A 32-year-old man arrives to the workplace with increased anxiousness since being promoted to a managerial position. Previously, he worked alone; now, he must communicate with a team of five employees and manage customer service problems. The patient claims that he feels apprehensive throughout the day and is afraid of saying anything humiliating or that his coworkers and customers would see his anxiousness and believe he is inept. He claims he was a timid and shy child who was constantly nervous while meeting new people. He socializes with a few pals, but he usually takes three or four alcoholic drinks before going out with them to feel more relaxed. The patient does not feel depressed, and his sleep and appetite are normal. A medication with which of the following mechanisms of action would be most appropriate for this patient?

Question

A 32-year-old man arrives to the workplace with increased anxiousness since being promoted to a managerial position. Previously, he worked alone; now, he must communicate with a team of five employees and manage customer service problems. The patient claims that he feels apprehensive throughout the day and is afraid of saying anything humiliating or that his coworkers and customers would see his anxiousness and believe he is inept. He claims he was a timid and shy child who was constantly nervous while meeting new people. He socializes with a few pals, but he usually takes three or four alcoholic drinks before going out with them to feel more relaxed. The patient does not feel depressed, and his sleep and appetite are normal.  A medication with which of the following mechanisms of action would be most appropriate for this patient?

Quizplus · Accepted Answer

Eductional Objective: Anxiety and dread of scrutiny in social contexts define social anxiety disorder, which can result in significant socio-occupational impairment. Preferred pharmacotherapy is medication that inhibits serotonin reuptake (eg, SSRIs or SNRIs).

A 32-Year-Old Man Arrives to the Workplace with Increased Anxiousness