Accompanying Details to the Question: I have read many articles stating that feeling worse upon initiating antidepressants is quite common. However the timing stated is variable from one article to another, and vague. Some say a week or 2, others say the first “few” weeks before side effects dissipate. I have been taking citalopram for […]
Can Cialis help with sexual performance anxiety?
Cialis will only be helpful for your sexual performance if it is related to erectile dysfunction, which is a physical problem. If you have sexual performance anxiety, then this needs to be handled in other ways which do not involve medications. Let’s look at how sexual performance anxiety might develop. So when you and your […]
How much propranolol to take for stage fright?
A viewer of AnxietyBoss messaged me about this question: When I give a talk to my co-workers, my chest gets tight, my heart races and pounds, my voice shakes, my knees tremble, my face turns beet red, and I get butterflies in my stomach. Just wondering what is the optimal dose of propranolol for stage […]
How To Take Zoloft For Social Anxiety Disorder
Hello I’m Dr. Carlo with AnxietyBoss.com. I’m going to answer the following question today: how do you take Zoloft for social anxiety disorder? This question came from a viewer who repeatedly emailed me about a question that he should have asked his doctor, but I decided to make a video about it because it is […]
Do SSRIs Affect GABA Levels For Anxiety?
Hello I’m Dr. Carlo with AnxietyBoss.com, and I’m here to answer your questions about anxiety. A viewer asked the following question: do SSRIs affect GABA levels for anxiety? Okay, so I’ll answer this question. GABA is a neurotransmitter in the brain which is important for the development and the treatment of anxiety. GABA is a […]
How SSRIs and SNRIs Work For Anxiety
Hello I’m Dr. Carlo Carandang and I’m a psychiatrist. Today, I will talk about how SSRIs and SNRIs work for anxiety. SSRIs, also known as selective serotonin reuptake inhibitors, and SNRIs, also known as serotonin norepinephrine reuptake inhibitors, work for anxiety by increasing serotonin in the brain. Specifically SSRIs and SNRIs increase serotonin by acting […]
Can I Use Benzodiazepines For Anxiety Disorders?
As an online expert in Anxiety Disorders, I get asked this question frequently. Today, I got asked by a pharmacy student about his doctor prescribing him Valium (diazepam) for Generalized Anxiety Disorder (GAD). First off, let me be clear about benzodiazepines: BENZODIAZEPINES ARE CONTRAINDICATED FOR LONG TERM USE. I get it that benzodiazepines work for […]
How SNRIs Work
Hello, I’m Dr. Carlo Carandang, and I’m a psychiatrist. Today, I will talk about how SNRIs work. SNRIs are also known as serotonin norepinephrine reuptake inhibitors, and are antidepressants used to treat anxiety disorders and depression. So here is a diagram of two neurons connecting with one another. They connect to one another via the space called […]
Why use an SNRI for anxiety disorder when norepinephrine is stimulating?
The answer is: the effect of SNRIs (serotonin norepinephrine reuptake inhibitors) on anxiety disorders has nothing to do with norepinephrine. The antidepressants which are effective for anxiety disorders have strong effects on the serotonin neurotransmitter, whereas the dual action of SNRIs on serotonin and norepinephrine appear to be slightly more effective than SSRIs (selective serotonin reuptake inhibitors) for the […]
How Does D-Cycloserine Work For Phobias?
D-cycloserine (Seromycin) is a prescription medication used for the treatment of specific phobia, such as fear of spiders (arachnophobia) or a fear of heights (acrophobia). However, D-cycloserine is not helpful as a sole treatment for specific phobia- it is prescribed as an adjunctive treatment to exposure therapy. D-cycloserine helps to facilitate fear extinction during exposure sessions. […]