Social Anxiety Or Social Phobia In Younger Age.

    Social anxiety disorder in kids and teens shares many of the same characteristics as the disorder in adults. The diagnostic criteria for the disorder are the same as for adults with a few exceptions:

  • For youth under 18, they do not need to recognize that the fear is unreasonable
  • The symptoms must have been present for at least 6 months.
  • The youth must demonstrate the capacity for age-appropriate interactions
  • The anxiety must be present in interactions with peers, not just adults

  
Some children with the disorder may have speech or language problems, or a disfiguring medical condition that makes them more self conscious, however the majority do not.
The situations that children with Social anxiety disorder fear differ slightly from those feared by adults and are also dependent on the age of the child.

Pre-school Children

If your child is a pre-schooler, some symptoms to watch for are:

  • Fear or lack of interest in new things
  • Cries, whines or appears irritable.
  • Freezes up or clings to parent
  • Shy around new people
  • Refuses to participate or speak

In young children, social anxiety disorder may co-occur with two related disorders:

  • Separation Anxiety Disorder:
  • Separation anxiety disorder is the fear of being separated from parents which is more than would be expected for the child's developmental stage.
  • Selective Mutism:
  • Selective mutism is the inability to speak to anyone outside of a specific social circle such as immediate family.

School Aged Children

If your child is in elementary school some of his or her common fears may be:

  • Reading aloud or answering questions in class
  • Starting or joining a conversation
  • Writing on the blackboard
  • Speaking to adults
  • Music,athletic performance
  • Ordering food in a restaurant
  • Attending birthday parties
  • Inviting a friend over

A child in elementary school may display some of the following symptoms:

  • Sits alone at lunch
  • Doesn't join in at recess
  • Does not  like school or refuses to go
  • Is uncomfortable being the center of attention
  • Mumbles or avoids eye contact

Teenagers

If you have a teenager, watch for the following additional symptoms specific to the teenage years:

  • Skips school and/or uses drugs or alcohol
  • Fears performance situations such as public speaking
  • Difficulties dating or problems with a job
  • Fear of using public restrooms
  • Fear of signing name in public

     It is important to seek help if you believe your child may be suffering with social anxiety disorder. Unfortunately, because these children do not usually display behavioral problems, their problems tend to do undetected by parents and teachers. Earlier onset of the disorder typically means a more severe and chronic course so early intervention is particularly important.

Hypnosis Social Anxiety - Session 11

Step 1 - Hypnotherapy session

This session continues to increase your confidence, self-esteem and self belief. This gives you more energy and determination to continue along your path to overcome social anxiety, permanently.
This session is also about letting go of any last remaining negative thoughts and emotions which hold you back.

And letting go of those negative thoughts and negative emotions is key to overcoming social anxiety, once and for all.




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Step 2 - Tapping

There is an acupuncture tapping routine, derived from thought field therapy TFT and emotional freedom technique EFT to be used alongside this hypnotherapy session. It can be very effective at reducing or eliminating fear, anxiety, frustration and other negative emotions. To get the best results, it does need to be practised regularly. I recommend practising it 3 times a day. It only takes 1-2 minutes to do one cycle of tapping. So in a day, it only takes about 5-10 minutes in total to practise it 3 times.

For download acupuncture learning in pdf format visit this link

Acupuncture Tapping

Hypnosis Social Anxiety - Session 10

Step 1 - Hypnotherapy session

This session uses a light hypnotic state and a technique called timeline therapy.
Timeline therapy is a technique used to get rid of negative emotions, like fear and anxiety from past events. And in this session, we are concentrating on social events from your past which have caused you fear or anxiety.

This session is a brief, and mostly detached experience of your past, but if,for whatever reason you do not want to go back to your past, then do not use this session.

This session can have a dramatic positive effect. You become released your past. And those events which used to cause you anxiety and fear, when they happen now, they no longer cause you those same negative emotions.

sometimes, using this session just the once is enough. But if you need to, it's ok to practice it daily for a week, then whenever you want to after that.



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 Step 2 - Tapping

There is an acupuncture tapping routine, derived from thought field therapy TFT and emotional freedom technique EFT to be used alongside this hypnotherapy session. It can be very effective at reducing or eliminating fear, anxiety, frustration and other negative emotions. To get the best results, it does need to be practiced regularly. I recommend practicing it 3 times a day. It only takes 1-2 minutes to do one cycle of tapping. So in a day, it only takes about 5-10 minutes in total to practice it 3 times.

