Posted by Questionmark on November 15, 2007, at 2:44:02
In reply to Re: Lexapro/Celexa: The Best for Anxiety?tecknohed, posted by torachan on November 13, 2007, at 12:13:13
Social phobia might (I stress might) be more (or just as) strongly linked to depression than anxiety-- and if so that is significant and you have a good point, if not completely accurate-- but 1) there is almost always if not always a significant anxiety component in social phobia, and 2) there are still a great many people in whom it is primarily anxiety based.
It's just another example of how the same disorders (/conditions/ whatever) could have different underlying biological roots and problems. I for one am actually made worse by taking a benzo alone (i *need* an antidepressant), yet I have a friend whose social phobia has never responded to anything as well as it does to daily Xanax. I also almost need caffeine to function, whereas his anxiety goes through the roof with it. We both have wasted our lives in large part due to social phobia though.> I found your response interesting to the point that I may consider different anxiety disorders in the same class to be of a different nature and pathological origin. Just a personal theory, but since recent research findings have noted a strong association between anxiety and depression which had long been suspected, I'm inclined to think some anxiety is more rooted in depression than others.
> For instance, social phobia is, I'd speculate, more closely linked with depression perhaps, where the patient, as you say, requires something of a stimulating effect to propel them into social interaction, thus allowing them to reduce the anxiety of knowing their reluctance to perform in social situations.
> If my diagnosis is correct, GAD, and pending a much needed re-diagnosis in the near future, I believe my issues mainly stem from an overly active central nervous system which requires a slight suppressing effect, but not too much as to cause depression, and the depression associated with this disorder is more residual/situational caused by the patient knowing they have a debilitating anxiety disorder.
> Please remember this to be idle speculation, and in no way am I confirming its accuracy.
>
> On another note, I find it interesting you mentioned benzo's become more effective for anxiety over time as in my 15+ years of use, I've noticed my anxiety bubbling up to the surface more, in the form of limb and facial tremor, but perhaps this is due to other factors like advancing age or attrition of my illness.
poster:Questionmark
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