication evaluation and prescription.
Please let me know if you have a question. Warm regards,



Customer: replied 3 years ago.
Can I try any medication which is available without prescription?
Expert:  Dr. Olsen replied 3 years ago.
Hi, You may have to see your doctor (GP or a psychiatrist) for medication prescription. Certain supplements may help relieve anxiety, although it isn't clear how much they help or what possible side effects they might have. Some supplements like
B vitamins are used to treat anxiety.
Talk to your physician before taking supplements to make sure they're safe for you.

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/Dr.Keane/2013-8-20_204325_drkeane.64x64.jpg Dr. Keane's Avatar

    Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
  • http://ww2.justanswer.com/uploads/RE/resolutions66/2011-1-17_05728_IMG8202smilingeditedforJustAnswer.64x64.jpg Elliott, LPCC, NCC's Avatar

    Elliott, LPCC, NCC

    Psychotherapist

    Satisfied Customers:

    5024
    35 years of experience as a Licensed Professional Clinical Counselor, National Certified Counselor and a college professor.
  • http://ww2.justanswer.com/uploads/formybunch/2010-12-06_191055_img_0975.jpg Kate McCoy, M.Ed, NBCC, LPC's Avatar

    Kate McCoy, M.Ed, NBCC, LPC

    Therapist

    Satisfied Customers:

    3733
    Over 20 years experience specializing in anxiety, depression, drug and alcohol, and relationship issues.
  • http://ww2.justanswer.com/uploads/DR/DrAkiraOlsen/2012-2-20_746_AkiraADpicmain.64x64.jpg Dr. Olsen's Avatar

    Dr. Olsen

    Psychologist

    Satisfied Customers:

    2336
    PsyD Psychologist
  • http://ww2.justanswer.com/uploads/norriem/2009-5-27_134249_nm.jpg Norman M.'s Avatar

    Norman M.

    Psychotherapist

    Satisfied Customers:

    2193
    UK trained in hypnotherapy, counselling and psychotherapy and have been in private practice. ADHP(NC), DEHP(NC), UKCP Registered and ECP.
  • http://ww2.justanswer.com/uploads/PsychologyProf/2010-07-15_171248_logos060400409.jpg Dr. Michael's Avatar

    Dr. Michael

    Psychologist

    Satisfied Customers:

    2177
    Licensed Ph.D. Clinical Health Psychology with 30 years of experience in private practive and as a clinical psychology university professor.
  • http://ww2.justanswer.com/uploads/KURTEMMERLING/2010-07-23_215531_just_ask_picture1.jpg Steven Olsen's Avatar

    Steven Olsen

    Therapist

    Satisfied Customers:

    1727
    More than twenty years of expertise in counseling, psychological diagnosis and education