Posted by jimmygold70 on December 22, 2006, at 16:59:59
In reply to Social Anxiety in the EXTREME!!! Advice Request., posted by NYCguy on December 22, 2006, at 15:02:54
Hi NYCGuy!
I had a similar story myself. It's really distressing. But don't lose hope! There is remedy!
First, I don't have much experience with Emsem and this doesn't seem a very succesful or interesting drug.
However, trying higher doses of Klonopin should do. I mean 3-4 MG a day, some take even higher doses. For me, 1.5 MG a day does very little.
Also, take some propanolol and see if it helps - it sometimes does (low doses like 10 MG 3 times a day)
Plus, add an AD for the long term. I suggest this order:
1. Paxil up to 60 MG, and 3 months (!) on that dose
2. If it fails - Effexor XR up to 225 MG, and 3 months (!) on that dose. If you tolerate higher doses with no side effects you can go much higer. Get a good PDoc though.
3. If it fails - Clomipramine, usual doses
4. If all fails, NardilIf you follow my advice, you'll probably end up with some good dose of Klonopin + option 1 or 2. And get a GOOD Pdoc.
Keep me posted.
Cheers!
J
poster:jimmygold70
thread:715719
URL: http://www.dr-bob.org/babble/20061217/msgs/715739.html