question: Hi doctor,  I am a 19-year-old female doing MBBS. Everything is really good in my life, but I certainly do not understand the chit chat going on in my mind all the time. I do not feel going when I meet people, I do not like noise, parties and going out. But this was not the case earlier, I like dressing up and going out for shopping, now I do not feel like doing these things. I just like studying and following my normal routine, I do not want to be like this. Please help. I am very anxious about my face as I have acne scars, so I am always very conscious about them. I just take medication for it, I often have severe headache attacks, probably migraine, especially when I go out with my friends or hear a very loud noise.