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

### input:
hii,Im tired of writing to docs about my problem, no one ever replies to them, after reading that u have solved over 25000 cases i thought u might b able to help, Im 22 yr old male.I always had stage fright but then i realised that was not the only thing i had, I have social anxiety i.e. i hate crowded places,i dont get on a crowded bus or a train avoid traveling at peak hrs. I walk most of the time even miles at a stretch to avoid people, i fear them, i would like to carry a knife but im afraid that i might end up hurting myself or probably kill someone when im angry.Im also depressed since 3 yrs,i have a family but tend to b alone,mixing up wit people is the toughest job on earth for me,i recently moved to a new place but havent spoken to anyone havnt made any frnds wit the fear of rejection,i definitely know they wil reject me, im a bad person,Ive started smoking since 7 months coz in the start it helped me wit my anxiety now it doesnt help dat much but sometimes i talk to ppl, once in a blue moon. When im angry i can talk to ppl which i usually avoid at all costs. through reading from internet i figured why i got depression and anxiety, Ive a personality disorder - AVOIDANT PERSONALITY DISORDER..Ive got each and every symptom it has mentioned.im even searching for a book on that subject.i spoke to my parents once in november last yr took them to a psychiatrist,i dont know wat he spoke to them,my dad comes out of the hospital n tells me v knew wat was wrong n walks away. since then we havent spoken about it. i mean we had a fight regarding the medicines i was on but then i had to leave dem i only took them for 15 days.i was on amitryn 10 for 1 month,it helped, i started getting good thoughts,i felt good,i felt normal for the first time in my life but that was only one day, never felt it again.And I havent cried in 11 yrs, cried twice for medical reasons, once for a toothache n once a headache caused by medicines given to me when i was hospitalized 2 yrs ago for dengue. No matter how hard i try i just cant do it. not even after hurting myself,cutting wit a blade,punching walls,bangin my head,extingushing a cigarette on my body,breaking a glass.i enjoy nothing in life.i lie to everyone. watever i have written here is the truth coz i need help,i cannot go on like this,its difficult everyday,some frnds r there but i havent told them , its better that way.recently everytime i travel in buses i wish it would meet wit an accident,it shud hit wer i sit ..i would help others and then die peacefully...

### output:

Hi, I went through your query in detail and can understand the distress that you must be having. You are definitely suffering from multitude of issues. You seem to have social anxiety which makes you uncomfortable in social situations. In addition, continuity of your problems have landed you in depression which is leading to your being irritable and even trying to harm yourself. I would suggest that you should seek a psychiatric consultation again and get yourself started on medications. Medications like paroxetine or venlafaxine would help you a lot in decreasing your symptoms. You should also make efforts to quit smoking as that will only cause worsening of anxiety in long term. Daily exercise will also help you relax and feel better. You can also consider starting cognitive behavior therapy for yourself. You can discuss regarding the same with your psychiatrist. It will consist of multiple sessions focusing on learning relaxation and changing the maladaptive thoughts that are leading to problem. I do hope I was able to answer your query. Best wishes,