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  • BDD Moderators: Keif’ Richards

Benzodiazepines for Social Anxiety

Alright. Firstly, i know what youre going through. I ran the gauntlet of every antidepressant...SSRIs, SNRIs, tricyclics, tetracyclics, 5HT antagonists, DRIs...even abilify. I never tried buspar but I heard it sucks. So don't think i'm gonna give you a lecture on what to do with your body. But i can only tell you what benzos have done to mine.

Also, I want to address a few other posts (none directly) that trouble me. Benzodiazepines are THE most addictive drugs out there. People will argue with me on this, no doubt. But there is nothing worse than a benzodiazepine withdrawal because it lasts exponentially longer than any other withdrawal out there. So anyone here who thinks opiate detox is the worst haven't truly been dependent on benzos or any other GABAergic drug/medication. Also...ALL benzos bind to the same exact site on the post synaptic GABAa receptor at the alpha/gamma complex. The only reason one acts differently than another is because of its shape and strength of hydrogen bonds.

Now, that said. Doctors DO prescribe them often. This is, in no way, advice on how to get them but I want to say that getting certain prescriptions written is an art. But there's a reason benzos arent thrown at you. Theres a reason doctors dont 'get the point.' Its because the point is...they DONT cure anything.

Yes, they work amazingly well. The first time you take one, it feels like someone just released a gas valve in your mind and you just melt into your chair without a care in the world. For a while, they might even make you productive. But they lose their effectiveness very quickly...within a couple months. Then you need to take more to get the same effect. Eventually, youll never have that effect but you need to take more just to NOT get anxious again. And since they have an extremely low LD50 (overdose risk), its easy to keep taking them. You'll find yourself abusing them without meaning to or wanting to.

Eventually, youll be taking the highest dose of xanax, klonopin, or ativan allowed by the FDA and it'll take you months of painfully slow tapering before you can get off them. They only help anxiety by hyperpolarizing your brain cells (aka turning them off)...so they F up your memory and eventually lead to lower dendritic density in regions of the brain responsible for learning like the hippocampus (first place alzheimers affects).

Also, if you EVER want a job with the govt...or plan on doing certain abroad programs...good luck getting your dose. You can't quit them cold turkey. I STRONGLY recommend not seeking them out any further. I agree that SSRIs suck and don't help anxiety in people with anxiety as bad as us. Zoloft being a prime example of a shitty medication. That said, I strongly encourage you to do something hollistic. Read some Taoist literature. Research buddhism, the four immeasurables, and the symbol of the lotus. See a pyschotherapist or really good psychologist and do some cognitive behavioral therapy and exposure training.

Relying on exogenous forms of self assurance for someone already so anxious is the best way to remain dependent on exogenous forms of self assurance. Its your brain that worries. Only your brain can control it. Benzos will be your crutch forever
 
we should talk im still a green lighter but im from around your way

Ativan works AMAZING for social anxiety in my experience. But sometimes what they tell you to take isnt enough to make the Social anxiety go away.

personally i like alprazolam it makes for a good cocktail...as long as the quality is right we should talk..probably could teach you how to save money on scripts
 
I have been on alprazolam for 4 years now and it has been great for my anxiety. I started with a low dose, but now 4 years later I take 1 mg 3x/day. Along with it however, I also take an SSRI - escitalopram (Lexapro). Together they keep me anxiety free.

However, alprazolam isn't the best benzo for long-term anxiety treatment (I've had thoughts of switching to diazepam, but for some reason I'm not). Diazepam and clonazepam are better because they are long-acting agents. Lorazepam is a very good anxiolytic also and even though it is a short-intermediate acting benzo, it has a prolonged onset of effects and a prolonged peak - so it's better than alprazolam for long-term anxiety treatment, but still not as good as diazepam or clonazepam for chronic anxiety treatment.

There are other benzos commercially available in the US that can help with anxiety - there's prazepam, oxazepam, clorazepate, and several others. I know these aren't as good as lorazepam, diazepam, clonazepam, or alprazolam - but they are alternatives. Oxazepam is weak, but in high doses it's a good anxiolytic.
 
Benzodiazepines always stop working until I increase the dose again. And regardless how long I go without them...a few days or a few months, my tolerance never goes back down. After "8 months" off 8mg of Clonazepam a day, I took 3mg of Alprazolam and felt little to nothing. Just a little relaxed for an hour, my anxiety wasn't even fully diminished. I was so disappointed because I was so hyped up to feel really relaxed and I figured after 8 MONTHS 3mg of alprazolam would work again. Nope. So basically, benzodiazepines are not useful for long term anxiety...unless I up the dose again. I was on benzodiazepines (mostly clonazepam and alprazolam) for 11 years and my habit went all the way up to 16mg clonazepam a day (prescribed 8mg) and eventually they just stopped and I lived with anxiety despite being on these high of doses. I wasn't really abusing them either. I just wanted relief so I had to buy clonazepam off the street while prescribed them so I could maintain at that high of a dose. It wasn't like I was popping 30mg of clonz with 40 ouncers all day.

So as for short term treatment I think benzodiazepines are the best way to go besides trying some counseling first to get to the root of the problem (or not). And for social anxiety I believe clonazepam is your best bet. It is indeed prescribed for that, in fact my doctor said it was the only one actually accepted for this particular disorder. That could have been nonsense though, as he was drug happy.
 
nothing lasts forever, don't expect these medications to 100% fix you though and you have to do some work if you want to stay happy...
 
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