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To defeat his fear of the other by the psychotropics?
When the shyness turns into generalized anxiety, with states of panic under some situations, there is strong to bet that it is about social phobia, a true psychological illness. How there to cope? The recovery is very rarely spontaneous, medicines and psychotherapy permit to raise the head.
It is often difficult to recognize a person affected by social phobia. On the one hand He internalizes his pain-being, then He convinces himself that his behavior is normal, that it is only about a temperament question. When he finally decides to make the first step to take themselves of it, help that he will receive must not cut down to the prescription of psychotropics. These can be only at one time a help to permit to take the over. "It is rare that the medicines are sufficient themselves entirely to themselves" underline psychiatrists Christophe André and Patrick Légeron.
The effect "choke" of the psychotropics
The psychotropics are not prescribed like one end in itself, but to start the hold in charge of the patient. The phobic social thinks that the look that the other carry on it is systematically negative. He comes to dread and to avoid the situations that put it ill at ease. TO this stage, He is not able anymore to make a return on oneself, to observe the situation objectively and to replace it in his context to announce the the things.
Different medicines
Several types of medicines that can help to come out of the social phobia exist
The Very known bêtabloquants in cardiology, they are also used in psychiatry since the end of the years 1960. While blocking the hormones of stress, they reduce the physical demonstrations of the anxiety, as the intensive beatings of the heart or the tremors due to the emotion. In France, only the Avlocardyl is prescribed, but his use is limited enough, contrary to the Anglo-Saxon countries.
The bêtabloquants is recommended in the cases of performance anxiety, that are characterized by the fear to fail to an exam, an interview, or in all situation where one can feel judged. They are however little efficient facing the generalized social phobias or when the person adopts strategies of loop line. They present the advantage not to lead a dependence, but their efficiency reduces with time. The phobic don't pass this stage and avoid to give their person while accepting to face the situations.
The calming The benzodiazépines is the most fluently the calming used. They reduce the psychological and physical demonstrations of the anxiety, but their influence on the relational behavior is weak. The anxious doesn't try to develop contacts and to face the look of the other more. In some cases, it can even contribute to reinforce the attitudes of loop line. One notes a certain dependence and an attenuation of their effect otherwise with time. To the stop of the treatment one can observe a "effect rebound" even.
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