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

Treatment of Anxiety Disorders Anxiety can affect the quality of life of an individual because it makes them feel overwhelmed exhausted depressed and stressed Stress can prevent people from socializing with others thereby enhancing their false sense of danger and thus creating isolation Treatment for anxiety can include psychotherapy medications and exercise Medications can include antidepressants such as SSRIs citalopram Escitalopram and benzodiazepines such as lorazepam and diazepam The effects of medication Many people experience anxiety at times but when that feeling persists for a long period of time or becomes a problem in daily life it is an indication of an anxiety disorder Treatment of anxiety disorders usually involves psychotherapy and medication Although medications can relieve symptoms they are not able to cure anxiety disorders Therefore they need to be utilized in combination with psychotherapy and lifestyle modifications The medications that are typically prescribed to treat anxiety include antidepressants and benzodiazepines Antidepressants can correct a imbalance of chemicals in the brain that causes anxiety Benzodiazepines like Xanax alprazolam Klonopin clonazepam and Valium diazepam are sedatives that work fast to stop the bodys response to anxiety They are also addictive and are therefore not recommended for use in the long term SSRIs serotonin reuptake inhibitors help reduce the levels of cortisol a stress hormone within the body They also block the brains receptors that absorb serotonin which allows more of the moodenhancing chemical This eases anxiety Serotoninnorepinephrine reuptake inhibitors or SNRIs have similar effects to SSRIs and can also be effective in treating anxiety SSRIs have a solid safety record and are accessible and effective for most people Cons Some patients might have side effects such as dry mouth dizziness dry mouth and drowsiness Other psychiatric drugs like propranolol can also be helpful for anxiety symptoms These medications are usually used to treat high blood pressure and heart ailments however doctors can prescribe them offlabel to treat anxiety They act to blunt the effect of stress hormones in the body like adrenaline and noradrenaline that raise your heart rate and blood pressure They can also cause negative effects such as bradycardia orthostatic hypotension and sedation Change your diet and ensuring you get enough exercise can help ease anxiety Relaxing activities like meditation and yoga can also help ease anxiety There are also mindbody treatments such as acupuncture and Tai Chi that can ease anxiety Consult your physician about what options might be suitable for you Cognitive behavioral therapy CBT Cognitive behavioral therapy which is a psychotherapy based on scientific evidence is effective for treating anxiety disorders It is based on the idea that emotions thoughts and physical sensations are connected and that negative patterns may keep you in a vicious loop CBT teaches you to identify your negative thoughts patterns and to implement strategies to control them It also teaches you to control your responses to situations that trigger anxiety and develop coping mechanisms In the first session the therapist will usually conduct an assessment This could include filling out questionnaires conducting an interview or supplying written materials This will help them determine the cause of your disorder and identify the symptoms that are distressing It will also help determine whether your current treatment options are effective The assessment will also determine if you are able to have a an therapeutic relationship CBT typically lasts for 20 sessions or less You will see your therapist once or twice a week during these sessions Your therapist will instruct you on various selfhelp strategies such as how to reframe unhelpful thoughts and practice positive outcome visualization They will also help you develop coping strategies like how to relax your body and relax your mind Your therapist could also offer tools like therapy worksheets that will aid you in identifying symptoms and triggers They will help you work through your anxiety in smaller steps so that the process is less intimidating If you are afraid of social situations your therapist could allow you to roleplay them before moving on to talking to your family or friends CBT also includes behavioural experiments It allows you to challenge your irrational catastrophic predictions by generating evidence against them If you are afraid that something bad will occur to you if leave your house You can perform a behavioural test by making predictions For example If I go for dinner Ill get food poisoning Then youll be able to verify whether or not your prediction was correct Hypnotherapy Hypnotherapy is a good option as a substitute for medications to treat anxiety Hypnosis helps people relax alter their perception of their symptoms and modify their behavior It can also be utilized to overcome fears It is commonly used to ease anxiety and stress however it can also help in reducing pain The effects of hypnosis are longlasting and can be observed after only one session During a session of hypnosis or while listening to a recorded recording the therapist guides you into a state of mind that feels like a daydream In this state of trance you will be able to respond and listen to suggestions made by the therapist They may ask you to imagine a secure and comfortable place and after that they will tell you to pay attention to sensory details that gradually become more real This is known as a deepening trance This is the point where the therapy starts to work and you will start to see a difference in your symptoms Many people find that they notice a change straight away After hypnotherapy sessions it is possible to feel the shift in their body as soon as they leave the room or open up their eyes This is normal and it can also feel mystical For natural anxiety treatments it might take several sessions before they see any positive changes This is normal and its important to allow time for therapy to get things going You should always consult your physician prior to undergoing treatment with hypnotherapy They will be able to answer any concerns you have about hypnotherapy and discuss your options Hypnosis is not available on the NHS therefore youll need to arrange an appointment in private with a licensed therapist These sessions can be costly however they are more costeffective than other types of treatment for anxiety In some cases hypnosis can be used to treat PTSD This disorder is often triggered by traumatizing events such as a car crash natural disaster or war It can trigger depression anxiety and other problems The symptoms of PTSD include intrusive memories nightmares and increased anxiety or hypervigilance Hypnotherapy can be a successful method to manage PTSD and it is usually coupled with other talk treatments to achieve the best results Exercise Anxiety can be a significant obstacle for those who wish to lead active lives but the good news is that exercising can provide some of the best alternatives to treat the disorder Exercise can reduce anxiety symptoms for hours A regular schedule of physical exercise can help reduce anxiety While it is widely acknowledged that regular exercise has positive health effects few studies have focused on the effects of exercise on anxiety A new study suggests high intensity exercise is particularly effective in treating anxiety The researchers involved in the study led by University of Gothenburg psychologist Henriksson assigned 223 adults with anxiety to a 12week group exercise program that included high or low intensity exercises They also gave them instructions on how they can incorporate exercise into their daily lives The results were clear that those who were in the highintensity group showed significant improvement in their anxiety levels than those in the lowintensity group These findings have implications for the use of exercise schemes in general practice Patients with anxiety tend to be more sedentary than people who are not affected and an absence of physical activity could contribute to their psychiatric disorders Physical activity is linked to a 25 percent lower risk of depression or anxiety disorders than sedentary people Its not surprising that exercising can improve mental health it stimulates the release of feelgood hormones like serotonin and dopamine Furthermore it can help increase selfesteem and improve sleep quality But the benefits of physical activity is even higher than that A variety of studies have found that it is as effective as antidepressants for treating anxiety A recent metaanalysis by Jayakody and colleagues identified eight trials that compared groups that exercised with those who did not exercise Each study found a reduction in anxiety The researchers limited their analysis to studies involving people who had a medical diagnosis of anxiety disorder It is clear that more research is required to determine if exercise is an effective solution for those with elevated levels of anxiety

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