The Often Unknown Benefits Of Treat Anxiety

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Anxiety is among the most common mental health conditions, affecting 40 million adults in the United States. It's extremely treatable with many types of medications available.

SSRIs (selective serotonin reuptake inhibitors) and SNRIs (serotonin-norepinephrine reuptake inhibitors), like Zoloft, Prozac, Lexapro and Effexor, work to alleviate anxiety by raising levels of the chemical serotonin in the brain. Unlike benzodiazepines, they're not addictive.

SSRIs

The most common anxiety medication is selective serotonin reuptake inhibits (SSRIs) comprising citalopram, escitalopram, and fluoxetine. These drugs can also be used to treat depression and relieve symptoms of other anxiety disorders, such as obsessive compulsive disorder. They can take up to a month before they start working.

They are effective by increasing the quantity of certain chemical transmitters in the brain. This includes serotonin and norepinephrine as well as dopamine. These are typically the first option to treat anxiety, but doctors can also prescribe other types of antidepressants, also known as benzodiazepines.

Antidepressants like duloxetine (Cymbalta) and venlafaxine (Effexor) are also used for anxiety. They differ from SSRIs since they reduce norepinephrine, however at a lower rate than SSRIs. These medications take a long time to be effective and are more expensive than SSRIs.

Tricyclic antidepressants (TCAs), such as imipramine (Tofranil) can be effective in treating some anxiety disorders, notably GAD. Their drowsiness, as well as other adverse effects make them less popular. Monoamine oxide inhibitors (MAOIs) are another kind of antidepressant used to combat anxiety. Their high risk of toxicity and dietary restrictions make them unsuitable for use.

Benzodiazepines are commonly used to treat anxiety and panic attacks in the short term for instance, when waiting for SSRIs or SNRIs to kick in. These medications can cause tolerance, sedation and addiction and withdrawal reactions that can cause rebound depression, anxiety, and even delirium. The most common benzodiazepines are alprazolam (Xanax) and Clonazepam (Klonopin) and lorazepam (Ativan).

Therapy is an important part of a treatment plan for anxiety because it allows you to learn more about your symptoms and their reasons. Many people find that both therapy and medication help to manage anxiety. Some studies suggest that cognitive behavioral therapy works just as well as medications for separation anxiety disorder treatments. Consult your physician to find out what's best for you.

Benzodiazepines

Benzodiazepines have a calming affect that reduces anxiety and relaxes tense muscle. They also alleviate symptoms of bodily arousal related to fear (like heart rate and shaking) and encourage sleep.

The way they work is by binding to inhibitory neurotransmitters, like gamma-aminobutryic acids or GABA and interacting with receptors in the central nervous system. They enhance the effects of GABA by increasing its inhibitory effects on other neurotransmitters and decreasing the amount of messages that are that are sent to the amygdala. an area of the brain that assesses threats and produces the sensation of fear.

These drugs can be used for short durations of time, such as when you experience a panic attack or when you experience extreme anxiety. They can help relieve symptoms in 30 to 60 minutes. Unlike SSRIs which are a long-lasting medication, benzodiazepines do not stay in the body for long. They're fast-acting and can work in a matter of hours. This makes them suitable for situations in which rapid relief is required (such for instance, during a flight or before a presentation in public).

Since they are addictive, patients are usually only prescribed them up to four weeks at a go. They also lose effectiveness after a period of time.

One of the reasons the benzodiazepines became so well-known is that they were effective and had minimal side effects, when compared to their predecessors, such as meprobamate or barbiturates. They have a quick start of action and are extremely effective as anxiolytics (anti-anxiety), sedatives, anticonvulsants as well as as muscle relaxants.

Benzos were blamed for the negative attitudes towards anxiety that emerged in the 1970s and 1980s which included the reduction of the disorder and the perception that benzodiazepine therapies result in physical dependence. However they play an important role in the treatment of anxiety disorders, especially when used in combination with psychosocial interventions, such as cognitive behavioral therapy and interpersonal therapy.

Benzos may interact with other medications, causing unwanted side effects, such as drowsiness and confusion. It is essential to inform your doctor be aware of any other prescription, non-prescription or herbal medications you're considering or taking. Take a look at the British National Formulary A to Z list of medication interactions to determine which medications are safe with benzodiazepines.

