Dear Sir, I am seeking bilateral amygdalotomy. I am a 29 year old male from the United Kingdom. I have suffered from chronic agoraphobia and social phobia for over 10 years. I have had a previous episode of major depression, but chronic anxiety remains my primary problem. I have no history of schizophrenia, bipolar disorder or psychotic illness. I do not suffer from mental retardation or learning disabilities. I am physically healthy. My current formal ICD diagnoses are panic disorder with agoraphobia and social phobia. I have tried many different medications and psychological therapies, including benzodiazepines, anti-depressants (SSRIs; tricyclics; tricylic- related; MAOIs), anti-psychotics (typical and atypical), beta-blockers, cognitive-behaviour therapy, psychotherapy, counselling, anxiety management, relaxation training and exposure therapy with systematic desensitization. I have also tried complementary therapies including hypnotherapy and homeopathy. I can provide a full list of past treatments along with psychiatrist information on request.. Many of these treatments have been used in combination and trialed several times. In spite of this my agoraphobia and social phobia remain very disabling and I have been unable to work since leaving school at the age of 16. I am unable to leave the house unaccompanied. I am reliant on disability social security benefits. I have seen many psychiatrists, psychologists and psychiatric nurses over this period. They have exhausted most of the treatment options available to me and I am reliant on mental health services and live in assisted living. I am currently taking diazepam, lorazepam and risperidone. They are helpful in reducing panic attacks and general anxiety, but the agoraphobia and social phobia remain very disabling. I understand the amygdala has been strongly implicated in conditioned fear and phobias and a procedure called bilateral amygdalotomy has been used in individuals with uncontrollable bouts of fear or violence - Human Neuroanatomy: An Introduction, James R. Augustine, Academic Press, 2008 p.324. I am trying to find a surgeon who is willing to perform the procedure. I understand the procedure carries risk. Along with the risk of any surgery of this kind, I understand the most serious possible risk is Kluver-Bucy syndrome, but there is no recorded case history of an individual suffering from this following clinical bilateral amygdalotomy. Individuals suffering from this disorder have had organic or genetic diseases causing destruction of the amygdala along with surrounding areas of the brain. Other risks I have researched include impaired recognition of facial emotions which seems to be more common. Bilateral removal of the amydalae are documented to reduce conditioned fear responses and reduce autonomic arousal. I appreciate the surgery would have no guarantee of successfully relieving the symptoms of agoraphobia or social phobia. My quality of life is very poor and I believe the risks of surgery are worth taking for the possible benefits. I believe I have fully considered the risks versus the potential benefits and made an informed choice to seek such surgery. I will sign consent and disclaimer forms required to declare I understand the risks. I appreciate it is a very unusual request and a surgeon has to weigh the benefits against the risks.rn rnIn the United Kingdom neurosurgery for mental disorder is no longer offered for non-OCD anxiety states.rn rnI have attached a document showing details of past treatments and psychiatrist information etc. I am willing to travel for surgery, but would require initial consultations to take place via email or telephone. I have approximately $7000 US dollars to spend on the procedure and hospitalization. I hope you will be able to help me.