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Suggest Treatment For Social Anxiety Disorder
Question: Hi, I have social anxiety, I've noticed some changes and I'm not sure what going on. Recently its gotten difficult to make eye contact, more difficult I mean. I also have been having to kind of mentally remove myself from my surroundings. Example: I count 123 in as I breath 123 out, or I have to try to completely block out everything around me just not to have an attack at work. I'm unable to hide my freaking out . Before I could make myself appear ok. I've gotten paranoid, like everyone is scrutinizing me all the time. I'ts like a constant inner dialogue of negative things ,like what people are thinking or saying about me. I'ts that way at home too. I have a Dr. app. on thursday I would like to try another med. Colonzapam and sertraline don't seem to be doing it.
Brief Answer:
If SSRIs are not working then augmentation with Bupropion can help
Detailed Answer:
Hello thanks for asking from HCM for your health related queries
I can understand your problem. You have social anxiety disorder and you cant make eye contact. You have to count 123 in as you breath or have to try to block out everything around you to avoid attack. Such symptoms could occur due to obsessive thoughts and need proper evaluation. Social anxiety and OCD can occur co-morbid in a number of individuals. The feelings that what everyone is thinking about you or saying about. These are also symptoms of social anxiety.
If Celexa, Prozac didnt work then other drugs of this group can be used. Sertraline is one of safest SSRI drug. If that drug is not resulting in improvement then its dose can be increased or other augmentation drug can be added. Drugs like Bupropion can be used to supplement the actions of Sertraline and the drug will reduce your anxiety. Clonazepam can be used on SOS basis for symptoms control. Other drugs like Propranolol can help in such symptoms. The drug help to reduce symptoms of anxiety and prove very useful in social anxiety situations. You can discuss for these drugs with your doctor. Continue to take sertraline and if possible ask to increase its doses.
Apart from this increase intake of food containing Vitamin B12 (milk, curd, animal foods) and Omega-3-Fatty Acids (Walnuts, hazelnuts, sardine, salmon fish) etc. Both these supplements help to increase efficacy of medicines and will reduce anxiety.
Thanks, hope this helps you. Please ask again for more doubts.
If SSRIs are not working then augmentation with Bupropion can help
Detailed Answer:
Hello thanks for asking from HCM for your health related queries
I can understand your problem. You have social anxiety disorder and you cant make eye contact. You have to count 123 in as you breath or have to try to block out everything around you to avoid attack. Such symptoms could occur due to obsessive thoughts and need proper evaluation. Social anxiety and OCD can occur co-morbid in a number of individuals. The feelings that what everyone is thinking about you or saying about. These are also symptoms of social anxiety.
If Celexa, Prozac didnt work then other drugs of this group can be used. Sertraline is one of safest SSRI drug. If that drug is not resulting in improvement then its dose can be increased or other augmentation drug can be added. Drugs like Bupropion can be used to supplement the actions of Sertraline and the drug will reduce your anxiety. Clonazepam can be used on SOS basis for symptoms control. Other drugs like Propranolol can help in such symptoms. The drug help to reduce symptoms of anxiety and prove very useful in social anxiety situations. You can discuss for these drugs with your doctor. Continue to take sertraline and if possible ask to increase its doses.
Apart from this increase intake of food containing Vitamin B12 (milk, curd, animal foods) and Omega-3-Fatty Acids (Walnuts, hazelnuts, sardine, salmon fish) etc. Both these supplements help to increase efficacy of medicines and will reduce anxiety.
Thanks, hope this helps you. Please ask again for more doubts.
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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