Antidepressants

Antidepressants can help ease anxiety and other mental health problems. According to the Anxiety and Depression Association of America, antidepressants -- like SSRIs and serotonin-norepinephrine reuptake inhibitors (SNRIs) -- can help reduce chronic anxiety disorder, obsessive-compulsive disorder (OCD), panic disorders and generalized anxiety disorder (GAD). The FDA has approved antidepressants for other health conditions, such as eating disorders, bipolar disorder and certain kinds of pain.

SSRIs are often prescribed as a first-line treatment for anxiety by doctors, but they might not be effective for everyone. If the antidepressants do not work, the doctor may try an older version called a tetracyclic or tricyclic antidepressant. These include amitriptyline and nortriptyline, clomipramine, trimipramine, doxepin and dothiepin or imipramine. These antidepressants are less common but still readily available. You can also ask your doctor to prescribe the sedating antidepressant trazodone(Desyrel), at lower doses if you are experiencing anxiety or sleep problems.

Nefazodone, also known as Ferdinand (Cymbalta) and duloxetine can also be helpful. These drugs are also available in generic form. If they don't work, your doctor may suggest the sedating antidepressant mirtazapine (Remeron) or the antipsychotics quetiapine and olanzapine.

Beta blockers are used to treat anxiety disorders. They reduce heart rate and blood pressure by blocking adrenaline. These drugs aren't commonly used to treat anxiety attack treatment without medication on their own however they can be helpful when paired with psychotherapy.

Psychological therapy can help you change negative thoughts and behaviors that can cause anxiety. It can teach you to manage your anxiety and teach you strategies for coping. Based on your specific condition, you might undergo exposure or cognitive behavioural therapy. Cognitive behavioral therapy teaches you to overcome negative and fearful thoughts and overcome your avoidance of situations that cause anxiety. Exposure therapy involves gradually increasing the intensity of anxiety-inducing situations until are able to manage them. This can be done in a single session or in small groups. In both cases, it takes time to show results. A combination of medications and psychological therapy is the best choice for certain people. Others discover that medications alone are sufficient to control their symptoms. It's important to tell your doctor what you're doing to manage your symptoms.

Other Medications

Other drugs can also help alleviate your symptoms. Beta blockers and antihistamines are sometimes prescribed to relieve anxiety.

These medications correct an imbalance in the brain's chemicals and can help alleviate your symptoms by reducing or blocking the signals that can cause stress and fear. However, they're not a cure all. You'll still need to do other things to reduce anxiety, such as physical exercise or relaxation techniques, as well as psychotherapy.

The SSRIs or SNRIs are often the most commonly prescribed anxiety medications that your doctor might prescribe. According to studies, these medications are the most effective in treating anxiety disorders. SSRIs are usually found in sertraline (Zoloft) as well as fluoxetine, citalopram, and escitalopram. These medications may cause mild side effects such as nausea and insomnia, but these tend to subside within 4-8 weeks. Contrary to benzodiazepines they're not addictive and don't increase your risk for suicidal thoughts.

The benzodiazepines alprazolam (Xanax) and clonazepam (Klonopin), and diazepoxide (Valium) provide immediate relief from panic attacks and anxiety however they can also cause adverse effects, such as drowsiness, dizziness, memory and coordination problems, and dependence. They're not as popular over the more traditional barbiturates however, they're equally efficient.

Antihistamines, such as Vistaril (hydroxyzine) were developed to relieve allergies however, they're also used to ease anxiety symptoms. Hydroxyzine blocks the histamine receptors in the brain and can cause a calming effect. It is not a controlled drug and doesn't have the same risk of addiction as benzodiazepines.

Another kind of medication that can aid with anxiety is a class called anticonvulsants. They've been proven to reduce anxiety by interfering with the release and production of dopamine and serotonin. These medications can be used as part of an integrated therapy or to treat anxiety in the short term. Your doctor will evaluate your symptoms and health history to determine if these drugs are suitable for you. They'll also discuss how long you should take them for and any potential adverse effects. Anxiety medications are only available through prescription, and a psychiatrist will be required to prescribe it.