Posted by tecknohed on November 13, 2007, at 12:30:08
In reply to Re: Lexapro/Celexa: The Best for Anxiety?tecknohed, posted by torachan on November 13, 2007, at 12:13:13
> I found your response interesting to the point that I may consider different anxiety disorders in the same class to be of a different nature and pathological origin. Just a personal theory, but since recent research findings have noted a strong association between anxiety and depression which had long been suspected, I'm inclined to think some anxiety is more rooted in depression than others.
> For instance, social phobia is, I'd speculate, more closely linked with depression perhaps, where the patient, as you say, requires something of a stimulating effect to propel them into social interaction, thus allowing them to reduce the anxiety of knowing their reluctance to perform in social situations.
> If my diagnosis is correct, GAD, and pending a much needed re-diagnosis in the near future, I believe my issues mainly stem from an overly active central nervous system which requires a slight suppressing effect, but not too much as to cause depression, and the depression associated with this disorder is more residual/situational caused by the patient knowing they have a debilitating anxiety disorder.
> Please remember this to be idle speculation, and in no way am I confirming its accuracy.
>
> On another note, I find it interesting you mentioned benzo's become more effective for anxiety over time as in my 15+ years of use, I've noticed my anxiety bubbling up to the surface more, in the form of limb and facial tremor, but perhaps this is due to other factors like advancing age or attrition of my illness.torachan, that make lots of sense. I guess I was mainly refering to social anxiety. You're probably right that other anxiety disorders like 'TRUE' GAD requires a more calming med. Saying that, I bet that if there is any social anxiety AT ALL then it would be the main culprit and treating THAT with something like an SSRI, tricyclic or MAOI would be the best option.
When I was talking about benzos becoming more effective as time past I was really talking about the onset of action. Every time I've taken a benzo the first week is normally a nightmare (too much sedation). After that the sedation goes & they simply seem disinhibiting to me. However, I'm sure that after 15 years some positive effects would have faded, making it neccessary for a dose increase.
teck
poster:tecknohed
thread:794618
URL: http://www.dr-bob.org/babble/20071104/msgs/794840.html