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Social Phobia - Jimmy's Algorithm

Posted by jimmygold70 on April 19, 2001, at 9:13:30

In reply to Re: favorite drug for social anxiety..., posted by Alan on April 19, 2001, at 8:03:43

My algorithm - GAD+SP

1. SSRI (Celexa is my favorite) for 2 months
2. Doesn't work - raise the dose to the MAX
3. Didn't work as well, wait for a month
4. Partial response - Add buspirone up to 60mg/day
5. Insufficient response: Swith to Effexor
6. Partial response - raise dose to the MAX
7. Insufficient response - Switch to Klonopin
8. Insufficient response to Klonopin - switch to Nardil, up 90mg/day
9. Too many side effects on Nardil (though full response) - Swith to Manerix / Aurorix
10. Too many side effects Klonopin (though full response) - Swith to Nerontin
11. No or little response to the above - RECONSIDER DIAGNOSIS OF SOCIAL PHOBIA

Note that there is no perfect treatment for Social Phobia. The more severe condition you are in, the more response you're gonna get. 30% reduction in symptoms is fair.

Also, many other conditions occur with or mimic Social Phobia: Avoidant/Schizoid PD, Borderline PD (!), PTSD to name a few.
My 2 cents.

Jimmy


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URL: http://www.dr-bob.org/babble/20010417/msgs/60427.html