A 32-Year-Old Man Comes to the Office Due to Anxiety

A 32-year-old man comes to the office due to anxiety that has intensified since he was promoted to a managerial position.  Whereas he previously worked alone, his new position requires him to interact with a team of five employees and handle customer service complaints.  The patient says he is anxious throughout the day and fears that he will say something embarrassing or that his coworkers and customers will notice his anxiety and think he is incompetent.  He says he was very quiet and shy growing up and would always get anxious when meeting new people.  He has a few friends with whom he socializes, but he typically has 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?

A) Beta adrenergic blockade
B) Dopamine and serotonin receptor antagonism
C) GABA_A receptor agonism
D) Histamine receptor antagonism
E) Monoamine oxidase inhibition
F) Serotonin reuptake inhibition

Correct Answer:

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