For download acupuncture learning in pdf format visit this link

Acupuncture Tapping

Hypnosis Social Anxiety - Session 9

Step 1 - Hypnotherapy session

This session continues to help you build your confidence and self belief. It encourages you to continue on your path, despite any obstacles or setbacks along the way.

Your confidence and self belief are vital in continuing to take the steps you need to take to overcome social anxiety. There may be times when you feel like giving in, or doubting whether it is worth it, or feeling why me? and why should i change? It is at times like these, your determination to overcome this social anxiety, along with your confidence and self belief, is vital.

We all make mistakes. We all have failures. It is part of life. But how we interpret these events, and what we do afterwards, determines how our life is. Failures can make you stronger. You can learn from them. And taking action, despite your fear or procrastination, is a noble thing to do. They say success, in whatever way you define success, is falling again and again, in a forward direction.
Also, in this session, there is a theme of living in the now, rather than living in the past, or in the future. If you can live in the now, there is no fear or anxiety there.

As with the previous sessions, aim to use this session daily for a week, or at least 3 times in the week. Then use it whenever you want to, or need to, depending on your personal circumstances.



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 Step 2 - Tapping

There is an acupuncture tapping routine, derived from thought field therapy TFT and emotional freedom technique EFT to be used alongside this hypnotherapy session. It can be very effective at reducing or eliminating fear, anxiety, frustration and other negative emotions. To get the best results, it does need to be practiced regularly. I recommend practicing it 3 times a day. It only takes 1-2 minutes to do one cycle of tapping. So in a day, it only takes about 5-10 minutes in total to practice it 3 times.

For download acupuncture learning in pdf format visit this link

Acupuncture Tapping

Hypnosis Social Anxiety - Session 8

Step 1 - Hypnotherapy Session

This session is about your self image, that hugely influential part of yourself.
This session is a continuation of the theme from session number 6.

It is about seeing, and believing in, yourself as the "new you". Or perhaps, not so much as the "new you", but the "you that was there all along", after getting rid of all the unwanted negative thoughts and negative emotions which hold you back.

This session is about experiencing yourself in social situations the way you want to be the way you know you can be.

For the best results, aim to use this session daily for a week, or at least 3 times in the week. Then use it whenever you want to, or need to, depending on your personal circumstances.



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 Step 2 - Tapping

There is an acupuncture tapping routine, derived from thought field therapy TFT and emotional freedom technique EFT to be used alongside this hypnotherapy session. It can be very effective at reducing or eliminating fear, anxiety, frustration and other negative emotions. To get the best results, it does need to be practiced regularly. I recommend practicing it 3 times a day. It only takes 1-2 minutes to do one cycle of tapping. So in a day, it only takes about 5-10 minutes in total to practice it 3 times.

For download acupuncture learning in pdf format visit this link

Acupuncture Tapping

Hypnosis Social Anxiety - Session 7

Step 1 - Hypnotherapy session

This session is about deciding to do some things differently.
It is about making a commitment to change.

It is about letting go of things which have held you back in the past.
In this hypnotherapy session, there are metaphors and imagery involving choosing which life path you want to take. There is an emphasis on seeing yourself as the "new you" in situations which used to cause you anxiety and fear in the past. And letting go of negative thoughts which hold you back.
It is about moving forward despite setbacks and obstacles in the way.
It is about changing your life for the better.

For the best results, aim to use this session daily for a week, or at least 3 times in the week. Then use it whenever you want to, or need to, depending on your personal circumstances.

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Step 2 - Tapping

There is an acupuncture tapping routine, derived from thought field therapy TFT and emotional freedom technique EFT to be used alongside this hypnotherapy session. It can be very effective at reducing or eliminating fear, anxiety, frustration and other negative emotions. To get the best results, it does need to be practiced regularly. I recommend practicing it 3 times a day. It only takes 1-2 minutes to do one cycle of tapping. So in a day, it only takes about 5-10 minutes in total to practice it 3 times.

For download acupuncture learning in pdf format visit this link

Acupuncture Tapping

Hypnosis Social Anxiety - Session 6

Step 1 - Hypnotherapy Session

This session is all about your self image.

