Why Anxiety Can Be Good For Us: The Parable Of The Hamster
Many studies support the use of meditation, qi gong, and tai qi to help calm and center brain activity. In my clinic, acupuncture is a reliable remedy to help the mind and spirit rebalance, even if the conscious mind is not completely on board yet.
It is also crucial to begin reprogramming unhealthy brain messages. Sometimes I will read Buddhist philosophy books with my patients so they can begin replacing negative thoughts with positive ones while contemplating existential life questions that may be at the root of the anxiety.
There may be no one treatment for mood issues and anxiety. But a thoughtful synergy of recommendations that address the various aspects of the body and mind can result in bringing anxiety under control while helping the brain process and heal.
Peter Bongiorno ND, LAc practices in New York, and recently authored Healing Depression: Integrated Naturopathic and Conventional Therapies.
References
Pagura J, Katz LY, Mojtabai R, Druss BG, Cox B, Sareen J. Antidepressant use in the absence of common mental disorders in the general population. J Clin Psychiatry. 2011 72:494-501.
Belleville G. Mortality hazard associated with anxiolytic and hypnotic drug use in the National Population Health Survey. Can J Psychiatry. 2010 55:558-67.
How Should I Take Xanax
Take Xanax exactly as prescribed by your doctor. Follow the directions on your prescription label and read all medication guides or instruction sheets. Never use Xanax in larger amounts, or for longer than prescribed. Tell your doctor if you feel an increased urge to use more of this medicine.
Never share this medicine with another person, especially someone with a history of drug abuse or addiction. MISUSE CAN CAUSE ADDICTION, OVERDOSE, OR DEATH. Keep the medication in a place where others cannot get to it. Selling or giving away this medicine is against the law.
Swallow the Xanax XR extended-release tablet whole. Do not crush, chew, or break the tablet.
If you use this medicine long-term, you may need frequent medical tests.
Do not stop using Xanax without asking your doctor. You may have life-threatening withdrawal symptoms if you stop using the medicine suddenly after long-term use.
Store Xanax at room temperature away from moisture, heat, and light. Keep your medicine in a place where no one can use it improperly.
Why Is This Medication Prescribed
Escitalopram is used to treat depression in adults and children and teenagers 12 years of ago or older. Escitalopram is also used to treat generalized anxiety disorder in adults. Escitalopram is in a class of antidepressants called selective serotonin reuptake inhibitors . It works by increasing the amount of serotonin, a natural substance in the brain that helps maintain mental balance.
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Choosing The Right Medication For You
Anxiety disorders are highly treatable, and with the right type of medication, you can better manage your symptoms and get back to focusing on your life. Because there is no one-size-fits-all approach to anxiety medication, it is vital to work closely with your psychiatrist or doctor when determining what treatment options are best for you. A medical professional can, based on your medical history, help you find the right dose, treatment plan, and note any possible risks or complications of taking medication for anxiety. With the help of a psychiatrist or doctor, you may also need to try several medicines before finding the right one.
After you are prescribed the medication, some substances such as caffeine, cold medicines, illicit drugs, and herbal supplements can exacerbate your symptoms. Continue to work with your psychiatrist to learn more about what substances are safe and which to avoid. Additionally, a medical professional will be able to help you determine how and when a medication should be stopped, as some anxiety medications cannot be stopped abruptly. The key is work closely with your psychiatrist to monitor your anxiety medications effectiveness and continually explore effective therapies.
Ssri And Snri Side Effects
- Dizziness
- Confusion
- Dependence or withdrawal
Your doctor will work with you to determine whether these side effects outweigh the potential benefit of an anxiety medication. If you are having trouble with any side effects from a medicine youre on, talk to your health care provider or chat with a doctor on K about different medication options.
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What Can You Do Yourself
Many people with generalized anxiety disorder don’t even think of going to see a doctor. They try to manage their fears on their own, for example using books or information from the internet. Some learn relaxation techniques, such as progressive muscle relaxation, autogenic training or yoga. The effectiveness of these kinds of strategies for managing anxiety disorders on your own is not well studied in scientific studies. Relaxation techniques are often used in psychological treatments, but it isn’t known how effective they are when used alone.
Some people try herbal sedatives like valerian, lavender or passion flower. There hasn’t been much research on these products either. Many people assume that herbal remedies are better tolerated and safer than other kinds of medicine. But they can also have side effects and may influence the effects of other medication.
