Posted by Mimi on July 16, 2002, at 19:20:55
In reply to Social Anxiety Meds Discussion, posted by k23d on July 10, 2002, at 20:03:42
k23d,
Buspar has worked wonders for my social anxiety. Klonopin was way too sedating.
MimiHi Folks,
>
> I've read extensively through the archives but still need further convincing I'm doing the right thing so please bear with me for one more go around this discussion.
>
> I'm a socially anxious individual in my late 20's who's been living with the problem since my teens but only come to realise what it was about 2 years ago.
>
> Since then I've tried everything from NLP, Hypnosis, meditation, lot's of excercise and some yoga (both of which help), Cog Behavioural therapy and finally about 3 months ago got on the paroxetine (20mg daily in the morning).
>
> My issues could be described as a generalised social anxiety with some specific performance phobias that accelerate me to panic. As far as I am aware or have been diagnosed I have no other comorbid conditions other than a generalised anxiety but it's kind of just driven by my social anxiety anyway.
>
> I want off the paroxetine due to the side effects, mainly as follows:
> Lethargy
> Lack of motivation
> Lack of concentration
> Loss of libido
> Loss of orgasm
> Weight gain
> Emotional dulling in non anxiety situations
> Poor memory
> Losing words
>
> The paroxetine has helped in general social interaction but doesn't help in panic inducing situations. Propranolol 75mg has helped moderately but not fully.
>
> Anyway my doc has suggested venlafaxine as the next treatment but I'm not keen mostly due to the side effects profile and possible withdrawal issues.
>
> Thinking of this treatment plan:
> Continued CBT
> Start klonpin 1.5mg div to 3xdaily
> Start provigil or dexadrine (unsure of dosage)
> Maybe wean off paroxetine and start serzone
>
> Anyone have any suggestions/words of support. I've bought the report from the Journal of Clinical Psychiatry (www.psychiatry.com) titled "Advanced and emerging treatments in social phobia" and read a few other research papers.
> Is there any other resources people can suggest either to support my treatment plan above or to suggest a new one. Particularly with a focus on medical papers I can give my doc.
>
> Thanks for any support folks.
> k23d
poster:Mimi
thread:111969
URL: http://www.dr-bob.org/babble/20020709/msgs/112573.html