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Re: Treatment Resistant Social Anxiety!

Posted by Cairo on November 1, 2006, at 13:35:46

In reply to Treatment Resistant Social Anxiety!, posted by Tom Twilight on October 25, 2006, at 12:34:58

Have you ever tried exposure therapy for your social anxiety? Cognitive behavioral therapy worked only so-so with my teen daughter who has SA, but working with a therapist who made her go out to stores, the mall, answer the phone, call people up, go to a restaurant and speak up when she didn't like something, made a big difference for her. We need to constantly reinforce, but she's improved alot. CGT gave the knowledge of what to do, but she had to go out and DO it for it to work.

I attended a SA conference last year and the keynote speaker emphasized exposure therapy. When he asked the psychologists in the room who did exposure therapy with their SA patients, only two raised their hands.

She's on Zoloft 75mg plus 6.25mg Seroquel. Zoloft works far better for her SA than Lexapro did, and Seroquel is a good adjunct for SA for her.

Good luck.

Cairo

> I've got treatment resistant Social Anxiety :(
>
> Its really frustrating because I've tried so many things, and nothing works long term.
>
> I'm currently on Nardil 75mg, the "Gold Standard"
>
> Its helping GAD, but does nothing for SA.
>
> I worry about becoming deppendent on Benzo's and they don't do much either.
>
> Only opiates seem to help, its strange odd
>
> I don't know were all the social phobics have gone on babble!
> Should I push the Nardil up to 90mg?
> Is D-cycloserine worth trying?


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poster:Cairo thread:697617
URL: http://www.dr-bob.org/babble/20061028/msgs/699591.html