### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi. I am a doctor and doing PG degree at an institute. I am married since 7 years.I live away from my wife and kids. I have been late in joining my PG course like by 10 years due to some issues. Finally I am doing it. But now due to seperation from my kids, I am feeling very sad, my sadness reflected in my work, making me lag behind other my peers who are far younger than me like 7 to 10 years.I have a very low confidence level. for that, I consulted a psychiatrist, who put me on paroxetine and propranolol. But it wasn t helping me any good except the propranolol. So, I started taking fluoxetine and later escitalopram on my own, which did help me to a certain extent, but that too was inconsistent. I was feeling confident at one point while anxious and helpless with poor confidence at other point. And, the major issue( which has compelled me to write a post here) is that I have become extremely extremely shy of women around! Well, I am an introvert, and have never been so comfortable around females, but that wasn t as serious an issue as this is! It has grown up TREMENDOUSLY! I am extremely timid in front of females, I can t talk looking them in the eyes. If I look, I stare. So I better avoid eye contact. This behavior gives them the impression that I am flirting with them! No matter how good or bad looking the person may be. No matter how old is she from teen to granny. I am terrified by the fact that few of my female teachers above 50 years are in the delusion that I am in love with them! Shit! What s this! It is totally out of my hands. These antidepressants are just making my life miserable in this regard. Otherwise I am fine. Can manage almost anything but not this female thing. I am helpless here. I even tried modafinil for some time. But this also couldn t do any wonders. Mostly my gynophobia peaks in early morning, evening hours. I use to take escitalopram in the night or morning time. Modafinil in the morning or evening. But when I am being helped by escitalopram or modafinil, that time I can confidently face females. But those are very few times. Mostly I am having a disadvantage at female interaction. What should I do? I being a doctor, am expected to be free with female colleagues like my all other male friends are, except me. And everybody knows that I am a married man. So they will be having bad image of me in their minds like he is a pervert..or so. I am not just being able to break this jail which is eating me out of female trouble! Help me plz..

### output:

Dear serve understand your concerns went through your exhaustive details. You are a doctor, and you know how your mind work. If you become worried, naturally your whole of the cognition pattern changes. Try to be happy against all those odds can naturally help you. I see there are many negatives, but everyone has negatives. You were initially worried because you were compelled to stay away from your family and kids and therefore were not able to concentrate on your PG studies. Then it went on to anxiety, introversion, lack of eye contact with girls etc. at last you are trying to come down heavily on yourself like calling yourself pervert etc. Can you see the pattern of worries hung around? Worries devastate you. You are not the only person in your PG institute staying away from family. There will be many. How they are able to cop ? Ask yourself or talk to them. Initial stages, it is natural that you will have disappointment, distress and nostalgia. Everyone come across. Then you should train yourself to overcome those feelings. Everybody does. I suggest, online counseling and Cognitive Behavior Therapy. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck.