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https://www.iampsychiatry.com/anxiety-treatment

Drugs to Treat Anxiety Disorders Psychiatrists employ a variety of tools to treat anxiety disorders The use of drugs is often part of a threepronged strategy including psychotherapy and exercise SSRIs or selective serotonin reuptake inhibitors are typically prescribed as the firstline antidepressants for anxiety disorders They reduce anxiety through an axon that regulates mood Other drugs include tricyclic antidepressants benzodiazepines and beta blockers propranolol and atenolol These drugs can increase bloodpressure and therefore it is crucial to keep track of your blood pressure when taking these medications Benzodiazepines Benzodiazepines are a powerful treatment for anxiety offering immediate relief and assisting you to feel calmer and at ease They help by increasing the activity of the neurotransmitter GABA in the brain which helps reduce tension and anxiety They can also be used as an aid to sleep helping you fall asleep GPs can prescribe a range of benzodiazepines including alprazolam Xanax diazepoxide Librium clonazepam Klonopin and lorazepam Ativan and flurazepoxide Dalmane While benzodiazepines may be an effective medication to treat anxiety symptoms care must be exercised when making use of them Utilizing them for prolonged periods of time can cause dependence which is why they are generally prescribed for shortterm usage Doctors should take this into account when prescribing benzodiazepines and must discuss the dangers with their patients Some people abuse benzodiazepines either by taking them more often or for longer periods than prescribed or by mixing them up with alcohol or other drugs This can be dangerous and increase the risk of adverse effects It is essential to keep all of your medications including benzodiazepines locked away in a secure place so that they can only be accessible by you or people authorized by you You could be at greater chance of developing addiction to benzodiazepines if you have prior background of alcohol or drug abuse It is important to inform your GP about any prior problems with substance abuse to help them assess your risk more carefully and be more vigilant about your treatment Before prescribing benzodiazepines GPs should look at other alternatives to reduce anxiety These include relaxation methods such as yoga meditation exercise and tai chi and changing some of your daily routines to reduce stress They may suggest talk therapies like cognitive behavioral therapy CBT and exposure therapy which can be beneficial for many people assisting them identify the root causes of anxiety create strategies to cope and improve their the quality of their life Antidepressants such as selective serotonin reuptake inhibitors SSRIs and selective norepinephrine reuptake inhibitors SNRIs can be effective for treating anxiety These medications can be utilized as part of a wider treatment plan for anxiety including the use of benzodiazepines as a shortterm anxiety relief while waiting for the longerlasting effects of antidepressants to begin to take effect Antidepressants There are a myriad of medications that can be used to combat anxiety These medications work differently but all increase the quantity of certain chemicals in your brain which can impact mood Your doctor will decide which medication is best for you based on your symptoms and history Antidepressants like selective serotonin reuptake inhibitors SSRIs and serotoninnorepinephrine reuptake inhibitors SNRIs are some of the most common medications used to treat anxiety disorders The majority of pharmacies offer them They are typically taken daily anxiety disorder treatments at home ll require a prescription from a doctor to get them however generic versions are usually cheaper than the branded version SSRIs are generally considered the firstchoice pharmaceutical treatment for most anxiety disorders including generalized anxiety disorder GAD obsessivecompulsive disorder OCD panic disorderagoraphobia and posttraumatic stress disorder PTSD They prevent the reabsorption of the chemical serotonin into the presynaptic nerve cells which produce and release it In addition they reduce the amount of norepinephrine released in response to stressful situations and can improve sleep Tricyclic antidepressants are a different kind of antidepressant It works well for some patients suffering from GAD but drowsiness and other side effects limit its use There is also a class of medicines called monoamine oxidase inhibitors that can be beneficial in treating anxiety but their restrictions on diet and negative side effects such as erectile dysfunction and weight gain they are not as popular Sometimes the combination of therapy and medication is the best choice for managing anxiety Psychotherapy is more costeffective as well as effective than medications alone for many people suffering from