People who treat an anxiety disorder on their own may only seek professional help after a very long time. If an anxiety disorder is really affecting your everyday life, certain kinds of psychological treatment and medication can help.
Important Information About Anxiety Medication
Medication often takes longer to treat anxiety than it does to treat depression. It might take several weeks for the medication to take effect. Studies show that anxiety medication works better if someone also has therapy.
Anxiety medication can cause side effects in some people. These may include:
- nausea
- dry mouth
- difficulty with sexual drive or arousal
These side effects normally fade away, but if you are experiencing side effects from anxiety, always tell your doctor as they may be able to help.
Some antidepressants can cause a harmful reaction when taken with certain other medications. Talk to your doctor or pharmacist before you take any other medications, including sleeping pills and painkillers.
Take your anxiety medication as prescribed. Do not adjust doses on your own without consulting your doctor. Dont drink alcohol while taking anti-anxiety medication.
If you are not sure about taking medications to treat anxiety, ask your doctor about the following:
- What are the benefits of the particular medication for anxiety?
- What are the risks of the medication?
- What are the possible side effects?
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Which Treatment Is Most Suitable
When deciding whether to have psychological treatment or use medication, your personal preference and individual needs will play a big role. The right kind of psychological treatment can be very effective and help you to overcome your anxiety. But it takes a lot of motivation and determination, and you often have to wait a long time to get an appointment. Depending on a persons individual situation and the severity of their disorder, it might therefore be a good idea to start taking medication first. Sometimes it isn’t really possible to begin psychological therapy until medication has been used to at least partially relieve the symptoms.
Some people don’t want to start taking antidepressants because they are afraid they might end up becoming dependent on them. But unlike some painkillers, sedatives and sleeping pills antidepressants do not lead to dependency. Others see taking tablets to cope with their problems as a sign of weakness. But there’s no reason to feel ashamed of taking medication to treat a mental illness. Medicine can be helpful, and in some cases even necessary, when trying to overcome anxiety.
Regardless of what decision you make, there are medications and psychological treatments that can help you cope with generalized anxiety disorder and start living a normal life again.
Dosage For Social Anxiety Disorder
Adult dosage
- The typical starting dose is 25 mg per day. This is usually increased to 50 mg per day after 1 week.
- Your doctor will slowly increase your dose every week, as needed.
- The maximum dose is 200 mg per day.
Child dosage
The use of this drug to treat children with this condition has not been studied. It should not be used in people younger than 18 years.
Senior dosage
The kidneys of older adults may not work as well as they used to. This can cause your body to process drugs more slowly. As a result, more of a drug stays in your body for a longer time. This raises your risk for side effects. Your doctor may start you on a lowered dose or a different dosing schedule. This can help keep levels of this drug from building up too much in your body.
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What Are The Treatments For Generalized Anxiety Disorder
Medication for Anxiety
Medication is useful for alleviating the symptoms of generalized anxiety disorder and is often prescribed in conjunction with other therapies. Some types of anxiety drugs can be habit-forming and are usually prescribed on a short-term or as-needed basis.
Different anxiety disorders have different medication regimens. Some are preventive and some are designed to cure the problem.
Antidepressants, particularly the selective serotonin reuptake inhibitors , are widely used to treat and prevent a variety of anxiety disorders. Examples of SSRIs that are commonly used to treat chronic anxiety include citalopram , escitalopram , fluoxetine , paroxetine , and sertraline . The antidepressantsduloxetine and venlafaxine , SNRIs which act on the brain chemicals serotonin and norephinephrine, and some of the tricyclic antidepressants like imipramine , may also help. Novel antidepressants such as mirtazepine are also prescribed at times.Ã
Another anti-anxiety drug is busprirone . It has fewer side effects than the benzodiazepines and is not associated with dependence. Buspar, however, can have its own side effects and may not always be as effective when a person has taken benzodiazepines in the past.
Therapy for Anxiety
Psychotherapy, with or without medication, is often considered a fundamental aspect of treatment for generalized anxiety disorder.
