thanks for your reply I have tried CBT along with Prozac in the past and neither was any help for me. The doctor thinks for me it's more of a pyscological problem so this time round I will try counselling and see how I feel after that treatment. If I still feel the same I will then try hypnotherapy and see how I find that
I've accepted my anxiety and have lived with it for 24 years and never realized the severity of it until I put myself in certain situations that I tend to avoid. Which is where I've had melt downs and come to realise those situations are way out of my depth and I can not cope with them.
I will check out the link thank you for your reply.
Thank you so much for wishing me luck and you also. How are you getting on with your anxiety?
I agree it's very nice to communicate with others that also struggle with social anxiety were not alone
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Aw ok. I have tried CBT once before as well to no avail. I just never put much effort into it and from what I've heard (from both books and psychiatrists) is that you really need to give it your all and have it be one of your main focuses in life for a short period of time in order to get anything out of it. That's probably why it is much easier to tackle head-on with a therapist's help than on your own (self-help). I'd stick to therapies and lifestyles that are actually backed up by extensive scientific evidence for alleviating social anxiety and/or treating social anxiety disorder such as CBT and medication before trying anything else. You're free to try other forms of therapy, and they might work, but they are going to be a pure crapshoot and you may find yourself wasting time/energy/money...
Yea I never really got anything out of SSRI's either, but there's a large amount of different classes of antidepressants and anxiolytics you could try before giving up. Doctors will usually start you on SSRI's before anything else, then go up from there because SSRI's are the safest bet with the "least" side effects (even though they aren't even that great).
Paxil is another SSRI that is apparently supposed to be the best SSRI for anxiety because it is the "least activating"... whatever that means.
Always give these meds at least 1 month (preferably longer) as they are meant to make you feel worse initially, while your brain is still getting used to them, before they make you feel better. Sometimes you have to hit the maximum allowed prescribed dose before it starts working well enough for you, but the nice thing about these meds is that they are supposed to work for both depression and anxiety. Only thing to look out for are side effects; especially sexual and emotional (blunting of the emotions).
SNRI's like Effexor and Cymbalta are basically the same thing with sometimes fewer side effects and a slightly greater antidepressant effect.
Antidepressants such as Remeron and Wellbutrin work totally differently and can be tried for anxiety. Although, the former increases appetite and the latter may actually make your anxiety worse. The MAOI class of Antidepressants seem to work much better than the SSRI's, but they are hard to get and can interact badly with some foods so you have to follow a strict diet to be safe.
Beta blockers can be used sparingly, especially for cases of performance anxiety to "control the physical manifestation of anxiety" aka keep heart rate and sweating down, but don't do much for anxious thoughts etc.
Benzos (Valium, Xanax) are anxiolytic and can be tried, however tolerance might be an issue. So they are probably better used sparingly (hence they are usually used for the occasional panic attack)... But you'd really have to try them first to see for yourself if tolerance or abuse is going to be an issue.
I'm on a high dose of gabapentin/neurontin which is working surprisingly well for anxiety and is imo a safe med. It is classified as a Gabapentinoid and anticonvulsant, and it basically works by zoning me out a little bit and in turn abolishes about 50% of my social anxiety! But I have to follow a complicated dosing schedule to get the most out of it since this med doesn't get absorbed all too well.
And there's much more, too much to list... But I guess if all else fails or if it's easier for you to obtain, you can even try supplements and the like. Kava, Kratom (potential for abuse), Valerian Root, 5-htp, tyrosine. Herbs, Vitamins, calming agents, neurotransmitter precursors, legal "benzos" such as etizolam (potential for abuse), legal "gabapentin" such as phenibut (potential for abuse), legal antidepressants such as tianeptine (potential for abuse) and saint john's wort etc. Even exercise and healthier eating. But all these things probably wont do all that much for a severe disorder.
Sure there's psychological hurdles you need to overcome, but your neurophysiology and neurochemistry underpins all of your actions and everything that runs through your head and the way you feel. So the right med(s) can always help you out no matter what situation you happen to find yourself in. Think of medication as diminishing the hurdles making it easier and quicker for you to overcome/get over them. And then once you do overcome/get over them, you always have the choice of coming off meds altogether if you like... Meds are great tools, just keep in mind it can take awhile to find one that works for you, and also keep in mind the drawbacks (side effects, tolerance, abuse potential etc.)
Thank you! and yay we aren't alone! lol
Im getting along quite fine thanks for asking! Between my medication and the social experiences I've had with people from this forum, my social anxiety seems cut in half which is truly an awesome feeling! I'm still not living the life I want to live, so I still struggle with short bouts of depression (waking up depressed) and lack of motivation, but I am trying to work through and fix all that soon. So things aren't really looking too bad for me right now.