I have tried paxil, cymbalta, and now I'm on effexor xr. They all help with the depression but have no affect whatsoever on my social anxiety or self image. I have been researching lately and have come across a drug that may be really beneficial for people who suffer from avoidant personality disorder. The only problem is that the drug is amphetamine. I know that sounds really scary, like methamphetamines. But supposedly dexosyn, dexedrine and other drugs that cause a "flood of dopamine" cause a huge boost in confidence. Obviously, people with AvPD have really low self-esteem, so these drugs might allow us to more effectively interact with others. I have no idea if a doctor would even presecribe an amphetamine, especially for a personality disorder. I can't say I'm not going to try though. My next idea was to try nardil, an maoi. I have never even been to a psychiatrist before, my regular pcp prescribes ssri meds without question, but not maoi or amphetamines! So I am going to see a psych doc. When doing research I also came across ropinirole, a dopamine mimicking drug, but nothing sounded as beneficial as amphetamines in boosting confidence. There are many side effects to theses stimulants but I hate my solitude life as it is so the benefits outweigh the risks in my situation.