Your self image is how you see yourself. It is a very important concept. You self image is a combination of all your beliefs, values, thoughts, and memories. You will rarely consistently act in a way which contradicts your self image, or how you see yourself. The problem is, when part of your self image is negative and destructive, it leads to negative feelings and actions, and keeps you trapped in a vicious cycle.

Your self image can change, and it does change. For example, how you see yourself now is probably different to how you saw yourself 15 years ago. There may be some similarities, but probably there are also differences. And you can change your self image if you want to. And as with most things worth doing, it does take time and effort, but you can do it.

In some ways your self image is like the unconscious part of you. It is not something you consciously think about. It is just there. But you notice the power of your self image when you consciously try to change something in your life, but at some level this new change conflicts with your self image, or how you see yourself. Perhaps you can do this new change for a while, but if there is a true conflict with your self image, then at some point, you will just revert back to how you were before.
So the secret is to change your self image first. It makes other changes in your life much easier and permanent.

This hypnotherapy session is a tool to help you change your self image for the better. And by doing this, it will allow you to overcome your social anxiety permanently.



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 Step 2 - Tapping

There is an acupuncture tapping routine, derived from thought field therapy TFT and emotional freedom technique EFT to be used alongside this hypnotherapy session. It can be very effective at reducing or eliminating fear, anxiety, frustration and other negative emotions. To get the best results, it does need to be practiced regularly. I recommend practicing it 3 times a day. It only takes 1-2 minutes to do one cycle of tapping. So in a day, it only takes about 5-10 minutes in total to practice it 3 times.

For download acupuncture learning in pdf format visit this link

Acupuncture Tapping

Hypnosis For Social Anxiety - Session 5

Step 1 - Hypnotherapy Session

The main aim of this session is to deal with Negative Automatic Thoughts NATs. They are also known as Automatic Negative Thoughts ANTs.
Negative thoughts cause negative emotions like anxiety and fear.

Dealing with negative thoughts is the pathway to success in overcoming social anxiety disorder.

This session is a condition of a theme from sessions 2 and 4, in dealing with negative automatic thoughts.

To be honest, it is hard to deal with negative automatic thoughts. First you have to uncover what your negative automatic thoughts are. And then you have to get rid of them. It is hard to do this, but it is possible. There is certainly hope. However, it does take time and effort.

This hypnotherapy session, and the tapping, makes the process of dealing with negative automatic thoughts NATs much easier and more effective. And to get the best results, practice using these tools regularly.

Aim to use this hypnotherapy session daily for 1 week or at least 3 times in a week, then every so often after that depending on your personal circumstances.


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Step 2 - Tapping

There is an acupuncture tapping routine, derived from thought field therapy TFT and emotional freedom technique EFT to be used alongside this hypnotherapy session. It can be very effective at reducing or eliminating fear, anxiety, frustration and other negative emotions. To get the best results, it does need to be practiced regularly. I recommend practicing it 3 times a day. It only takes 1-2 minutes to do one cycle of tapping. So in a day, it only takes about 5-10 minutes in total to practice it 3 times.

For download acupuncture learning in pdf format visit this link

Acupuncture Tapping

Hypnosis Social Anxiety - Session 4

Step 1 - Hypnotherapy Session

   
The main aim of this session is to change or challenge thoughts which cause negative emotions like fear or anxiety or irritation or anger or guilt. It is a cognitive behavioral concept that states what you think, affects how you feel and act.
So by changing your thoughts, you change how you feel and act. Easy to say, hard to do.
This session is the first step on this path. It uses hypnosis combined with metaphors and asking questions.

    Thoughts are sometimes judgments, and when you experience a situation like past or present or future without the negative judgmental thought, it is a state of non-judgement. Being in a state of non-judgement is good when you want to get rid of the associated negative emotion like anxiety and fear etc. You can then keep this state of non-judgement, or adopt a positive thought instead, which will be helpful to you.
Aim to use this hypnotherapy session daily for 1 week, or at least 3 times a week, before moving onto the next session.


Embed Music Files - Upload Audio - Social Anxiety Disorder Sess...

