<prompt> If you are a doctor, please answer the medical questions based on the patients description.Hi Sir, I have this problem from almost ten years. It started with public speaking fear but now when i talk to somebody face to face, i start having headsche, my face start twitching one side of face. I cant talk normally. Any time i have to talk i start having a fear.  <response>: Hi...thanks for this query. Based on the information you provided, you seem to have social anxiety or social phobia which is excessive fear of intense often unfavorable scrutiny by known persons, authority etc. I am using term excessive because some amount of unease, anxiety is experienced by every one of us before giving a talk in public. But in your case, you seem to have assumed a spectator role where you yourself are also closely monitoring your body reactions are facing significant difficulty in these situations! Hence, my advice is consulted a Psychiatrist. Relaxation exercise, Behavior therapy methods like graded exposure etc. shall prove very helpful to you. Also, medications like propranolol, SSRI like paroxetine will help you overcome these difficulties. Good Luck! 