Overcoming Fear: Anxiety and Medication Effects - Psychiatry

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Fear of the unknown?


A person is afraid to go out, fears social interaction, is not proactive, and only thinks negatively.
They feel introverted and withdrawn around others, often experiencing unhappiness, anxiety, fear, and depression due to being scolded, laughed at, or bullied.
They have been suppressing their impulses and are feeling low energy.
The doctor prescribed Fluoxetine.
Will Fluoxetine be effective for my symptoms? What symptoms is Fluoxetine suitable for? I feel drowsy during the day and half-awake at night.
Are psychiatric medications considered legal drugs?

Guai Guai, 20~29 year old female. Ask Date: 2008/12/30

Dr. Duan Yongzhang reply Psychiatry


Hello: You can discuss these issues with the prescribing physician, asking why these medications were prescribed, and inform the doctor about your condition after taking them.
This will be more helpful for you.

Reply Date: 2008/12/30

More Info


Overcoming fear and anxiety can be a challenging journey, especially when it involves social interactions and the fear of being judged or ridiculed. It sounds like you are experiencing a range of symptoms that are impacting your daily life, including social anxiety, feelings of depression, and a lack of motivation. The medication you mentioned, Vuxin (伏憂寧), is often prescribed for anxiety disorders, and understanding its effects can help you navigate your treatment better.


Understanding Vuxin (伏憂寧)
Vuxin is a medication that belongs to the class of selective serotonin reuptake inhibitors (SSRIs). SSRIs are commonly used to treat anxiety and depression by increasing the levels of serotonin in the brain, which can help improve mood and reduce anxiety. While Vuxin can be effective for many individuals, it is essential to understand that its efficacy can vary from person to person.
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Symptoms Treated by Vuxin
Vuxin is typically prescribed for conditions such as:
1. Generalized Anxiety Disorder (GAD): Persistent and excessive worry about various aspects of life.

2. Social Anxiety Disorder: Intense fear of social situations, leading to avoidance behavior.

3. Panic Disorder: Recurrent panic attacks and fear of future attacks.

4. Depression: Symptoms of low mood, lack of interest, and feelings of hopelessness.

Given your description of feeling anxious, fearful, and depressed, Vuxin may be appropriate for addressing these symptoms. However, it is crucial to have an open dialogue with your healthcare provider about your specific symptoms and concerns.


Side Effects and Concerns
You mentioned experiencing drowsiness during the day and a state of being half-awake at night. These side effects can occur with SSRIs, especially when you first start taking the medication or when the dosage is adjusted. It is not uncommon for individuals to feel fatigued or lethargic as their bodies adjust to the medication.
If these side effects persist or significantly impact your daily functioning, it is essential to communicate this with your doctor. They may consider adjusting your dosage or switching to a different medication that may be better suited for your needs.


The Legality of Psychiatric Medications
Regarding your question about whether psychiatric medications are "legal drugs," it is important to clarify that medications like Vuxin are prescribed by licensed healthcare professionals and are legal when used as directed. These medications are not "drugs" in the recreational sense; they are therapeutic agents intended to help manage mental health conditions. However, like any medication, they can have side effects and potential for misuse if not taken as prescribed.


Moving Forward
1. Open Communication: Keep an open line of communication with your healthcare provider. Discuss your symptoms, side effects, and any concerns you have about the medication.

2. Therapeutic Support: Consider combining medication with therapy, such as cognitive-behavioral therapy (CBT), which can help you develop coping strategies and address the underlying issues related to your anxiety and depression.

3. Lifestyle Changes: Incorporate healthy lifestyle changes, such as regular exercise, a balanced diet, and mindfulness practices, which can complement your treatment and improve your overall well-being.

4. Support System: Surround yourself with supportive friends or family members who can help you through this process. Engaging in social activities, even in small doses, can gradually help reduce your anxiety.

In conclusion, while Vuxin may be effective for your symptoms, it is essential to monitor your response to the medication and work closely with your healthcare provider to ensure the best possible outcome. Overcoming anxiety and fear is a process that takes time, but with the right support and treatment, it is achievable.

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