I've had social anxiety disorder my whole life. Tried several SSRIs and found one that kinda worked. Anxiety was crushing at times due to my career path (senior lvl corporate pharma). Sometimes I even take a shot or 2 of whiskey before a major presentation or social engagement. The last 20 years have been a blur of constant fatigue and brain fog. I'm 40 now. No wife, no kids. No relationship.Feel like I've lived 80 yrs and I'm just tired. What a curse it's been to have this mental health issue.

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Presentation and social anxiety (and anxiety over having such anxiety!) is a killer. Have you sought therapy? I think you would get some relief if you could find an affectively-attuned, empathetic licensed therapist that is a start. You have to make time for the process, so perhaps through your company's EAP would be a start. Anxiety is a killer, and I mean that literally, and I hope you engage in a little self-compassion, my friend. It may do you some good to take some time off....usually someone at your senior level can find a million reasons why it is impossible to take time off, I know this for a fact having been an EA to a Managing Director and 2 VP's at Goldman Sachs before I decided to get my MS and become a therapist. Anyway, I wish you the best and am sending good thoughts your way. GET SOME HELP! Anxiety such as yours is treatable. You don't have to live like this...your call.

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