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

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?

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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