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[social Anxiety And Propranolol Abuse: A Case Study].

By Bruno José Barcellos Fontanella


A patient with severe social anxiety disorder has taken unprescribed propranolol for six years (up to 320 mg/day). In addition to the psychoanalytic treatment that had been instituted and after the diagnosis and prescription of tranilcipromine, both the social anxiety symptoms and propranolol abuse have improved; after the prescription of paroxetine she underwent a better controlled use of the betablocker. Despite the informal self-prescription for several years, the generalized social anxiety symptoms persisted. This case exemplifies the special difficulty of social phobic patients to seek for treatment. The author formulates a hypothesis that there may be an increasing informal prescription of betablockers among persons with social anxiety disorder and performance anxiety, a problem whose public health importance is still unknown

Topics: Adrenergic Beta-antagonists, Adult, Anti-anxiety Agents, Antidepressive Agents, Second-generation, Female, Humans, Paroxetine, Phobic Disorders, Propranolol, Self Medication, Substance-related Disorders
Year: 2015
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