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Re: Social anxiety with no energy or motivation

Posted by Caedmon on April 14, 2006, at 16:30:30

In reply to Re: Social anxiety with no energy or motivation, posted by MrBrice on April 14, 2006, at 11:10:26

This sounds like the story of my life.

Klonopin is good for anxiety. Unfortunately it may be sapping your motivation, as it did mine. I have not found valium (diazepam) to be nearly so bad in this regard. Your most conservative first step might be to swap benzos.

The next step I might try is to increase the Prozac. Do you find it sedating? If it sedates you that might make it worse, in which case I would add bupropion (Wellbutrin) to it instead.

If various things don't work out down the road you may do very well on Parnate. It's an MAOI that tends to be very helpful for energy and motivation as well as social phobia. In some cases of excessive stimulation it can be augmented with a benzo and the combination is killer. It's sort of a "sawed-off shotgun" approach; it'll almost definitely work but you may want to try something more selective first.

Those are my thoughts anyway. Best of luck,

- C


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poster:Caedmon thread:632705
URL: http://www.dr-bob.org/babble/20060412/msgs/633155.html