Step 2 - Tapping

    There is an acupuncture tapping routine, derived from thought field therapy TFT and emotional freedom technique EFT to be used alongside this hypnotherapy session. It can be very effective at reducing or eliminating fear, anxiety, frustration and other negative emotions. To get the best results, it does need to be practiced regularly. I recommend practicing it 3 times a day. It only takes 1-2 minutes to do one cycle of tapping. So in a day, it only takes about 5-10 minutes in total to practice it 3 times.

For download acupuncture learning in pdf format visit this link

Acupuncture Tapping

Hypnosis For Social Anxiety Disorder - Session 3

Step 1 - Hypnotherapy session


This session number 3 in this 12 week course to overcome social anxiety disorder.
There are 2 aims with this session:

To continue conditioning the calm and relaxation anchor. This process was started in session number 2. This anchor is a useful tool to use whenever you would like to feel relaxed and calm.
The main hypnotherapy part of this session is based around being in a safe place in your mind, and to start observe your thoughts which cause negative emotions like fear, anxiety, anger, irritation, guilt etc. There is also a focus on deep slow cyclical breathing, often used in meditation, which allows you to let go of the negative emotions you don't want.

Aim to use this hypnotherapy session daily for 1 week, or at least 3 times a week, before moving onto the next session.


Music File Hosting - Embed Audio Files - Social Anxiety Disorder Sess...

  Step 2 - Tapping

There is an acupuncture tapping routine, derived from thought field therapy TFT and emotional freedom technique EFT to be used alongside this hypnotherapy session. It can be very effective at reducing or eliminating fear, anxiety, frustration and other negative emotions. To get the best results, it does need to be practiced regularly. I recommend practicing it 3 times a day. It only takes 1-2 minutes to do one cycle of tapping. So in a day, it only takes about 5-10 minutes in total to practice it 3 times.

For download acupuncture learning in pdf format visit this link

Acupuncture Tapping

Hypnosis For Social Anxiety - Session 2

Step 1 - Hypnotherapy session

This session number 2 in this 12 week course to overcome social anxiety disorder.
There are 2 aims with this session:

To condition something call an anchor. This is a neurolinguistic programming NLP technique which links a sensory input like touching your thumb and finger together to an emotional state. In this hypnotherapy session, we are linking relaxation and calmness to touching your right thumb and index finger together. The more you practice this, the stronger the link becomes, and you will be able to just touch your right thumb and index finger together, at any time you like in your everyday life, to quickly feel relaxed and calm.
The main hypnotherapy part of this session is designed to help you increase your confidence and self esteem. Again, the more you practice listening to this session, the more effective it becomes for you.

Aim to use this hypnotherapy session daily for 1 week, or at least 3 times a week, before moving onto the next session.

Share Music - Listen Audio Files - Social Anxiety Disorder Sess...

Step 2 - Tapping

There is an acupuncture tapping routine, derived from thought field therapy TFT and emotional freedom technique EFT to be used alongside this hypnotherapy session. It can be very effective at reducing or eliminating fear, anxiety, frustration and other negative emotions. To get the best results, it does need to be practiced regularly. I recommend practicing it 3 times a day. It only takes 1-2 minutes to do one cycle of tapping. So in a day, it only takes about 5-10 minutes in total to practice it 3 times.

For download acupuncture learning in pdf format visit this link

Acupuncture Tapping

Social Anxiety Hypnotherapy - Session 1

Step 1 - Hypnotherapy session

This is the first of the twelve hypnotherapy based sessions for social anxiety disorder.
Aim to listen to this session every day for a week. Alternatively, listen to it least 3 times in the week. The more you practice it, the better your results will be.
Being in hypnosis is a pleasant way to relax and reduce your anxiety levels. However there is more to this social anxiety hypnotherapy session 1 than that. It uses a metaphor of white light healing as a way to encourage your mind and body to start healing itself, and also as a way to protect yourself from the outside stresses of the world.
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Step 2 - Tapping


There is an acupuncture tapping routine, derived from thought field therapy TFT and emotional freedom technique EFT to be used alongside this hypnotherapy session. It can be very effective at reducing or eliminating fear, anxiety, frustration and other negative emotions. To get the best results, it does need to be practiced regularly. I recommend practicing it 3 times a day. It only takes 1-2 minutes to do one cycle of tapping. So in a day, it only takes about 5-10 minutes in total to practice it 3 times.

