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

### input:
I am a 28 year old male that avoids being around people I come from a good sized family (but I am only comftorable around immediate family) and I do not know how to act around other people other than my family I really dont like being around others and its really starting to bother me I always make excuses so I do not have to go to events where there will be people who I dont know I dont know why I am like this In my career I train and teach people new skills and that is easy to me because that is something I have been doing for the past few years How can I become more comfortable around others I get nervous around others This just happened to me recently I ran into someone I went to school with I became hot and my hands were shaking and I was at a loss for words It really is starting to bother me is there anything I can do withouth taking medications

### output:

Hi, thanks for the query; based on the description provided, you are suffering from social anxiety disorder or social phobia which is excessive fears of unfavorable scrutiny by superiors, strangers etc. Now treatment for social phobia is multi-modal consisting of medications (SSRI group Chat Doctor.  CBT alone can also help you get rid of social phobia symptoms; but CBT alone takes too long for symptom relief; also CBT is very expensive & needs an expert Psychologist for teaching you the skills & supervise your progress. Hence, for a rapid relief, do consider taking SSRI medications (Escitalopram, paroxetine, sertraline, fluoxetine etc.) as they are side effect free, will help you boost your confidence, reduce your actual situation performance anxiety etc. Plus you can also use SOS anxiolytic like Mizoram, clonazepam which help you control on the spot distressing anxiety symptoms. You can start a crude form of CBT called as role play all by yourself; where you can volunteer to give short speech, story telling etc. in front of a small social gathering like party, family union etc. Do consult a Psychiatrist for medications & CBT referral. You can get back to me for any further help. Good luck