Which of the following drug was most likely prescribed?
A 23-year-old woman visited a psychiatrist because she felt very anxious when she
had to eat or drink in public. She acknowledged that her ideas of being watched by
others were irrational but could not remove it. She also realized that alcohol was effective
to cope with her anxiety and started drinking 2-3 glasses of brandy every day. After
further questioning a presumptive diagnosis was made and a cognitive behavioral
therapy was ordered together with a pharmacological treatment.
A. Diazepam B. Zolpidem C. Bupropion D. Haloperidol E. Paroxetine F. Fluphenazine
Paroxetine-learning objective: describe the use of paroxetine in social anxiety disorder.answer: ethe patient was most likely suffering from a social anxiety disorder (sad). several trials haveprovided evidence of efficacy of pharmacotherapy with ssris or snris in social anxietydisorder. approximately one-fifth of patient with sad also suffer from an alcohol use disorder,like in the present case. paroxetine significantly reduced social anxiety and decreased thefrequency of alcohol use in patients with both disorders.a) benzodiazepines should be reserved as the last line agents in patient with sad.b, c, d, f) these drugs are not effective in sad.