Lifestyle Modifications to Alleviate Anxiety
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Other Psychological Treatment Approaches
Other types of psychological treatment focus more on trying to find the possible causes of the anxiety, such as traumatic childhood events. There hasn’t been much good research on the effectiveness of these approaches in people with generalized anxiety disorder. The few studies that have compared them with cognitive behavioral therapy suggest that these psychodynamic therapies aren’t as helpful as cognitive behavioral therapy.
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Time To Start Working
Studies have shown that antidepressants are effective in reducing or eliminating panic attacks and improving anticipatory anxiety and symptoms of agoraphobia. Unfortunately, antidepressants generally dont result in immediate relief of symptoms. Many people will not see a significant improvement for several weeks.
Studies have generally shown that the full benefits of antidepressant therapy may take as long as 8 to 12 weeks. However, this timeline is variable among individuals.
Risks Of Anxiety Disorder Medications
Like any medication, those designated for anxiety disorders can carry some risks. There are a range of side effects, which, depending on the medication, can include dry mouth, diarrhea/constipation, lower appetite, sleep issues, nausea and heartburn. Some medications can also spark feelings of nervousness, irritability or, in severe cases, suicidal thoughts. Because these side effects can pose significant health problems, a doctor should be consulted if any of them appear.
Patients should also make sure their physicians know about anything they may be taking that could interfere with anxiety disorder medications. That includes over-the-counter drugs, herbal or vitamin supplements, other medications or even regular consumption of caffeine or alcohol.
Finally, anxiety disorder medications such as benzodiazepines carry the risk of abuse and addiction. Some medications can have a powerful effect on the brain and if they are taken frequently, a tolerance can develop. That means more of the medication needs to be taken to obtain the desired effect, and continued, accelerated use can lead to dependency. If the medication dependency interferes with a persons daily life and take the drug becomes the sole focus, it can indicate a possible addiction. People who abuse antidepressants and benzodiazepines over a long period of time may also suffer withdrawal symptoms when they attempt to stop using the medication.
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What Other Information Should I Know
Keep all appointments with your doctor.
Before having any laboratory test , tell your doctor and the laboratory personnel that you are taking escitalopram.
Do not let anyone else take your medication. Ask your pharmacist any questions you have about refilling your prescription.
It is important for you to keep a written list of all of the prescription and nonprescription medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies.
Other Medications For Anxiety
Many other medicines may help treat anxiety, although doctors usually only prescribe them if SSRIs or similar drugs do not work.
Other medications for anxiety include:
Beta-blockers
Beta-blockers are a common medication for people with high blood pressure and heart conditions. However, doctors may prescribe them off-label for anxiety in certain situations.
Beta-blockers reduce the effects of norepinephrine, meaning that they can relieve some of the physical symptoms of anxiety. Examples of beta-blockers include atenolol and propranolol .
Buspirone
This anti-anxiety medication may treat short- or long-term anxiety symptoms.
Buspirone works much more slowly than benzodiazepines and may not treat all types of anxiety disorder, but it causes fewer side effects and has a lower risk of dependency.
Monoamine oxidase inhibitors
Monoamine oxidase inhibitors are one of the earliest types of antidepressant. Doctors may prescribe them off-label to treat the symptoms of panic disorder and social phobia. Types of MAOI include:
- isocarboxazid
The United States Food and Drug Administration require all antidepressants to carry a black-box warning relating to the risk of suicide in children and young adults.
People under 25 years of age may experience an increase in suicidal thoughts and behaviors while taking antidepressants, particularly within the first few weeks of use.
The National Suicide Prevention Lifeline is 1-800-273-TALK , and it is available 24 hours a day, 7 days a week.
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What You Need To Know About Anxiety Medication
Experiencing occasional anxiety is normal. Perhaps you feel it when you are stressed about a problem at work, gearing up for a test, need to make an important decision or now that the coronavirus is a part of our common experience. But when anxiety involves more than just temporary worry or fear, you may be dealing with something more serious an anxiety disorder anxiousness that does not go away and generally gets worse over time. For the nearly 40 million adults in the U.S. experiencing an anxiety disorder, symptoms can interfere with life and negatively impact work and school performance, as well as personal relationships.
Fortunately, anxiety disorders are highly treatable through psychotherapy, medication, or a combination of both. While drugs cannot cure anxiety, they can help manage anxiety symptoms and improve quality of life. There are many types of medications available, and you and your psychiatrist can determine the best type for your symptoms and experience.