TREATMENT WITH BETA-ADRENERGIC BLOCKERS
Beta-blockers are normally used for treating high blood pressure. In addition, they are 
effective for decreasing some of the physical symptoms of fear such as palpitations and 
shakiness. A number of early studies suggest that beta-blockers are useful for managing 
intense fear in certain performance situations (Hartley et al. 1983; James, Burgoyne, and 
Savage 1983). In particular, they are often used by actors, musicians, and other perform -
ers to manage stage fright. However, beta-blockers are ineffective for treating more 
generalized forms of social anxiety and shyness. The most commonly used beta-blocker 
for treating performance fears is propanolol (Inderal). This medication is normally taken 
in a single dose of 5 to 10 mg, about twenty to thirty minutes before a performance.
ANTICONVULSANTS
Anticonvulsants are used to treat seizures, as well as pain, anxiety, and certain mood 
problems. Recently, there have been a number of preliminary studies ﬁnding that certain 
anticonvulsants such as gabapentin (Neurontin), pregabalin (Lyrica), and topiramate 
(Topamax) may be useful for treating social anxiety disorder (Swinson et al. 2006). At 
this point, however, it is too soon to recommend these treatments for social anxiety. 
Additional research is needed.