Integrative Psychiatry and TMS

A phobia is a persistent fear that is excessive or unreasonable, cued by the presence or anticipation of a specific object or situation (e.g., flying, heights, storms, water, animals, costumed characters, receiving an injection, seeing blood). People suffering phobias usually try to avoid the anxiety provoking situations or objects.

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In the case of Social Phobias (also known as Social Anxiety), there is a fear of social situations, fear of acting inappropriately, fear of being humiliated or embarrassed, and the fear of being exposed to unfamiliar people or possible scrutiny by others.

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The most proven therapeutic modality is Behavioral therapy. The other therapeutic modalities are hypnotherapy and supportive therapy. Medications are used infrequently and predominantly for Social Phobia. Effective drugs are: SSRIs (Zoloft, Paxil, Lexapro, and so on), Effexor, BuSpar, Benzodiazepines (Ativan, Xanax, Clonazepam, Valium and so on). Atenolol and Propranolol are given to suppress body autonomic response such as sweaty palms and tachycardia.