如何治疗社交恐惧症配图,仅供参考
PharmacotherapySeveral different classes of medication have been shown to be effective in the treatment of social anxiety disorder. The primary drug classes include the monoamine oxidase inhibitors (MAOIs),benzodiazepines,and more recently,selective serotonin reuptake inhibitors (SSRIs) ).
MAOIs
These medications block monoamine oxidase,an enzyme that breaks down monoamines. Monoamines are one of the major classes of signal-transmitting chemicals (i.e.,neurotransmitters) in the brain and are thought to play a role in mood and anxiety disorders. MAOIs have been shown to be efficacious in the treatment of anxiety disorders in several well-designed studies ). However,these medications require a special diet that restricts the ingestion of the amino acid tyramine (which is contained in cheese,red wine,some imported beers,and yogurt) to avoid a potentially deadly episode of high blood pressure (i.e.,a hypertensive crisis). Because of this potentially serious side effect,most physicians no longer prescribe these medications.
Benzodiazepines
These sedative medications are also effective in the treatment of social anxiety disorder. For example,alprazolam and clonazepam are both well tolerated and have shown promise in the treatment of social anxiety ). However,as discussed more fully below,their use in patients with comorbid social anxiety and alcohol problems may not be advisable.
SSRIs
These agents,which affect a brain signaling system using the brain chemical serotonin,are perhaps the best tolerated and most carefully studied pharmacologic treatment for social anxiety disorder. Although several of these medications have shown some efficacy,paroxetine (Paxil?) is the only medication currently on the market that has been approved by the U.S. Food and Drug Administration for the treatment of social anxiety disorder. At least three clinical trials have shown this agent to be significantly more effective than an inactive substance (i.e.,a placebo) in reducing social anxiety and alleviating the problems associated with social anxiety disorder ). Based on these results,SSRIs have been proposed as the first line of treatment for social anxiety disorder ).","department":"
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