A college student sought help at our health center because hewas having social anxiety and difficulty participating in classdiscussion. He said he had used an antidepressant drug to combathis social fears when he was in high school but had stoppedtaking it because he wanted to make a fresh start in college and because he'd noticed that the medication affectedhis libido. Now, however, because he was painfully aware thatclass participation counted for half his grade, he wanted anew prescription for his old medication.