Hi I have a question what is more effective in the treatment of depression of social phobia Citalopram Sertraline or escitalopram or comparable?
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Anna Lewandowska Pharmacist, Editor
2 years ago
In the case of suspicion of social phobia, a thorough diagnosis describing the severity of the problem, but also possible comorbidities, is crucial. A specialized psychiatric examination is therefore advisable. All listed medicinal substances - Citalopram, Sertraline and Escitalopram belong to the group of selective serotonin reuptake inhibitors (SSRIs). They block the transport of serotonin back to the nerve cell, which increases its level in the central nervous system. Thus, they have the same mechanism of action. Indications for their use are anxiety disorders with anxiety attacks with agoraphobia (morbid fear of open space), depressive disorders (also with symptoms of anxiety), panic disorder with agoraphobia, social phobia, post-traumatic stress disorders. It is difficult to propose a specific method of treatment based on such a short description. The choice of the final method of treatment depends, among other things, on the clinical picture, the patient's preferences and the availability of individual methods. Correctly selected drugs are usually safe and characterized by high efficiency, although the effect does not appear immediately, it requires some patience from the patient. Please note that pharmacotherapy has only a supportive effect. Proper treatment of difficulties in the area of psychological functioning is psychotherapy, which deals with the causes and is designed to lead the patient to healthy functioning, also without the use of medicines. If you have not undertaken (apart from taking medication) psychotherapy, I encourage you to make an appointment for a consultation with an appropriate specialist. The gdziepolek.pl service also allows you to obtain a teleconsultation with a psychologist: https://www.gdziepolek.pl/telekonsultacja I attach additional information that may be helpful: https://www.gdziepolek.pl/artykuly/zaburzenia-lekowe-nerwica https://www.gdziepolek.pl/artykuly/jak-poradzic-sobie-z-nerwica