Posted by RobertDavid on May 16, 2006, at 20:53:29
In reply to Help! Extreme Anxiety... seeing a new pdoc soon., posted by jealibeanz on May 16, 2006, at 11:21:08
Wow, lots going on for sure! I'll just give you my take on meds that I'd go straight to for your Social Anxiety (I have it too).
Klonopin. It's long acting and I'd take it at night as it has a long half life and could last through the next day. I've done that for 12 years. It was the only thing that knocked out my social anxiety. Key with it is taking enough to be effective. Most with social anxiety land somewhere between 1 and 4 mgs though some get away with less and a few need more. The sedation side effects go away, but not the anxiety relief. It will also help you sleep particularly for the first few weeks.
You mention depression as well. It's my take that many that have SAD as a primary disorter also have to deal with depression. Probably klonopin will need to be augmented with something to help with your energy and depression. You mentioned your having luck with Provigil. Provigil is a mild stimulant that may also help mood. It can blend well with klonopin. That was that second best combo I did before blending klonopin with EMSAM.
I'd go with klonopin at bedtime and keep taking Provigil in the morning. Find the doses that work best and I think you'll feel much better and better quick. If Provigil doesn't do the job, then you'll need to find another med/anti depressant to go with klonopin.
Social Anxiety stinks. In my opinion the best meds to treat it are klonopin and or an MAOI. Since you don't want the weight issue Nardil might be a problem, but helps many with social anxiety and depression.
If it were me, I'd try klonopin. Unlike other meds you'll know in a short period of time if your getting relief and if you like it. It's safe and effective and lots of people take it. You need to have a doctor that's not benzo phobic.
Just my take on it. I hope things work out for you. Rob
poster:RobertDavid
thread:644711
URL: http://www.dr-bob.org/babble/20060515/msgs/644945.html