There are many interesting anecdotal reports on beta-blockers for social anxiety. The best review of the topic appears to be very old, 1999 specifically. It is not systematic, and cites just 2 pieces of evidence both of small sample size (but better than web anecdotes for generalisation). MAOI’s are more effective but they are thought to be the most effective, but come with physical risks and dependence so aren’t usually prescribed anyway. The juicy piece of evidence is that flooding, according to this study is more effective than the drug used (presumably comparable to the primary alternative propanolol). And, that propanolol isn’t consistently superior than placebo even. It would be most interesting to see how it fairs as an adjunct to flooding, since as some people on a pickup forum have theorised, it would make approaching easier (equivelant to flooding, really). However, a conservative interpretation with less wishful thinking is that no it’s not the magic bullet.
I am really peeved that a preeminent academic and clinical neurologist specialising in difficult diagnosis gave me a schizaffective diagnosis. Its practically the worst in the book. After all I have done to improve my mental health, he still thinks I’m practically irredeemably I’ll. There is no higher court of diagnostic appeal now. On the bright side, I don’t have a neurological conditions other than learning disorder and he as well as other clinicians have taken clinically relevant but incorrect notes based on what I have said (I share blame) and have likely biased one another. Fucking hell, I have worked so hard to avoid this nonsense. Now I have more or less been diagnosed with every mental illness. I hope that speaks more to the oversensitivity of the tests and overdiagnosis. On the other hand, I really need to come to terms with this stuff. Sorry this wasn’t a particularly useful post to share but I am really frustrated right now and quite uoset .I came to south america to finally partake in ayahuasca but getting a psychotic disorder diagnosis by email after already arriving overseas, particularly after the clinician didn’t tell me in person is upsetting and indicates I shouldn’t try a psychedelic here. Who will ever take me seriously as rationalist if they knew I am so fundamentally irrational...
There are many interesting anecdotal reports on beta-blockers for social anxiety. The best review of the topic appears to be very old, 1999 specifically. It is not systematic, and cites just 2 pieces of evidence both of small sample size (but better than web anecdotes for generalisation). MAOI’s are more effective but they are thought to be the most effective, but come with physical risks and dependence so aren’t usually prescribed anyway. The juicy piece of evidence is that flooding, according to this study is more effective than the drug used (presumably comparable to the primary alternative propanolol). And, that propanolol isn’t consistently superior than placebo even. It would be most interesting to see how it fairs as an adjunct to flooding, since as some people on a pickup forum have theorised, it would make approaching easier (equivelant to flooding, really). However, a conservative interpretation with less wishful thinking is that no it’s not the magic bullet.
I am really peeved that a preeminent academic and clinical neurologist specialising in difficult diagnosis gave me a schizaffective diagnosis. Its practically the worst in the book. After all I have done to improve my mental health, he still thinks I’m practically irredeemably I’ll. There is no higher court of diagnostic appeal now. On the bright side, I don’t have a neurological conditions other than learning disorder and he as well as other clinicians have taken clinically relevant but incorrect notes based on what I have said (I share blame) and have likely biased one another. Fucking hell, I have worked so hard to avoid this nonsense. Now I have more or less been diagnosed with every mental illness. I hope that speaks more to the oversensitivity of the tests and overdiagnosis. On the other hand, I really need to come to terms with this stuff. Sorry this wasn’t a particularly useful post to share but I am really frustrated right now and quite uoset .I came to south america to finally partake in ayahuasca but getting a psychotic disorder diagnosis by email after already arriving overseas, particularly after the clinician didn’t tell me in person is upsetting and indicates I shouldn’t try a psychedelic here. Who will ever take me seriously as rationalist if they knew I am so fundamentally irrational...