Posted by SLS on April 17, 2018, at 8:02:56
In reply to Social anxiety relapse brought on by stroke!, posted by Englishman006! on April 17, 2018, at 5:57:38
> Hi everyone, I am struggling once again with social anxiety. It was under control for 13 years until I had a stroke. This has left my right arm paralysed and the muscles at the back of my right leg aren't strong. I also couldn't talk but my speech has come back. At the time the Drs took me off all my meds for 7 wks except for prozac. Now I've gone back on my old cocktail and it's not working. I was on: prozac, lamictal, dexamphetamine, memantine, 50mg amisulpride. Now my ADD and anxiety are under control but my social anxiety is back. I had 3 weeks where I recovered by adding dextromethorphan (two caps full) before i relapsed, then i doubled the lamictal to 400mg and had a further 5 weeks and now i've relapsed again. Any ideas?
It looks like you might profit from a reduction in glutamate / NMDA as indicated by the improvements produced by Lamictal and dextromethorphan.
Perhaps you would profit from taking guanfacine and/or memantine. Guanfacine is currently being looked at for Social Anxiety Disorder. Memantine has been described as reducing social anxiety anecdotally, and is now being studied also.
Would psychotherapy or CBT be of any help?
- ScottSome see things as they are and ask why.
I dream of things that never were and ask why not.- George Bernard Shaw
poster:SLS
thread:1098184
URL: http://www.dr-bob.org/babble/20180331/msgs/1098188.html