Red, blotchy beck and chest

[Christienp]

Ive been suffering with a red, blotchy neck and chest with anxiety for 10+ years. It typically comes on with anxiety, sex, and occasionally exercise. The most problematic of the times are with anxiety and stressful situations. Interviews, talking to someone of authority (like a manager or physician), presentations, embarrassing moments, etc. I can feel my heart beat fast, my brain is foggy and I get forgetful, I feel dizzy, sometimes I have  chest pain and see black spots. I can feel the heat rise in my body. First my nexk and chest turn red and blotchy. If the situation or anxiety passes, it will go away pretty quickly. If I cannot escape the stressful situation, I start to realize that I'm getting blotchy and the redness gets worse. The blotchiness creeps up to my face and cheeks. That's usually a worst case situation. I usually don't blush or get blotchy in the face. It typically stays on the neck or chest. Over the years, I learned that self tanner or sun on the beck and chest help conseal the blotches. They seem to even out the skin tone. I've taken a beta blocker which slows the heart rate down and helps some. Since the blotches don't happen every day, I hate taking a beta blocker all the time. I also read about Zantac and Zyrtec which help block both histamine reactions. I've taken those on days I know I have something stressful, because it's worth a shot!  I've tried counseling, which I stopped going to but probably should pick up again. At 32, I've come to face the fact that I will always have this problem. I have never taken anxiety medication but now I am considering it.  Does anyone else have this issue or even severe blushing and has had success with anxiety medications?. If so, what was it. Any other suggestions to hiding (yes, turtle necks are great in the winter) or reducing the appearance of the blotches?  Thanks!!

[Christienp]

I wouldn't consider myself fair skinned. I tan very easily but I am Caucasian

[Paxiled]

Are you fair skinned?  Because if you are, well, this happens.  I'd hate to see you get stuck with all the problems of medication for a problem of skin pigmentation.