Toxina botulínica como tratamento para fobia social generalizada com hiperidrose

Translated title of the contribution: Botulinum toxin as a treatment for social phobia with hyperidrosis

Larissa da Rocha Lessa, Leonardo F. Fontenelle

Research output: Contribution to journalArticleOtherpeer-review

2 Citations (Scopus)


Background: Blushing, trembling, and sweating are frequently seen in social phobia. Objectives: In this study, we aimed at describing the response of a patient with a generalized type of social phobia and hyperhydrosis to cognitive-behavioral therapy augmented by botulinum toxin. Method: Single case report. Results: Mr. A, a 20 year-old university student, sought treatment in our unit for social phobia with comorbid depression. Mr. A also exhibited a diagnosis of palmar, plantar, and axilar hyperidrosis. He described that exposure to feared situations always lead to aggravation of sweating and other symptoms of heightened physiological arousal. Both social phobia and hyperhydrosis had their onset in early adolescence, with the former beginning four years before the latter. Cognitive-behavioral therapy led to aliviation of depression but effective treatment of social phobia was only possible after therapy with botulinum toxin. Discussion: Botulinum toxin, a treatment that blocks peripheral autonomic symptoms, might also lead to improvement of social phobia.

Translated title of the contributionBotulinum toxin as a treatment for social phobia with hyperidrosis
Original languagePortuguese
Pages (from-to)84-86
Number of pages3
JournalRevista de Psiquiatria Clinica
Issue number2
Publication statusPublished - 2011
Externally publishedYes


  • Botulinum toxin
  • Hyperhidrosis
  • Social phobia

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