For download acupuncture learning in pdf format visit this link
 Acupuncture Tapping

Complete Free Hypnosis Course For Social Anxiety Disorder Treatment.

A 12 week free course to overcome social anxiety disorder:

   
This course uses hypnotherapy, cognitive behavioral techniques, thought field therapy TFT, emotional freedom technique EFT, and neurolinguistic programming NLP.

    The cognitive behavioral techniques and the neurolinguistic programming techniques are within the hypnotherapy sessions.

These are 12 sessions.

    Aim to use one session per week. Ideally, use one session daily for one week, before moving onto the next session.

    I hope you get some real benefit, and real results, from using this course. If you do, and if you like the sessions in this course, i would be grateful if you would share it with someone else who may also benefit from it.

Best And Easy Treatment For Social Anxiety Disorder & That's Free.

Unfortunately if you have social anxiety, medication doesn't treat the cause, and cognitive behavioral therapy can be hard to do.


   I am going to post free hypnosis course which is the combination of several alternative therapies together with some cognitive behavioral techniques. It is pleasant and easy to use.
It uses the best from:
  • Cognitive behavioral therapy(safe to use)
  • Hypnotherapy (Safe to use)
  • Neurolinguistic programming NLP(safe to use)
  • Thought field therapy TFT(safe to use)
  • Emotional Freedom technique EFT(safe to use)
  • Personal development (safe to use)
  • coaching (safe to use)
As indicated, all these techniques are safe to use.

    There is nothing to swallow or consume. So, unlike medication and drugs, these alternative techniques do not have any harmful side effects.

    It involves listening to audio, tapping on acupuncture points (TFT and EFT) and doing simple written exercises and mind exercises.

    It is 12 sessions over 12 weeks. Each session is used regularly (ideally daily) for one week, before moving onto the next session.

    It is designed to walk you, step by step, from someone who has social anxiety disorder, to someone who doesn't.

    I am sure you will be pleasantly surprised at how easily some of these techniques will eliminate the painful emotions of social anxiety disorder, such as fear, anger, frustration and guilt.

    I firmly believe in this process. I firmly believe in the alternative techniques. When these alternative techniques are used intelligently, they can produce some amazing results.

    But does it work for everyone? No. Nothing in this world works for everyone all the time.
Does it work better than medication and cognitive behavioral therapy? I believe it does.

Why is this so different to a cognitive behavioral therapy course for social anxiety disorder?


    It is in the approach. In cognitive behavioral therapy CBT, the whole focus is one change your thoughts first, then this will change your feelings like anxiety and fear. That can be hard to do, especially when the emotions are at a high level. When you are in the grip of full blown fear, how easy is it to thing positively? Even when you know you should?

    This course is the other way around. Get rid of the strong negative emotions like anxiety, fear, anger, and guilt first. Get rid of them first. That is the key. Get rid of these powerful, negative emotions first. Then certain cognitive behavioral techniques, as well as coaching, personal development and neurolinguistic programming, can be used to help you change negative thought patterns to more helpful and positive thought patterns.

    The key is to eliminate the fear, eliminate the anxiety, eliminate the frustration, eliminate the guilt, first. Eliminate these negative emotions first, and the rest become a lot, lot easier.

    In summary, medication and cognitive behavioral therapy are the 2 main conventional forms of treatment for social anxiety disorder. Unfortunately, medication doesn't treat the underlying cause, and it can have some harmful side effects. Cognitive behavioral therapy does treat the underlying cause, but it can be hard to do.

    Using a combination of alternative therapies together with some cognitive behavioral techniques is an alternative approach. It makes the process of overcoming social anxiety disorder much easier and more pleasant.

    So if you do decide to try this course, imagine what you could do without your social anxiety? Imagine how you would feel without your social anxiety? Imagine how your life would be? I know you can achieve this. All you have to do is follow a simple process, and so some simple things.

    Step by step, you will get there. It might only take 2-3 weeks, and it might take 12 weeks. But even 12 weeks is a small amount of time, compared to the years this social anxiety has gone on for, and the years it will continue to do so, if you don't change something now, or try something different.

Medicine For Social Anxiety Disorder And Their Sife Effects.

Medication is one of the conventional forms of treatment for social anxiety disorder. The other conventional treatment is cognitive behavioral therapy CBT.

