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The new psychologist that I am seeing recommended that I see a psychiatrist for medication for my social anxiety and GAD. I normally would not go this route at all. I'd rather take natural supplemements which I tried but didn't seem to work ( I tried Bach remedy rescue spray, it seemed to work for only a few short minutes). I don'tn know what to expect from the psychiatrist... Can you suggest/refuse certain medications? I don't want to take SSRIs because I take fish oils that increase serotonine and I have nothing wrong with my mood at this time (even though I know this is supposed to help social anxiety, I am skeptical). I'd like something that helps me calm down at work temporarily so I can get work done and interact with coworkers to coordinate projects etc. I'm thinking about a Benzo. Is it reasonable to request one? I read some reviews of Klonopin and lorazepam that seem to have good user reviews. Also in the ask Dr. Richards page he recommends these medications. Has anyone tried a medication that can be taken on an as needed basis for social anxiety that won't put me to sleep? I'd like to do research before seeing the psychiatrist. I want to save myself some headache.
 

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If you have primary physcial symptoms of anxiety like a racing heart, sweating, trembling... then the unselective beta blocker Inderal (propranolol) would be perfect. Other options are benzos like Xanax (alprazolam) or Klonopin (clonazepam), personally I think lorazepam is too sedating, but some have no problems with it. Should it be necessary then benzos + beta blockers can be combined without problems.
 

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If you have primary physcial symptoms of anxiety like a racing heart, sweating, trembling... then the unselective beta blocker Inderal (propranolol) would be perfect. Other options are benzos like Xanax (alprazolam) or Klonopin (clonazepam), personally I think lorazepam is too sedating, but some have no problems with it. Should it be necessary then benzos + beta blockers can be combined without problems.
Propranolol is perfect for performance situations in which you have physical symptoms of anxiety. If that's your main impediment, you'll find yourself much better able to get through a performance, presentation, public speaking, etc. Propranolol doesn't do anything for social anxiety or cognitive symptoms of anxiety, unless your social anxiety is a product solely of your physical symptoms of anxiety.

All benzos are sedating, that's why they're classified as sedatives. If you see a psychiatrist and your main complaint is social anxiety, he'll most likely put you on an SSRI. If your main complaint is anxiety in general with panic, insomnia and the like, they'll be more likely to give benzos a go. Benzos are incredibly effective against anxiety, but you build a tolerance quickly and after a while if you're not careful with dose or length of time on them, a dependence.
 

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The new psychologist that I am seeing recommended that I see a psychiatrist for medication for my social anxiety and GAD. I normally would not go this route at all. I'd rather take natural supplemements which I tried but didn't seem to work ( I tried Bach remedy rescue spray, it seemed to work for only a few short minutes). I don'tn know what to expect from the psychiatrist... Can you suggest/refuse certain medications? I don't want to take SSRIs because I take fish oils that increase serotonine and I have nothing wrong with my mood at this time (even though I know this is supposed to help social anxiety, I am skeptical). I'd like something that helps me calm down at work temporarily so I can get work done and interact with coworkers to coordinate projects etc. I'm thinking about a Benzo. Is it reasonable to request one? I read some reviews of Klonopin and lorazepam that seem to have good user reviews. Also in the ask Dr. Richards page he recommends these medications. Has anyone tried a medication that can be taken on an as needed basis for social anxiety that won't put me to sleep? I'd like to do research before seeing the psychiatrist. I want to save myself some headache.
I'm of the opinion that many supplements can be dangerous to your health. For example, taking a mysterious compound made in Nepal may be risky.

As of now, I think you should go forward with an open mind. Personally, I think you're trying to play doctor, even before you see the "real" doctor. It is scary seeing a psychiatrist for the first time. Do tell him/her your concerns and then you can make a rational decision.

Finding the right medicine is a hit and miss proposition. And finding the right psychiatrist is a hit and miss proposition.

If you do not like the psychiatrist, for whatever reasons, move on to another psychiatrist,, even if he/she has top-notch credentials. Liking your psychiatrist, and having a good rapport, is very important.
 

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benzos and beta blockers can be taken as needed and help a lot if you get the dose right, you can get these from an ordinary doc, I wouldnt bother with the shrink

naturapathic stuff sadly helps no more than placebo effect, this includes valerian and SJW

an antidepressant that works for you will help a lot, but can have severe early side effects
 

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benzos and beta blockers can be taken as needed and help a lot if you get the dose right, you can get these from an ordinary doc, I wouldnt bother with the shrink

naturapathic stuff sadly helps no more than placebo effect, this includes valerian and SJW

an antidepressant that works for you will help a lot, but can have severe early side effects
I think an "ordinary" doc is precisely just that: ordinary. Their expertise is certainly limited.

A specialist would have the expertise to properly diagnose his problem.
 

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I agree with envision, a doctor will only prescribe (sometimes that is) something they either know little about or have given numerous patients before you. Psychiatrists are trained in mental health and tend to know all about different disorders and most have done comprehensive studies on antidepressants, benzodiazepines and medications for schizophrenia such as antipsychotics and ablify etc.
The psychiatrist i saw yesterday was one of those people who had a vast knowledge of different pills and how they work, he also had an open mind when it came to benzodiazepines and beta blockers used with a standard benzo like Diazepam or clonazepam as it can be very effective when combating social and anticipatory anxiety
 
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