I am going to be seeing my doc this week for a follow-up and need some advice from some of you all! Basically I suffer from mild to moderate social anxiety, fear of crowds, public speaking. I don't have any depression. I just get the classic signs of anxiety like sweaty palms, racing pulse, sweats, blushing, panic around people I don't know. I am probably going to be starting medication again soon. But as a young man I am scared of the sexual side effects of the ssri's. I have had issues falling asleep in the past, so I'd hate to sacrifice decent sleep to help my anxiety. I am looking for a good medication to not destroy my sex drive or give me insomnia. Are Zoloft, Paxil, & Prozac basically the same, or are any better than the other? What about only using a small dose Ativan or Xanax or Clonopin instead of ssri? Some people have told me good things about Celexa and Lexapro, which can be a bit easier on the side effects? Or does it come down to, if you DO take an ssri, you usually have to supplement it with something else to help sleep/sex drive? Thanks to anyone who can give me some answers here!