By David S Baldwin; Jon Birtwistle
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Penelzine) and the RIMA moclobemide. There is no published good evidence for the efficacy of TCAs or b-blockers in generalized social phobia, and although certain benzodiazepines have been found efficacious in randomized controlled trials, the same cautions apply against their use as do in the treatment of panic disorder. Table 2 presents the pharmacologic treatment options that have undergone treatment studies. Effective psychologic therapies include individual cognitive restructuring, coupled with exposure therapy and group CBT.
Fear of flying courses run by the large airline companies). Antidepressant drugs can be used in patients with persistent and disabling specific phobias that have proven resistant to behavioral treatments. MANAGEMENT OF SOCIAL PHOBIA SSRIs are recommended as first-line pharmacologic therapy, and treatment is suggested for at least 12 months66. Several SSRIs have been found efficacious in the shortterm treatment of patients with social phobia, the most studied drugs being paroxetine and sertraline.
G. levodopa and other antiparkinsonian drugs). ANTIDEPRESSANT DRUG TREATMENT OF BEREAVEMENT-RELATED PROBLEMS Depressive symptoms are frequently seen as a normal part of the grieving process and some clinicians believe that the treatment of the symptoms of bereavementrelated depression may interfere with the normal grieving process, also for some doctors the medicalization of grief is a contentious issue. However, in primary care the recognition and treatment of depressive disorders remains poor and therefore it is not uprising that bereavement-related depression tends to be untreated.