January 29, 2007Seroquel For Public Speaking And Social PhobiaI've seen my share of stupid--OK, misapplied--studies in the psych world over the years. This one is a new contender for stupidest and you just knew it had to involve Seroquel. AstraZeneca is on a mission, after all, to get their atypical antipsychotic trialed for--and thus used for--damn near every DSM condition under the sun, as I noted a few months ago. Now, comes this new study: "The Use of Quetiapine (Seroquel) in the Treatment of Social Phobia: Public Speaking Environment." Yes, that's right, Seroquel will be studied as to how it affects the social phobia of people giving public speeches before a "virtual audience." I've barked plenty about psychiatry's over-reach into literally every corner of human existence and feeling, but the idea of medicating away a fairly common phobia--a phobia is a fear, not a mental disorder per se--is about as intelligent as giving Seroquel to four year olds. It's the proverbial nuclear-bomb-to-clear-a-field-of-stumps solution. Man, if this isn't social engineering or lifestyle engineering, then I don't know what is. Whatever happened to imagining the audience in their underwear? Whatever happened to Toastmasters? Will we soon see the day when a senior executive turns to a junior executive to say what a great job they are doing and how they are on the greased skids to the executive suite except that they are too nervous when they speak in public? "But, boss, I've tried everything," says the junior executive. "Oh, but you haven't tried Seroquel!" responds the all-knowing senior executive. "It's not just for bipolar disorder and schizophrenia anymore." Posted by Philip Dawdy at January 29, 2007 12:03 AM
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As a public community activist, I have used Toastmasters, and my own system for getting past the 'nerves' of public speaking, both on camera and off. Averting eye contact and looking over people's heads in a large group, etc. Notecards that have one sentence on it that spurs a paragraph. Teaching my kids techniques like these got them through book report 101. I cannot form proper sentences, or remember what I needed to say. I cannot see to focus to write a notecard. If a person wants to wake up in the morning and be able to present a powerpoint or give a speech or interview, I would recommend sticking with Toastmasters, notecards, and extra deoderant. You're right, docs are prescribing it for reasons other than bipolar disorder and schizophrenia. I was prescribed a small dose of seroquel for sleep (I was on so many antidepressants/anticonvulsants at the time, I was bouncing off the walls). I finally got a clue and decreased the antidepressants/anticonvulsants until I was on none, and voila I could sleep again. Amazing how that worked! I decided that if they had to give me antipsychotics to counteract the antidepressants to counteract the depression, then perhaps this wasn't the treatment for me. Posted by: Lisa at January 29, 2007 03:03 PMPhilip, Thanks for the great post. Agree with you whole-heartedly. I linked to you on my blog. You can read the entry at www.PublicSpeakingSucker.com Thanks, Ross Posted by: Ross Bowring at February 2, 2007 09:32 AM"Virtual Audience" ?!!?!!!!! Well there's one way to "prove" your drugs effectiveness.? Good grief! I can't get over how pharmaceutical companies are trying to promote drugs for self-confidence and other issues that are better addressed through therapy, coaching or just getting off your tush and giving it a go. I don't have any personal issues with public speaking; it's never been a challenge for me but I can relate to the social phobia and the difficulties many people face in new situations. I don't think antipsychotics are the solution... I think the managers who have commissioned this study ought to try taking the drug. I was given seroquel to treat nightmares. The first couple of nights were pretty good. I slept well and felt great. After that it was all bad news. Drowsy, fatigued and demotivated. Thanks for bringing this to our attention Posted by: Talia Mana, Centre for Emotional Well-Being at February 26, 2007 07:02 PMHi, I am a psychiatric nurse. I have been diagnosed with an anxiety disorder, social phobia and agraphobia at different points in my life. I take 30mg of paroxetine a day for my symptoms. Quite honestly this medication has helped me enormousely within my everyday lif. Some medications do relieve symptoms. Posted by: john at March 8, 2007 04:11 AMSeroquel calms the nervous system. It stops the shaking. I fear being in front of people, but it is necessary for me to be sometimes. With Seroquel, I can be calm enough to get through it. I can do things today that I would never have been able to do without it. |
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