Hi, I'm a 16 year old girl, and lately I've been feeling more nervous and stressed than usual. I have always struggled with being insecure and having a lack of confidence, but last month I started a part-time job which is a whole other story. Everyday I have work I can't eat without feeling sick. And on Saturdays where I will be working from in the afternoon till very late, I don't eat or drink anything for the whole day. And the weird thing is, I don't even feel hungry. But lately I've been tired, stressed, lost weight (to the point of worrying others). I don't know what to do! To fill in some more background, I have always struggled with going out to public places, meeting large groups of people etc. Part of that is to do with my upbringing (very legalistic parents so I'm not allowed to wear pants, makeup, cut hair etc etc) so that is why I'm so insecure about myself and why I'm always comparing myself to others. I haven't really had any panic attacks, only one at the start of the year because I was to scared to go out with friends to dinner. Must sound lame, I know, and it's incredibly embarrassing, but I can't help it, and know one really understands. On top of all that I also have uncontrollable tics that seem to get worse the more nervous I am. I can't control them at all, and it feels like I can't be satisfied until I twitch my nose or raise my eyebrows, or if I breathe out my nose quickly a certain amount of times in a particular order. Sometimes I have to cough and clear my throat until I feel better. It's hard trying to hide these in class (sometimes I even have to leave class so I can 'finish' the tics) but no one knows about any of this (including me feeling nervous all the time) because I'm pretty good at hiding it and I don't want to attract any unnecessary attention. I know this is beginning to sound like Tourette Syndrome, but my underlining questions are: does it sound like I have anxiety or tourettes? And are these two related at all? I'm sorry this was longer than I thought, but I would really appreciate any feedback.