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Re: Zyprexa and social anxiety?!

Posted by med_empowered on May 24, 2007, at 18:09:11

In reply to Re: Zyprexa and social anxiety?! Ted_Brossnan, posted by kaleidoscope on May 24, 2007, at 14:54:46

Zyprexa isn't a good choice for long-term social phobia treatment, unless you're socially phobic in addition to some sort of chronic psychotic disorder. Then...maybe. And if you're freakin out and tense, then maybe, for a little while. Otherwise...probably not a great idea.
Antipsychotics can sometimes *induce* social phobia, probably because of the D2 blocking. There are case studies of people on haldol and high-dose atypicals getting withdrawn, socially phobic, having panic attacks, etc...this was fixed with benzos and a change in antipsychotic or the dose.

High-potency benzos (klonopin, xanax) are good for social phobia. SSRIs...kind of, for some people. Nardil and Parnate help others. Antipsychotics probably aren't a good idea unless there are other issues that respond well to APs...even then, you might still need a benzo.


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