Conversation: The conversation between human and AI assistant.
[|Human|] When I am in a meeting and have to take notes or if I am in a social setting my hand starts to shake (usually the right) and I get really nervous. Sometime I cant even lift up my wine glass or coffee cup out of fear that people might see it. Please help, it is extremely embarrassing and I turned job offers down because of it. Thank you!
[|AI|]  Hello understand your concern. It sounds like you have social anxiety, made worse when you are in a social setting.  Physical symptoms of social anxiety include nervousness, shaking, upset stomach and palpitations. You should have a physical exam and laboratory studies that may identify a physical cause. If no underlying cause is found such as thyroid disease or a cardiac or neurological condition, there are certain medications that are available called selective serotonin reuptake inhibitors (SSRIs).  They help with the serotonin levels which have been found to be associated with anxiety.  For the shakiness, beta blockers have also been used with success.  These medications must be used under physician supervision.  It sounds like your symptoms are interfering with your quality of life and there is treatment. I hope you get better