<s>[INST] Hi Dr, I have a query on dealing with public speaking or performance anxiety... My major fear is about my hands shaking, when ever I m nervous my hands shivers which in turn makes my fear too recursive and stop me from performing or completely I ll get in flight mode. There is only 10 percent chance I can get back to perform at the spot. I started to feel this trauma from the day I started to give a speech at my job some 3 years back. However I was pretty much improving till that time. My confident has gone down only when it comes to public speaking but my will to overcome it is always strong in mind. I took proponal after a dr advise some 2 yr back, that really helped my nervousness and allowed me to talk clear. However this drug took me in to serious side effect , mild pinching chest pain and depression moods(mood change last for 2 days but pain got permanent). I m still experiencing pain but hardly I ll use this drug only on high need. So far I had taken 9 times in 2 yrs and I knew the consequence of it and try making my self prepared to overcome the pain by exercising. I have tested my chest pain( Cardiogram, TMT, chest CT, x ray, ECG) all shows good with out any trouble on my vital chest parts. Can you please help me in this situation, what should I do as this pain is just staying in my body for 8 hours a day continuously. Thanks for any advise [/INST] Degree understand your concerns went through your details. I suggest you not to worry much. I see you have two problems. One about the public performance and the second about the chest pain. As the investigations of the chest came negative, then you have nothing to worry (already you are aware). Still you feel the pain. That is anxiety and thought process. The pain false (imagined by you). This happens due to psychosomatic illness like Hyperion Chat Doctor.  Psychotherapy should help you overcome. Thoughts are there to come and that is the duty of the brain. Let the thoughts come. You need to divert the thoughts to more priority ones. Means be busy and divert thoughts. Relaxation and meditation plays an important role in controlling Hyperion </s>