anxiety Cognitive behavioral therapy also known as CBT can help you to identify the triggers that contribute to anxiety and how to deal with these triggers CBT can help you stay away from negative thoughts that trigger anxiety Some people may need to take anxiety medication for a prolonged period of time depending on the severity of their symptoms and how well they respond to other treatments Research is ongoing to determine how and why these medications improve anxiety and what the best length of treatment is The latest antidepressants like esketamine Spravato are proving effective for people suffering from severe anxiety Sedatives Sedatives are drugs that help to calm the central nervous system and promote sleep Doctors prescribe them to treat anxiety and sleep disorders They enhance the activity of a neurotransmitter known as gammaaminobutyric acids or GABA in the brain to slow down the neurons activity and reduce the intensity of excitability which can lead to feelings of relaxation and calm Sedatives can also cause drowsiness and reduce muscle spasms These drugs are also used to induce general anesthesia The most commonly prescribed sedatives are benzodiazepines and Zdrugs Benzodiazepines are often prescribed These include Xanax Librium Valium chlordiazepoxide or diazepoxide Ativan and Lorazepam Zdrugs a type hypnotic drug that induces sleepiness by binding to receptors on the brain and spinal chord they are known as Zdrugs The calming effects of these drugs generally last from up to the day Sedatives can cause dangerous effects when used in conjunction together with other substances like alcohol and opiates These include impaired judgment drowsiness and a loss of coordination They can also lead to depression and confusion Sedatives are also addictive and can lead to dependence if used for a long time The dependence is more noticeable when a person is using high doses or stops using the drug abruptly In addition to sedatives antidepressants are frequently prescribed for anxiety They work by preventing the brains nerve cells from reabsorbing a chemical called serotonin Serotonin is a key chemical in regulating mood Antidepressants are usually taken for 612 months and then the dosage is gradually reduced The majority of people dont develop tolerance to these drugs and dont suffer withdrawal or dependence symptoms when they stop taking these medications Cognitive behavioral therapy and EMDR are both alternative therapies for anxiety CBT helps people recognize the things that trigger anxiety and then learn to manage the situation The EMDR technique could be a useful treatment for other conditions and PTSD During this therapy the person remembers past life experiences that caused anxiety and shifts their eyes between the two Psychotherapy Anxiety disorders GAD GAD with comorbid depression panic disorder and agoraphobia and social anxiety disorder affect people of all ages backgrounds and income levels These disorders are among the most prevalent disorders of psychiatry that affect adults and can be treated with psychotherapy or medication Some medications can help with certain symptoms but others have serious negative side consequences They should only be used as a part of a comprehensive treatment plan that includes psychotherapy Medicines are prescribed for anxiety disorders to decrease symptoms like excessive anxiety trembling and restlessness They can also help improve other symptoms that are often associated with these disorders such as depression or fatigue Antidepressants can also be prescribed to treat anxiety and some of them are effective in people without a depressive disorder The best drugs for treating anxiety are selective serotonin Reuptake Inhibitors SSRIs and serotonin norepinephrine reuptake inhibitors SNRIs These medications increase levels of serotonin the chemical that boosts moods in the brain which may reduce anxietyrelated feelings These medications can cause nausea vomiting and headaches initially However these side effects usually diminish with continued use SSRIs and SNRIs are not the only medications that can be used to treat anxiety These include venlafaxine vortioxetine bupropion XL buspirone the doxepine and valproic acid VPA in some formulations Most of these medications however havent been adequately tested in headtohead trials and have only limited evidence to prove their effectiveness for treating generalized anxiety disorder Benzodiazepines can be utilized as a substitute for SSRIs or SNRIs but they have dangerous sideeffects and can become habitforming They can also interfere with the effectiveness of psychotherapy and many sufferers are prone to withdrawal symptoms when they discontinue their benzodiazepine medication too soon Due to these risks benzodiazepines are recommended as a last resort treatment combination with other treatments However if symptoms become lifethreatening a physician may recommend that you take them