Medication

There are a variety of medications that can be used for social anxiety disorder. The main type of medications used are called Selective Serotonin Re-uptake Inhibitors SSRIs. There are a class of drugs called anti-depressants, which also have anti-anxiety effects.

Whether to use medication or not, and what type, will depend on your personal wishes and the advice of your doctor. These medications must be prescribed and monitored by an appropriately qualified doctor. This is because of the potential of the medication for side effects. And the potential for the medication to interact badly with other medications. And the potential of the medication to interact badly with other medical conditions.

Selective Serotonin Reuptake Inhibitors SSRIs


Examples of SSRIs include:

paroxetine (brand names: seroxat, paxil)
escitalopram (brand name: cipralex)
citalopram (brand name: cipramil, celexa)
sertraline (brand name: lustral, zoloft)

Their therapeutic effect usually takes at least 2 weeks to be noticed.

Side Effects From SSRIs can include:


Nausea, vomiting, dyspepsia, abdominal pain, diarrhoea, constipation, anorexia with weight loss, increased appetite and weight gain also reported, rash, urticaria, angioedema, anaphylaxis, arthralgia, myalgia, photosensitivity, dry mouth, nervousness, anxiety, headache, insomnia, tremor, dizziness, asthenia, hallucinations, drowsiness, convulsions, galactorrhoea, sexual dysfunction, urninary retention, sweating, hypnomania or mania, movement disorders, dyskinesias, suicidal behavior, visual distrubances, possible link to suicidal behavior, hyponatraemia, ecchymoses, purpura, angle-closure glaucoma.

If you are taking a SSRI medication, it is important you do not stop it suddenly. This is particularly true if you have been taking it for more than eight weeks. This is because of the risk of withdrawal reactions. These reactions may occur up to 5 days after stopping the treatment. Withdrawal reaction symptoms can include headache, anxiety, dizziness, nausea and sleep disturbance. Paroxetine is the SSRI most likely to cause this. Ideally, when you are stopping the drug it should be done slowly over a few weeks.

Other Medications That May Be Used In Social Anxiety Disorder:

Venlafaxine
Duloxetine
Monoamine oxidase inhibitor (MAOI)
Benzodiazepines
Beta blockers

Venlafaxine 

Venlafaxine (brand name: effexor or efexor) can be used to treat social anxiety disorder. It is also used as an anti-depressant.

Like the SSRI class of drugs, venlafaxine takes some weeks to reach its full effect. Also the drug needs to be withdrawn slowly because of the high risk of withdrawal symptoms.

Side Effects of venlafaxine can include:


Constipation, nausea, anorexia, weight changes, vomiting, hypertention, palpitation, vasodilatation, changes in serum cholesterol, chills, yawning, dizziness, dry mouth, insomnia, nervousness, drowsiness, asthenia, headache, abnormal dreams, anxiety, confusion, hypertonia, sensory disturbances, tremor, difficulty with micturition, sexual dysfunction, menstrual disturbances, visual disturbances, mydriasis, very rarely angle-closure glaucoma, sweating, bruxism, diarrhoea, taste disturbance, postural hypotension, arrhythmias, agitation, apathy, incoordination, hallucinations, myoclonus, angioedema, urinary retention, eccymosis, gastro-intestinal haemorrhage, tinitus, algopecia, photosensitivity, rash, mania, hypomania, suicidal behavior, seizures, extrapyramidal symptoms including akathisia, urinary incontinence, hepatitis, pancreatitis, hypotension, QT-interval prolongation, aggression, neuroleptic malignant syndrome, dellirium, vertigo, syndrome of inappropriate anti-diuretic hormone secretion, hyperprolactinaemia, blood dyscrasias, rhabdomyolysis, pruritus, urticaria.

Duloxetine


Duloxetine (brand name: cymbalta, yentreve) is similar to venlafaxine as it also inhibits the re-uptake of both serotonin and noradreneline. It can be used to treat depression and anxiety.

