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its all part of anxiety. part of it for me was getting more anxious if I had to wait, which made phone conversations worse as I was waiting with every ring. I would stutter and couldn't speak properly which made things worse, plus I would forget what I wanted to say and even if I wrote it down, I still got confused. the best thing ive found is trying propranolol beta blockers, which is something even surgeons take apparently. it just keeps me calm and able to breath properly during phone calls
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