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Re: Cam and Others, Social Anxiety Cocktail Evaluation

Posted by AndrewB on August 11, 2000, at 12:38:02

In reply to Cam and Others, Social Anxiety Cocktail Evaluation, posted by Billb on August 10, 2000, at 18:59:02


I have more questions than answers for you. Please bear with me here and please excuse me for this rapid-fire succession of questions. I'm just trying to be helpful.

Can you describe the 'flavor' of your social anxiety. For example, do you have panic attacks, blushing, sweating or physical symptoms when in a socially stressful situations. Is your social anxiety tied to specific social situations. Do you feel detached from others. Do you have a strong sense of shame combined with low self esteem. You get the idea, describe what your social anxiety feels like to you.

Without medication, do you have any sleep problems- over or under sleeping.

Did buspar help you?

Paxil improved your sexual function. In what way. Isn't this unusual. Where would you rate your mood now on a scale of 10? How much has paxil improved your mood.

Why are you taking piracetam. For cognitive enhancement? Do you have cognition problems. Has it helped. By the way, adrafinil and piracetam may share, in part, the same biological mechanism of action.

Have you tried any other arousal agents or stimulants besides adrafinil (i.e. Welbutrin). What was your response.

And perhaps the most important questions of all; in what way has adrafinil helped your social anxiety, how much social anxiety remains, and what is the kind of anxiety that remains?

The reason I ask all these questions is because there are a lot of directions you can go medictation wise to treat social anxiety. The answers you provide though may give a clue as to what anti-anxiety med or combo will work best for you.

I have finally got my social anxiety under control, but relief hasn't come for me via the standard anxiety meds. I offer my expereince as encouragement to others. Relief for your social anxiety most likely is out there but it helps to understand your sub type of social anxiety and then be willing to experiment with different meds. Fortunately most anti-AD meds are quick acting and trials can proceed rapidly. Your response to adrafinil is significant and perhaps is a clue towards gaining even a more robust response.

Best wishes,





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