managing situational anxiety with medication is just a TEMPORARY bandaid. Long term usage comes with side-effects like fatigue, hunger pangs, and those are the minor ones. I use it occasionally in high-stake situations (job interviews), but I mostly rely on another approach thats talked about in lot of social anxiety and self-help books (some I remember off the top of my head: The Let Them Theory, The Subtle Art of Not Giving a F\*ck, Dont Believe Everything you Think, How to Be Yourself, Rewire Your Anxious Brain, etc.) Please do me a huge favor and read 2-3 books. Although these books are not specifically written for PWS, I assure you these are life-changing, and completely changed by relationship with stutter and my outlook in life. Lastly one of the MOST IMPORTANT lessons I learnt is to NOT label my speech as good or bad. Assigning good or bad labels after the fact trains your subconscious to FEAR the act of speaking, especially in higher stake situations. This is an actual physical transformation that happens in your brain and it leads you in a vicious feedback cycle that leads to something much worse. You should instead train your brain to treat speaking as a NO BIGGIE, regardless of the how high/low the stakes are. This requires LOT of time and practice. After suffering from panic attacks for 25 years, I started this approach 5 years back, and I'm now at a point that I don't feel anxious in 99% of situations. I'm a living proof that situational anxiety can be reversed with proper mindset. LEt me know if yo need any other info