Freeze-type Social Anxiety Query

2026-03-01 16:14:03
I’ve had social anxiety since childhood, but the main issue is a sudden freeze reaction that happens only around people I’m not close to. With safe people I’m completely normal. When the switch happens, my mind goes blank, my body feels stiff, eye contact becomes hard, I lose natural flow and get overly aware of myself. Afterwards I feel drained, my mood drops. I’ve been prescribed sertraline, escitalopram, fluoxetine, venlafaxine/desvenlafaxine, Paroxitne, beta-blockers, clonazepam and mirtazapine for the last 12 years. These didn’t help the freeze pattern. I wanted opinion on whether phenelzine (Nardil), tranylcypromine (Parnate) could be suitable for this pattern - not requesting them directly, just seeking guidance from doctors who have experience with this treatment option considering they are not used main stream for social anxiety.
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Answers (4)

I want to acknowledge how much courage it takes to voice these struggles. Often, we treat mental health as a matter of 'willpower,' but as a physician, I can tell you that what you are experiencing has a real biological and neurological basis. ​Your brain, like any other organ, can sometimes struggle to maintain balance under stress. Seeking treatment isn't a sign of failure; it’s a proactive medical decision to regain your quality of life. We can work together to understand the 'why' behind these feelings and find a structured path back to your baseline. You don't have to navigate this alone.

Answered2026-03-11 11:20:15

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Reach out for therapy sessions

Answered2026-03-05 09:39:10

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Please along with medicine take therapy

Answered2026-03-03 05:44:42

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Hi.. apart from medicines, behavioral therapies can help. Consult online for treatment

Answered2026-03-03 05:29:27

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