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Liebowitz observed in comparison studies between the TCA "imipramine" (Tofranil) and the MAOI "phenelzine" (Nardil) that while phenelzine was extremely effective in treating Social Anxiety, imipramine showed no efficacy - with the primary difference in the two drugs being the marked pro-DA effect of Nardil.Since the 1990's, evidence has emerged that an area of the brain called the striatum is different in patients with generalized Social Anxiety Disorder.
The duration of social anxiety disorder is frequently lifelong, and there is a high degree of comorbidity with other psychiatric disorders.
Social anxiety disorder is a serious illness that frequently runs a chronic course and is associated with significant morbidity.
In my case, during my 3rd grade year I had a 2 months bout of "school phobia", which commonly predicts SP in adulthood.
Although Nardil and Klonopin existed at that time, the psychiatric diagnosis of Social Phobia did not.
Social anxiety disorder typically begins during childhood with a mean age at onset between 14 and 16 years and is sometimes preceded by a history of social inhibition or shyness.
Persons who have social anxiety disorder either endure or avoid social situations altogether because the fear of embarrassment causes such intense anxiety; such avoidance may ultimately interfere with occupational and/or social functioning and lead to significant disability.
Feared activities may include most any type of social interaction, especially small groups, dating, parties, talking to strangers, restaurants, etc.
Physical symptoms include "mind going blank", fast heartbeat, blushing, stomach ache.
Good CBT therapists for SP are not easy to find in 2016.
The best places to look are probably in large cities at Health Centers or University Clinics.
Journal of Clinical Psychiatry 2001;62 Suppl -9 Comorbidity, Neurobiology, and Pharmacotherapy of Social Anxiety disorder.Tags: Adult Dating, affair dating, sex dating