Sir please tell me, is tofisopam good for social phobia and what is the difference between social anxiety and anxiety. I am taking clomipramine for depression also. Please tell me. Thanks for your advice.

Mr. Saul PereiraPsychologist50yrs exp

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The medication you are taking is good for depression and anxiety. The difference between social anxiety and anxiety per se is that the former is the fear of people, interacting and maintaining relations. Anxiety is just abnormal fear and is a tendency to get worked up about fear and feel unable to respond normally to it. You may develop physical symptoms and make you agitate a lot. Sometimes, if it is severe, it may make you even dysfunctional. Your treatment is fine but I suspect that you are not including therapy in your recovery program. So you are really suffering from depression and anxiety, which has a tendency to go together. You need to check on your prenatal history and early childhood for influencing factors. You must combine medication with therapy. This is extremely important for your anxiety and depression. Life is full of problems as a norm. Any attempts to escape will never help: you must learn to face these problems every day with good success. The counselor will help you in this regard. I also strongly believe that every crisis offers an opportunity for change if you seek it and grab the opportunity. Please meet with a counselor and work on your emotions, particularly anger and fear. Exercise is very important but you have to build on it developmentally. I suggest you do the opposite of what this depression makes you feel like doing (actually, not doing): you will need to fight this condition. You must become active; stay upright during the daylight time; meet people; never sleep during the day, wake up by 6 am every day, play some active games, especially contact games, do physical exercises, talk to people and join some social clubs, attend yoga classes, etc. Watch sitcoms on tv or comedies and cheer yourself up. Go for excursions in groups, for outings, camps, conferences, and religious conventions. Get a pet dog and spend time training it, exercising it, and relating to it. Expose yourself to some sunlight every day, at least 30 minutes but not in the scorching heat. Whatever happens, please incorporate these three important adaptations in your life: always be responsible, be respectful, and be functional. If you did these three, lots of things will go well in life. Please pray and have faith in god to alleviate your sufferings. Don?t wait for others to help. Use your own motivation, which might be at its lowest, but persevere and win this battle. Above all to be really happy, you need to live in love and for love. Learn all about emotions and how to handle them and that will get you out of the depression rather easily and quickly. A counselor is there only to facilitate you, all the hard work must come from you, and your cooperation with that person is very critical for your success. Be positive every day and learn to be content with what you have. Whatever happens please cooperate with the therapy and do not discontinue until the condition is completely resolved.  

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Anxiety can occur in any situation. Social anxiety is anxiety in social situations where you think that you might be judged by other people like meeting new people, going to parties giving speech best treatment for social anxiety is medicine along with graded exposure therapy.  

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Dr. Prof. Jagadeesan M.S.Psychiatrist17yrs exp

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Social anxiety is a type of anxiety which occurs in social situations (in meetings, public places, among many people). There are different types of anxiety. Clomipramine is usually given for ocd (obsessive compulsive disorder) rather as a primary antidepressant. So discuss with your psychiatrist and get the diagnosis or set of symptoms you have and get treated appropriately. Good luck.  

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Dr. Saranya DevanathanPsychiatrist50yrs exp

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Dear lybrate-user, your psychiatrist will diagnose your disorder. So it is not necessary for you to know the difference between various diagnosis. Tofisopam reduces anxiety and clomipramine lifts the depression. Whether it is good or for you - will be decided only after you take the tablet in the prescribed dose for the prescribed number of weeks. The same tablet will be good in different dose and after few more weeks!  

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Dr. P K SukumaranPsychiatrist56yrs exp

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Yes.  

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Ms. Rachna MishraPsychologist9yrs exp

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Do sports (at home, if you feel more confortable) but 3x 30min/week. Eat more greens, oilseeds, fresh fruits and food rich in magnesium such as: raw spinach, fish, beans, lentils, avocados, brown rice, bananas, figs and chocolate. If you have a pet, cuddle with it more often and take care of it. It will make you shift your focus from anxiety to something else. Try to catch the sun everyday for 10mins. Check your levels of vit D and B12 (adjust with supplements if needed). Yoga, you can find plenty of stuff online. Mindfulness meditation, it?s not hard, stick to it. When you feel anxiety, let it come, don?t fight against it. Take deep breath (inhale for 6 seconds, hold for 2, exhale for 6. Do it again). Just observe how tense and how bad you feel over nothing. Meditation can help to stand back. Sleep enough (7 to 9hours/night). Quit smoking and avoid drinking alcohol. Smile. Smiling, even for nothing, tricks the mind and releases happy hormones. Learn to manage your anxiety, it?s always going to be there because it?s a normal mechanism of protection but don?t let it rule you anymore. You are not alone. 

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