Side Effects of Duloxetine include:


Nausea, vomiting, dyspepsia, constipation, diarrhoea, abdominal pain, weight changes, decreased appetite, flatulence, dry mouth, palpitation, hot flush, insomnia, abnormal dreams, paraesthesia, drowsiness, anxiety, headache, dizziness, fatigue, weakness, tremor, nervousness, anorexia, sexual dysfunction, visual disturbances, sweating, pruritus, gastritis, halitosis, hepatitis, bruxism, techycardia, hypertension, postural hypotension, syncope, raised cholesterol, vertigo, taste disturbance, cold extremities, impaired temperature regulation, impaired attention, movement disorders, muscle twitching, musculoskeletal pain, thirst, stomatitis, hypothyroidism, urinary disorders, photosensitivity, mania, angle-closure glaucoma. supraventricular arrhythmia, chest pain, hallucinations, suicidal behavior, seizures, hypersensitivity reactions including urticaria, angioedema, rash.

Monoamine


This is another class of anti-depressant medications that can occasionally be used in social anxiety disorder.

In particular moclobemide (trade name: manerix, aurorix) is an MAOI with a licence to treat social anxiety disorder.

MAOI drugs can have dangerous interactions with a number of other drugs, and also with alcohol and some foods. Therefore it is not a first line treatment, and should only be prescribed by a doctor familiar with its use.

Side Effects of Monoamine can include:

Sleep disturbances, dizziness, gastro-intestinal disorders, headache, restlessness, agitation, paraesthesia, dry mouth, visual disturbances, oedema, skin reactions, confusional states, raised liver enzymes, galactorrhoea, hyponatraemia.

The drug can take three weeks or more to take effect. Like the other anti-depressant medications, it should be stopped slowly because of the risk of withdrawal reactions.

Benzodiazepines

These are a class of drugs known as anxiolytics for example they have an anti-anxiety effect.
Diazepam (also known as vallium) and alprazolam also known as xanax are examples of benzodiazepines.

One of the main problems with this type of drug, is dependency for example you become addicted to them. This is why they are not used much, except in acute cases and for short periods of time.
Stoping these drugs can be a problem, especially if used for any length of time, because of the dependency and addiction they can cause.

Side Effects of diazepam can include:


Drowsiness, light headedness, confusion, ataxia, amnesia, dependence, paradoxical increase in aggression, muscle weakness, headache, vertigo, hypotension, salivation changes, gastro-intestinal disturbances, visual disturbances, dysarthria, tremor, changes in libido, incontinence, urinary retention, blood disorders, jaundice, skin reactions.

Beta Blockers

The most commonly used beta blocker for anxiety is propranolol (brand name: inderal-la).
Beta blockers can be used to help control the physical symptoms of anxiety for example tremor, racing heart, etc. They work by blocking the effect of adrenaline on the body.
They are not used as commonly as SSRIs. They can sometimes be useful in helping someone cope in a performance situation such as giving a presentation, or playing a musical instrument.

Side Effect of propranolol can include:


Gastro-intestinal disturbances, bradycardia, heart failure, hypotension, conduction disorders, peripheral vasoconstriction, exacerbation of intermittent claudication and raynaud's phenomenon, bronchospasm, dyspnoea, headache, fatigue, sleep disturbances, paraesthesia, dizziness, vertigo, psychoses, sexual dysfunction, purpura, thrombocytopenia, visual disturbances, exacerbation of psoriasis, alopecia, rashes, dry eyes.

Some drugs can cause problems with medical conditions. For example, if a beta blocker, like propranolol, is used in a person who also has asthma, it can precipitate an asthma attack.

Should you use medication or not?


Firstly, if you are on medication and you think you may be suffering from a side effect from it, you should consult your doctor immediately.

The list of the above potential side effects can appear very alarming. In a medical context, it is always the "risk versus benefit" whe deciding whether to prescribe or not. There is always the "risk" of side effects from medication. But the medication might provide a useful benefit. Also, your personal medical history and other medication needs to be taken into account.

The decision as to whether to use medication or not, will depend on your personal wishes, and the assessment of your doctor who knows your personal medical history.
Medication has helped some people with social anxiety disorder.

However, the main disadvantages of using medication for social anxiety disorder are:

  • It might not help you at all.
  • You might experience side effects, some of which can be serious.
  • There is the possibility that the drug used for social anxiety will interact badly with another drug you take, or interact badly with another medical condition you have.
  • The drug can mask the symptoms of social anxiety disorder. But, the drug by itself, does not treat the underlying cause.