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Re: Many people fear MAOI's....cecilia

Posted by JaclinHyde on March 12, 2006, at 19:53:13

In reply to Re: Many people fear MAOI's....Jaclin Hyde, posted by cecilia on March 12, 2006, at 1:49:18

> I'm glad that MAOI's work for you, but I don't understand why you keep saying the success rate is 99%. It's closer to 50%. Please, if you have a link to a reputable study showing a 99% success rate, I'd be very curious to see it. Cecilia

Or we have this one that states a 60 - 85% success rate.

"MAOIs: These medications, in general, have been shown to work effectively approximately 60-85% of the time for people with clinical social anxiety. Most people with social anxiety do not need this medication, however.

If a medication is needed in addition to the anti-anxiety agents, these medications have been shown to work best for social anxiety disorder. Although most of our generalized social anxiety people do NOT need to be on these medications, people with more avoidant behaviors DO need the added benefits of an MAOI.

We have found that, in general, Parnate, as opposed to Nardil, is more effective with (generalized) social anxiety disorder, provided there are no other anxiety or mental health care complications. (Nardil has been shown by research to be effective, also, although we have yet to see anyone tolerate this medication. If an MAOI is considered, we recommend Parnate over Nardil, due to Parnate's added noradrenergic and dopaminergic effects). People with avoidant personality disorder are usually greatly helped by this medication. Although these medications require slight food restrictions, the current restriction list (even as far back as of 1998) is quite small. No responsible adult who needs to be on an MAOI, and is receiving help from the medication, has ever complained about the food restrictions.

Our more severely socially-anxious individuals (currently being termed "avoidant personality disorder") may need to use these medications, under proper psychiatric care. Again, Parnate works faster, has less side effects, is uplifting and motivating for people with social anxiety and is preferred over Nardil. Talk with your social anxiety therapist about this first, and get a recommendation to a psychiatrist who understands social anxiety and this particular medication in general. You will not typically be able to obtain one of the MAOIs from your general practitioner, as they are usually unaware of the positive effects these medications can play in helping people with social anxiety."




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