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Old 07-03-2012
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Psyche Social Phobia; SSRI or Cognitive Therapy!

WHAT IS INITIAL TREATMENT OF CHOICE FOR SOCIAL PHOBIA ?

SSRI OR COGNITIVE BEHAVIOR THERAPY ?
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Old 07-03-2012
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In the Kaplan Videos,I remembered
Specific Phobias - systematic desentization (so, Cognitive behavioral)
nonspecific Social Phobias - SSRI
stage fright - beta-blockers
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Old 07-04-2012
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For non specific social phobia. Isn't initial therapy is cbt ?
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Psychotherapy is helpful in treating social phobia and usually involves a com-
bination of behavioral and cognitive therapy using desensitization
to the
feared situation, rehearsal during sessions, and homework assignments in
which patients are asked to place themselves in public situations in a graded
fashion. In some cases, psychopharmacotherapy for severe social phobia has
succeeded with the use of selective serotonin uptake inhibitors (SSRIs)
,
benzodiazepines, venlafaxine, and buspirone. Buspirone has been shown to
augment the treatment of this disorder when used adjunctively with SSRIs.
Treating the anxiety associated with performance situations involves the use
of beta-adrenergic receptor antagonists just before the feared situation.

Atenolol and propranolol have been shown to be helpful in these instances
and are the most commonly used. Recently, a meta-analysis study examined
the efficacy of second-generation antidepressants in the treatment of social
phobia. This study demonstrated more responders to escitalopram, paroxe-
tine, and sertraline than in the placebo groups.

Last edited by Novobiocin; 07-04-2012 at 08:40 AM.
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Specific phobias are often treated by exposure therapy, a type of cognitive behavioral therapy in which the individual is slowly desensitized with controlled “doses” of the feared stimulus. Functional neuroimaging studies show more activity in the amygdale and insula in patients with social phobia (aka, social anxiety disorder).
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Quote:
Originally Posted by tyagee View Post
For non specific social phobia. Isn't initial therapy is cbt ?
Selective serotonin reuptake inhibitors (SSRIs), a class of antidepressants, are considered by many to be the first choice medication for generalized social phobia.

Research has shown that cognitive behavioral therapy (CBT) can be highly effective for several anxiety disorders, particularly specific phobias, panic disorder and social anxiety disorder (social phobia).
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Quote:
Originally Posted by Novobiocin View Post
Selective serotonin reuptake inhibitors (SSRIs), a class of antidepressants, are considered by many to be the first choice medication for generalized social phobia.

Research has shown that cognitive behavioral therapy (CBT) can be highly effective for several anxiety disorders, particularly specific phobias, panic disorder and social anxiety disorder (social phobia).
novo, whats the ans then ? cbt or ssri ? your sources mention both
i will go with cbt!
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Quote:
Originally Posted by tyagee View Post
novo, whats the ans then ? cbt or ssri ? your sources mention both
i will go with cbt!
Generalized social phobia (aka nonspecific Social Phobias) >>>>>>SSRI

Specific phobias (social anxiety disorder) >>>>>cognitive behavioral therapy (CBT)

specific phobias >>>>>>cognitive behavioral therapy (CBT)

Think of it this way--anything SPECIFIC is a good candidate for desensitization therapy (exposure therapy) a type of CBT.........just like penicillin desensitization where you have a specific target.

For nonspecific Social Phobias you need SSRI since the desensitization cannot work.

Last edited by Novobiocin; 07-04-2012 at 03:44 PM.
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Quote:
Originally Posted by Novobiocin View Post
Generalized social phobia (aka nonspecific Social Phobias) >>>>>>SSRI

Specific phobias (social anxiety disorder) >>>>>cognitive behavioral therapy (CBT)

specific phobias >>>>>>cognitive behavioral therapy (CBT)

Think of it this way--anything SPECIFIC is a good candidate for desensitization therapy (exposure therapy) a type of CBT.........just like penicillin desensitization where you have a specific target.

For nonspecific Social Phobias you need SSRI since the desensitization cannot work.
Nice, the same in Kaplan.
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Old 08-16-2013
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Quote:
Originally Posted by Novobiocin View Post
Selective serotonin reuptake inhibitors (SSRIs), a class of antidepressants, are considered by many to be the first choice medication for generalized social phobia.

Research has shown that cognitive behavioral therapy (CBT) can be highly effective for several anxiety disorders, particularly specific phobias, panic disorder and social anxiety disorder (social phobia).
I have a trouble distinguishing between "generalized social phobia" and "social phobia (social anxiety disorder)"?

Found some answer at p.25 here, but it's from DSM III-IV:
For those "exhibiting excessive anxiety in numerous social settings, including face-to-face conversations and interactional situations" ... "generalized subtype, described as fear of “most socialsituations”, was then introduced. "

Few examples:
- anxiety when leaving home: generalized (SSRI)
- anxiety in conversation with others (always except family): generalized (SSRI)
- when urinating in public restroom: specific?
- agorafobia: specific (CBT: exposure th.)
- in conversion with people of opesite sex: specific (CBT)
- in public speaking: stage fright (propranolol)

Am I right with these?

Last edited by smartmark; 08-16-2013 at 09:42 AM.
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Old 08-16-2013
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Woah

Way too specific guys. Too much details
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