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Authors
John
H. Greist, MD, James W. Jefferson,
MD, and David J. Katzelnick, MD
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Social
Anxiety Disorder: A Guide
(below is the first excerpt from the guide)
Success rate of
medication treatment
The results
of controlled studies indicate that about 70% of social anxiety disorder
patients receiving an SSRI, monoamine oxidase inhibitor, gabapentin, or
a benzodiazepine have worthwhile gains from that medication. Less than
30% of social anxiety disorder patients receiving placebo (a sugar pill)
improve. Obviously, some patients treated with medication do not benefit,
and it is currently impossible to predict who will improve on which medication
unless they have previously received that medication and benefited.
The amount of improvement with medication varies, but those who benefit often find their gains great enough to justify continuing the medication. Some patients become symptom-free. Unfortunately, when effective medication is stopped, patients may experience a return or worsening of social anxiety symptoms. Some patients who have had combined treatment with medication and behavior therapy may be able to discontinue the medication with little or no worsening of social anxiety symptoms, presumably because of the benefits from behavior therapy.
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