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David Baxter

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Social Anxiety in Teenagers Raises Substance-Abuse Risk
by Joan Arehart-Treichel
Psychiatric News June 1, 2007
Volume 42, Number 11, page 15

Social anxiety in youth, but not other anxiety or mood disorders, seems to set the stage for marijuana or alcohol dependence. So treating adolescents with social anxiety might reduce such dependence.

Individuals who are socially anxious often use alcohol or marijuana to calm their nerves. But can social anxiety actually predispose people to marijuana or alcohol dependence? The answer seems to be yes, a large prospective study by N.B. Schmidt, Ph.D., a professor of psychology at Florida State University, and colleagues suggests. Their report is in press with the Journal of Psychiatric Research.

Some 1,700 high school students with an average age of 17 were assessed for a lifetime history of DSM-IV Axis I disorders and for a lifetime history of alcohol- or marijuana-use disorders. Of those 1,700, 816 were followed until age 30 to determine whether they developed alcohol or marijuana dependence. Then the researchers looked to see whether those subjects with a history of social anxiety disorder at age 17 were more likely to later experience alcohol and marijuana dependence than were subjects without such a history.

When possibly confounding variables such as having a lifetime history of another affective disorder besides social anxiety disorder or having already experienced an alcohol- or marijuana-use disorder by age 17 were taken into account, having a lifetime history of social anxiety disorder at age 17 was significantly linked with the development of alcohol or marijuana dependence by age 30.

Moreover, having a history of social anxiety disorder at age 17 was linked with a fivefold risk of developing alcohol dependence and with a sevenfold greater risk of developing marijuana dependence, compared with peers who did not have such a history at that age.

Finally, the investigators evaluated whether having a lifetime history of anxiety disorder other than social anxiety disorder at age 17 likewise predicted the later development of alcohol or marijuana dependence, but they found no such link. They also failed to find a link between a lifetime history of a mood disorder at age 17 and later alcohol or marijuana dependence.

Thus, "among the internalizing disorders, social anxiety disorder appears to serve as a unique risk factor for the subsequent onset of cannabis and alcohol dependence," Schmidt and his group concluded.

The results have implications for clinical psychiatrists, Schmidt told Psychiatric News. "I think it is relevant to consider assessing for cannabis use among patients with social anxiety disorder, which might tend to be overlooked.... Also, we need to do a good job of educating social anxiety disorder patients regarding utilization of alcohol and cannabis to help them cope with their anxiety because of their high risk for problematic use of these substances."

Schmidt and his team will continue to follow their study cohort to see if future assessments can shed more light on the link between social anxiety and alcohol and marijuana dependence. For instance, it might possibly answer the question of whether subjects' social anxiety declines as they mature, and if so, whether their alcohol and marijuana dependence eases as well. Also, one of Schmidt's graduate students has received a grant from the National Institute on Drug Abuse to examine some of the mechanisms involved in the relationship between social anxiety and marijuana use.

"It may be that treatment of adolescent anxiety disorder could reduce the incidence of adult substance use disorders," Schmidt and his team speculated.

Source: "Specificity of Social Anxiety Disorder as a Risk Factor for Alcohol and Cannabis Dependence" [Abstract]
 

Daniel Baxter

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sounds right to me considering I feel my own version of social anxiety and shyness and I definitely smoke way too much friggin weed. :(
 

ladylore

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I definitely smoke way too much friggin weed.

Hi Daniel,

Do you find smoking marajauna a problem for you? Do you want to cut down or stop smoking it?
 

Bones

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In my experience with shyness and social anxiety, smoking weed eventually made things worse for me. It made me more isolated, withdrawn and paranoid. So I quit that.
The only drug that seemed to be beneficial for this problem was alcohol. But I find its best to use it in moderation and in controlled amounts. Too much brings in other problems.
Thats just my opinion and my own personal experience on this matter.
 

Daniel Baxter

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smoking's a huge problem for me. something I've been struggling to get rid of for quite some time. traditional methods just don't work for me, so I've been figuring something out for myself that's a new strategy. if it works I'll let you guys know how it's done.
 

Halo

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Good luck Daniel....I really hope that whatever method you are trying it works. I will keep my fingers crossed for you :crossfingers:
 
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i hope it works for you daniel, it sure would be much better and healthier for you. let us know how it goes!
 

ladylore

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This is off the original topic and probably falls more into the addiction section; but too bad :) here it goes.

I do do the NA thing and it has helped but what has helped to really change things around for me Daniel is a Daytox Program which relies heavily on Cognitive Therapy, Managing Emotions and Relapse Prevention - the point by point how to's of dealing with things and it has helped.

The thing that has been most annoying for my is when people say "well just stop" and other general things of that nature. This program is designed to help replace what we have had to drop and give the step by step guide of how to stop... and of course great counselling :)

Please do tell me to how what you are doing is working. And I would be curious to know, what it is exactly you are doing. Great ideas are meant to be passed along - only my opinion. :)

Good going Daniel!

Ladylore
 

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